Related Experiment Video
Updated: May 12, 2026
08:49
External Cephalic Version: Is it an Effective and Safe Procedure?
Published on: June 6, 2020
Maternal mortality and its causes in a tertiary center
Pratima Devi Khumanthem1, Manglem Singh Chanam, Randhoni Devi Samjetshabam
1Department of Obstetrics and Gynecology, Regional Institute of Medical Sciences (RIMS), Lamphel, Imphal, Manipur, 795001 India ; C/O Dr. A.D. Sharma, Brahmapur Aribam Leikai, Near Water Tank, Imphal, Manipur, 795001 India.
Journal of Obstetrics and Gynaecology of India
|April 2, 2013
Summary
Maternal mortality is significantly impacted by hemorrhage, sepsis, and pregnancy-induced hypertension. Addressing these causes is crucial for reducing maternal deaths.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Maternal Health Research
Background:
- Maternal mortality remains a critical global health concern.
- Understanding the leading causes of maternal death is essential for targeted interventions.
Purpose of the Study:
- To investigate the rates and causes of maternal mortality.
- To identify complications contributing to maternal deaths.
Main Methods:
- Retrospective analysis of hospital records and death summaries.
- Study period: January 2000 to August 2009.
- Inclusion of all maternal deaths within the specified period.
Main Results:
- Maternal mortality rate (MMR) was 90.45 per 100,000 live births (80 deaths/88,443 births).
- Hemorrhage (52.5%), sepsis (13.75%), and pregnancy-induced hypertension/eclampsia (10%) were the primary causes.
- Unbooked or late-referred cases constituted 77.5% of maternal deaths.
- Most deaths occurred in women aged 30-40 years, often around term.
Conclusions:
- Direct causes of maternal death include hemorrhage, sepsis, and pregnancy-induced hypertension.
- Indirect causes such as anemia and cardiac disease also contribute to maternal mortality.
- Focusing on unbooked/late-referred cases and managing key direct causes can reduce maternal deaths.
Related Concept Videos
01:19Mitral Valve Prolapse III: Nursing Management
The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
01:07Teratogenicity
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
01:21Tertiary Healthcare System
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care to...
01:14Fetal Circulation
Fetal circulation is a unique system that facilitates the exchange of gases, nutrients, and waste products between the developing fetus and the mother. This intricate process takes place through a special organ called the placenta.
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
Two umbilical arteries transport blood from the fetus to the placenta. At the placenta, the blood absorbs oxygen and nutrients while simultaneously eliminating waste products. This oxygen-enriched and nutrient-rich blood then returns to the fetus through one...
01:28Development of the Oral Microbiota
The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...