An Investigation Into Maternal Mortality

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An 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
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Taj 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.
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Introduction

• 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.

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THE 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 )

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PATIENT PROFILE
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PATIENT PROFILE
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PATIENT PROFILE
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ANALYSIS OF DEATH
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ANALYSIS OF DEATH
ANALYSIS OF DEATH
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ANALYSIS OF DEATH
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ANALYSIS OF DEATH
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ANALYSIS OF DEATH
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ANALYSIS OF DEATH
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ANALYSIS OF DEATH
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ANALYSIS OF DEATH
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ANALYSIS OF DEATH
ANALYSIS OF DEATH
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ANALYSIS OF DEATH
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CONCLUSION

• 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.

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CONCLUSION

• 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.

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CONCLUSION

• 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

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CONCLUSION

• 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

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India'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)

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• MOTHERHOOD IS THE CHERISHED DREAM OF A WOMAN.
• LET US THINK FOR A MOMMENT.
• WHY SHOULD SHE DIE FOR IT?

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• DEDICATED TO THE UNFORTUNATE WOMEN DYING IN
  CHILDBIRTH

THANK YOU
Please E-mail your query to-drsnpanda_at_hotmail.com