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Maternal deaths--a ten-year study

A Chatterjee1, J K Gupta, A Mahapatra

  • 1Department of Obstetrics and Gynaecology, RG Kar Medical College and Hospital, Calcutta.

Journal of the Indian Medical Association
|March 1, 1993
PubMed
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Maternal deaths from abortion, toxaemia, hemorrhage, and jaundice remain a critical issue. Hemorrhage was the leading cause, with many deaths occurring shortly after hospital admission.

Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Maternal Health Research

Background:

  • Maternal mortality remains a significant global health challenge, particularly in low-resource settings.
  • Understanding the trends and causes of maternal deaths is crucial for developing effective interventions.
  • Previous studies highlight the impact of socioeconomic factors and healthcare access on maternal outcomes.

Purpose of the Study:

  • To analyze trends in maternal deaths over a decade at RG Kar Medical College, Calcutta.
  • To identify the primary causes and contributing factors of maternal mortality.
  • To evaluate the timeliness of care by examining deaths occurring shortly after hospital admission.

Main Methods:

  • A 10-year retrospective study was conducted, analyzing data from 651 maternal deaths.

Related Experiment Videos

  • Causes of death were categorized into direct, indirect, and unrelated factors.
  • Patient demographics, booking status, gravidity, and age group were recorded.

    • Main Results:

    • A total of 651 maternal deaths were recorded, with a decrease in the second five-year period (410 vs. 241).
    • Leading causes included abortion, toxaemia, hemorrhage (antepartum and postpartum), and jaundice in pregnancy.
    • Hemorrhage was the most frequent cause (188 deaths), and 155 deaths occurred within 12 hours of admission. Unbooked, multigravida women aged 20-25 were most affected.

    Conclusions:

    • Hemorrhage, toxaemia, abortion, and jaundice are key contributors to maternal mortality.
    • Direct obstetric causes account for the majority of deaths.
    • Timely intervention is critical, as a significant proportion of deaths occur soon after hospital arrival, highlighting potential delays in seeking or receiving care.