Review of maternal death in a tertiary care centre western India: a 5 year study
Objectives: To study epidemiological aspects of maternal mortality in our centre. To study causes of maternal death and its impact on health care sector. To calculate the maternal mortality rate in our set up and its comparison with national data. To study measures to reduce maternal mortality. Meth...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Barpeta Obstetrics and Gynaecological Society
2023-02-01
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| Series: | New Indian Journal of OBGYN |
| Subjects: | |
| Online Access: | https://journal.barpetaogs.co.in/pdf/09283.pdf |
| _version_ | 1797902597169872896 |
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| author | Purvi M Parikh Rupa C Vyas Hiral J Damor Sapana R Shah Hetal N Dodiya |
| author_facet | Purvi M Parikh Rupa C Vyas Hiral J Damor Sapana R Shah Hetal N Dodiya |
| author_sort | Purvi M Parikh |
| collection | DOAJ |
| description | Objectives: To study epidemiological aspects of maternal mortality in our centre. To study causes of maternal death and its impact on health care sector. To calculate the maternal mortality rate in our set up and its comparison with national data. To study measures to reduce maternal mortality. Methodology: A retrospective study of all maternal deaths according to definition of maternal mortality between1st January 2015 to 31st December 2020. Result: Indirect obstetrics causes related to maternal deaths includes anemia 40% (28/70), hypertension 37.14% (26/70), hepatitis 17.14% (12/70) and cardio-respiratory disease 12.85% (9/70). Direct causes of maternal deaths include haemorrhage 27.14% (19/70), septicemia 22.85% (16/70), DIC 21.42% (15/70), eclampsia 20% (14/70), cardio-respiratory failure 10% (7/70), hepatic encephalopathy 8.57% (6/70) pulmonary embolism 4.28% (3/70) and other causes like intraventricular failure, brain infarct, raised intracranial tension 4.28% (3/70). Sepsis includes post abortal sepsis, surgical wound sepsis, puerperal sepsis and causes of haemorrhage was APH, PPH and ruptured uterus. Conclusion: A number of social and economic factors affect maternal mortality. Proper antenatal care received during antenatal period, early hospitalization during labour and early referral to tertiary care hospitals, availability to blood products and multispecialty facilities are necessary to reduce maternal deaths. The poor illiterate unbooked women from rural areas and late referral to tertiary care centers are more vulnerable to maternal morbidity and mortality. |
| first_indexed | 2024-04-10T09:20:05Z |
| format | Article |
| id | doaj.art-af7c05542a0a47cab7367d116cd46201 |
| institution | Directory Open Access Journal |
| issn | 2454-2334 2454-2342 |
| language | English |
| last_indexed | 2024-04-10T09:20:05Z |
| publishDate | 2023-02-01 |
| publisher | Barpeta Obstetrics and Gynaecological Society |
| record_format | Article |
| series | New Indian Journal of OBGYN |
| spelling | doaj.art-af7c05542a0a47cab7367d116cd462012023-02-20T15:34:14ZengBarpeta Obstetrics and Gynaecological SocietyNew Indian Journal of OBGYN2454-23342454-23422023-02-019228328710.21276/obgyn.2023.9.2.18Review of maternal death in a tertiary care centre western India: a 5 year studyPurvi M Parikh 0Rupa C Vyas 1Hiral J Damor 2Sapana R Shah3Hetal N Dodiya 4Assistant Professor, Department of Obstetrics and Gynecology, SMT NHL MMC (SVPIMSR), Ahmedabad, Gujarat, IndiaAssociate Professor, Department of Obstetrics and Gynecology, SMT NHL MMC (SVPIMSR), Ahmedabad, Gujarat, IndiaFirst Year Resident, Department of Obstetrics and Gynecology, SMT NHL MMC (SVPIMSR), Ahmedabad, Gujarat, IndiaHead of Unit, Department of Obstetrics and Gynecology, SMT NHL MMC (SVPIMSR), Ahmedabad, Gujarat, IndiaThird Year Resident, Department of Obstetrics and Gynecology, SMT NHL MMC (SVPIMSR), Ahmedabad, Gujarat, IndiaObjectives: To study epidemiological aspects of maternal mortality in our centre. To study causes of maternal death and its impact on health care sector. To calculate the maternal mortality rate in our set up and its comparison with national data. To study measures to reduce maternal mortality. Methodology: A retrospective study of all maternal deaths according to definition of maternal mortality between1st January 2015 to 31st December 2020. Result: Indirect obstetrics causes related to maternal deaths includes anemia 40% (28/70), hypertension 37.14% (26/70), hepatitis 17.14% (12/70) and cardio-respiratory disease 12.85% (9/70). Direct causes of maternal deaths include haemorrhage 27.14% (19/70), septicemia 22.85% (16/70), DIC 21.42% (15/70), eclampsia 20% (14/70), cardio-respiratory failure 10% (7/70), hepatic encephalopathy 8.57% (6/70) pulmonary embolism 4.28% (3/70) and other causes like intraventricular failure, brain infarct, raised intracranial tension 4.28% (3/70). Sepsis includes post abortal sepsis, surgical wound sepsis, puerperal sepsis and causes of haemorrhage was APH, PPH and ruptured uterus. Conclusion: A number of social and economic factors affect maternal mortality. Proper antenatal care received during antenatal period, early hospitalization during labour and early referral to tertiary care hospitals, availability to blood products and multispecialty facilities are necessary to reduce maternal deaths. The poor illiterate unbooked women from rural areas and late referral to tertiary care centers are more vulnerable to maternal morbidity and mortality.https://journal.barpetaogs.co.in/pdf/09283.pdfmaternal mortality and morbidityanemiasepticemiahemorrhagehypertension |
| spellingShingle | Purvi M Parikh Rupa C Vyas Hiral J Damor Sapana R Shah Hetal N Dodiya Review of maternal death in a tertiary care centre western India: a 5 year study New Indian Journal of OBGYN maternal mortality and morbidity anemia septicemia hemorrhage hypertension |
| title | Review of maternal death in a tertiary care centre western India: a 5 year study |
| title_full | Review of maternal death in a tertiary care centre western India: a 5 year study |
| title_fullStr | Review of maternal death in a tertiary care centre western India: a 5 year study |
| title_full_unstemmed | Review of maternal death in a tertiary care centre western India: a 5 year study |
| title_short | Review of maternal death in a tertiary care centre western India: a 5 year study |
| title_sort | review of maternal death in a tertiary care centre western india a 5 year study |
| topic | maternal mortality and morbidity anemia septicemia hemorrhage hypertension |
| url | https://journal.barpetaogs.co.in/pdf/09283.pdf |
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