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Maternal Death: Audit in a Tertiary Hospital.
1Dr Kaberi Guha, Junior Consultant, Obstetrics & Gynaecology, Shaheed Suhrawardy Medical College Hospital, Sher-E-Bangla Nagar, Dhaka, Bangladesh; E- mail: guha.kaberi0@gmail.com.
Mymensingh Medical Journal : MMJ
|February 14, 2019
Summary
Maternal deaths were audited, revealing eclampsia and postpartum hemorrhage as leading causes. Substandard care, including lack of ICU facilities and delayed medical attention, significantly contributed to these preventable deaths.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Healthcare Quality Improvement
Background:
- Maternal mortality remains a critical global health issue.
- Tertiary hospitals play a vital role in managing complex obstetric cases.
- Auditing maternal deaths is essential for identifying systemic failures and improving care.
Purpose of the Study:
- To conduct a maternal death audit in a tertiary hospital to enhance maternal healthcare quality.
- To identify factors contributing to maternal mortality at Rajshahi Medical College Hospital.
Main Methods:
- A descriptive, cross-sectional study design was employed.
- Maternal deaths were reviewed retrospectively from July 2008 to June 2009.
- Data on demographics, causes of death, and institutional factors were collected and analyzed.
Main Results:
- 63 maternal deaths occurred among 7560 deliveries.
- Leading causes of death included eclampsia (46%), postpartum hemorrhage (PPH, 17.5%), and septic abortion (12.7%).
- Institutional factors like lack of obstetric ICU (73%), delayed blood transfusion (46%), and delayed senior doctor attendance (30%) were significant contributors.
Conclusions:
- Young mothers (under 25) and those in their first pregnancy were disproportionately affected.
- Eclampsia, hemorrhage, and septic abortions, compounded by substandard institutional care, are major drivers of maternal mortality.
- Addressing systemic issues in obstetric care is crucial for reducing preventable maternal deaths.
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