MATERNAL MORTALITY IN A TERTIARY CARE HOSPITAL
AbstractBackground: Death of a woman during pregnancy and child birth is an extremely tragic event. It is awaste of a precious life that leaves great feeling of grief and pain for the family and hospital staff andhas devastating influence on the community overall. Maternal morbidity and mortality can be preventedby awareness of reproductive health in a community, availability, and utilisation of organised antenatalcare, skilled intrapartum management and careful postnatal follow up. Objective was to analyse thepattern of maternal mortality over the period of five years in a tertiary level hospital receiving high riskreferred patients form periphery. Methods: All patients admitted in Gynae ‘A’ Unit, Ayub TeachingHospital from January 2006 to December 2010 were included in the study and number and causes ofmaternal deaths were noted. Results: During these 5 years there were 78 maternal deaths out of 11,997obstetrical admissions. There were 7,380 total births and 78 maternal deaths during the study periodand Maternal Mortality Rate was 1,057/100,000. The main cause of maternal death was eclampsia andits complications (28.2%). Conclusion: Eclampsia is the leading cause of maternal mortality in oursetup. Proper and timely referral is an important measure to prevent it.Keywords: Maternal mortality, Eclampsia, Septicaemia, Haemorrhage, Pulmonary embolism,Antenatal care
WHO. World Health Report–2005. Make every mother and child
count. Geneva: WHO; 2005.
Rosenfield A, Maine D, Freedman L. Meeting MDG-5: An
impossible dream? Lancet 2006;368:1133–5.
Khan KS, Wojdyla D, Say L, Gülmezoglu AM, Van Look PF.
WHO analysis of causes of maternal death: a systematic review.
Fikree FF, Midhet F, Sadruddin S, Berendes HW. Maternal
mortality in different Pakistani sites: ratio, clinical causes and
determinants. Acta Obstet Gynecol Scand 1997;76:637–45.
Nisar N, Sohoo NA, Maternal mortality in rural community: A
challenge for achieving Millennium Development Goal. J Pak
Med Assoc 2010;60:20–4.
Rahim R, Shafqat T, Faiz NR. An analysis of Direct causes of
Maternal Mortality J Postgrad Med Inst 2006;20:86–91.
J Ayub Med Coll Abbottabad 2011;23(1)
Kausar S, Khalid S, Yousaf F, Akbar M. Maternal mortality in a
Tertiary Care Hospital, Lahore. A four year review. Biomedica
Sami S, Baloch SN. Maternal Morality in Balochistan: A
challenge for the obstetricians. J Coll Physicians Surg Pak
Ronsmans C, Graham W. Maternal mortality: WHO, When,
Where and why. Lancet 2006;368:1189–200.
Sachs JD, Mc Arthur Jw. The millennium project: a plan for
meeting the Millennium Development. Lancet 2005;365:347–53.
Hogan MC, Foreman KJ, Naghavi M, Ahn Sy, Wang M, Makela
SM, et al. Maternal mortality for 181 countries, 1980–2008: a
systematic analysis of progress towards Millennium
Development Goal 5. Lancet 2010;375:1609–23.
Hill K, Thomas K, AbouZahr C, Walker N, Say L, Inoue M,
et al. Maternal Mortality Working Group. Estimates of
maternal mortality world wide between 1990 and 2005: Lancet
Graham WJ, Ahmed S, Stanton C, Abou-Zahr CL, Campbell
OM. Measuring maternal mortality: an overview of opportunities
and options for developing countries. BMC Med 2008;6:12.
Khan YP, Bhutta SZ, Munim S, Bhutta ZA. Maternal health and
survival in Pakistan: issues and options. J Obstet Gynaecol Can