Analysis of risk factors influencing maternal mortality: A study at tertiary care hospital in Uttar Pradesh

Abstract

Aim: Maternal mortality has been defined as priority issue in health policy and research in India. So, the aim of our study was to provide information that is important for identification of risk factors that contribute maternal death at a tertiary care referral hospital in Uttar Pradesh. Material & Methods: The retrospective study was conducted in BRD medical college, Gorakhpur from June 2017 to 2019. Data was collected from the individual case sheet and facility based maternal death review forms. Result: Most of the deceased belongs to lower class ( 81%), uneducated (58%). 35.51% died during pregnancy while 53% died in postnatal period. Antenatal visits were taken by only 44% and most of the cases were referred (83%). 71% mothers having hemoglobin < 10 gm%. Combined type 1 and type 2 delays most common contributing factors 43.92%. Conclusion: There is need to focus on integrated care throughout the pregnancy by improving women knowledge and empowering them to take an active role in their own health as well as giving access to skilled care at birth and during pregnancy.