Maternal mortality deaths in autopsy study

The study consist of the death of women occurred during delivery and during antepartem period in last 10 years. (1991 to 2000).

The maternal mortality reflects the national health of a particular nation. During last decade the rate of maternal mortality has tremendously brought down by advanced medical techniques, however, in rural India due to the lack of medical facilities, the maternal mortality rate remains changed a little.

Amniotic fluid embolism recognized as a cause of maternal death during labor and shortly after delivery. Shock with cyanosis or bleeding with coagulation defect are the main clinical syndrome. Meconium contamination of amniotic fluid demonstrated by staining the mucin is a frequent histological finding and an important lethal factor. Evidence is increasing that some of the haemodynamic upset if produced by vasoactive substances in the amniotic fluid or meconium. The possibility of infection of the embolic material and the amount of associated bleeding must both be taken into account in assessing lethal factors. Of the many porters ofthe entry amniotic fluid embolism a small incomplete lower uterine tear, which is bare membrane at the time of crowning, is most important and easily missed at autopsy. An autopsy on any maternal death is incomplete without the careful histologic examination of maternal from each lobe of both lungs.