Maternal Death Reviews at a Tertiary Care Hospital.

INTRODUCTION

All pregnant women are at risk of obstetrical complications which occurs during labor and delivery that lead to maternal death. Here to report a 10 year review of maternal mortality ratio in "Paropakar Maternity and Women's Hospital (PMWH) Thapathali Kathmandu, Nepal.

METHODS

Medical records of 66 maternal deaths were reviewed to study the likely cause of each death over the study period.

RESULTS

There were a total of 66 maternal deaths. While 192487 deliveries conducted over the 10 year period. The maternal mortality ratio (MMR) was 356.64/100000 live birth. The highest MMR of 74.22/100,000 was observed in 2059 and lowest was 17.42/100,000 in 2068 B.S. Leading cause of MMR was remained hemorrhage accounting for 30.30% followed by eclampsia 24.24%. Sepsis, suspected cases of pulmonary embolism and amniotic fluid embolism each contributing 15.15%, 4.54% and 3.03% respectively. Where as anesthetic complication and abortion constitutes 6.06 % each equally for maternal death. The death noted in older women (30+year) were 36.36%. Primipara accounted for more deaths (51.51%).

CONCLUSIONS

The fall in maternal mortality rate has been observed except for year 2063 BS. Hemorrhage is the main contributing cause behind maternal mortality.