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Indian Journal of Obstetrics and Gynecology

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Study of Maternal Mortality at a Rural Medical College: A Seven Year Study

Rohidas Chavan Associate Professor, Department of Obstetrics & Gynaecology, Shri Vasantrao Naik Government Medical College, Yavatmal, Maharashtra 445001, India. , Garima Arora* , Rohidas Chavan** , Sabir Khan*** , Gourav Bagga****

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Indian Journal of Obstetrics and Gynecology 5(4):p 457-461, Oct-Dec 2017. | DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.5417.2

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Background: The current maternal mortality ratio in India is 212 100000 live births. India is behind the target of 103 deaths per live births to be achieved by 2015 under the united nations mandated millennium development goals. Maternal mortality is one of the area in Indian obstetrics where strong concern and consequences is seen. Aims and Objectives: To calculate the maternal mortality rate in our hospital, assess the demographic data, assess the causes of maternal mortality and suggest steps to reduce the MMR. Materials and Methods: A retrospective analysis of maternal deaths from hospital records and death summaries over a period of seven years from January 2009 to December 2015. Data will be collected and grouped. Standard statistical software will be used for analysis of data. Observation In our institute, MMR was 362 in 2009 which declined to 242 in 2015. (mean mortality rate of study was 309.28 year). Most of deaths occurred in women belonging to 3rd decade of their life (73.8%). Most belong to lower class families (62.09%), Majority of the females in our study had vaginal delivery (61.43%), most of deaths occurred within 24 hours of admission to hospital (48.36%), eclampsia was the most common direct cause of maternal mortality (24.1% of total maternal deaths), anemia was the most common indirect cause of maternal mortality (15.68% of total maternal deaths). Conclusion: Reviewing the maternal deaths that occurred in our hospital there is an urgent need of early intervention in PIH, sepsis and anaemia. Analysis of every maternal death through maternal death audit should be carried out to identify the actual cause of maternal deaths and deficiencies in health care delivery system that might help to formulate preventive measures to reduce pregnancy related deaths

Keywords: Maternal Mortality. 

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DOI: DOI: http://dx.doi.org/10.21088/ijog.2321.1636.5417.2

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