Trends in Maternal Mortality and Impact of Janani Suraksha Yojana (JSY) on Maternal Mortality Ratio in a Tertiary Referral Hospital

Abstract

To analyse the impact of Janani Suraksha Yojana (JSY) on Maternal Mortality Ratio (MMR). Retrospective analysis of maternal mortality. Analysis of all maternal deaths between January 2001 and December 2009. The total number of deliveries has been steadily rising from 1,685 in 2001 to 3,957 in 2009. The MMR doubled from 1,500/100,000 live births in 2001 to 3,000/100,000 live births in 2006, then declined to 2,464/100,000 live births in 2009. Implementation of the various maternity benefit schemes has had no significant impact on the profile of dying mothers-admission-to-death interval. Deaths due to anemia and eclampsia have significantly increased (P<0.05), whereas due to sepsis (P<0.001) and hemorrhage (P<0.05), deaths have significantly decreased. Almost 96% of dying subjects received inadequate antenatal care. However, significantly less number (P<0.001) of women are delivering at home. There is a need to stress the importance of good antenatal care in reducing MMR.