A RETROSPECTIVE STUDY OF MATERNAL MORTALITY DUE TO POSTPARTUM HAEMORRHAGE OVER THE PERIOD OF LAST 10 YEARS IN A TERTIARY CARE CENTRE

OBJECTIVE To study the maternal mortality due to PPH over last 10 years at a tertiary centre. MATERIALS AND METHODS Retrospective study of all maternal death due to PPH from October 2004 to September 2014 was carried out. RESULT There were a total of 60 maternal deaths which occurred due to PPH. Majority of maternal mortality in women with parity >3 (56.67%). Unbooked cases accounted for 96.67% of maternal deaths. Most of the cases were in age group of 21-30 years. Commonest cause of maternal mortality due to PPH was atonic PPH (50%). CONCLUSION Effective measures should be taken to ensure provision of antenatal care to all pregnant ladies and safe hospital deliveries, prophylactic therapeutic management of anaemia as well as availability of blood bank at the peripheral centres. Training of health personnel at the peripheral level for timely identification and referral of the high risk cases, timely availability of blood products and to ensure that all women have access to the high quality essential and emergency obstetric services along with the provisions of safe abortion, contraceptive services, and family planning counselling to reduce unplanned pregnancy.