title: Trends in Maternal Mortality and Impact of Janani Suraksha Yojana (JSY) on Maternal Mortality Ratio in a Tertiary Referral Hospital.
abstract: OBJECTIVE
  To analyse the impact of Janani Suraksha Yojana (JSY) on Maternal Mortality Ratio (MMR).
  
  
  METHODS
  Retrospective analysis of maternal mortality.
  
  
  METHODS
  Analysis of all maternal deaths between January 2001 and December 2009.
  
  
  CONCLUSIONS
  The total number of deliveries has been steadily rising from 1,685 in 2001 to 3,957 in 2009. The MMR doubled from 1,500/100,000 live births in 2001 to 3,000/100,000 live births in 2006, then declined to 2,464/100,000 live births in 2009. Implementation of the various maternity benefit schemes has had no significant impact on the profile of dying mothers-admission-to-death interval. Deaths due to anemia and eclampsia have significantly increased (P < 0.05), whereas due to sepsis (P < 0.001) and hemorrhage (P < 0.05), deaths have significantly decreased. Almost 96 % of dying subjects received inadequate antenatal care. However, significantly less number (P < 0.001) of women are delivering at home.
  
  
  CONCLUSIONS
  There is a need to stress the importance of good antenatal care in reducing MMR.
authors.affiliation: Department of Obstetrics & Gynaecology, Govt. NSCB Medical College, Jabalpur, MP India.
authors.forename: Gita
authors.initials: G
authors.lastname: Guin
authors.forename: Bharti
authors.initials: B
authors.lastname: Sahu
authors.forename: Shashi
authors.initials: S
authors.lastname: Khare
authors.forename: Arvind
authors.initials: A
authors.lastname: Kavishwar
keywords: Anemia; Eclampsia; Maternal mortality; Maternal mortality ratio; Sepsis