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Volume 4 Issue 6 (November - December, 2016)

Original Articles

PREGNANCY RELATED DEATHS IN LUCKNOW - A RETROSPECTIVE STUDY
Anima Prasad, Amrish Kumar

Background: Complications in pregnancy are not uncommon. Most common are pregnancy induced hypertension, hyperemesis gravidarum, low back pain etc. The present study was a retrospective study conducted to record factors leading to pregnancy related deaths. Materials & Methods: This study was a retrospective study conducted in year 2010-11. This included all cases of deaths resulting from medical cause related to pregnancy that occur during pregnancy, at delivery or within 42 days of delivery or termination. A total of 32 cases were reported of pregnancy related deaths. Factors such as maternal age, past medical history, previous pregnancies, pregnancy outcome, antenatal care, and gestational age, place of delivery and cause of death was recorded. Results: Age group 20-24 years showed 14 cases, 25-29 years showed 10 cases and age group 30-34 years showed 8 cases. The difference among three groups was non significant (P-0.1). 14 cases were live birth, 2 were abortion and 16 were undelivered. The difference was non significant (P>0.05). 16 cases of undelivered patients, 3 were seen in 12 weeks, 2 in 24 weeks, 8 in 32 weeks and 3 in 36 weeks. The difference was significant (P<0.05). Number of deaths recorded at immediate (3), day 1 (4), day 2 (2), day 4 (2), day 5 (1), day 10 (1) and day 30 (1). The difference was non significant (P>0.05). Medical condition of the patients was eclampsia (9), anemia (4), rheumatic heart disease (2), tuberculosis (1), sickle cell disease (1) and abortion (4). 10 cases were non significant. The difference was significant (P<0.05). Various reasons of deaths were rupture uterus (4), retained placenta (3), DIC (7), sepsis (3), postpartum pre-eclamptic shock (4), undetermined (6), tuberculosis (1), meningitis (1), sickle cell disease (1) and rheumatic heart disease (2). The difference was significant (P<0.05). Conclusion: Though maternal deaths rate have decreased significantly in last few years, its complete elimination is essential to ensure better care of pregnant ladies. Medical history is important to decrease the mortality rate.
Key words: Complications,  pregnancy induced hypertension, hyperemesis gravidarum

 
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