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  • Title: A study of maternal mortality in Madras city.
    Author: Rao KB, Malika PE.
    Journal: J Obstet Gynaecol India; 1977 Dec; 27(6):876-80. PubMed ID: 12299876.
    Abstract:
    A 2-year (1974-75) study of maternal deaths occurring in 4 hospitals was undertaken to determine causes of maternal mortality in the city and their prevention. There were 393 maternal deaths from the hospitals for a maternal mortality rate of 4.5 for the hospitals or 2.0 per 1000 births for the city as a whole. 200 or 50.9% of these were due to direct obstetric causes (sepsis 38%; hemorrhages of pregnancy 27%; and prolonged labor 16.5%) and 193 (49%) were due to indirect or associated causes. Avoidable factors were seen in 60.6% of maternal deaths. The patient or her relatives were responsible in almost 1/3 of the cases, while the physician, midwife or in some cases, the institution were responsible in about 20% of the cases. Multiple factors were responsible in 8% of the cases and in 10, the lack of prompt transport facilities. An epidemic of infective hepatitis also contributed to the maternal death rate in 1975. The death rate was higher in the primiparas and grandmultiparas, and in women aged 35 and over. Most of the deaths occurred in unbooked cases and emergency admissions, in contrast to 9% in booked cases. The public should be educated on the benefits of prenatal care and early booking.
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