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Analysis of Maternal Death in Junagadh District Gujarat


  • Subhash Khatri
  • Agency : MMR, CBMDR, BHO, PPH, ANC, PNC
  • Objective : To identify major causes and delay of maternal death during year 2011-2012 in Junagadh district and suggest measures to reduce MMR in Junagadh District.



  • Background : The main purpose of the CBMDR is to identify various delays and causes leading to maternal deaths and to enable the health system to take corrective measures at various levels. Identifying maternal deaths would be the first step in the process. The second step would be the investigation of the factors/causes which lead to maternal death whether medical, social, systemic, and the third step would be to take appropriate and corrective measures on these, depending on their amenability to the demand side and communication interventions. Research Question was to access major risk factors (Socio demographic and clinical) and causes contributing to maternal meath in rural area of Junagadh District during the year 2011-2012?





  • Methodology : A retrospective cross sectional study was conducted and was based on secondary data. The data were collected by Block Health Officer in a structured verbal autopsy form. Total 26 verbal autopsy forms were filled by BHO in 10 blocks of Junagadh district.



  • Findings : 67% of women who died were illiterate and 29% women who died got married before the legal age of marriage (18 years). Overall 42% women died during 3rd or more time of pregnancy. 67% of women were having full ANC check up (3 or more than 3 times). 75% of women died in Post partum stage and 21% during Ante partum stage. When WHO three delays were analyzed it was found that 54% delay was delay in decision making, 29% delay was because of transport and 17% was delay in treatment. 38% of died because of PPH.



  • Recommendations :
    1. Education of young girls.  
    2. Counseling of mothes.  
    3. Strengthening of maternal services in District  
    4. To reduce level of delay.  
    5. Treating maternal mortality as a human right violation.



To identify major causes and delay of maternal death during year 2011-2012 in Junagadh district and suggest measures to reduce MMR in Junagadh District.