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Maternal Mortality: A FOGSI Study (Based on Institutional Data).

Hiralal Konar¹, Asit Baran Chakraborty²

¹Department of Obstetrics & Gynaecology, Calcutta National Medical College & Hospital, CD-55, Salt Lake City, Sector-1, Kolkata, 700 064 India.

Journal of Obstetrics and Gynaecology of India

|January 17, 2014

Summary

Maternal mortality in India shows wide regional variations, with hypertension and hemorrhage as leading causes. A prospective study is needed to determine the exact maternal mortality ratio (MMR).

Keywords:

Cause prioritization Current status FOGSI study Maternal mortality Quality data

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Area of Science:

Obstetrics and Gynecology
Public Health
Epidemiology

Background:

Maternal mortality remains a significant public health concern globally.
Understanding regional variations in maternal mortality ratio (MMR) is crucial for targeted interventions.

Purpose of the Study:

To assess the current status and regional variations of maternal deaths among FOGSI members in India.
To identify the leading causes of maternal mortality across different geographical zones.

Main Methods:

A retrospective observational study was conducted using data from January 2005 to December 2007.
Maternal mortality data were collected and analyzed from FOGSI members across five zones in India.

Main Results:

Significant variations in maternal mortality ratio (MMR) were observed across five zones: West (342), South (229), East (709), North East (709), and North (814).
Leading causes of death included hypertension (29.4%), hemorrhage (21.56%), sepsis (15.05%), and medical disorders (12%).
Data for 2005 indicated a drop in MMR to 147 for India, with notable differences when including or excluding Kerala.

Conclusions:

Maternal mortality ratio (MMR) in India exhibits considerable zonal disparities.
Discrepancies in data sources were identified, highlighting the need for accurate data collection.
Prioritizing causes of death, allocating resources effectively, and conducting a prospective study are essential for determining the exact MMR in India.