{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T20:46:50Z","timestamp":1694119610743},"reference-count":28,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2020,9,13]],"date-time":"2020-09-13T00:00:00Z","timestamp":1599955200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2020,11]]},"abstract":"Abstract<\/jats:title>Aim<\/jats:title>The study was aimed to identify the specific reasons and circumstances of maternal deaths in West Bengal.<\/jats:p><\/jats:sec>Methods<\/jats:title>The present study is a retrospective study of 317 maternal deaths, conducted between November 2013 and October 2015 at two major referral hospitals of eastern India, West Bengal. The frequencies, proportions, measures of central tendency and dispersion were used to describe the data. The data were analyzed using the statistical software spss<\/jats:sc> version 20.0. ArcGIS 10.1 was also employed to show the distributional pattern of maternal deaths.<\/jats:p><\/jats:sec>Results<\/jats:title>The overall maternal mortality ratio was estimated as 561 per 100\u2009000 live births. Eclampsia or hypertensive disorders of pregnancy contributed to one\u2010third (33.1%, n<\/jats:italic> = 105\/317) of maternal deaths. The maternal deaths were more common (41%) among women belonging to the age group of 20\u201324\u2009years and primiparous (36.9%) group. The average distance for traveling to reach the final hospital was 47.37\u2009km. Approximately, three\u2010fourths (72.2%) of maternal deaths were in the post\u2010partum period. Half of the women (50.5%) sought medical care after 12\u2009hrs of developing complications. The majority of the cases (80.1%) were referred and about 45% of patients had a cesarean section.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>The result suggests there was a shift in causes of maternal deaths from hemorrhage to eclampsia. Establishment of separate eclampsia units at lower\u2010level health facilities may be a more plausible pathway to prevent eclampsia\u2010related maternal deaths in West Bengal.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.14466","type":"journal-article","created":{"date-parts":[[2020,9,27]],"date-time":"2020-09-27T07:48:49Z","timestamp":1601192929000},"page":"2366-2374","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Deaths during pregnancy, childbirth and puerperium: Exploring causes, context and evidence from Eastern India"],"prefix":"10.1111","volume":"46","author":[{"given":"Md Illias Kanchan","family":"Sk","sequence":"first","affiliation":[{"name":"Department of Population Policies and Programmes International Institute for Population Sciences Mumbai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Balram","family":"Paswan","sequence":"additional","affiliation":[{"name":"Department of Population Policies and Programmes International Institute for Population Sciences Mumbai India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ankit","family":"Anand","sequence":"additional","affiliation":[{"name":"Population Research Centre Institute for Social and Economic Change Bangalore India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Poulomi","family":"Chowdhury","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Public Health University College London London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tapan Kumar","family":"Naskar","sequence":"additional","affiliation":[{"name":"Department of Gynaecology and Obstetrics Medical College and Hospital Kolkata India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,9,13]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Maternal and Neonatal Death Review System: A Manual for Health Workers in Eastern Visayas","author":"WHO","year":"2012"},{"key":"e_1_2_8_3_1","unstructured":"WHO UNICEF UNFPA World Bank Group and the United Nations Population Division. Trends in maternal mortality: 1990 to 2015. Estimates by WHO UNICEF UNFPA World Bank Group and the United Nations Population Division. Geneva Switzerland: World Health Organization;2015. [Cited 4 June 2018.] Available from URL:http:\/\/www.who.int\/reproductivehealth\/publications\/monitoring\/maternal-mortality-2015\/en\/."},{"key":"e_1_2_8_4_1","first-page":"46","article-title":"Maternal mortality at a rural medical college of Assam: A retrospective study","volume":"1","author":"Zaman S","year":"2014","journal-title":"J Obstet Gynaecol Barpeta"},{"key":"e_1_2_8_5_1","first-page":"31","article-title":"Is maternal mortality in India expecting the \u201crevised\u201d millennium development goal?","volume":"1","author":"Mukhopadhyay BK","year":"2012","journal-title":"Int J Develop Soc"},{"key":"e_1_2_8_6_1","unstructured":"Office of the Registrar General of India Ministry of Home Affairs Government of India. Special Bulletin on Maternal Mortality in India 2011\u201013. New Delhi: Ministry of Home Affairs;2016. Available from URL:http:\/\/www.indiaenvironmentportal.org.in\/files\/file\/MMR%20Bulletin-2014-16.pdf"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)60564-4"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2008.01994.x"},{"key":"e_1_2_8_9_1","unstructured":"National Institute of Public Cooperation and Child Development. An Analysis of Levels and Trends in Maternal Health and Maternal Mortality Ratio in India. New Delhi: National Institute of Public Cooperation and Child Development;2015. 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