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Jyoti G. Lokapur

BLDE University, India

Presentation Title:

Study of changing trends and patterns in maternal mortality at a tertiary care hospital

Abstract

Maternal mortality is a measure of reproductive health of women in the area. Many women in reproductive age-span die due to complications during and following pregnancy and childbirth or abortion. Maternal mortality continues to be one of the major public health problems especially in developing countries.Maternal mortality continues to be a critical indicator of healthcare quality and socioeconomic development, particularly in developing nations. This study analyzes the evolving trends and patterns of maternal deaths at Karnataka Institute of Medical Sciences (KIMS), Hubli,  in India , a major tertiary care center serving multiple districts in North Karnataka state during 5 year period (2019 to 2023). Medical records were reviewed for all maternal deaths occurring within 42 days of pregnancy termination, including complications from pregnancy, labor, puerperium, and related interventions. Data analysis encompassed maternal age, parity, antenatal registration, delivery characteristics, admission-to-death interval, and cause of death. Statistical analysis was performed using proportions and means to establish patterns and correlations in the collected data. Similar to findings in literature, the classical triad of causes of maternal mortality remained hypertensive disorders, hemorrhage, and sepsis in our study too. The leading cause of death over the years has changed to hypertensive disorders from hemorrhage, making a change in trend of maternal mortality, whereas anemia remains almost a constant factor. There has been a noticeable shift in the causes of maternal mortality, with medical diseases increasingly contributing to maternal deaths rather than traditional obstetric causes. The study revealed critical gaps in peripheral healthcare services and emphasized the need for strengthening antenatal care at primary healthcare centers. The high proportion of preventable causes highlights the importance of early detection, timely referral, and enhanced critical care capabilities in reducing maternal mortality

Biography

Jyoti G. Lokapur is a dedicated Obstetrician and Gynaecologist from India, committed to providing compassionate, evidence-based care. She graduated from Karnataka Medical College and Research Institute, Hubballi, Karnataka, India, and she currently practicing at BLDE, Vijayapura, Karnataka, India. Her passion lies in advancing maternal health, women’s wellness, and clinical education.