MATERNAL MORTALITY IN A TERTIARY CARE HOSPITAL
Abstract
Background: 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 careReferences
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