MATERNAL MORTALITY: A TEN YEAR REVIEW IN A TERTIARY CARE SETUP
AbstractBackground: Maternal mortality ratio of a country is indicative of its health anddevelopment status. Information on maternal mortality is required to determine this statusand to set priorities for policy making and programmatic and operation research strategies.This study was conducted to determine the causes of maternal mortality in a tertiary carehospital. Methods: This study was conducted in Department of Obstetrics & GynaecologyB Unit, Ayub Medical College, Abbottabad, from January 2002 to January 2012. Data of allthe pregnant patients admitted to Obs/Gyn Unit ‘B’ Labour Room were retrospectivelycollected and reviewed for the causes of direct maternal deaths. Results: There were 21,120deliveries during the study period. Out of these, there were 163 maternal deaths. Thematernal mortality ratio was calculated as 772 per 100,000 live births. Direct maternaldeaths constituted 143 (87.7%) and indirect deaths were responsible for 20 (12.3%) deaths.Haemorrhage was the leading cause of maternal death and was responsible for 43.55% ofmaternal deaths, while eclampsia was observed in 26.99% of maternal deaths. In 6.13% ofpatients rupture uterus was the cause of maternal death. Conclusion: Maternal mortality inour part of the world is high and most of the causes of maternal death remain haemorrhageand eclampsia. Haemorrhage which is the leading cause of maternal death is bothpredictable and preventable, if proper peripartum care is provided, maternal mortality canbe reduced.Keywords: Maternal mortality, Eclampsia, Septicaemia, Haemorrhage, Pulmonaryembolism
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