Abstract
AbstractAn indepth study of maternal mortality was carried out by me from 1929 to 1983 at Nowrosjee Wadia Maternity Hospital, Bombay, India. It is revealed that the maternal mortality at N. Wadia Maternity Hospital which was 1,920 per 100,000 live births during 1929–1939 period has come down to 80 per 100,000 live births during 1980–1983 period. The direct obstetric death rate for the period 1929–1939 which was 670 per 100,000 live births has declined to 40 per 100,000 live births for the period 1980–1983, while the indirect obstetric death rate has declined from 690 for period 1929–1939 to 30 for period 1980–1983. Multiple factors were responsible for this. It is emphasised that ideal antenatal, intranatal, and postnatal care is responsible for the decline in the maternal mortality. Confidential maternal mortality committees in various hospitals and institutions, as well as periodic reviews of maternal mortality on a national and international level will help in further reduction of maternal mortality.
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