MATERNAL MORTALITY IN PAKISTAN: IS THERE ANY METAMORPHOSIS TOWARDS BETTERMENT?

Authors

  • Nusrat Nisar Liaquat University of Medical and Health Sciences Jamshoro sindh Pakistan
  • Razia Mustafa Abbasi Liaquat University of Medical and Health Sciences Jamshoro sindh Pakistan
  • Shehla Raza Chana Liaquat University of Medical and Health Sciences Jamshoro sindh Pakistan
  • Noushaba Rizwan Liaquat University of Medical and Health Sciences Jamshoro sindh Pakistan
  • Razia Badar Consultant OBGYN KPT Karachi

Abstract

Background: Every year more than half million mother die due to pregnancy related preventable causes like haemorrhage, hypertensive disorders, sepsis, obstructed labour and unsafe abortion. Among these deaths 99% occur in developing countries. The study was conducted to assess the maternal death rate and to analyse its trends over a period of 20 years in tertiary care hospital in Sindh Province Pakistan. Methods: A retrospective analysis of maternal mortality records were carried out for a period of 20 years from 1986–1995 and 2011–2015 at the Department of Obstetrics and gynaecology Liaquat University of Medical and Health Sciences Hyderabad Sindh Pakistan. The record retrieved was categorized into four 5 yearly periods 1986–1990, 1991–995, 2006–2010 and 2011–2015 for comparison of trends. Results: The cumulative maternal mortality ratio (MMR) was 1521.5 per 100,000 live births. The comparison of first 5 years’ period (1986–1990) and last 5 years (2011–2015) showed downward trend in maternal mortality rate from 2368.6–1265.1. Direct causes of death have accounted for 2820 (84.78%) of total maternal death. Sepsis was the major cause of death for first 5 years accounted for 196(35.1%) of maternal death while in the last 5 years’ eclampsia causes 284 (27.84%) of direct maternal deaths.Conclusion: The reduction in the maternal deaths has been very slow. The direct causes were still the main reasons for obstetrical deaths.Keywords: Maternal Mortality; Changing trends; Women’s Health; Safe Motherhood

Author Biographies

Nusrat Nisar, Liaquat University of Medical and Health Sciences Jamshoro sindh Pakistan

Obstetrics And Gynecology

Razia Mustafa Abbasi, Liaquat University of Medical and Health Sciences Jamshoro sindh Pakistan

Obstetrics And gynecology

Shehla Raza Chana, Liaquat University of Medical and Health Sciences Jamshoro sindh Pakistan

Obstetrics and Gynecology

Noushaba Rizwan, Liaquat University of Medical and Health Sciences Jamshoro sindh Pakistan

Obstetrics and Gynecology

Razia Badar, Consultant OBGYN KPT Karachi

Obstetrics and gynecology

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Published

2017-01-25

Issue

Vol. 29 No. 1 (2017): JOURNAL OF AYUB MEDICAL COLLEGE, ABBOTTABAD

Section

ORIGINAL ARTICLE

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