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Indian Journal of Maternal-Fetal & Neonatal Medicine 4(1):p 43-48, January - June 2017. | DOI: DOI: http://dx.doi.org/10.21088/ijmfnm.2347.999X.4117.7
Original Article
Trend and Factors among the Maternal Deaths Associated with Eclampsia at a Tertiary Care Centre: Retrospective Six Years Study
Jitendra P. Ghumare* , Jitendra P. Ghumare* , Arun P. Moray**
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Indian Journal of Maternal-Fetal & Neonatal Medicine 4(1):p 43-48, January - June 2017. | DOI: DOI: http://dx.doi.org/10.21088/ijmfnm.2347.999X.4117.7
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Abstract
Background: Building on the momentum generated by Millennium Development Goal 5, the Sustainable Development Goals (SDGs) establish a transformative new agenda for maternal health is to reduce the global MMR to less than 70 per 100 000 deliveries by 2030. At the country level, India estimated 15% maternal deaths worldwide in 2015. Among the major complications, high blood pressure during pregnancy (pre-eclampsia and eclampsia) is one of them. As incidence of eclampsia is influenced by the availability and quality of antenatal care, eclampsia mortality remains important in settings of high maternal mortality. The present study carried out to analyze the trend and assess socio demographic characteristics of maternal deaths associated with eclampsia. Methods: The present retrospective record based study was carried out at an Obstetrics and Gynecology Department of a tertiary care hospital located at Northern Maharashtra region. The study extracted the information from the records during the period from 2010 to 2015.The variables like age, education, income, registration status, parity, etc. were also obtained from the records of deaths due to Eclampsia. All the collected data analyzed using MicrosoftTM Excel 2010. Descriptive analysis and calculations of indicators were done. Results: Maternal mortality rate was 255 per 100000 deliveries for the period of 2010- 2015. Eclampsia contribution in maternal deaths is decreased from 66.6 % in 2010 to 43.48% in 2015. Overall Eclampsia incidence was 26.9 per 1000 deliveries and the case fatality rate 3.76 per 100 cases. Age group of 18-22 yrs 31(60.8%), 35 cases i.e.68.6% rural area of residence, 68.6% primigravida,78.4% unregistered pregnancies & Antepartum eclampsia (70.5%) were common factors present in eclampsia deaths. Conclusion: Better antenatal care including effective identification of high risk cases for preeclampsia/eclampsia, evidence based protocols for management of hypertension in pregnancy at all levels of health care and robust referral systems are required for better maternal outcome.
Keyword: Eclampsia; Antenatal; Maternal; Maternal mortality rate
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DOI: DOI: http://dx.doi.org/10.21088/ijmfnm.2347.999X.4117.7
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