ArticleBMC pregnancy and childbirth2021
Prevalence and risk factors for maternal mortality at a tertiary care centre in Eastern Nepal- retrospective cross sectional study.
Article in BMC pregnancy and childbirth, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.
- Prevalence of maternal mortality causes based on ICD-MM: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2023Pooled it
- Determinants of Delays in Receiving Labor and Delivery Care at Health Facilities: An Analysis of the 2021 Nepal Health Facility Survey.Maternal and child health journal · 2026Article
- Availability, cost, and budget impact of lifesaving postpartum hemorrhage interventions in public hospitals in Zambia: A cross-sectional survey.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Article
- Years of Life Lost due to the 2015 Gorkha earthquake in Nepal.BMC public health · 2026Article
- A Prospective Observational Study of Maternal Near-Miss Cases at a Tertiary Care Center.Cureus · 2026Article
- Article
- Maternal death surveillance in Addis Ababa, Ethiopia, 2017-2021: Causes and contributing factors.Global epidemiology · 2025Article
- Maternal mortality in Assam's informal economy: the household burden of precarious work.Reproductive health · 2025Article
- Factors associated with institutional delivery in south Asian countries: evidence from five recent demographic and health surveys.Research in health services & regions · 2025Article
- Article
- A retrospective study to understand the differences in maternal mortality among women admitted in critical and stable conditions in Malawi.BMJ public health · 2025Article
- Predicting delayed antenatal care initiation among pregnant women in East Africa: using machine learning algorithms.Frontiers in global women's health · 2025Article
- Predictive model for postpartum hemorrhage requiring hysterectomy in a minority ethnic region.World journal of clinical cases · 2024Article
- Article
- Knowledge level and constructs of the theory of planned behaviour (TPB) to the practice of unsafe abortion among postnatal mothers attending Mkonze health center, Dodoma Region, Tanzania.BMC public health · 2024Article
- Maternal mortality review in a major tertiary referral hospital in Liberia, 2018-2021.Heliyon · 2024Article
- Maternal Mortality in the Governorate of Tunis between 2017 and 2023: evolution of Maternal Mortality Ratio and the main causes of death.F1000Research · 2024Article
- Socio-economic and cultural factors associated with the utilization of maternal healthcare services in Togo: a cross-sectional study.Reproductive health · 2023Article
- Article
- An insight into two decades of Skilled Birth Attendants in Nepal.Frontiers in global women's health · 2022Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe maternal mortality ratio is a significant public health indicator that reflects the quality of health care services. The prevalence is still high in developing countries than in the developed countries. This study aimed to determine the MMR and identify the various risk factors and causes of maternal mortality.
methodsThis is a retrospective study conducted in a tertiary care center in Eastern Nepal from 16
resultsThere was a total of 55,667 deliveries conducted during the study period. The calculated maternal mortality ratio is 129.34 per 100,000 live-births in the year 2015 to 2020. The mean age and gestational age of women with maternal deaths were 24.69 ± 5.99 years and 36.15 ± 4.38 weeks of gestation. Obstetric hemorrhage, hypertensive disorder of pregnancy and sepsis were the leading causes of maternal death. The prime contributory factors were delay in seeking health care and reaching health care facility (type I delay:40.9%).
conclusionsDespite the availability of comprehensive emergency obstetric care at our center, maternal mortality is still high and almost 75% of deaths were avoidable. The leading contributory factors of maternal mortality are delay in seeking care and delayed referral from other health facilities. The avoidable causes of maternal mortality are preventable through combined safe motherhood strategies, prompt referral, active management of labor and, puerperium.
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