Title: An Investigation Into Maternal Mortality
1An Investigation Into Maternal Mortality
Dr.SURENDRA NATH PANDA, M.S., Professor Dr.BRAJA
BANDHU DASH, M.D., Resident Dr.ARATI PATNAIK,
M.D., Assistant Professor
- Dept. Of Obstetrics and Gynaecology
M.K.C.G.Medical CollegeBerhampur, 760004,
Orissa, INDIA
Paper presented at the 44th All India Congress of
Obstetricians Gynaecologists, Ahmedabad, 28-31
Dec.2000
2Taj Mahal
Taj Mahal-One of the seven wonders of the world,
One of the Greatest monuments, dedicated to the
memory of the Queen Mumtaz , by her husband
Emperor Sahajahan, is a testimony and a grim
reminder of the tragedy of maternal mortality,
that can befall any women in childbirth.
3Introduction
- Maternal mortality is a very sensitive index of
M.C.H. Care available in a community. So this
study was undertaken at M.K.C.G.Medical College
Hospital, BERHAMPUR, ORISSA, INDIA, to analyse
all aspects of maternal deaths to find out the
responsible factors at different levels of the
health care delivery system and to suggest
remedial measures.
4THE MAGNITUDE OF THE TRAGEDY
- Period of study - 01-01-96 to 31-07-2000
- Total births - 7244
- Normal deliveries - 2467
- Complicated / abnormal del. - 4777
- Total live births - 6685
- Total maternal deaths - 110
- Maternal Mortality Rate - 1645
- (16.45 / 1000 )
5PATIENT PROFILE
6PATIENT PROFILE
7PATIENT PROFILE
8ANALYSIS OF DEATH
9ANALYSIS OF DEATH
ANALYSIS OF DEATH
10ANALYSIS OF DEATH
11ANALYSIS OF DEATH
12ANALYSIS OF DEATH
13ANALYSIS OF DEATH
14ANALYSIS OF DEATH
15ANALYSIS OF DEATH
16ANALYSIS OF DEATH
ANALYSIS OF DEATH
17ANALYSIS OF DEATH
18CONCLUSION
- THESE TRAGIC CASE HISTORIES BEAR TESTIMONY TO THE
FACT THAT THE DEATH OF A WOMAN IN PREGNANCY OR
CHILDBIRTH IS RARELY THE RESULT OF CLINICAL
COMPLICATIONS ALONE. - ONCE COMPLICATIONS ARISE, SWIFT ACCESS TO HIGH
QUALITY PROFESSIONAL TREATMENT IS ESSENTIAL, IF
LIVES ARE TO BE SAVED.
19CONCLUSION
- HOWEVER MORE IMPORTANTLY IT IS ESSENTIAL THAT ALL
EFFORTS SHOULD BE MADE TO PREVENT THE OCCURRENCE
OF THE COMPLICATIONS IN THE FIRST PLACE. - FOR THIS WE HAVE TO IMPROVE THE SOCIOECONOMIC
ENVIORNMENT OF THE WOMEN, AS THE FACTORS
CONTRIBUTING TO MATERNAL DEATHS ARE MULTIFACETED
AND DIFFICULT TO TACKLE AT ONE STROKE.
20CONCLUSION
- TO DECREASE THESE UNFORTUNATE MOSTLY
PREVENTABLE MATERNAL DEATHS, RESTRUCTURING OF
M.C.H. SERVICES SHOULD BE DONE WITH PARTICULAR
ATTENSION TO - INCREASING COMMUNITY AWARENESS
- PROMOTION OF APPROPRIATE TECHNOLOGY AND
- EFFECTIVE HEALTH CARE PLANNING STARTING FROM
GRASSROOT LEVELS TO TERTIARY LEVELS
21CONCLUSION
- MATERNAL MORTALITY IS A NEGLECTED TRAGEDY AND
IT HAS BEEN NEGLECTED BECAUSE THOSE WHO SUFFER
ARE NEGLECTED PEOPLE WITH LEAST POWER AND
INFLUENCE THEY ARE POOR, THE RURAL PEASANTS AND
ABOVE ALL WOMEN - Maheler, 1987
22India's first child in the new year 2001
- A boy, was born in Bangalore at 00.01 am on
January 1. In the picture, along with the baby,
is his mother, Sumitra (26). (AFP)
23- MOTHERHOOD IS THE CHERISHED DREAM OF A WOMAN.
- LET US THINK FOR A MOMMENT.
- WHY SHOULD SHE DIE FOR IT?
24- DEDICATED TO THE UNFORTUNATE WOMEN DYING IN
CHILDBIRTH
THANK YOU
Please E-mail your query to-drsnpanda_at_hotmail.com