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Changing trends in maternal mortality over a decade

Y Juneja1, U Goel, M Sood

  • 1Lady Harding Medical College, New Delhi, India.

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|September 1, 1994
PubMed
Summary

Maternal mortality significantly declined over a decade, with sepsis, hemorrhage, and hepatitis as leading causes. Community-level health education and services can reduce preventable maternal deaths.

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Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Epidemiology

Background:

  • Maternal mortality remains a critical global health concern.
  • Understanding trends and causes is vital for targeted interventions.

Purpose of the Study:

  • To analyze trends in maternal mortality over a ten-year period.
  • To identify specific causes contributing to maternal deaths.

Main Methods:

  • Retrospective study analyzing admission ledgers at Lady Harding Medical College, New Delhi.
  • Data collected for two 3-year periods: 1979-1981 and 1989-1991.
  • Maternal deaths and causes were ascertained from patient records.

Main Results:

  • Maternal mortality rate significantly decreased from 684/100,000 births (1979-1981) to 394/100,000 births (1989-1991).

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  • Sepsis, hemorrhage, and hepatitis were identified as the primary causes of maternal deaths.
  • Total maternal deaths decreased from 158 to 149 over the study periods.
  • Conclusions:

    • Health education and accessible community-level health services are crucial for reducing maternal deaths.
    • Preventable causes like sepsis and hemorrhage can be mitigated through improved healthcare access.
    • The study highlights the impact of public health initiatives on maternal mortality reduction.