MATERNAL MORTALITY IN A TERTIARY CARE HOSPITAL
Abstract
Background: Death of a woman during pregnancy and child birth is an extremely tragic event. It is awaste of a precious life that leaves great feeling of grief and pain for the family and hospital staff and
has devastating influence on the community overall. Maternal morbidity and mortality can be prevented
by awareness of reproductive health in a community, availability, and utilisation of organised antenatal
care, skilled intrapartum management and careful postnatal follow up. Objective was to analyse the
pattern of maternal mortality over the period of five years in a tertiary level hospital receiving high risk
referred patients form periphery. Methods: All patients admitted in Gynae '˜A' Unit, Ayub Teaching
Hospital from January 2006 to December 2010 were included in the study and number and causes of
maternal deaths were noted. Results: During these 5 years there were 78 maternal deaths out of 11,997
obstetrical admissions. There were 7,380 total births and 78 maternal deaths during the study period
and Maternal Mortality Rate was 1,057/100,000. The main cause of maternal death was eclampsia and
its complications (28.2%). Conclusion: Eclampsia is the leading cause of maternal mortality in our
setup. Proper and timely referral is an important measure to prevent it.
Keywords: Maternal mortality, Eclampsia, Septicaemia, Haemorrhage, Pulmonary embolism,
Antenatal care
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