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Category: Volume 07 Issue 05 May 2019
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Title: Determinants of maternal mortality: A prospective study from single centre of Bhopal

Authors: Dr Sandhya Gupta, Dr Arvind Gupta

 DOI: https://dx.doi.org/10.18535/jmscr/v7i5.128

Abstract

Background: Globally, more than 830 maternal deaths happen daily, and nearly, all of these occur in developing countries. Maternal mortality ratio (MMR) of Madhya Pradesh is 173 per 100000 live births.

Aims and Objectives: To study various maternal factors associated with maternal death.

Materials and Methods: Sixty three women who died during pregnancy were studied at Department of Obstretics and Gynecology, Sultania Zanana Hospital, Gandhi Medical College, Bhopal from April 2008 to March 2009. Age, parity, area of residence, booking status, education status, referral state, gestational status, period of gestation, outcome of gestation, mode of delivery, types of delivery and place of delivery were recorded.

Results: MMR was 763 per 100000 live births. Mortality was more common among the women who were from urban area (51%), were illiterate (50.79%), belong to Class V socio-economic status (59%) and had unbooked antenatal care (97%). Mortality was more common among the women who were referred from outside Bhopal (64%), were in the 3rd trimester (82.55%), gave birth to baby (62%) and had vaginal delivery (66.67%).

Conclusion: Women belong to urban slum area who had limited education and with financial constraint, not receiving ANC and were delivered in Institution had higher risk of death.

Keywords: Maternal mortality, antenatal care, Maternal mortality ratio, socio-economic status.

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Corresponding Author

Dr Arvind Gupta

Assistant Professor, Department of Neurology, GRMC, Gwalior, MP, India