Maternal Death Audit: Experience from a Periurban Hospital

Authors

  • S Tasnim Department of Obstetrics & Gynaecology, Institute of Child and Mother Health, Matuail, Dhaka
  • N Kabir Department of Obstetrics & Gynaecology, Institute of Child and Mother Health, Matuail, Dhaka
  • A Rahman Department of Epidemiology & Biostatistics, Institute of Child and Mother Health, Matuail, Dhaka
  • A Ahmed Department of Obstetrics & Gynaecology, Institute of Child and Mother Health, Matuail, Dhaka
  • S Chowdhury Department of Obstetrics & Gynaecology, Institute of Child and Mother Health, Matuail, Dhaka

DOI:

https://doi.org/10.3329/jbcps.v24i1.139

Keywords:

Maternal death audit

Abstract

Maternal death audit is becoming a routine process in the practice of obstetric care in both developed and developing countries. Review of case records of maternal deaths between September 1999 and December 2004 was done to find out the profile of the patients and factors associated with the deaths in a periurban hospital in Dhaka. A total 40 maternal deaths occured among 14,137 live births amounting MMR 282 per 100,000 live births. Mean age of deceased mothers was 24.85± 5.6 years, 25% were primipara and vaginal delivery occurred in 42.46% cases. Thirty percent deaths occured within six hours of admission to hospital and 73% deaths occurred during post-partum period. The primary obstetric cause of deaths were severe pre-eclampsia and eclampsia (42.5%), haemorrhage (17.5%), obstructed labour (12.5%) and sepsis (7.5%) respectively. Facility based audit into maternal deaths provide an opportunity to understand the inciting factors and is recommended to be implemented for improvement of professional practice and management. (J Bangladesh Coll Phys Surg 2006; 24: 5-9)

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Author Biographies

S Tasnim, Department of Obstetrics & Gynaecology, Institute of Child and Mother Health, Matuail, Dhaka

Dr. S Tasnim, FCPS, MMEd, Diploma in Community Epidemiology. Associate Professor, Department of Obstetrics & Gynaecology, Institute of Child and Mother Health, Matuail, Dhaka.

N Kabir, Department of Obstetrics & Gynaecology, Institute of Child and Mother Health, Matuail, Dhaka

Dr. N Kabir, FCPS , DRH. Associate Professor, Department of Obstetrics & Gynaecology, Institute of Child and Mother Health, Matuail, Dhaka.

A Rahman, Department of Epidemiology & Biostatistics, Institute of Child and Mother Health, Matuail, Dhaka

Dr. A Rahman, DCM, MMEd. Assistant Professor, Department of Epidemiology & Biostatistics, Institute of Child and Mother Health, Matuail, Dhaka.

A Ahmed, Department of Obstetrics & Gynaecology, Institute of Child and Mother Health, Matuail, Dhaka

Dr. A Ahmed, MBBS. Assistant Registrar, Department of Obstetrics & Gynaecology, Institute of Child and Mother Health, Matuail, Dhaka.

S Chowdhury, Department of Obstetrics & Gynaecology, Institute of Child and Mother Health, Matuail, Dhaka

Prof. S Chowdhury, FCPS, Dip RH. Professor and Head of the Department of Obstetrics & Gynaecology, Institute of Child and Mother Health, Matuail, Dhaka.

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How to Cite

Tasnim, S., Kabir, N., Rahman, A., Ahmed, A., & Chowdhury, S. (2007). Maternal Death Audit: Experience from a Periurban Hospital. Journal of Bangladesh College of Physicians and Surgeons, 24(1), 5–9. https://doi.org/10.3329/jbcps.v24i1.139

Issue

Vol. 24 No. 1 (2006)

Section

Original Articles

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