DOI: 10.36347/sjams.2020.v08i01.015

Pages: 72-76

Background: Maternal mortality reflects the quality of obstetric care given to pregnant women in the community. Maternal mortality in India continues to be unacceptably high. This study was conducted to find the maternal mortality ratio in the hospital and to assess some epidemiological aspects and causes of maternal mortality. Material and methods: The present retrospective record based study was conducted in Community Medicine department in collaboration with Obstetrics and Gynaecology department of Government Medical College and hospital, Akola, Maharashtra. Data regarding maternal mortality for year 2018 was collected from Maternal Mortality register. Information regarding age, residence, religion, gestational age, parity, causes of maternal deaths, time interval between admission and death, time of death in relation to pregnancy, etc. was recorded in pre coded proforma. Results: During the study period there occurred 5689 live births and 30 maternal deaths in the hospital. Thus maternal mortality ratio in this hospital was 527.3 per 100000 live births. 86.6% maternal deaths occurred above 20 years of age. Most of these women were from urban area (86.6%). 80% maternal deaths occurred in third trimester or during postpartum period. 53.3% deaths occurred in primipara while 46.7% in multipara. Direct causes of maternal deaths were –haemorrhage (16.7%), Eclampsia (16.7%), sepsis (13.3%) and Rupture ectopic (3.3%). Indirect causes contributing for maternal mortality were severe anaemia (6.6%), hepatitis (16.7%), ARDS (16.7%) and heart disease (10.0%). 56.7% maternal deaths occurred within 24 hours of admission to the hospital. Of these 36.78% deaths occurred within 12 hours of admission