Fauzia Manno Khan, Samina Khurshid, Aimen Musa, Umtal Batool, Shanza Zafar.
Five Years Review of Trends in Maternal Mortality at Fatima Memorial Hospital Lahore.
Esculapio J Services Inst Med Sci Jan ;15(1):38-41.

Objective: To determine the causes and factors leading to maternal mortality with main focus on pulmonary embolism as cause of death in pregnancy Study design: retrospective case study Material and method: Review and Analysis of medical records of all maternal deaths occurred in FMH. Demographic characteristics including age, socioeconomicstatus, address was retrieved from record. Information regarding causes and events leading to death were gathered and results compiled. Result: Between the year 2012-2017there were7856 live births and 28 maternal deaths were observed during the period of study giving a combined MMR of 356.4/100,000 live births. Leading cause of death was hemorrhage 36% followed by hypertensive diseases 18% and pulmonary embolism14% respectively. Other causes were cardiac diseases and sepsis which caused 10% and 7% deaths. Majority of deaths were observed in multigravidas 64%, unbooked and referred patients 79%. Conclusion: MMR is still very high due to hemorrhage and hypertensive diseases which are preventable causes of death. Efforts should be made on primary, secondary and tertiary level to ensure proper system of assessment, management and referral. Pulmonary embolism is major cause of maternal death that cannot be ignored, deaths can be reduced by thromboprophylaxis and active management of the disease.

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