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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.
Objectives:
To study the maternal mortality and the complications leading to maternal death.
Methods:
A retrospective study of hospital records and death summaries of all maternal deaths over the period from January 2000 to August 2009 was carried out.
Results:
There were a total of 80 maternal deaths out of 88,443 live births giving maternal mortality rate (MMR) of 90.45 per 100,000 live births. Unbooked and late referral accounted for 77.5 % of maternal deaths. The majority of the deaths was in 30-40-year age group and around term. Hemorrhage was the commonest cause of death (52.5 %), followed by sepsis (13.75 %) and pregnancy-induced hypertension including eclampsia (10 %).
Conclusions:
Hemorrhage, sepsis, and pregnancy-induced hypertension including eclampsia were found to be the direct major causes of death. Anemia and cardiac disease were other indirect causes of deaths.
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