Maternal mortality and its causes in a tertiary center

J Obstet Gynaecol India. 2012 Apr;62(2):168-71. doi: 10.1007/s13224-012-0169-1. Epub 2012 Jun 1.

Abstract

Objectives: To study the maternal mortality and the complications leading to maternal death.

Methods: A retrospective study of hospital records and death summaries of all maternal deaths over the period from January 2000 to August 2009 was carried out.

Results: There were a total of 80 maternal deaths out of 88,443 live births giving maternal mortality rate (MMR) of 90.45 per 100,000 live births. Unbooked and late referral accounted for 77.5 % of maternal deaths. The majority of the deaths was in 30-40-year age group and around term. Hemorrhage was the commonest cause of death (52.5 %), followed by sepsis (13.75 %) and pregnancy-induced hypertension including eclampsia (10 %).

Conclusions: Hemorrhage, sepsis, and pregnancy-induced hypertension including eclampsia were found to be the direct major causes of death. Anemia and cardiac disease were other indirect causes of deaths.

Keywords: Anemia; Eclampsia; Maternal mortality; Postpartum hemorrhage; Sepsis.