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Year : 2020  |  Volume : 5  |  Issue : 3  |  Page : 38

Why do mothers die? An analysis of maternal mortality over 7 years of in a tertiary care teaching hospital

Department of OBG, Shri B M Patil Medical College, Hospital & Research Center, BLDE (Deemed to be University), Vijayapura-586103, India

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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2468-838X.303791

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Background: This is a study to determine the causes and contributory factors of maternal mortality in Tertiary Care Teaching Hospital Vijaypura district following a 7-year retrospective analysis. Objective: 1. To analyze the cause of maternal deaths. 2. To study the preventable causes, an association of time of death and referral of the patients. 3. To suggest protocols to reduce the maternal mortality. Methods: We carried out a retrospective analysis of cases of maternal deaths (n=58) in BLDE (DU) Shri BM Patil medical college, Vijayapura in Karnataka State from January 2012 to December 2019 by data collecting instrument proforma. Results: Out of the total 58 maternal deaths, the commonest cause of death was post-partum hemorrhage 47%, eclampsia 15%, pulmonary or amniotic fluid embolism 17%, sepsis 8%, antepartum hemorrhage 4% and anemia. Of the patients who had PPH, 36% were due to atonic PPH, 28% traumatic PPH, 24% adherent /retained placenta and 12% coagulation failure. A majority of the women who died were 18 to 32 years of age, primigravida, postpartum (84%), first 12 hours of admission (82.76%). 70.6 % were referred. 44.83% were coming from places over 50 km from Vijayapura city. 44% had a GCS score of less than 8. 11 patients received blood and blood components. 32.75% required ventilatory support on admission, 81% received ionotropic support. 18.97% underwent a peripartum hysterectomy. Conclusion: We inferred that a significant number of the contributory variables of maternal mortality could be avoided if preventive measures were taken and adequate care was available in time.

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