Maternal Mortality: Sharing Experience from Nobel Medical College Teaching Hospital

Authors

  • S Ghimire Department of Obstetrics and Gynecology, Nobel Medical College Teaching Hospital, Biratnagar

Keywords:

Maternal mortality, pregnancy induced hypertension, post partum hemorrhage

Abstract

Aims: To analyse causes of maternal deaths and to identify avoidable factors.

Methods: This was a retrospective analysis of maternal deaths, during a period of one year from 15th April, 2011-15th April, 2012, at Nobel Medical College Teaching Hospital, Biratnagar in the Eastern Region of Nepal case files and hospital records being the data sources. All the maternal deaths were recorded.

Results: In one year study period, out of a total of 2,754 deliveries, there were 8 maternal deaths giving maternal mortality ratio of 310/100,000 live births. Three of them resulted from an induced abortion mishap and five of them were obstetric deaths. Four of the direct obstetric deaths resulted from complications of pregnancy induced hypertension (PIH) of which one case died due to traumatic post partum hemorrhage postpartum hemorrhage (PPH) as a result of torrential bleeding from extensive vaginal wall tear. One indirect obstetric death occurred in a case of twin pregnancy with severe anemia and congestive cardiac failure.

Conclusions: Provision of safe abortion services is still not available to many women despite of legalization of abortion in Nepal. Quality antenatal care services would be helpful in avoiding maternal mortality in many situations by detecting and managing medical complications of pregnancy.

DOI: http://www.dx.doi.org/10.3126/njog.v7i2.11140  

Nepal Journal of Obstetrics and Gynaecology / Vol 7 / No. 2 / Issue 14 / July-Dec, 2012 / 33-35

Downloads

Download data is not yet available.
Abstract
893
PDF
662

Downloads

Published

2014-09-21

How to Cite

Ghimire, S. (2014). Maternal Mortality: Sharing Experience from Nobel Medical College Teaching Hospital. Nepal Journal of Obstetrics and Gynaecology, 7(2), 33–35. Retrieved from https://www.nepjol.info/index.php/NJOG/article/view/11140

Issue

Section

Original Articles