Hypertension is emerging as a major cause of maternal deaths in the city. While 43 deaths were reported in 2011-12,the number increased to 64 in 2012-13. From April to July this year,Pune Municipal Corporations maternal death review committee has registered 17 cases in which women died after delivery. Of these,five died due to pregnancy-induced hypertension.
In 2012-13,a total of 30 women died due to pregnancy-induced hypertension,seven due to haemorrhage,six of heart disease,four of pulmonary disease,four were anaemic and five died due to other illnesses. While in 2011-12,more than 10 pregnant women died due to hypertension,of the 37 maternal deaths in 2010-11,more than 10 were due to hypertension.
Most women patients from Satara,Ahmednagar and Aurangabad are referred to city hospitals like Sassoon,Ruby Hall and Deenanath Mangeshkar for treatment. However,most of them dont survive as they are sent in a complicated condition, said Dr Anjali Sabne,PMCs nodal officer for maternal death review.
With pregnancy-induced hypertension being a major cause of death,it is vital to monitor womens blood pressure and conduct a follow-up. High-risk cases are tracked down and urged to report for follow-up visits, she said.
We conduct an in-depth study of maternal deaths in the city to understand the causes and other demographic aspects, Sabne said,pointing out that measures to track down pregnant women during the antenatal period received a huge response. We have tracked 23,000 such women to ensure that there are no complications during delivery and follow-up is done regularly even after the pregnancy.
Maternal mortality rate (MMR) of 40 per lakh live births was registered last year and the increase in number of deaths as against the previous two years was mainly because the cases are now being reported by the hospitals,she pointed out.
The hospitals that perform more than 250 deliveries every year have been directed to set up their own maternal death review committees. In Pune,there are 16 government and corporation-run hospitals,and 15 private hospitals with such panels that send reports on the number of deaths each month to the PMCs maternal death review committee.
According to state health officials,MMR is reducing in Maharashtra from 149 deaths per one lakh live births in 2001-03 to 104 deaths per one lakh live births in 2007-09. According to UNs Millennium Development Goal target,by 2015 India has to reduce MMR to 109 per 100,000 live births (or in other words reduce MMR by three quarters between 1990 and 2015).