A root–cause analysis of Maternal  Mortality in a tertiary care hospital

Dr. Samipa J. Shah; Dr. Akshay Shah; Dr. Punit B. Vasa; Dr. Yamini Trivedi

Volume : II, Issue : VII, July - 2013

A root–cause analysis of Maternal Mortality in a tertiary care hospital

Dr. Samipa J. Shah, Dr. Akshay Shah, Dr. Punit B. Vasa, Dr. Yamini Trivedi

Abstract :

In this retrospective study, total 84 maternal deaths were analysed during last six years. 54.76% patients were below 25 years. 61.9% patients were from rural community. 72.6% patients died during late pregnancy. Only 33.3% patients had received adequate antenatal care. 52.4% were referred patients and 35.7% were emergency patients. Only 9.09% referred patients received adequate treatment. Nearly half of the patients took more than 12 hours before reaching to our hospital. 48.8% patients admitted during antenatal period, followed by 21.42% while during labor, 25% postpartum and 4.76% after having abortion. Total 19 patients were delivered before death. Highest number of deaths occurred during postnatal period (47.67%), followed by antepartum (44.04%), postabortal (4.76%) and intrapartum (3.57%) period. Top five causes of maternal mortality were haemorrhagic complications (26.19%), followed by hypertensive disorders of pregnancy (19.04%), liver disease during pregnancy (16.7%), septicaemia (15.47%) and anemia (9.52%).