To study causes of maternal mortality in tertiary care centre, south Gujarat over a period of 2 years Sondawale Ritesh1,*, Desai Dhwani2, Verma Ragini3 13rd Year Resident, Dept. of Obstetrics and Gynaecology, GMC, Surat, Gujarat, India 2Associate Professor, Dept. of Obstetrics and Gynaecology, GMC, Surat, Gujarat, India 3Professor and HOD, Dept. of Obstetrics and Gynaecology, GMC, Surat, Gujarat, India *Corresponding Author: Email: riteshsondawale89@gmail.com
Online published on 24 September, 2018. Abstract Introduction Pregnancy is not a disease state but sometimes it leads to severe morbidity and carries risk for mortality. Maternal death not only affect family but it also has an impact on society as well as nation. Maternal mortality rate is reflection of the quality of health care services provided by the country to the women population. Materials and Methods This is a retrospective study of maternal deaths using facility based maternal death review forms supplied by Ministry of Health and Family Welfare Government of India filled by doctor on duty at that time as a baseline document. Results This study shows that major cause of maternal mortality in tertiary care centre was hypertensive disorders of pregnancy however hypertensive disorder of pregnancy alone was not the only cause of maternal death, it was complicated with different other causes like ARDS, APH, HELLP syndrome, PPH, Sickle cell disease, ARF, DIC, severe Anaemia and many others. Hypertensive disorders of pregnancy contributed 33% of all deaths whereas Sepsis (12%), Hepatitis (10%), Haemorrhage (8%), Heart Disease (7%), Anaemia (5%), ARDS (5%), Sickle Cell Crisis (4%), Amniotic Fluid Embolism (2%), Diabetes Mellitus (2%) and others (12%). Conclusion Most maternal deaths are preventable by optimum antenatal, intranatal and postnatal care. Early referral of high risk pregnancies to tertiary care centre will definitely change the outcome. Top Keywords Maternal mortality, Hypertensive disorders of pregnancy, Sepsis. Top |