European Journal of Cardiovascular Medicine

Background: Maternal mortality is a measure of quality of health care in community. Maternal mortality ratio is a very sensitive index that reflect the quality of reproductive care provided to the pregnant women. The aims and objectives were to study the institutional maternal mortality, the causes of MMR.  Methods: A retrospective hospital-based study of 587 maternal death was done over a period of 4 years from Jan 2019 to Dec 2022 in obstetrics and gynaecology department, MGM Indore M.P. Details of all the mortalities were collected from individual case sheets, facility based maternal death review forms and MDR case summary. Results: A total of 587 deaths were analysed. MMR in the study period was 1455 per 1 lakh live births. Maximum maternal deaths were reported in the age group of 20-30 years. Majority of maternal death were reported in primipara (77.17%) as compared to multi(10.7%) and grand para (12.09%). Most of them were un-booked (52.8%) and belonged to rural areas (59.2%). In the present study, both direct and indirect causes contributed to more than 98% of maternal death and Non obstetrics cause were around 1.2% of maternal death. Common direct causes were hemorrhage (18.2%) (post-partum hemorrhage, ante-partum hemorrhage and abortion related hemorrhage), Hypertensive disorder of pregnancy ( eclampsia, severe preeclampsia hellp,CVA) contributed most i.e. (33.9%) Conclusions: Early identification of high-risk pregnancy, regular antenatal check-up and proper training of health personnel along with timely referral to tertiary care centre can help to reduce the mortality. There is an increase in MMR during the current pandemic 2020-2021.