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Pregnancy induced hypertension deaths grow

An audit by the Pune Municipal Corporation shows that pregnancy induced hypertension is among major causes of maternal mortality in the city.

An audit by the Pune Municipal Corporation (PMC) shows that pregnancy induced hypertension is among major causes of maternal mortality in the city. Eleven of the 39 maternal deaths from April 2011 to January 2012 were due to pregnancy induced hypertension.

Dr Anjali Sabne,nodal officer for the Maternal Death Review (MDR) committee of the PMC,said there were 39 deaths from April 2011 to January this year and 37 in 2010-11. As many as 23 of the 39 who died from April 2011 to January were in the age group of 19-25 years.

While 11 died of pregnancy related hypertension,five were anaemic and eight developed sepsis. Two of the women had heart ailments while one had pulmonary problems. Two women had extensive haemorrhage while the remaining had other illnesses,Sabne said.

Maternity mortality ratio hovers at 24 per lakh live births in the city said Dr Vinayak More,District Civil Surgeon,who chairs the MDR Committee in Pune district. More said efforts have been doubled to ensure registration of every pregnant woman in the district to reduce maternal mortality.

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While maternal mortality rate in the country is 254 per lakh live births,it’s approximately 130 per lakh in Maharashtra.

In Pune,efforts are on to register zero maternal deaths from the current it is around 24 per lakh live births,says More citing examples of countries like Bangladesh and Sri Lanka that have achieved their targets.

Doctors are worried that despite awareness campaigns,women in rural areas continue to neglect their health. Delay in seeking treatment was observed in at least 25 patients and at least 23 women in the age group 19-25 years died after delivery.

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While there were no deaths during labour,11 women died during pregnancy while 28 died after delivery. Dr Ramesh Bhosale,Head of the Department of Gynaecology and Obstetrics at B J Medical College and Sassoon General Hospital and one of the members of the MDR committee in the district,said it was essential to identify high-risk mothers who develop blood pressure during pregnancy. Simple steps like aortic compression and using a condom pack to be inserted into the uterus with saline are highly effective in stopping bleeding,Bhosale said. More also said that number of institutional deliveries had increased and there was a need of tracking pregnant women and following progress in the pregnancy. Three tiers of committees have been set up to review maternal deaths in the city. A monthly review by the district quality assurance committee,another at the level of the Deputy Director of Health,Pune circle and a new PMC panel that includes surgeons,paediatricians and physicians.

As per a government resolution,hospitals that conduct over 500 deliveries a year are required to set up their own MDR committees to take stock of any pregnancy related adverse events.

First published on: 18-03-2012 at 05:47:02 am
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