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Maternal Mortality in Andaman and Nicobar Group of Islands: 10 Years Retrospective Study

CONTEXT: Maternal mortality ratio (MMR) is an indicator of effectiveness of health care facilities for women of child bearing age group. Andaman and Nicobar (A&N) group of islands are unique as they are situated 1200 km from the mainland India. Healthcare delivery for the these islands is exclus...

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Autores principales: Chawla, Indu, Saha, Mrinmoy Kumar, Akhtarkharvi, Anis
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3968580/
https://www.ncbi.nlm.nih.gov/pubmed/24696538
http://dx.doi.org/10.4103/0970-0218.126356
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author Chawla, Indu
Saha, Mrinmoy Kumar
Akhtarkharvi, Anis
author_facet Chawla, Indu
Saha, Mrinmoy Kumar
Akhtarkharvi, Anis
author_sort Chawla, Indu
collection PubMed
description CONTEXT: Maternal mortality ratio (MMR) is an indicator of effectiveness of health care facilities for women of child bearing age group. Andaman and Nicobar (A&N) group of islands are unique as they are situated 1200 km from the mainland India. Healthcare delivery for the these islands is exclusively provided and controlled by only one authority, Directorate of Health Services, A&N Islands. GB Pant Hospital, Port Blair is the only referral hospital with round the clock specialists and surgical services. AIMS: To estimate the MMR in A&N islands from 2001 to 2010, and study the causes of maternal mortality. SETTINGS AND DESIGN: Retrospective. MATERIALS AND METHODS: Data for the estimation of MMR were collected from office of Registrar of Births and Deaths, Hospital and Peripheral Health Centres. Case records of maternal deaths in GB Pant Hospital were reviewed to study the causes of death. STATISTICAL ANALYSIS USED: Proportions and Ratios. RESULTS: Ten years average MMR for the entire island was 85.42. Analysis of 30 maternal deaths in GB Pant Hospital showed that 63.3% were due to direct obstetric causes (eclampsia 30%, hemorrhage 23.33%, sepsis 6.66%, and 3.33% amniotic fluid embolism). Of the indirect causes, anemia was the commonest (16.66%). CONCLUSIONS: The MMR of A&N islands is much lower than the national average of 250. Direct obstetric causes accounted for more than half of maternal deaths 63.33%.
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spelling pubmed-39685802014-04-02 Maternal Mortality in Andaman and Nicobar Group of Islands: 10 Years Retrospective Study Chawla, Indu Saha, Mrinmoy Kumar Akhtarkharvi, Anis Indian J Community Med Original Article CONTEXT: Maternal mortality ratio (MMR) is an indicator of effectiveness of health care facilities for women of child bearing age group. Andaman and Nicobar (A&N) group of islands are unique as they are situated 1200 km from the mainland India. Healthcare delivery for the these islands is exclusively provided and controlled by only one authority, Directorate of Health Services, A&N Islands. GB Pant Hospital, Port Blair is the only referral hospital with round the clock specialists and surgical services. AIMS: To estimate the MMR in A&N islands from 2001 to 2010, and study the causes of maternal mortality. SETTINGS AND DESIGN: Retrospective. MATERIALS AND METHODS: Data for the estimation of MMR were collected from office of Registrar of Births and Deaths, Hospital and Peripheral Health Centres. Case records of maternal deaths in GB Pant Hospital were reviewed to study the causes of death. STATISTICAL ANALYSIS USED: Proportions and Ratios. RESULTS: Ten years average MMR for the entire island was 85.42. Analysis of 30 maternal deaths in GB Pant Hospital showed that 63.3% were due to direct obstetric causes (eclampsia 30%, hemorrhage 23.33%, sepsis 6.66%, and 3.33% amniotic fluid embolism). Of the indirect causes, anemia was the commonest (16.66%). CONCLUSIONS: The MMR of A&N islands is much lower than the national average of 250. Direct obstetric causes accounted for more than half of maternal deaths 63.33%. Medknow Publications & Media Pvt Ltd 2014 /pmc/articles/PMC3968580/ /pubmed/24696538 http://dx.doi.org/10.4103/0970-0218.126356 Text en Copyright: © Indian Journal of Community Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Chawla, Indu
Saha, Mrinmoy Kumar
Akhtarkharvi, Anis
Maternal Mortality in Andaman and Nicobar Group of Islands: 10 Years Retrospective Study
title Maternal Mortality in Andaman and Nicobar Group of Islands: 10 Years Retrospective Study
title_full Maternal Mortality in Andaman and Nicobar Group of Islands: 10 Years Retrospective Study
title_fullStr Maternal Mortality in Andaman and Nicobar Group of Islands: 10 Years Retrospective Study
title_full_unstemmed Maternal Mortality in Andaman and Nicobar Group of Islands: 10 Years Retrospective Study
title_short Maternal Mortality in Andaman and Nicobar Group of Islands: 10 Years Retrospective Study
title_sort maternal mortality in andaman and nicobar group of islands: 10 years retrospective study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3968580/
https://www.ncbi.nlm.nih.gov/pubmed/24696538
http://dx.doi.org/10.4103/0970-0218.126356
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