ESTIMATION OF THE TRENDS AND REASONS FOR MATERNAL MORTALITY IN DEPARTMENT OF GYNECOLOGY OF DHQ TEACHING HOSPITAL DERA GHAZI KHAN

Objective: The measurement of the maternal mortality is much vital for the well-being of the country and its development status. In developing countries as Pakistan, it remains a threatening and disastrous challenge for public health. The aim of this research work was to estimate the reasons and trends of maternal morbidity in DHQ Teaching Hospital Dera Ghazi Khan. Methodology: The duration of this study was from January 2015 to December 2019. This retrospective research work was conducted at DHQ Teaching Hospital Dera Ghazi Khan. We used an organized Performa for the collection of data from clinical records of department. For the detection of the trends in mother mortality, we calculated the ratio of maternal mortality for every year and for all five years of this research work. SPSS V.20 was in use for the statistical analysis of the collected information. Results: In the duration of this research work, we recorded 100 deaths. Maternal mortality in the duration of this research work was 400 per 100000 live births. We observed an unstable trend in rate of mortality in 2 crowning periods in 2015 and 2019. The most common cause of the maternal mortality was hemorrhage in the duration of this research work which is accountable for 45.74% deaths followed by HTN (Hypertension) responsible for 23.35% mortalities. We observed an enhanced risk of 33.06% among females having 23 to 27 years of age followed by 24.90% in the age group having 20 to 24 years of age and 21.678% in the females having more than 30 years of age. Conclusion: We concluded a decreasing trend of maternal demise from 2015 to 2018 but again there was a slight increase in the year of 2019. The most important cause for maternal mortalities was hemorrhage. KEYWORDS: Demise, Maternal, Mortality, Hemorrhage, Live Births, Pregnancy, Crowning, Hypertensio