International Multispecialty Journal of Health (IMJH)
[Vol-1, Issue-2, April.- 2015]
Change in Maternal Death Pattern: A Record base Analysis Dr. Chandrakanta Suloniya 1, Dr. P.K. Sulaniya 2 Dr. Puja Dixit3 and Dr. Anju Sharma 4 1
Senior Registrar, Department of Obstetrics & Gynecology, SMS Medical College, Jaipur (Rajsthan) India 2 Assistant Professor Department of Pediatrics, SMS Medical College, Jaipur (Rajsthan) India 3 Medical Officer, State Government, Jaipur (Rajsthan) India 4 Professor, Department of Obstetrics & Gynecology, SMS Medical College, Jaipur (Rajsthan)
Abstract— Maternal deaths have to reduce in India as per Millennium development goal number five. So to know the whether there is any change in maternal deaths pattern of current year from previous years in Rajasthan this study was conducted by analyzing the records of maternal deaths occurring in Mahila Chikitsalay Jaipur from 1st Jan 2005 to 31st December 2009. Maternal deaths pattern of current year (2009) was compared to average of previous 4 years (2005-2008). To analyse these data Chisquire test, un paired‘t’ test and ANOVA test of significances were used as and when required. It was observed that there was significant decrease in maternal deaths from 2005 to 2009. No seasonal trend was found in maternal deaths in both the groups. Although there was no significant difference in mean age of maternal death but proportion of deaths was more in extremes of age groups in both the groups. Significantly less maternal deaths were observed in primi-gravida and normal vaginal delivery in current years than the average of previous four years. Likewise, proportion of deaths in intra-natal and post natal periods were also significantly decrease in current year than previous years. Keywords—Maternal deaths, Seasonal trend, Primigravida, Multigravida
1. Introduction WHO defines maternal death as death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of pregnancy, from any cause related to or aggravated by pregnancy or its management” (ICD-10).1 Almost half a million women die every year in world from complications during pregnancy and childbirth. About 99% of these women are from developing world with over 90% concentrated in Africa and Asia.2. India contributes approximately 63,000 maternal deaths each year .National average of MMR is 212/100000 live births.(RGI 2007-2009) 3 India contributes one-fifth of the global burden of absolute maternal deaths; 1 Within India, there is marked variation in MMR and healthcare access between regions and in socioeconomic factors.4,5 But India is making progress in reducing maternal mortality in accordance with the goal of Millennium Development, where Goal number 5 addresses about maternal deaths. 6 So, this present study was conducted to know change in maternal deaths pattern from previous years to current year in western Rajasthan.
2. Methodology This descriptive analytic study was carried out on records of verbal autopsies of maternal deaths occurred in Mahila Chikitsalya Jaipur, which is a tertiary level hospital attached to SMS Medical College, Jaipur. For records of maternal deaths, death of a mother while pregnancy or within 42 days of termination of pregnancy, irrespective of the duration and site of pregnancy, from any cause related to or aggravated by pregnancy or its management (ICD-10)5”were considered. Then records of verbal autopsies of maternal deaths occurred in Mahila Chikitsalya Jaipur since 1 st Jan. 2005 to 31st Dec. 2009 were selected and all the related information was collected in the form for master chart. For the Page | 14