title: Maternal mortality and its causes in a tertiary center.
abstract: OBJECTIVE
  To study the maternal mortality and the complications leading to maternal death.
  
  
  METHODS
  A retrospective study of hospital records and death summaries of all maternal deaths over the period from January 2000 to August 2009 was carried out.
  
  
  RESULTS
  There were a total of 80 maternal deaths out of 88,443 live births giving maternal mortality rate (MMR) of 90.45 per 100,000 live births. Unbooked and late referral accounted for 77.5 % of maternal deaths. The majority of the deaths was in 30-40-year age group and around term. Hemorrhage was the commonest cause of death (52.5 %), followed by sepsis (13.75 %) and pregnancy-induced hypertension including eclampsia (10 %).
  
  
  CONCLUSIONS
  Hemorrhage, sepsis, and pregnancy-induced hypertension including eclampsia were found to be the direct major causes of death. Anemia and cardiac disease were other indirect causes of deaths.
authors.affiliation: Department of Obstetrics and Gynecology, Regional Institute of Medical Sciences (RIMS), Lamphel, Imphal, Manipur, 795001 India ; C/O Dr. A.D. Sharma, Brahmapur Aribam Leikai, Near Water Tank, Imphal, Manipur, 795001 India.
authors.forename: Pratima Devi
authors.initials: PD
authors.lastname: Khumanthem
authors.forename: Manglem Singh
authors.initials: MS
authors.lastname: Chanam
authors.forename: Randhoni Devi
authors.initials: RD
authors.lastname: Samjetshabam
keywords: Anemia; Eclampsia; Maternal mortality; Postpartum hemorrhage; Sepsis
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