Vol. 5, Issue 11 (2019)
Clinical Evaluation of Factors Responsible for the Maternal Mortality in LBKMCH, Saharsa
Author(s): Dr. Kalyani Singh
Abstract: Maternal mortality reflects women’s basic health status, access to health care and the quality of care that has been provided. Although India has achieved a 59 % reduction in maternal mortality in 2008 as regards to 1990 levels, still it is behind the World Health Organization’s (WHO) fifth Millennium Development Goal (MDG 5) of 75 % reduction of 1990 levels by 2015 which comes out to be approximately 5.5 % reduction per year. If we have to expedite this process and catch up with the WHO target, then we have to count beyond the numbers and review each and every maternal death for its possible cause and contributing factors, many of which are avoidable. Hence based on these reported findings the current study was planned to evaluate the Clinical Evaluation of Factors Responsible for the Maternal Mortality in Hospital. The present study was planned in Department of Obstetrics and Gynaecology, Lord Buddha Koshi Medical College and Hospital, Saharsa. Total 30 cases of the females undergone the maternal mortality were evaluated in the present study. Cases were studied for the immediate causes of death and the predisposing factors. The causes were identified as direct and indirect causes. Direct obstetric deaths are those resulting from obstetric complications of the pregnant state (pregnancy, delivery, and postpartum), from interventions, omissions, incorrect treatment, or from a chain of events resulting from any of the above. Indirect obstetric deaths are those resulting from previous existing disease or diseases that developed during pregnancy, and which were not due to direct obstetric causes, rather aggravated by physiological effects of pregnancy. Closer examination of maternal mortality level is needed to inform planning of reproductive health programs, to guide advocacy efforts and research at the national and international levels, and to inform decision-making. The audit for the reasons for maternal mortality in a resource poor country is extremely helpful in not only identifying the reasons but also in identifying the preventable causes of maternal mortality. Intensive health education, basic obstetric care for all, strengthening referral and communication system, emphasizing blood bank facilities and use of definitive contraceptive measures will help in reducing maternal mortality.