Journal of South Asian Federation of Obstetrics and Gynaecology

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VOLUME 9 , ISSUE 3 ( July-September, 2017 ) > List of Articles

RESEARCH ARTICLE

Trends in Maternal Mortality in Medical College Jabalpur, India in the last 15 Years

Bharti Sahu, Priyadarshini Tiwari, Pooja Saraogi, Varsha R Choudhary

Citation Information : Sahu B, Tiwari P, Saraogi P, Choudhary VR. Trends in Maternal Mortality in Medical College Jabalpur, India in the last 15 Years. J South Asian Feder Obs Gynae 2017; 9 (3):239-244.

DOI: 10.5005/jp-journals-10006-1503

License: CC BY 3.0

Published Online: 01-04-2013

Copyright Statement:  Copyright © 2017; The Author(s).


Abstract

Aim

The aim of our article was to study the causes of maternal deaths in our institution from the year 2001 to 2015 and to see whether there has been any decline in the preventable causes of death and if our results are comparable with the statistics of the state.

Materials and methods

The data pertaining to maternal mortality from 2001 to 2016 were entered in Excel sheets, and data analysis was done in Excel software. The impact of government schemes on mortality and antenatal care was evaluated and the problems at the tertiary care center were analyzed.

Results

Eclampsia and anemia, which are largely preventable causes of death, were and still continue to be the leading causes of mortality in our institution which is the tertiary referral center for a large tribal belt. Though data differ, the maternal mortality in our institution rose at the time of implementation of government schemes to fall to previous levels by 2015.

Conclusion

There has been a definite reduction in the maternal mortality of the state. In spite of various government schemes for promoting hospital deliveries and registering antenatal patients for care, the preventable causes of death still appear to be leading in maternal mortality. Our antenatal care needs further improvement and so does our tertiary level care.

Clinical significance

Government schemes have helped in getting critical referrals to tertiary care centers. Further reduction in mortality can be achieved only if our antenatal care and tertiary care can be improved.

How to cite this article

Tiwari P, Badkur P, Sahu B, Saraogi P, Choudhary VR. Trends in Maternal Mortality in Medical College Jabalpur, India in the last 15 Years. J South Asian Feder Obst Gynae 2017;9(3):239-244.


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  1. WHO, UNICEF, UNFPA, World Bank Group, and United Nations Population Division Trends in Maternal Mortality: 1990 to 2015. Geneva: World Health Organization, 2015. Popul Dev Rev 2016 Dec;42(4):726.
  2. Maternal mortality ratio (modeled estimate, per 100,000 live births) [Internet]. Geneva: World Health Organization [cited 2015 March 1]. Available from: http://data.worldbank.org/indicator/SH.STA.MMRT.
  3. Consequences of low birth weight, maternal illiteracy and poor access to medical care in rural India: infantile iatrogenic Cushing syndrome. BMJ Case Rep 2015 Aug;2015: p. ii: bcr2015211387.
  4. Vikas Samvad The challenge of child undernutrition in Uttar Pradesh: findings from a situation assessment. Report No. 3, Catalog Sources. World Development Indicators, Vikas Samvad Women and Child Health Study Series – 2, March 2014.
  5. Vikas Samvad Causes of maternal deaths in Madhya Pradesh. Secondary Data Analysis, Women and Child Health Study Series – 2, 2011. Available from: http://www.mediaforrights.org/custom/
  6. Confidential review of maternal deaths in Kerala: a country case study. BJOG 2014 Sep;121 (Suppl 4):61-66.
  7. Access to healthcare among the Empowered Action Group (EAG) states of India: current status and impeding factors. Natl Med J India 2016 Sep;29(5):267-273.
  8. Press Information Bureau, Government of India, Ministry of Health and Family Welfare. Retrieved from: http://mohfw.nic.in/
  9. Antenatal care: provision and inequality in rural north India. Soc Sci Med 2004 Sep;59(6):1147-1158.
  10. Utilization of antenatal care services in a rural area of Bareilly. Int J Healthc Biomed Res 2014 Apr;2(3):120-126.
  11. Government of India National Health Mission [cited 2013 Dec 2]. Retrieved from: http://nrhm.gov.in/nrhm-components/rmnch-a/.../background.htm
  12. Determinants of antenatal care utilization in rural areas of India: a cross-sectional study from 28 districts (an ICMR task force study). J Obstet Gynecol India 2006 Jan;56(1):47-52.
  13. Knowledge regarding antenatal care services, its utilization, and delivery practices in mothers (aged 15-49 years) in a rural area of North India. Trop J Med Res 2015 Jul;18(2):89-94.
  14. Quality of obstetric referral services in India's JSY cash transfer programme for institutional births: a study from Madhya Pradesh province. PLoS One 2014 May;9(5):e967.
  15. NRHM in state: state wise information. Government of India [cited 2014 June 2]. Retrieved from: http://nrhm.gov.in/nrhm-instate/state-wise-information.html
  16. Doctor population ratio for India – the reality. Indian J Med Res 2013 Apr;137(4):632-635.
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