Insight into five year maternal mortality of tertiary referral hospital in central India–destination far ahead


Article PDF :

Veiw Full Text PDF

Article type :

Original Article

Author :

Bharti Sahu, Poorva Badkur

Volume :

3

Issue :

4

Abstract :

Aims and Objectives 1.        To study five years maternal mortality in the tertiary referral hospital of MP. 2.        To find out various causes of these maternal deaths. Method: A retrospective analysis of maternal deaths from hospital records and death summaries of five years between Jan 2010 to Dec 2014 at NSCB Medical College and Hospital, Jabalpur in Madhya Pradesh. Results: During the review period, there were 349 maternal deaths and 22,260 live births direct causes were 69% (n?=?243), of which 49.2% (n?=?174) from pregnancy induced hypertension and 8.8% (n?=?30) from hemorrhage, were the leading causes of mortality. Out of total, indirect causes were 30.37% (n=106) of which severe anemia 20.06% (n=70) had topped. Of all, 94% (n=340) women were unbooked, 83% (n=290) were resident of rural areas, 82% (n=286) belong to age group 20-30 years and 56% (n=197) were primigravidas, 80% (n=281) were referred, and 62% experienced delay in care. Conclusion: The load of maternal mortality was found to be intolerably huge. Most women died of direct causes and experienced delay in care. Improvement in the quality of skilled maternity care, need to avail good, proper and effective antenatal care, timely referral, prompt transportation, provision of family planning services, among other factors, can drastically curtail the maternal deaths.