Abstract
Aim: prevalence and the various direct and indirect etiologies of maternal mortality.
 Materials and Methods: The present 1 years retrospective hospital based study was conducted in the Department of Obstetrics and Gynecology, Jawaharlal Nehru Medical College and Hospital, Bhagalpur,Bihar,India
 Results: A total of 56 deaths were analyzed. The mortality rate in study period was 333 per 1,00,000 live births. Maximum maternal deaths (60.7%) were reported in the age group 21-25 years. More deaths were reported in multiparous women (67.9%) as compared to primiparous women (32.1%). Most of them were unbooked cases (60%). Hemorrhage (30.4%), eclampsia (16.1%), sepsis (12.5%) and embolism (7.1%) were the major direct causes of maternal death. Anemia (16.1%) was the major indirect cause of death.
 Conclusions: Hemorrhage is the leading cause of maternal death followed by hypertensive disorders and sepsis. Anemia continues to be the most common indirect cause. Majority of maternal deaths were preventable by proper antenatal care, early detection of high risk pregnancies and their timely referral to tertiary care centre.
 Keywords: MMR, Hemorrhage, Sepsis, Anemia
Highlights
Women die every year in India which contribute 20‐25% of all maternal deaths in the world.i,ii Maternal mortality is an indicator of the quality of obstetric care in a community, directly reflecting the utilization of health-care services available.iiiAccording to the WHO, ‘‘A maternal death is defined as death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of pregnancy, from any cause related to or aggravated by pregnancy or its management but not from accidental or incidental causes’’ (ICD-10).ivFrom 2000 to 2017, the global maternal mortality ratio declined by 38% - from 342 deaths to 211 deaths per one lakh live births, according to UN inter agency estimates
Hemorrhage is the leading cause of maternal death followed by hypertensive disorders and sepsis
The other contributory causes are early marriage, adolescent pregnancy, poverty, malnutrition, harmful traditional practices, illiteracy/ignorance, etc.vi These are mostly preventable through regular antenatal checkup, proper diagnosis, and management of labor complications.vii One of the most important goals of the MDGs is to reduce the maternal mortality. It was in this context, this study was conducted with the aim to assess the prevalence and the various direct and indirect etiologies of maternal mortality in a tertiary care Hospital in Bihar
Summary
Women die every year in India which contribute 20‐25% of all maternal deaths in the world.i,ii Maternal mortality is an indicator of the quality of obstetric care in a community, directly reflecting the utilization of health-care services available.iii. The other contributory causes are early marriage, adolescent pregnancy, poverty, malnutrition, harmful traditional practices, illiteracy/ignorance, etc.vi These are mostly preventable through regular antenatal checkup, proper diagnosis, and management of labor complications.vii One of the most important goals of the MDGs is to reduce the maternal mortality. It was in this context, this study was conducted with the aim to assess the prevalence and the various direct and indirect etiologies of maternal mortality in a tertiary care Hospital in Bihar
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