title: Maternal Deaths in a Tertiary Health Care Centre of Odisha: An In-depth Study Supplemented by Verbal Autopsy.
abstract: BACKGROUND
  Maternal mortality is a reflection of the care given to women by its society. It is tragic that deaths occur during the natural process of child birth and most of them are preventable.
  
  
  OBJECTIVE
  The present study was undertaken to find out the causes and contributing factors of maternal deaths.
  
  
  METHODS
  All maternal deaths occurring in a year in the medical college and hospital were traced and interviews were taken from the relatives as well as the health care providers who were present at the time of death of the woman.
  
  
  RESULTS
  Out of the total maternal deaths, 72% belonged to 20-30 yrs age group, also 46.5% were illiterate, and majority deaths (60.5%) were from low socio-economics status. Direct causes were responsible for 76.7% of maternal deaths. Hypertensive disorders of pregnancy were most common (32.6%) cause of direct deaths, while malaria (9.3%) and anemia (7%) were most common indirect causes. Most of the women had to use their own resources to travel to health care facilities. Delays at different levels, often in combination, contributed to the maternal deaths.
  
  
  CONCLUSIONS
  The study will serve as an eye-opener to the bottlenecks present in the community as well as in the health facility so as to take appropriate measures to prevent maternal deaths.
authors.affiliation: Sri Venkateshwaraa Medical College Hospital and Research Centre, Ariyur, Pondicherry, India.
authors.forename: Biswajit
authors.initials: B
authors.lastname: Paul
authors.forename: Bijeeyani
authors.initials: B
authors.lastname: Mohapatra
authors.forename: Krishna
authors.initials: K
authors.lastname: Kar
references.citation: Obstet Gynecol. 1975 Oct;46(4):397-400
references.pmid: 1080844
references.citation: World Health Stat Q. 1988;41(1):32-6
references.pmid: 3376487
references.citation: Indian J Malariol. 1993 Dec;30(4):207-14
references.pmid: 8034109
references.citation: Reprod Health. 2005 May 04;2(1):3
references.pmid: 15871743
references.citation: Indian J Matern Child Health. 1992 Jul-Sep;3(3):69-73
references.pmid: 12288813
references.citation: J Obstet Gynaecol. 2004 Aug;24(5):521-4
references.pmid: 15369932
references.citation: BMC Pregnancy Childbirth. 2006 Mar 10;6:6
references.pmid: 16529649
references.citation: J Obstet Gynaecol India. 1977 Dec;27(6):876-80
references.pmid: 12299876
references.citation: Trans R Soc Trop Med Hyg. 1988;82(3):376-9
references.pmid: 3068848