MATERNAL DEATH SURVELLIANCE AND RESPONSE (MDSR)
What is Maternal Death?
Death of a woman while pregnant or within 42 days of termination of pregnancy
- irrespective of the duration and the site of the pregnancy
- from any cause related to or aggravated by the pregnancy or its management
- but not from accidental or incidental causes.
MATERNAL MORTALITY RATIO (MMR) OF INDIA
Maternal Death Surveillance and Response (MDSR) system:
a continuous-action cycle at community, facility/hospital, regional & national levels
What is a maternal near miss (MNM)?
A woman who survives life threatening conditions during pregnancy, abortion, childbirth or within 42 days of pregnancy termination irrespective of receiving emergency medical/surgical interventions or otherwise.
ADVANTAGES OF INVESTIGATING NEAR MISS EVENTS
- Near miss cases are more common than maternal deaths.
- The major reasons and causes are the same for both MNM and MDR, so review of MNM cases is likely to yield valuable information regarding severe morbidity, which could lead to death of the mother, if not intervened properly and in time.
- Investigating the instances of severe morbidity may be less threatening to providers because the woman survived.
- One can learn from the women themselves since they survived and are available for interview about the care they received.
Maternal Deaths in the State for last 7 Financial years:
|
Maternal death |
2016-17 |
2017-18 |
2018-19 |
2019-20 |
2020-21 |
2021-22 |
2022-23 |
|
Home |
4 |
2 |
2 |
1 |
7 |
3 |
2 |
|
Transit |
3 |
0 |
2 |
3 |
2 |
1 |
0 |
|
Health Institute |
16 |
8 |
8 |
11 |
24 |
21 |
11 |
|
Private |
0 |
0 |
1 |
4 |
2 |
0 |
3 |
|
Total death |
23 |
10 |
13 |
19 |
35 |
25 |
16 |
|
Total reported delivery |
40,841 |
38,553 |
38.028 |
39,373 |
31,070 |
26,777 |
31,608 |
DIFFERENT TYPES OF MATERNAL DEATH REVIEW
- Facility Based Maternal Death Review: To be conducted by the health facility where death occur for improving quality of services and responsiveness of facility by assessing the details of services provided.
- Community Based Maternal Death Review:
- To identify personal, family or community based factors that may have contributed to the death.
- CBMDR must be taken up for all deaths that occur in the area.
- Interview is done by using a verbal autopsy format.
- Maternal deaths reported by facilities to be investigated at community level also.
- CMO Review : To be conducted by the district CMO for all the deaths that occur in the district.
- DC Review: To be conducted by the District Collector for all the deaths that occur in the district.
