{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T03:06:27Z","timestamp":1793502387143,"version":"4.5.0"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2009]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The process of audit standardizes protocols in departments and has long-term benefits. Maternal autopsies though routinely performed, deserve a special attention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>This study was carried out to calculate the maternal mortality ratio (MMR) in a tertiary care hospital and to correlate final cause of death with the clinical diagnosis. An audit of maternal autopsies was carried out to evaluate current practices, identify fallacies and suggest corrective measures to rectify them.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Eighty-nine autopsies of maternal deaths in the period 2003 to 2007 were studied in detail along with the clinical details.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There were 158 maternal deaths and 13940 live births in this five-year period. Maternal mortality rate was found to be very high (1133\/ 100000 live births) in our institution with a high number of complicated referral cases (68\/89 cases, 76%). Of the 89 autopsies, acute fulminant viral hepatitis was the commonest cause of indirect maternal deaths (37 cases, 41.5%). This was followed by direct causes like pregnancy-induced hypertension (12 cases, 13.4%) and puerperal sepsis (10 cases, 11.2%). Certain fallacies were noted during the audit process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>During the audit it was realized that in maternal mortality autopsies, special emphasis should be given to clinicopathologic correlation, microbiological studies, identification of thromboembolic phenomenon and adequate sectioning of relevant organs. We found difficulty in identification of placental bed in the uterus in postpartum autopsies. A systematic approach can help us for better understanding of the pathophysiology of diseases occurring in pregnancy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/0022-3859.48435","type":"journal-article","created":{"date-parts":[[2009,2,26]],"date-time":"2009-02-26T23:35:16Z","timestamp":1235691316000},"page":"12-16","source":"Crossref","is-referenced-by-count":22,"title":["Maternal mortality"],"prefix":"10.4103","volume":"55","author":[{"given":"KD","family":"Jashnani","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"AB","family":"Rupani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"RJ","family":"Wani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R5-4-20240205","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1097\/01.paf.0000203154.50648.33","article-title":"Pregnancy-associated deaths: A 15-year retrospective study and overall review of maternal pathophysiology","volume":"27","author":"Christiansen","year":"2006","journal-title":"Am J Forensic Med Pathol"},{"key":"R6-4-20240205","doi-asserted-by":"crossref","first-page":"283","DOI":"10.2471\/BLT.05.020677","article-title":"Maternal mortality in St Petersburg, Russian federation","volume":"84","author":"Gurina","year":"2006","journal-title":"Bull World Health Organ"},{"key":"R7-4-20240205","doi-asserted-by":"crossref","first-page":"413","DOI":"10.5694\/j.1326-5377.2002.tb04481.x","article-title":"Maternal deaths in Australia","volume":"176","author":"Walters","year":"2002","journal-title":"Med J Aust"},{"key":"R8-4-20240205","first-page":"1306","article-title":"Four main reasons of maternal death in Poland between 1991-2000","volume":"74","author":"Troszynski","year":"2003","journal-title":"Ginekol Pol"},{"key":"R9-4-20240205","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1080\/01443610701213687","article-title":"Maternal mortality in a rural referral hospital in Niger Delta, Nigeria","volume":"27","author":"Igberase","year":"2007","journal-title":"J Obstet Gynaecol"},{"key":"R10-4-20240205","doi-asserted-by":"crossref","first-page":"1066","DOI":"10.1016\/S0140-6736(06)68397-9","article-title":"WHO analysis of causes of maternal death: A systematic review","volume":"367","author":"Khan","year":"2006","journal-title":"Lancet"},{"key":"R11-4-20240205","doi-asserted-by":"crossref","first-page":"e48","DOI":"10.1371\/journal.pmed.0050048","article-title":"Maternal death, autopsy studies, and lessons from pathology","volume":"5","author":"Lucas","year":"2008","journal-title":"PLos Med"},{"key":"R12-4-20240205","doi-asserted-by":"crossref","first-page":"256","DOI":"10.4103\/1117-1936.180347","article-title":"Pathology of maternal deaths in Rivers state (a ten year autopsy review) in a referral hospital","volume":"14","author":"Fubara","year":"2007","journal-title":"Niger Postgrad Med J"},{"key":"R14-4-20240205","first-page":"43","article-title":"Continuing Medical Education: Trends in maternal mortality and some policy concerns","volume":"28","author":"Rawal","year":"2003","journal-title":"Indian J Community Med"},{"key":"R15-4-20240205","doi-asserted-by":"crossref","first-page":"e44","DOI":"10.1371\/journal.pmed.0050044","article-title":"An Autopsy Study of Maternal Mortality in Mozambique: The Contribution of Infectious Diseases","volume":"5","author":"Men\u03b9ndez","year":"2008","journal-title":"PLoS Med"},{"key":"R16-4-20240205","first-page":"18","article-title":"Maternal mortality: A ten year study","volume":"102","author":"Baul MK","year":"2004","journal-title":"J Indian Med Assoc"},{"key":"R17-4-20240205","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/S0020-7292(02)00402-2","article-title":"Autopsy study of maternal deaths","volume":"81","author":"Kavatkar","year":"2003","journal-title":"Int J Gynaecol Obstet"},{"key":"R18-4-20240205","first-page":"132","article-title":"Safe motherhood: A long way to achieve","volume":"99","author":"Majhi","year":"2001","journal-title":"J Indian Med Assoc"},{"key":"R19-4-20240205","first-page":"173","article-title":"Maternal mortality in seven districts of Uttar Pradesh: An ICMR task force study","volume":"50","author":"Gupta","year":"2006","journal-title":"Indian J Public Health"},{"key":"R20-4-20240205","doi-asserted-by":"crossref","first-page":"285","DOI":"10.4314\/eamj.v82i6.9298","article-title":"Medical audit of maternal deaths in the Lagos University Teaching Hospital, Nigeria","volume":"82","author":"Daramola","year":"2005","journal-title":"East Afr Med J"},{"key":"R21-4-20240205","doi-asserted-by":"crossref","first-page":"28","DOI":"10.7326\/0003-4819-147-1-200707030-00005","article-title":"Maternal and fetal outcomes in pregnant women with acute hepatitis E virus infection","volume":"147","author":"Patra","year":"2007","journal-title":"Ann Intern Med"},{"key":"R23-4-20240205","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1016\/j.fertnstert.2005.02.022","article-title":"Epidemiologic aspects of post partum pituitary hypofunction (Sheehan\u2032s syndrome)","volume":"84","author":"Zargar","year":"2005","journal-title":"Fertil Steril"},{"key":"R24-4-20240205","first-page":"1066","article-title":"Pituitary pathology in acquired immunodeficiency syndrome","volume":"113","author":"Sano","year":"1989","journal-title":"Arch Pathol Lab Med"}],"container-title":["Journal of Postgraduate Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/00005257-200955010-00004","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:52:28Z","timestamp":1786647148000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/00005257-200955010-00004"}},"subtitle":["An autopsy audit"],"short-title":[],"issued":{"date-parts":[[2009]]},"references-count":18,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2009]]}},"URL":"https:\/\/doi.org\/10.4103\/0022-3859.48435","relation":{},"ISSN":["0022-3859"],"issn-type":[{"value":"0022-3859","type":"print"}],"subject":[],"published":{"date-parts":[[2009]]}}}