IMPACT OF COVID-19 PANDEMIC ON MATERNAL MORTALITY RATIO IN A TERTIARY CARE HOSPITAL OF RAJASTHAN: A RETROSPECTIVE ANALYSIS

Authors

  • Seema Mehta Department of Obstetrics and Gynecology, SMS Medical College, Jaipur, Rajasthan, India.
  • Neha Sharma Department of Obstetrics and Gynecology, SMS Medical College, Jaipur, Rajasthan, India.
  • Shivangi Jain Department of Obstetrics and Gynecology, SMS Medical College, Jaipur, Rajasthan, India.

DOI:

https://doi.org/10.22159/ajpcr.2022.v15i10.45535

Keywords:

Maternal mortality ratio, COVID pneumonitis, Pandemic

Abstract

Objectives: Pregnancy and delivery are an important risk factor for COVID-19. The present study was carried out to see the impact of COVID 19 on maternal mortality ratio (MMR).

Methods: This retrospective study was performed in the Department of Obstetrics and Gynaecology, Mahila Chikitsalya, and SMS Medical College Jaipur from January 2018 to December 2021. Data were collected from the hospital records and MMR was calculated for every year. The causes of death were also recorded and changing trends were noted.

Results: In the present study, the MMR for the years 2018, 2019, 2020, and 2021 were 159.03, 112.72, 354.58, and 603, respectively, which reflects enormous increase in MMR during COVID pandemic years (2020 and 2021). Before the pandemic (2018 and 2019), maximum deaths were from direct obstetric causes (77.35%) while 22.64% maternal deaths were from indirect causes. During COVID pandemic a large percentage (53.12%) of maternal deaths were due to indirect obstetric causes, COVID pneumonitis (ARDS) being the most common cause of death.

Conclusions: There was 3.59 times increase in MMR during COVID-19 pandemic in our institute. COVID pneumonitis was responsible for significant number of maternal deaths.

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Author Biographies

Seema Mehta, Department of Obstetrics and Gynecology, SMS Medical College, Jaipur, Rajasthan, India.

Senior Professor, Department of Obstetrics and Gynecology

 

Neha Sharma, Department of Obstetrics and Gynecology, SMS Medical College, Jaipur, Rajasthan, India.

Assistant Professor, Department of Obstetrics and Gynecology,

Shivangi Jain, Department of Obstetrics and Gynecology, SMS Medical College, Jaipur, Rajasthan, India.

Senior Resident, Department of Obstetrics and Gynecology

 

References

World Health Organization. Coronavirus (COVID-19) Dashboard. Geneva: World Health Organization. Available from: https://covid19. who.int [Last accessed on 2022 Jun 14].

Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, et al. Clinical course and risk factors for mortality of adult in patients with COVID-19 in Wuhan, China: A retrospective cohort study. Lancet 2020;395:1054-62. doi: 10.1016/S0140-6736(20)30566-3, PMID 32171076

Ejaz H, Alsrhani A, Zafar A, Javed H, Junaid K, Abdalla AE, et al. COVID-19 and comorbidities: Deleterious impact on infected patients. J Infect Public Health 2020;13:1833-9. doi: 10.1016/j.jiph.2020.07.014, PMID 32788073

Xiang G, Xie L, Chen Z, Hao S, Fu C, Wu Q, et al. Clinical risk factors for mortality of hospitalized patients with COVID-19: Systematic review and meta-analysis. Ann Palliat Med 2021;10:2723-35. doi: 10.21037/apm-20-1278, PMID 33549005

Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: A descriptive study. Lancet 2020;395:507-13. doi: 10.1016/ S0140-6736(20)30211-7, PMID 32007143

Westgren M, Pettersson K, Hagberg H, Acharya G. Severe maternal morbidity and mortality associated with COVID-19: The risk should not be downplayed. Acta Obstet Gynecol Scand 2020;99:815-6. doi: 10.1111/aogs.13900, PMID 32386440

Takemoto ML, Menezes MO, Andreucci CB, Nakamura-Pereira M, Amorim MM, Katz L, et al. The tragedy of COVID‐19 in Brazil: 124 maternal deaths and counting. Int J Gynaecol Obstet 2020;151:154-6. doi: 10.1002/ijgo.13300, PMID 32644220

Mahala U, Prakash O, Mehta S, Sharma M. Maternal mortality at tertiary care hospital in Rajasthan: A 10-year review. IOSR J Dent Med Sci (IOSR-JDMS) 2017;16:89-92.

Priya N, Ashok V, Suresh V. Maternal mortality: Ten years retrospective study. JK Sci 2010;12:134-6.

Garg DP. To study maternal mortality and complications leading to maternal death in the tertiary care centre. Int J Med Res Rev 2016;4:347- 52. doi: 10.17511/ijmrr.2016.i03.10

Lilare DR, Narlawar UW, Lillore R. Maternal mortality in a tertiary care hospital of central india: A 5 years review. J Med Sci Clin Res 2017;5:31820-4.2. doi: 10.18535/jmscr/v5i12.87

Murthy BK, Murthy MB, Prabhu PM. Maternal mortality in a tertiary care hospital: A 10-year review. Int J Prev Med 2013;4:105-9. PMID 23411635

Mohammed MM, El Gelany S, Eladwy AR, Ali EI, Gadelrab MT, Ibrahim EM, et al. A ten year analysis of maternal deaths in a tertiary hospital using the three delays model. BMC Pregnancy Childbirth 2020;20:585. doi: 10.1186/s12884-020-03262-7, PMID 33023523

De Carvalho-Sauer RC, Costa MD, Teixeira MG, do Nascimento EM, Silva EM, Barbosa ML, et al. Impact of COVID-19 pandemic on time series of maternal mortality ratio in Bahia, Brazil: Analysis of period 2011-2020. BMC Pregnancy Childbirth 2021;21:423. doi: 10.1186/ s12884-021-03899-y, PMID 34112099

Mendez-Dominguez N, Santos-Zaldívar K, Gomez-Carro S, Datta- Banik S, Carrillo G. Maternal mortality during the COVID-19 pandemic in Mexico: A preliminary analysis during the first year. BMC Public Health 2021;21:1297. doi: 10.1186/s12889-021-11325-3, PMID 34215243

Published

07-10-2022

How to Cite

Mehta, S., N. Sharma, and S. Jain. “IMPACT OF COVID-19 PANDEMIC ON MATERNAL MORTALITY RATIO IN A TERTIARY CARE HOSPITAL OF RAJASTHAN: A RETROSPECTIVE ANALYSIS”. Asian Journal of Pharmaceutical and Clinical Research, vol. 15, no. 10, Oct. 2022, pp. 39-41, doi:10.22159/ajpcr.2022.v15i10.45535.

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