A Cross-sectional Study to Evaluate Causes of Maternal Mortality in Rural Areas of Punjab, India
Introduction: Maternal mortality is an index of reproductive health of the society. In India illiteracy, late referrals, low socio-economic status of the community and direct causes are responsible for high incidence of maternal deaths which contributes to one-fifth of the global burden. Aim: T...
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| Autores principales: | , , , , , |
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| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
JCDR Research and Publications Private Limited
2021
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| Materias: | |
| Acceso en línea: | https://doaj.org/article/208dfb6aae7a438492731ddd4bdd246f |
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| Sumario: | Introduction: Maternal mortality is an index of reproductive health
of the society. In India illiteracy, late referrals, low socio-economic
status of the community and direct causes are responsible for
high incidence of maternal deaths which contributes to one-fifth
of the global burden.
Aim: To evaluate the causes of maternal death in rural areas of
Punjab.
Materials and Methods: The present retrospective cross-sectional
study was conducted in 10 districts of Punjab, India chosen from
five different zones i.e., east, west, north, south and central zone
for a period of one year from 2016 to 2017. Information of all
the deaths was taken from the civil surgeon office of the chosen
district and then data of maternal deaths occurring within 42 days
of delivery was collected by visiting patient’s residence and verbal
autopsy was conducted. The data was collected and entered
in predesigned proforma and percentages were calculated in
Microsoft Excel version 2016.
Results: A total of 67 maternal deaths were noted from above five
zones, out of total rural population of 94,59,553. Maximum (n=51)
maternal deaths were between age range of 20-30 years. Of
these 67, majority 29 (43.28%) were illiterate, 66 (98.5%) women
belonged to middle and low socio-economic status, 55 (82.1%)
deaths occurred in the postnatal period, 33 (49.25%) occurred
at more than 37 weeks period of gestation and 51 (76.12%) were
due to direct causes. Out of 67 deaths, haemorrhage (n=29) was
the most common cause. Anaemia contributed to 16.7% (11) as
an indirect cause of maternal death.
Conclusion: The maximum maternal deaths were contributed by
illiterate women from middle and low socio-economic status. The
most common cause was postpartum haemorrhage followed by
pre-eclampsia/eclampsia. |
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