A Study of Causes and Factors Responsible for Maternal Mortality in a Tertiary Care Institute of Central Gujarat
Journal of Gynecology and Obstetrics
Volume 7, Issue 4, July 2019, Pages: 100-103
Received: Apr. 10, 2019;
Accepted: Jun. 4, 2019;
Published: Jun. 20, 2019
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Kanika P. Kachhwaha, Department of Obstetrics and Gynaecology, Byramjee Jeejeebhoy Medical College & Civil Hospital, Ahmedabad, Republic of India
Mahima Jain, Department of Obstetrics and Gynaecology, Byramjee Jeejeebhoy Medical College & Civil Hospital, Ahmedabad, Republic of India
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Maternal mortality is still a big health concern in developing world. The state of maternal health represents overall state of women’s right in health, social and economic realms. If the causes of death can be addressed and are found to be preventable it indicates negligence on the part of government and the entities that have the power to implement the changes. To determine factors and causes of maternal mortality this retrospective observational study was conducted in the department of obstetrics and gynaecology, BJ medical college. Maternal mortalities from October 2016 to March 2018 (18 months) were analysed with respect to factors like locality, literacy, parity, ANC care, time after admission, type of delay (according to maternal death review form) and causes of death (direct and indirect causes of MMR). Total 92 maternal deaths were studied and that gave a MMR of 468 per 1,00,000 live births. Maximum deaths occurred in patients who were in the age group of 20-34 (83.1%), rural locality (71%), Irregular with ANC visits (74%), multigravida (56.5%), within 24 hours of delivery (46.7%) and those who had type 1 delay (delay in decision making to seek help, 78.3%). More of deaths occurred in post partum (84.8%) and in vaginal mode of delivery (47.4) Vs Caesarean section (46.3). Direct obstetric causes of death (57.6%) were of deaths which included hypertensive disorders (29.3%), haemorrhage (19%) and others. Indirect causes accounted for 42.4% deaths which included hepatitis (21.7%), heart diseases (9.8%) etc. Early intervention and diagnosis with timely management are essential to reduce morbidity and hence maternal mortality. Special attention should be given to Routine Antenatal care (RANC) and more specifically to Focussed Antenatal Care (FANC)). Lack of expertise at primary level with lack of proper referral system adds to the cause.
Maternal Mortality, Maternal Deaths, Gynaecology, Obstetric
To cite this article
Kanika P. Kachhwaha,
A Study of Causes and Factors Responsible for Maternal Mortality in a Tertiary Care Institute of Central Gujarat, Journal of Gynecology and Obstetrics.
Vol. 7, No. 4,
2019, pp. 100-103.
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Inter-Agency Group for Safe Motherhood. Safe Motherhood: Helping to make women’s reproductive health and rights a reality. Family Care International. New York. 1998. P. 2.
Gülmezoglu AM, Say L, Betrán AP, Villar J, Piaggio G. WHO systematic review of maternal mortality and morbidity: methodological issues and challenges. BMC Med Res Methodol. 2004; 4: 16. Published 2004 Jul 5. doi: 10.1186/1471-2288-4-16.
Max Roser and Hannah Ritchie (2019) - "Maternal Mortality". Published online at OurWorldInData.org. Retrieved from: 'https://ourworldindata.org/maternal-mortality' [Online Resource].
Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. Alkema L, Chou D, Hogan D, Zhang S, Moller AB, Gemmill A, et al. Lancet. 2016; 387 (10017): 462-74.
Khandale SN et al. Int J Reprod Contracept Obstet Gynecol. 2017 Apr; 6 (4): 1610-1613.
United Nations Development Programme. Millenium Development Goals.
Betran AP, Wojdyla D et al, Maternal mortality at country level: an analysis based on WHO systemic review. BMC public health 2005; 5: 131.
Raina, Shahid Hamid, India's Health Status and Sustainable Development - Achievements and Challenges (March 17, 2017).
Rudan I, Lawn J et al. Gaps in policy-relevant information onburden of diseases in children: A systemic review. Lancet 2005; 365: 2031-40.
Glaziou P, Irvig L, Bain C, Colditz G. Frequency and rate. In: Systemic reviews in health care: a practical guide, 2nd edn. Cambridge, UK: Cambridge University Press, 2001: 67-73.
Stroup DF, Berlin JA, Morton SC, Oikin I et al. Meta-analysis of observational studies in epidemiology. A proposal for reporting. JAMA 2000; 283: 2008-12.
Maternal-perinatal morbidity and mortality associated with adolescent pregnancy in Latin America: Cross-sectional study. Conde-Agudelo A, Belizan JM, Lammers C. American Journal of Obstetrics and Gynecology, 2004, 192: 342–349.
Global patterns of mortality in young people: a systematic analysis of population health data. Patton GC, Coffey C, Sawyer SM, Viner RM, Haller DM, Bose K, Vos T, Ferguson J, Mathers CD. Lancet, 2009, 374: 881–892.
Khandale SN, Kedar K. Analysis of maternal mortality: a retrospective study at tertiary care centre. Int J Reprod Contracept Obstet Gynecol 2017; 6: 1610-3.
Nair A, Doibale MK, Gujrathi VV, Inamdar IF, Shingare AD, Rajput PS. Study of maternal mortality in a tertiary care hospital in a district of Maharashtra. Int J Med Sci Public Health 2016; 5: 1851-1854.