Maternal mortality audit one year study in gynae unit 2 of services hospital Lahore

Background: after analyzing the causes of maternal mortality,improvements in access to care and quality of care were ensured for the patients. the audit of maternal mortality requires complete record of all maternal deaths,good attribution of causes of deaths and knowledge of pregnancy status of women of reproductive age. methods: the study was carried out in services institute of medical sciences/services hospital lahore from 01 january 2015 till 31 december2015.deaths were due to direct causes during pregnancy,labour or within 42 days of puerpurium. results: total number of births were 3503,out of them 1338 were svds and 2165 were c/section.total number of mortalities were 8.among causes of deaths,postpartum haemorrhage was in 4(50%)patients,including1 with percreta and previous c/section(12.5%) and due to uterine atony 3(37.5%).due to antepartum haemorrhage 1(12.5%),cardiac patient with arythmias1(12.5%),due to hypertensive disorder 1(12.5%) and 1(12.5%) due to amniotic fluid embolism. in 5(62.5%) caesarean hysterectomy was carried out.in 2(25%) c/section was done and svd in 1(12.5%). conclusion: audit of maternal deaths help to identify where care was below standard and what action can be taken to avoid it in future .audit requires complete record of deaths and causes of deaths.