Epidemiology of maternal death in a tertiary care centre
Pranjal Tamuli, Hemkanta Sarma, Abu Hasan Sarkar
Objectives: To estimate the maternal mortality rate and to study the related factors responsible for the maternal deaths during the period from 2011 to 2016. Materials and methods: The present study was a retrospective record based study carried out from maternal death registers and Maternal Death Review (MDR) forms. The live birth records were obtained from labour room registers. Results: The institutional MMR was calculated to be 468.18 per 1,00,000 live births. The most common age (mode) of death was seen among women of 20 years; with 92.2% of deaths among women of rural area and 55% deaths were recorded in the tea tribe community alone. Most (54.4%) of the deaths were found amongst the primigravida. It was observed that 36.1% of the deaths occurred due to hypertensive disorder followed by haemorrhage (20.6%) and sepsis (10.6%). Anemia contributed 7.7% to the deaths and 1.7% was due to obstructed labor. Other causes included ruptured ectopic, ARDS, pulmonary embolism, DIC, rupture uterus. Conclusion: In the present study, many deaths have occurred due to hypertension, haemorrhagic and anaemic causes and many of them did not receive adequate antenatal attention.