A 5-year study of maternal mortality in Faisalabad City Pakistan

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Abstract
A 5-year study (1989-1993) of 215 maternal deaths in Faisalabad (third largest city of Pakistan) is presented. There were 276 717 live births recorded by the Municipal Corporation during that period, giving a maternal mortality of 0.77/1000 live births. These deaths included 88 (40.9%) in teaching hospitals, 70 (32.6%) at home and 57 (26.5%) in private hospitals. The main causes of maternal death were postpartum hemorrhage, 50 (23.3%), followed by pregnancy induced hypertension/eclampsia and non-obstetric causes, 34 (15.8%) each. The study reveals that traditional birth attendant (TBA) training/refresher courses, intensive community education, antenatal checkup in local areas, free obstetric flying squad service, better linkage between formal and informal health services, home maternal death condolence camps and improvement of obstetric care in hospital, offered free for deserving cases have played major roles in reducing maternal mortality.

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