Sk Md Illias Kanchan, Chattopadhyay Aparajita, Anand Ankit, Naskar Tapan Kumar, Chakraborty Somajita
Department of Population Policies and Programmes, International Institute for Population Sciences, Mumbai, India
Department of Development Studies, International Institute for Population Sciences, Mumbai, India
J Turk Ger Gynecol Assoc. 2018 Jun 4;19(2):65-71. doi: 10.4274/jtgga.2017.0136. Epub 2018 Mar 28.
The study was undertaken to understand the causes and circumstances of maternal deaths in West Bengal.
One hundred ten maternal deaths were reported during the period December 2010 through June 2012 in the Maternity Ward of Medical College and Hospitals, West Bengal. These deaths were reviewed using a facility-based Maternal Death Review protocol. The number and percentages were calculated and binary logistic regression analysis was performed.
The majority of the deaths occurred in the 20-24 years’ age group, those with Hindu religion, in the first and second gravida, and the postpartum period. One third of mothers had cesarean sections. The majority (78.2%) of deaths were among referred cases. Eclampsia was the leading cause of maternal death (29.1%). Approximately half of the deceased women sought care after 10 hours of developing complications. More than one-third of maternal deaths were registered with type 1 delays.
Our study demonstrates that maternal deaths occurred among young women, referred cases, with cesarean sections and type 1 delays. We recommend that imparting basic skills and improving awareness to the community about the danger signs of pregnancy could be an effective measure to detect maternal complications at an earlier stage.
开展本研究以了解西孟加拉邦孕产妇死亡的原因和情况。
2010年12月至2012年6月期间，西孟加拉邦医学院及医院产科病房报告了110例孕产妇死亡病例。使用基于机构的孕产妇死亡审查方案对这些死亡病例进行了审查。计算了数量和百分比，并进行了二元逻辑回归分析。
大多数死亡发生在20 - 24岁年龄组、印度教教徒、初产妇和经产妇以及产后阶段。三分之一的母亲接受了剖宫产。大多数（78.2%）死亡病例为转诊病例。子痫是孕产妇死亡的主要原因（29.1%）。约一半的死亡妇女在出现并发症10小时后才寻求治疗。超过三分之一的孕产妇死亡登记为1类延误。
我们的研究表明，孕产妇死亡发生在年轻女性、转诊病例、接受剖宫产以及存在1类延误的人群中。我们建议，向社区传授基本技能并提高其对妊娠危险信号的认识，可能是在早期阶段发现孕产妇并发症的有效措施。
