Document Detail

Maternal mortality in southern India.
MedLine Citation:
PMID:  7855917     Owner:  NLM     Status:  MEDLINE    
In a 4 year prospective community survey of 20,000 women randomly selected in North Arcot District of Tamil Nadu State in South India, the maternal mortality rates per 1,000 liveborn were estimated to be 17.4 and 16.6 for rural and semi-urban areas, respectively. The rates based only on direct causes were 11.9 in rural and 14.4 in semi-urban areas. As expected, these figures are considerably higher than those based on official or hospital statistics. Factors associated with such high mortality and the implications for programme planning and implementation are discussed.
Results of a prospective study conducted in 1970-73 in a rural block (K.V. Kuppam) and in the semi-urban town of Vellore, capital of North Arcot District, India, were presented. The sample included 11,532 rural married women and 8821 semi-urban married women. Every reproductive age woman in the sample was visited once every five weeks and until 6 weeks after a pregnancy. 14,147 pregnancies occurred during 1970-73, of which 10,691 were single live births, 3359 were single fetal deaths, and 97 were multiple births. Over 80% of fetal deaths occurred prior to 20 weeks gestation, and a majority occurred between 8 and 12 weeks gestation. The death rate was 9.6/4 per 1000 women annually in rural and 10.2/4 in semi-urban areas. The rural maternal mortality deaths were 52 (46.9%) for direct causes, 24 (21.6%) for indirect causes, and 35 (31.5%) for non-maternal causes. The respective maternal mortality numbers for semi-urban areas were 40 (44.4%), 6 (0.7%), and 44 (48.9%). 20 rural maternal deaths occurred during pregnancy, 12 occurred during delivery, and 20 occurred postpartum. The semi-urban maternal mortality was 8 during pregnancy, 8 during delivery, and 24 postpartum. The total maternal mortality rate was 17.4 per 1000 live births in rural and 16.6 per 1000 in semi-urban areas. Total maternal mortality for direct causes only was 11.9 per 1000 in rural and 14.4 per 1000 in semi-urban areas. The all- India maternal mortality rate was 17 per 1000, which accounted for 140 deaths per day.
P S Rao; A Amalraj
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Tropical and geographical medicine     Volume:  46     ISSN:  0041-3232     ISO Abbreviation:  Trop Geogr Med     Publication Date:  1994  
Date Detail:
Created Date:  1995-03-14     Completed Date:  1995-03-14     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0376231     Medline TA:  Trop Geogr Med     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  302-4     Citation Subset:  IM; J    
Department of Biostatistics, Christian Medical College, Vellore, India.
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MeSH Terms
India / epidemiology
Maternal Age
Maternal Mortality*
Prospective Studies
Random Allocation
Rural Population
Suburban Population
Grant Support
H-600-580//PHS HHS

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