RESUMO
Authors worked on maternal mortality in India from 1992-94. This article is a review article on the basis of authors' experience. The article starts with the brilliant sentence, 'Maternal mortality in India is unacceptably high' and ends with the suggested strategies to solve the problem.
Assuntos
Adolescente , Adulto , Causas de Morte , Países em Desenvolvimento , Serviços de Planejamento Familiar/tendências , Feminino , Previsões , Necessidades e Demandas de Serviços de Saúde/tendências , Humanos , Índia , Recém-Nascido , Mortalidade Materna/tendências , Pessoa de Meia-Idade , Gravidez , Fatores de RiscoRESUMO
A review of postabortal sepsis following a 2-year study undertaken at the Department of Obstetrics and Gynaecology, SSG Hospital, Baroda is presented here with a view to know the incidence of postabortal sepsis and septic induced abortions and to re-evaluate the effectiveness of the MTP services in reducing its impact on maternal morbidity and mortality, since the implementation of the MTP Act in 1972. It has been observed that postabortal sepsis is a major cause of maternal mortality even now and MCH service is to be improved to reduce the same.
Assuntos
Aborto Criminoso , Aborto Séptico/complicações , Aborto Espontâneo/complicações , Feminino , Humanos , Infecções/etiologia , GravidezRESUMO
Three hundred and forty short statured mothers (height less than 145 cm) were compared with 680 mothers (height more than 145 cm) who served as control to isolate problems associated with pregnancy and labour in the former. Short statured mothers hailed from poorer social class and had an unhealthy family and past history and higher incidence of pelvic deformities and abnormal presentations. They had a lower possibility of delivering vaginally and higher incidence of instrumental deliveries. Their offsprings were likely to be less in weight and suffered from a significantly higher incidence of stillbirth and neonatal death. All this made a short statured mother a high-risk patient.