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Maternal mortality in southern India

P S Rao1, A Amalraj

  • 1Department of Biostatistics, Christian Medical College, Vellore, India.

Tropical and Geographical Medicine
|January 1, 1994
PubMed
Summary

Maternal mortality rates in South India are alarmingly high, with community surveys revealing significantly higher figures than official statistics. This highlights critical gaps in healthcare access and program effectiveness for pregnant women.

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Area of Science:

  • Public Health
  • Epidemiology
  • Maternal Health

Background:

  • Maternal mortality remains a significant global health challenge, particularly in low-resource settings.
  • Official statistics may underestimate the true burden of maternal deaths in communities.

Purpose of the Study:

  • To estimate maternal mortality rates in rural and semi-urban South India through a community-based survey.
  • To compare community-based estimates with official or hospital statistics.
  • To identify factors contributing to high maternal mortality and inform program planning.

Main Methods:

  • A 4-year prospective community survey involving 20,000 randomly selected women.
  • Data collection on live births and maternal deaths in North Arcot District, Tamil Nadu.
Keywords:
AsiaCommunity SurveysDemographic FactorsDeveloping CountriesIndiaMaternal MortalityMortalityPopulationPopulation CharacteristicsPopulation DynamicsResearch ReportRural PopulationSampling StudiesSouthern AsiaStudiesSurveysUrban Population

Related Experiment Videos

  • Calculation of maternal mortality rates per 1,000 liveborn, distinguishing between direct and all causes.
  • Main Results:

    • Estimated maternal mortality rates were 17.4 per 1,000 liveborn in rural areas and 16.6 in semi-urban areas.
    • Rates based on direct causes were 11.9 (rural) and 14.4 (semi-urban).
    • Community-based rates were substantially higher than official or hospital-based statistics.

    Conclusions:

    • Community surveys reveal a higher burden of maternal mortality than previously reported by official sources.
    • Significant disparities exist in maternal health outcomes between rural and semi-urban settings.
    • Findings underscore the need for improved public health programs and healthcare access to reduce preventable maternal deaths.