RETROSPECTIVE ANALYSIS OF MATERNAL MORTALITY AT A TERTIARY CARE HOSPITAL OF PESHAWAR, FROM 2009- 2011

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Farhat Rehana Malik
Arsalan Azmat Swati
Sohail Akhter
Abdul Hadi
Shoaib Iqbal Safi
Shams ul Islam Wazir
Rameez Afridi
Mohammad Anas

Abstract

OBJECTIVE: To determine the frequency of maternal mortality and identify causes with age groups in tertiary care hospital of Peshawar, Pakistan.

METHODOLOGY: A descriptive study conducted at Gynecology & Obstetrics units of Lady Reading Hospital, Peshawar, Pakistan. with ret­rospective review of validated records of hospital registers from January 1st January 2009 to 31st December 2011. Convenience sampling used to access the records. A self structured proforma designed to collect validated data on variables (age, cause of death, year of death, place of residence), that were analyzed in Excel- 2007 and trend analysis determined by Joinpoint Analysis Software.

RESULT: A total of 277 maternal deaths recorded from Lady Reading Hospital in three years. Hemorrhage remains the leading cause with 27.07% (CI= 0.66, SD= 5.65) followed by eclampsia 15.88 % (CI= 0.60, SD= 5.13), ruptured uterus 10.83% (CI= 0.51, SD= 4.35) and sepsis 10.10% (CI= 0.47, SD= 4.04). Maximum maternal deaths of 33.57 % reported in 26- 35 years, followed by 26.71 % in 15- 25 years, 23.10 % in 36- 45 years and 3.24 % in 45- 55 years and 6.13 % deaths reported from unknown age group as well. Post Partum hemorrhage was signif­icant with P-value (0.002).

CONCLUSION: Maternal mortality remains high with leading causes as hemorrhage, eclampsia, ruptured uterus and sepsis in women of 26- 35 years age groups. A strong need to improve the maternity care in tertiary care hospitals and community based education is emphasized for the awareness of the masses, to prevent these deaths.

 KEY WORDS: Maternal Mortality, Childbearing age, Eclampsia, Post­partum Hemorrhage, Ruptured uterus.

Article Details

How to Cite
Malik, F. R., A. A. Swati, S. Akhter, A. Hadi, S. I. Safi, S. ul I. Wazir, R. Afridi, and M. Anas. “RETROSPECTIVE ANALYSIS OF MATERNAL MORTALITY AT A TERTIARY CARE HOSPITAL OF PESHAWAR, FROM 2009- 2011”. KHYBER MEDICAL UNIVERSITY JOURNAL, vol. 7, no. 1, Mar. 2015, pp. 25-29, https://www.kmuj.kmu.edu.pk/article/view/14379.
Section
Original Articles
Author Biographies

Farhat Rehana Malik, Peshawar Medical College, Riphah International University. Islamabad, Pakistan.

Assistant Professor,

Department Of Community Health Sciences

Peshawar Medical College. Riphah International University, Islamabad, Pakistan.

Shams ul Islam Wazir

 

 

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