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Indian Journal of Obstetrics and Gynecology

Volume  8, Issue 2, April – June 2020, Pages 67-73
 

Original Article

Review of Maternal Mortality at A Tertiary Care Hospital

Rashmika Gandhi, Pranav V. Gwalani, Sudha Gandhi

1,2Resident, 3Senior Professor and Unit Head, Department of Obstetrics and Gynecology, RNT Medical College Udaipur, Rajasthan 313001, India.

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DOI: http://dx.doi.org/10.21088/ijog.2321.1636.8220.12

Abstract

Introduction: Child birth is an important milestone in any women’s life. Illness or death during or after childbirth has impacts not only on the mother and her family but has serious consequences on the nation’s sociodemographic goals. Safe motherhood is considered a human rights issue. Maternal death is thus, a reflection of social disadvantage and not merely a health disadvantage. Methods: A retrospective study was done from August 2018 to September 2019 in Pannadhay Rajkiya
Mahila Chikitsalaya Udaipur. Medical records of all maternal deaths over the chosen period were analyzed. Result: The MMR in this study period was around 451.46/100,000 live births. Unbooked cases accounted for majority of the deaths. Most cases were referred to our tertiary care hospital. Maximum deaths occurred between 21 & 30 years of age. Anemia was widely prevalent. Most deaths were due to indirect
causes, most common being sepsis which was closely followed by hypertension and haemorrhage. Conclusion: Strengthening of peripheral centres, hiring competent staff and adequate blood bank facilities together with reference linkages must be done. Auditing the causes for maternal mortality is extremely helpful to identify preventable causes and delay.
 


Keywords : Maternal Mortality; Hypertension; Haemorrhage; MMR.
Corresponding Author : Pranav V. Gwalani