Three delay model: to find out the reason for maternal deaths

Authors

  • Neha Agrawal Department of Obstetrics and Gynecology, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India
  • Seema Patel Department of Community Medicine, Gandhi Medical College, Bhopal, Madhya Pradesh, India
  • Mayank Badkur Department of Surgery, AIIMS, Jodhpur, Rajasthan, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20201308

Keywords:

3 delay, Maternal death, Tertiary care centre

Abstract

Background: Each year in India, roughly 28 million women experience pregnancy and 26 million have a live birth. Of these, an estimated 67,000 maternal deaths and one million new-born deaths occur each year. A woman dies as a result of complication arising during pregnancy and childbirth every 90 seconds in the world, and every 7 minutes in India. The three delay model can be used to find the causes of delays in relation to maternal deaths.

Methods: A retrospective study was carried out in a tertiary care centre. All cases of maternal mortality between July 2010 to June 2016 were included in the study. Then data analysis was done.

Results: Out of the total 382 maternal deaths, Majority of maternal deaths 43% were due to type 1 delay. 150 patients had delay in seeking help, 9 patients refused treatment and 5 patients refused admission to health care centre. 13% maternal deaths were due to type 3 delay which include delay in receiving adequate treatment, Delay in diagnosis and intervention, Lack of facilities etc.

Conclusions: Type-1 delay was major contributors of maternal deaths in the study region. Therefore, to prevent the preventable maternal deaths effective action should be taken.

Metrics

Metrics Loading ...

References

Trends in Maternal Mortality: 1990 to 2013: estimates by WHO, UNICEF, UNFPA, world bank and the united nations population division. Available at: https://www.who.int/reproductivehealth/publications/monitoring/maternal-mortality-2013/en/. Accessed May 2014.

World Health Organization (WHO). Maternal Mortality. Fact sheet N 348. Updated November 2015. Available at: https://www.who.int/news-room/fact-sheets/detail/maternal-mortality. Accessed 19 September 2019.

Trends in maternal mortality: 1990 to 2015: estimates by WHO, UNICEF, UNFPA, world bank group and the united nations population division. Available at: https://www.who.int/reproductivehealth/publications/monitoring/maternal-mortality-2015/en/. Accessed November 2015.

Mills S, Lewis G, Say L, Mathews M, Okwero P. Maternal Death Audit as a Tool Reducing Maternal Mortality. Health Nutrition and Population Notes. World Bank, Washington DC. Available at: http://siteresources.worldbank.org/INTPRH/Resources/376374-1278599377733/MaternalDeathAuditMarch22011.pdf. Accessed March 2011.

Smith JC, Hughes JM, Pekow PS, Rochat RW. An assessment of the incidence of maternal mortality in the United States. Am J Pub Health. 1984 Aug;74(8):780-3.

Ronsmans C, Graham WJ, Lancet Maternal Survival Series steering group. Maternal mortality: who, when, where, and why. Lancet. 2006 Sep 30;368(9542):1189-200.

Pathak D, Chakraborty B, Goswami S, Adhikari S. Changing trends of maternal mortality: a comparative study. J Obstet Gynecol India. 2011 Apr 1;61(2):161-5.

Nour NM. An introduction to maternal mortality. Rev Obstetr Gynecol. 2008;1(2):77-81.

Calvello EJ, Skog AP, Tenner AG, Wallis LA. Applying the lessons of maternal mortality reduction to global emergency health. Bulletin World Health Organization. 2015;93:417-23.

Juneja Y, Rai U. A five years review of maternal mortality. J Obstet Gynecol India. 1993;43:944-9.

Joe W, Sharma S, Sharma J, Shanta YM, Ramanathan M, Mishra US, et al. Maternal mortality in India: a review of trends and patterns. Available at: http://iegindia.org/upload/workpap/1548764944_353.pdf. Accessed September 2015.

Sk MI, Chattopadhyay A, Anand A, Naskar TK, Chakraborty S. Analyzing the etiology behind mortality associated with antepartum, intrapartum, and post-partum cases in a tertiary care teaching hospital of West Bengal. J Turk German Gynecol Assoc. 2018 Jun;19(2):65.

Khandale SN, Kedar K. Analysis of maternal mortality: a retrospective study at tertiary care centre. Int J Reprod Contracept Obstet Gynecol. 2017 Mar 30;6(4):1610-3.

Mgawadere F, Unkels R, Kazembe A, van den Broek N. Factors associated with maternal mortality in Malawi: application of the three delays model. BMC pregnancy and childbirth. 2017 Dec;17(1):219.

Downloads

Published

2020-03-26

How to Cite

Agrawal, N., Patel, S., & Badkur, M. (2020). Three delay model: to find out the reason for maternal deaths. International Journal of Research in Medical Sciences, 8(4), 1273–1276. https://doi.org/10.18203/2320-6012.ijrms20201308

Issue

Section

Original Research Articles