Maternal Mortality in a Tertiary Care Hospital : Three Years Retrospective

DR Warda Naeem (AJKMC MZD)

DR Kinza Pervaiz (MBBS Mc Mirpur )

DR Faryal Masood Khan ( CMH Rawalakot )

DR Kalsoom Zafar (MBBS MC mirpur )

 DR Faisal Sheikh (AMC abbottabad)

DR Tayyaba Ansar (Islamabad Medical And Dental College )

 Abstract

The current study was done to assess the maternal mortality ratio and the causes of maternal deaths over a period of three years at a tertiary care hospital. A retrospective study was conducted in the department of Obs and Gynae jinnah hospital lahore on 2025 to december 2026 data was analysed manually using case sheets and maternal death audit forms. In the study period, there were 49421 live births and 45 maternal deaths giving a MMR of 91.O5/1,00,000 live births. The direct causes of maternal mortality were haemorrhage (22.22%), hypertensive disorders (Eclampsia 20%,severe pre-eclampsia 2.22%),pulmonary embolism (8.89%) and Sepsis(6.67%). Indirect obstetric deaths were anaemia (22.22%), heart diseases (8.89%), anaphylactic shock (4.44%), hepatitis (2.22%) and postabortal choriocarcinoma (2.22%). Most of the deaths occurred in age group 20 and30 years, Multigravidas, Unbooked cases and patients belonging to rural areas. Haemorrhage and pregnancy induced hypertension including eclampsia were found to be leading direct causes and anaemia the leading indirect cause of maternal death. Emphasis on health education, need for regular antenatal checkups and proper training of health personnel is required to reduce maternal mortality.

Key Words

Maternal mortality ratio, haemorrhage, Anaemia, Eclampsia