Background: Maternal mortality ratio is the key indicator to measure the effectiveness of health care system, particularly status of women in society. Analysis of causes of maternal deaths helps to identify pitfalls to accelerate further decline in MMR.
Objective: To analyse the trends and causes of maternal deaths for five year period at tertiary care hospital and develop strategies towards zero preventable maternal deaths.
Method: Retrospective study of 61 maternal deaths for 5 years from 2014 to 2018.
Results: The Maternal mortality ratio shows a decreasing trend from 177 to 67 at our hospital. Direct causes account for 70.5% and indirect causes account for 29.5% of maternal deaths. Hypertensive disorders (28.5%) and Post partum haemorrhage (24.5%) are the leading direct causes for maternal deaths.
Conclusion: Highly specialized intensive care and skilled ICU trained nurses for monitoring will make zero preventable deaths a reality.