{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T21:10:25Z","timestamp":1760044225391},"reference-count":26,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2013,7,22]],"date-time":"2013-07-22T00:00:00Z","timestamp":1374451200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2013,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>The aim of this study was to identify causes of maternal mortality at the facility and to assess the standard of care, deficiencies in health services and preventability of these deaths using facility\u2010based maternal death reviews.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>This was a prospective study at a tertiary care hospital that included all women who died during pregnancy or within 42 days of being pregnant during 2005\u20132010.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A review of 296 maternal deaths revealed that 59% of these occurred in medical wards. Indirect maternal deaths (54%) outnumbered the direct deaths (46%). Main causes were hepatitis (18%), hemorrhage (10%) and puerperal sepsis (10%). Only 5% of the women had received antenatal care at the facility. One\u2010third (34%) were referred from other centers. The majority (74%) were critically sick at admission. Most of the women (62%) died postpartum. Substandard care and deficient health services were identified in 8% and 20% of the cases, respectively. Sixteen (5%) maternal deaths were deemed preventable and another 36 (12%) possibly preventable. Since most of the preventable deaths (12\/16) were due to hemorrhage, measures to control postpartum hemorrhage were promoted at the facility. Findings of the maternal death reviews were regularly conveyed to the State Health Department for prioritization and resource allocation to prevent maternal mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>More maternal deaths occurred in the medical than in the obstetrics wards at the facility. The leading causes were hepatitis, hemorrhage and puerperal sepsis. Most of the deaths were non\u2010preventable as the women were critically sick at admission; however, substandard care and health service deficiency were contributory in some of the cases.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.12099","type":"journal-article","created":{"date-parts":[[2013,7,23]],"date-time":"2013-07-23T03:17:06Z","timestamp":1374549426000},"page":"1569-1579","source":"Crossref","is-referenced-by-count":7,"title":["Facility\u2010based review of 296 maternal deaths at a tertiary centre in <scp>I<\/scp>ndia: Could they be prevented?"],"prefix":"10.1111","volume":"39","author":[{"given":"Deepti","family":"Goswami","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Maulana Azad Medical College and Lok Nayak Hospital  New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asmita Muthal","family":"Rathore","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Maulana Azad Medical College and Lok Nayak Hospital  New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Swaraj","family":"Batra","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Maulana Azad Medical College and Lok Nayak Hospital  New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chandan","family":"Dubey","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Maulana Azad Medical College and Lok Nayak Hospital  New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shakun","family":"Tyagi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Maulana Azad Medical College and Lok Nayak Hospital  New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leena","family":"Wadhwa","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Maulana Azad Medical College and Lok Nayak Hospital  New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,7,22]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Trends in Maternal Mortality: 1990 to 2008","author":"WHO UNICEF UNFPA and the World Bank","year":"2010"},{"key":"e_1_2_7_3_1","volume-title":"Special Bulletin on Maternal Mortality in India 2007\u20132009. 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