Maternal Mortality – A Challenge?

摘要

Background : The current maternal mortalityrate (MMR) in Maharashtra is 104/100000 livebirths, ranking 3rdin India. There is scope forreducing it as mejority of the causes of MMRare preventable and curable.Aims and Objectives: To study the socio-de-mographic profile and causes of maternaldeaths at Dr. V. M. Govt. Medical College,Solapur. Material and Methods: The studypopulation included all deliveries i.e. womenadmitted in the hospital during pregnancy, child-birth or within 42 days of termination of preg-nancy from any cause related to or aggravateddue to pregnancy during the period of 2 yearsfrom 1stAugust 2009 to 31stJuly 2011. IPDcase records and autopsy reports of all mater-nal deaths were taken and various variables werestudied. The present study is prospective studyof maternal mortality conducted in Dept. of Ob-stetrics and Gynaecology, Dr. V. M. MedicalCollege Solapur. Cases were distributed ac-cording to their age, literacy rate, residence,socioeconomic status, ante-natal care, gesta-tional age, gravida/parity, place of referral, preg-nancy outcome, and place of delivery, perinataloutcome and etiological factors. This study alsosuggests the measures to reduce maternal mor-tality. Results: The total number of live birthsduring the study period were 13,188 and totalnumber of maternal deaths were 63 and MMRwas 477 per 1, 00,000 live births. In the mater-nal deaths studied, 1/3rdof the women were il-literate, half of the women belonged to urbanslum areas and of lower socio-economic class.1/3rdof the deaths occurred in primi gravida,within 24 hrs from admission, 58.73% of thepatients were referred from outside. Out of that86.49% of women were sent from private hos-pital and died in post partum period, having poorperinatal outcome. Haemorrhage (28.57%) andhypertension (12.69%) are two direct causesand severe anemia (33.33%) is most commonindirect cause of maternal death in our study.