Abstract :
Background: Maternal mortality is an index of reproductive health of the society. The leading cause of maternal deaths are direct, which include sepsis, haemorrhage, hypertensive disorders, obstructed labour, abortions and others.Aim: To study the histopathology of various organs in direct causes of maternal deaths. Materials and Methods: This is an observational descriptive type of study carried out in the department of Pathology, in a tertiary care hospital for a total period of 4 and half years from 1st January 2016 to 30th June 2020. Histopathological examination was performed on organs from maternal autopsies which were performed in our institute.Results: A total of 65 cases were studied. Maximum number of cases were seen in the age group of 21-25 years and in multigravida. The commonest mode of delivery was vaginal delivery. Puerperal sepsis was the most frequent cause of death which constituted 26.15% followed by postpartum haemorrhage (21.54%) and Toxaemia of pregnancy (20%).Conclusion: Puerperal sepsis was the most common, but preventable cause of death. Histopathological findings of organs from maternal autopsies with clinical correlation always helps to finalise a cause of death in maternal deaths and is therefore always recommended.
Keyword :
Histopathological, Maternal death, Sepsis, Haemorrhage.