A Study of Maternal Mortality at Tertiary Care Centre

Background: A study of maternal mortality at tertiary care centre. Methods: The present study was a Retrospective cross sectional study, conducted in a department of Obstetrics and Gynecology of Narendra Modi medical college and hospital (NMMC), Ahmedabad from July 2020 to July 2024. Results: During the study period 72 maternal deaths occurred out of 33280 live births, giving MMR of 216 during July 2020 to July 2024.In the present study maximum maternal deaths (47.22 %) were in age group of 20-25 year. Maximum maternal deaths were from emergency patient (70.83%). As per gravida/parity maximum maternal deaths were from primigravida (45.8%).Out of 72 cases of mortality, 20 mortality were from antennal phase (27.77%). In our study maximum maternal deaths were due to Hypertensive disorder of pregnancy (28%). Conclusion: From this study it is concluded that hypertensive disorders of pregnancy and its complications are the most important cause of maternal death followed by PPH. Among these majority of factors are preventable. Due to multifactorial nature of maternal death, strategies should involve staff from grass root level, Good antenatal care, and early identification of high-risk cases, appropriate treatment in peripheral hospitals, early referral and with team approach for management of high-risk cases helps in reducing maternal mortality.