Obstet Med. 2015 Jun;8(2):86-91. doi: 10.1177/1753495X15575949. Epub 2015 Mar 29.
Obstetric medicine
Papa Dasari
PMID: 27512460 PMCID: PMC4935015 DOI: 10.1177/1753495X15575949
OBJECTIVE: To determine the trends in maternal mortality ratio over 5 years at JIPMER Hospital and to find out the proportion of maternal deaths in relation to emergency admissions.
METHODS: A retrospective analysis of maternal deaths from 2008 to 2012 with respect to type of admission, referral and ICU care and cause of death according to WHO classification of maternal deaths.
RESULTS: Of the 104 maternal deaths 90% were emergency admissions and 59% of them were referrals. Thirty two percent of them died within 24 hours of admission. Forty four percent could be admitted to ICU and few patients could not get ICU bed. The trend in cause of death was increasing proportion of indirect causes from 2008 to 2012.
CONCLUSION: The trend in MMR was increasing proportion of indirect deaths. Ninety percent of maternal deaths were emergency admissions with complications requiring ICU care. Hence comprehensive EmOC facilities should incorporate Obstetric ICU care.
Keywords: Emergency obstetric care; indirect causes; maternal mortality