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Trends in Maternal Mortality and Impact of Janani Suraksha Yojana (JSY) on Maternal Mortality Ratio in a Tertiary Referral Hospital

Abstract

Objective

To analyse the impact of Janani Suraksha Yojana (JSY) on Maternal Mortality Ratio (MMR).

Design

Retrospective analysis of maternal mortality.

Methods

Analysis of all maternal deaths between January 2001 and December 2009.

Results and Discussion

The total number of deliveries has been steadily rising from 1,685 in 2001 to 3,957 in 2009. The MMR doubled from 1,500/100,000 live births in 2001 to 3,000/100,000 live births in 2006, then declined to 2,464/100,000 live births in 2009. Implementation of the various maternity benefit schemes has had no significant impact on the profile of dying mothers—admission-to-death interval. Deaths due to anemia and eclampsia have significantly increased (P < 0.05), whereas due to sepsis (P < 0.001) and hemorrhage (P < 0.05), deaths have significantly decreased. Almost 96 % of dying subjects received inadequate antenatal care. However, significantly less number (P < 0.001) of women are delivering at home.

Conclusions

There is a need to stress the importance of good antenatal care in reducing MMR.

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References

  1. Shankar J, Seetharam S. Maternal mortality: 10 years review a decade of safe motherhood. J Obstet Gynecol India. 2001;51:108–10.

    Google Scholar 

  2. Kulkarni Sunanda R, Huligol A. Maternal mortality: 10 years study. J Obstet Gynecol India. 2001;51:73–6.

    Article  Google Scholar 

  3. Sharma N. Maternal mortality: a retrospective study of 10 years. J Obstet Gynecol India. 2001;51:60–2.

    Article  Google Scholar 

  4. Bedi N, Kambo I, Dhillon BS, et al. Maternal deaths in India—preventable tragedies (An ICMR Task Force Study). J Obstet Gynecol India. 2001;51:86–92.

    Google Scholar 

  5. Khare S, Singh KN, Kalkur S. Maternal mortality in Jabalpur Medical College (A 15 years study). J Obstet Gynecol India. 2002;52:51–2.

    Google Scholar 

  6. Jayaram Kamala V. Review of maternal mortality. J Obstet Gynecol India. 2001;51:80–2.

    Google Scholar 

  7. Patel DA, Gangopadhyay S, Vaishnav SB, et al. Maternal mortality at Karamsad—the only Rural Medical College in Gujarat (January 1994 to December 1997). J Obstet Gynecol India. 2001;51:63–6.

    Google Scholar 

  8. Bhattacharjee S. A study on maternal mortality in Silchar Medical College & Hospital. J Obstet Gynecol India. 2001;51:67–70.

    Google Scholar 

  9. Verma A, Minhas S, Sood A. A study on maternal mortality. J Obstet Gynecol India. 2008;58:226–9.

    Google Scholar 

  10. Sahu L, Rani R, Soundararaghavan S. Changing trends in maternal mortality (MMR is a good healthcare index). Int J Gynaecol Obstet India. 2008;11:24–9.

    Google Scholar 

  11. Veille J-C. Maternal mortality. Prog Obstet Gynaecol. 2008;18:125–42.

    Google Scholar 

Download references

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Correspondence to Gita Guin.

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Guin, G., Sahu, B., Khare, S. et al. Trends in Maternal Mortality and Impact of Janani Suraksha Yojana (JSY) on Maternal Mortality Ratio in a Tertiary Referral Hospital. J Obstet Gynecol India 62, 307–311 (2012). https://doi.org/10.1007/s13224-012-0221-1

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  • DOI: https://doi.org/10.1007/s13224-012-0221-1

Keywords

  • Maternal mortality
  • Maternal mortality ratio
  • Anemia
  • Eclampsia
  • Sepsis