Role of antibiotic prophylaxis in elective laparoscopic cholecystectomy: a prospective randomized observational study in tertiary care centre of India

Background: MMR acts as a marker of general health of a country and is an indicator of risk of death once a woman becomes pregnant. Purpose: To review the effects of JSSY by evaluating the MMR and assessing the epidemiological aspects and causes of maternal mortality. Methods: Retrospective study included maternal mortality in the Department of Obstetrics and Gynaecology, SMS Medical College, Jaipur from 1st Jan 2009 to 30th April 2014. All maternal mortality from 1st Jan 2009 to 30th April 2014. Data collection and analysis from vital statistic register and mortality records were done. Main Results: MMR from Jan. 2009 to April 2014 was 238/100000 live births. MMR before JSSY (Jan. 2009 to Aug. 2011) was 265 and MMR after JSSY (Sep. 2011 to Apr. 2014) was 218. Mortality was more in rural area (64.74%) with lower socioeconomic class (63.58%). Haemorrhage (28.9) being the commonest direct cause of mortality while Anaemia (19.08%) being indirect cause. Conclusion: MMR in our state is still very high. So, there is need to improve maternal and child health care. Though JSSY helped us to improve maternal and child health care system and bring down maternal mortality a bit.