Figure 2 *Please enter '0' (zero) if no cases / no death
Related Figures (5)
‘igure 1 Flow chart showing activities undertaken to examine the feasibility of establishing IndOSS-Assam. Source of data: Electronic maternal deaths reporting system (eMDR), National Health Mission, Assam Source of data: Electronic maternal deaths reporting system (eMDR), National Health Mission, Assam *causes of most deaths reported in 2011-12 were either unknown or not classified hence not included in this graph, n=2610. women (of 124) who were reported to die from anaemia, 11 had cardiac failure during labour or deliv- ery and in at least 8 of the 29 deaths from PPH, anaemia was a contributing factor.°* Another study in India reported a prevalence of 9.4% cardiac failure among women with severe anaemia.”* This is the first system in Assam to initiate data collection to estimate the inci- dence of maternal morbidity on an ongoing basis, including cardiac failure due to anaemia during preg- nancy. Prior to this study, the incidence and case-fatality rates due to anaemic heart failure among pregnant women in Assam were not known. Through the research platform, we were also able to conduct a retrospective cohort study on the adverse maternal and fetal out- comes of anaemia during pregnancy. As mentioned above, the findings are presented separately.'® two-thirds lower than that estimated by the IndOSS-Assam active surveillance in the same hospital between March and August 2015. The maternal death reviews in the state show eclampsia, PPH and anaemia to be the major causes of maternal mortality (figure 3), however, maternal mortality rates are not calculable as denominator information about the number of women delivering is not available. The added value of IndOSS is not in estimating the number of deaths due to these known causes of maternal death in Assam, but to monitor the incidence and case-fatality of these import- ant conditions. Allied studies aim to improve their in-hospital management, as the number of facility-based deliveries increase in the state, in order to reduce mater- nal morbidity and mortality. IndOSS-Assam showed a high incidence of these conditions among pregnant women who delivered in the two pilot centres as well as high fatality rates associated with anaemic heart failure and sepsis. Table 1 Total cases notified in 6 months of pilot study through the IndOSS-Assam FAAMCH, Fakhruddin Ali Anmed Medical College and Hospital; GMCH, Guwahati Medical College and Hospital; PPH, postpartum haemorrhage.
