Maternal Mortality, a Major Loss – Trend and Causes
Main Article Content
Background and objective: Data of maternal mortality assists with enhanced awareness both locally to help government in making their health policies and globally in the monitoring of progress towards Millennium Development Goal. The objective of the study was to find out the maternal mortality ratio and its causes in a tertiary care hospital at Peshawar.
Material and Methods: This descriptive study was conducted in Obstetric and Gynae department at MTI, Hayatabad Medical Complex Peshawar from 1st Jan 2015 to 31st Dec 2020. All maternal deaths during the above mentioned period were analyzed retrospectively. The information and relevant data was obtained from the patient’s record and mortality register.
Results: The maternal mortality ratio for the six years period was 223/100,000 live births. The most common cause of maternal death was hemorrhage noted in 21 cases (32.31%) followed by hypertensive disorders in 15 cases (23.08%) and pulmonary embolism in 14 cases (21.54%). Septicemia caused 6 (9.23%) of the maternal deaths. Cardiac disease and hepatic failure were noted in 2 (3.08%) cases. Most of patients were multi gravida falling in the age range of 31-40 years. 47 (72.31%) of the women did not receive antenatal care.
Conclusion: The major causes of maternal mortality like hemorrhage, hypertensive disorders and pulmonary embolism are preventable, if prompt and appropriate management strategies are developed and provided in time.