HomeAboutusEditorial BoardCurrent issuearchivesSearch articlesInstructions for authorsSubscription detailsAdvertise

  Login  | Users online: 5899

   Ahead of print articles    Bookmark this page Print this page Email this page Small font sizeDefault font size Increase font size  

 Table of Contents    
Year : 2018  |  Volume : 43  |  Issue : 3  |  Page : 243

Maternal mortality audit in Delhi: Further perspectives

Department of Community Medicine, Maulana Azad Medical College, New Delhi, India

Date of Submission06-Oct-2017
Date of Acceptance10-May-2018
Date of Web Publication20-Sep-2018

Correspondence Address:
Dr. Saurav Basu
Department of Community Medicine, Maulana Azad Medical College, New Delhi
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijcm.IJCM_258_17

Rights and Permissions


How to cite this article:
Basu S. Maternal mortality audit in Delhi: Further perspectives. Indian J Community Med 2018;43:243

How to cite this URL:
Basu S. Maternal mortality audit in Delhi: Further perspectives. Indian J Community Med [serial online] 2018 [cited 2022 Jun 30];43:243. Available from: https://www.ijcm.org.in/text.asp?2018/43/3/243/241657


The article by Singla et al. demystifies the causes of maternal deaths in a tertiary care hospital in Delhi through a retrospective audit.[1] The following comments are with regard to the author's conclusion and recommendations.

  1. The authors have concluded that the much higher maternal mortality rate observed in their study was due to it being a tertiary referral facility. However, the migration status of the women was not reported. The states of UP and Bihar contribute to almost half of the total maternal death burden of India and also constitute the most populous bloc of migrants to Delhi. More than three-fourth of the women did not receive antenatal care in the Singla (2017) study. Exploring the migration pathway in the women who migrated during the course of their pregnancy would have allowed identifying the deficiencies in the health systems of their residence states
  2. The authors have advocated a liberal approach to antibiotic access as an effective strategy for reducing maternal deaths due to sepsis. Nevertheless, such a generalized policy approach is in contradiction to the current WHO guidelines (2015) for prevention and treatment of maternal peripartum infections. Instead, the WHO recommends promoting judicious use of antibiotics while treating puerperal infections to prevent antibiotic resistance.[2] Furthermore, the possibility of delayed initiation of antibiotic therapy resulting in puerperal sepsis is more likely to occur due to the delay in seeking care rather than antibiotic scarcity itself except in the most resource-constrained settings. Situationally, a liberal antibiotic policy for treating peripartum infections and preventing maternal deaths was originally suggested for African nations that maintained strict regulations for dispensing of antibiotics.[3] This situation is largely in variance to that in India where over the counter availability of antibiotics through private pharmacies is a long-standing ubiquitous phenomenon.

Financial support and sponsorship


Conflicts of interest

There are no conflicts of interest.

   References Top

Singla A, Rajaram S, Mehta S, Radhakrishnan G. A ten year audit of maternal mortality: Millennium development still a distant goal. Indian J Community Med 2017;42:102-6.  Back to cited text no. 1
[PUBMED]  [Full text]  
WHO. WHO Recommendations for Prevention and Treatment of Maternal Peripartum Infections. Geneva: World Health Organization; 2015.  Back to cited text no. 2
Costello A, Azad K, Barnett S. An alternative strategy to reduce maternal mortality. Lancet 2006;368:1477-9.  Back to cited text no. 3


Print this article  Email this article


    Similar in PUBMED
    Search Pubmed for
    Search in Google Scholar for
    Article in PDF (243 KB)
    Citation Manager
    Access Statistics
    Reader Comments
    Email Alert *
    Add to My List *
* Registration required (free)  


 Article Access Statistics
    PDF Downloaded168    
    Comments [Add]    

Recommend this journal

  Sitemap | What's New | Copyright and Disclaimer | Privacy Notice
  2007 - Indian Journal of Community Medicine | Published by Wolters Kluwer - Medknow
  Online since 15th September, 2007