MATERNAL MORBIDITY DATA AT A TERTIARY CARE HOSPITAL IN MAHARASHTRA ; INDIA

Dr.Deepti Karmarkar; Dr.Sneha Trivedi; Dr Sameer Darawade; Dr. Neelesh Risbud

Volume : V, Issue : VI, June - 2016

MATERNAL MORBIDITY DATA AT A TERTIARY CARE HOSPITAL IN MAHARASHTRA ; INDIA

Dr. Deepti Karmarkar, Dr. Sneha Trivedi, Dr Sameer Darawade, Dr. Neelesh Risbud

Abstract :

 In safe motherhood programming in the developing world, insufficient attention has been given to maternal morbidity, which can extend well beyond childbirth. For every woman who dies of pregnancy-related causes, an estimated 20 women experience acute or chronic morbidity. Maternal morbidity adversely affects families, communities and societies. It has multiple causes, with duration ranging from acute to chronic, severity ranging from transient to permanent and with a range of diagnosis and treatment options. This article addresses that maternal morbidity is a potent tool in determining standards of maternity care. This study determines the incidence of maternal morbidity in our institution, identifies the underlying organ dysfunction and associated obstetric risk factors. Over a 3 year period Jan 2011-Dec 2014, data were collected retrospectively from patients with severe acute maternal morbidity . Based on this review, recommendations to reduce maternal morbidity include: expand the focus of safe motherhood to explicitly include morbidity; improve data on incidence and prevalence of maternal morbidity; link mortality and morbidity outcomes and programming; increase access to facility- and community-based maternal health care and reproductive health care; and address the antecedents to poor maternal health through a lifecycle approach.