To analyze the causes and risk factors associated with maternal mortalities in Department of Obstetrics and Gynaecology, Kamla Nehru Hospital IGMC Shimla, with a further interest in drawing up implementable ways to reduce mortality rates in the future.
Materials and Methods: This was a retrospective study carried out at Department of Obstetrics and Gynaecology, KNH, IGMC Shimla, HP with the details collected from the patient case sheets and the maternal review death forms from January 2015 to December 2018.
Results: There were 42 cases of maternal mortality over a period of 4 years. The MMR of the four years was 162.43. Various causes of death in these 42 patients, according to the WHO-ICD 10 criteria, were hypertensive toxemia 21.40% (n=9), fulminant hepatitis 19.40% (n=8), sepsis 16.60% (n=7), and hemorrhage 11.9% (n=5).
Conclusion: The various causes of maternal mortality are either preventable or have highly effective intervention. The four necessary areas in the spectrum of maternal care include a good prenatal care, skilled birth assistance, comprehensive emergency obstetrics care and a good postnatal care.