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Analysis Study Research Paper | Obstetrics and Gynecology | India | Volume 12 Issue 5, May 2023
Trends in Maternal Mortality in a Tertiary Care Centre Over a Period of 5 Years - A Retrospective Analysis
Ramaraju H E | Sachin Harkude | Karunya N | Sharanya V
Abstract: Introduction: Knowing epidemiological factors, causes and complications leading to maternal death is very important to design interventional programs to reduce MMR. Prevention and early diagnosis of complications is more important in prevention of MMR. Aims and Objectives: Analysis of trends and causes of maternal mortality in a tertiary care centre. Materials and Methods: The present retrospective hospital-based study was conducted in the Department of OBG, VIMS, Ballari from January 2017 to December 2021. The information regarding epidemiological data including cause of death will be collected from the MRD of the hospital. Results: Total of 211 maternal deaths were studied and analyzed. Most of the maternal deaths occurred in age group 20-24 years (49.2%), with no much difference between parity. Maximum patients are of rural origin (83.4%). Most patients died postnatally (84.3%) as compared to Antenatal (14.7%) and postabortal (0.9%) periods. Majority of the patients died within 24 hours of admission. 62.08% of cases were referred. Direct causes accounted for 70% of maternal deaths where as indirect causes accounted for 30% of maternal deaths. Conclusion: Even today most maternal deaths are seen in patients from rural areas. HDP, sepsis and Hemorrhage are the major causes of maternal deaths. Improvement in primary health care in rural areas and proper implementation of NRHM programs, early referral and up gradation of hospitals in rural areas can definitely bring down the number of maternal deaths. Identification of high risk pregnancies and early intervention including for complications can reduce the MMR significantly.
Keywords: MMR - Maternal Mortality Rate, NRHM, WHO, SDG, NMTP
Edition: Volume 12 Issue 5, May 2023,
Pages: 2007 - 2009