Article PDF :

Veiw Full Text PDF

Article type :

Original Article

Author :

Sumitra Yadav, Devyani Tiwari

Volume :

7

Issue :

4

Abstract :

Background: The World Health Organization (WHO) defines a maternal death as "the death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and the site of the pregnancy, from any cause related to or aggravated by the pregnancy or its management but not from accidental or incidental causes. India alone has 22% of the global total. Materials and Methods: This study was performed in Department of Obstetrics & Gynaecology, M.Y. Hospital & M.Y. Hospital, Indore from January 2000 to September 2019. In year 2005, with the goal of reducing the numbers of maternal and neonatal deaths, the Government of India launched Janani Suraksha Yojana (JSY). This study was planned to assess the effect of JSY on maternal mortality and also on other maternal health parameters by observing the pre and post JSY data from January 2000 to September 2019. Data were analyzed for 04 years (2000-2004) before the implementation of JSY and compared with 15 years (2005-2019) following implementation of JSY. All the cases of maternal mortality during this period were studied, causes of these maternal mortalities were evaluated, various socio-demographic factors associated with the maternal death analyzed, and changing trends in maternal mortality pre and post JSY was analyzed. Focus was on all causes of maternal mortality particularly direct causes of maternal mortality for which management usually involves maternity care professional. Study Designed: Observational study. Result: Total Maternal Death during study period 2000 to 2019 was 903. Maximum maternal Death is recorded in the age group 21-30 yrs (68%). Maternal Mortality is more in Primi Patients, i.e. 337 out of 903 (37.32%) of Maternal Death. Conclusion: According to this study, after the implementation of JSY institutional admission and deliveries increased.MMRin pre JSY i.e,2000-2004 was 545.40,and in post JSY PeriodMMRin 2005-2009 was 523.82, MMRin 2010-2014 was 472.90, MMR in 2015-2019 was 389.28 (post JSY). Hence after the introduction of JSY in year 2005 we found that MMR showed continuous decreasing trend.