An Analysis of Autopsied Maternal Deaths in Dakshina Karnataka District Over A 10-Year Period

Authors

  • Nimisha Ratra 1 , Haneil Larson Dsouza2 , Pavanchand Shetty2 , B Suresh Kumar Shetty 3 , Jagadish Rao Padubidri2

Keywords:

Autopsied maternal deaths, embolism, haemorrhage, maternal mortality

Abstract

Introduction: Though all deaths are accompanied by profound sorrow and anguish, maternal deaths are

perhaps more so. Unfortunately, when these deaths are reported as medico-legal cases, the agony is then

prolonged. Anguish from the family members is understandable, but opportunities to conduct autopsies on

these deaths present an opportunity to examine in detail the pathophysiology of these deaths. This study is

an attempt to find the cause of death in autopsied maternal death cases that have been filed as medico-legal

cases and to compare the trends of autopsied maternal deaths with other regions.

Objectives: To find the cause of death in autopsied maternal death cases that have been filed as medico-legal

cases and to compare the trends of autopsied maternal deaths with other regions.

Methods: A record-based study was conducted consisting of maternal deaths in the past 10 years based on

the medico-legal autopsied reports from Government Wenlock Hospital mortuary.

Results: Among the causes of death attributed, the most common cause of death was embolism related with

4 deaths. This included deaths due to amniotic fluid embolism, trophoblast embolism and their complications

such as DIC. Haemorrhage was the cause of death in 2 cases. In 2 cases, the cause of death was acute liver

failure. However, one of these cases also had features of gestational acute respiratory distress syndrome.

In one case, the cause of death was attributed to coronary artery disease complicated by pregnancy. One

case was of ruptured ectopic pregnancy. In another case, the cause of death was a surgical complication of

a dilatation and curettage procedure. In the remaining 3 cases, the cause of death could not be ascertained

even after histopathological examination, chemical analysis, and a complete autopsy.

Author Biography

Nimisha Ratra 1 , Haneil Larson Dsouza2 , Pavanchand Shetty2 , B Suresh Kumar Shetty 3 , Jagadish Rao Padubidri2

1 Undergraduate, 2Associate Professor, 3Professor, Department of Forensic Medicine and Toxicology, Kasturba

Medical College, Mangalore, Manipal Academy of Higher Education (MAHE), Karnataka

Published

2020-07-30

How to Cite

Nimisha Ratra 1 , Haneil Larson Dsouza2 , Pavanchand Shetty2 , B Suresh Kumar Shetty 3 , Jagadish Rao Padubidri2. (2020). An Analysis of Autopsied Maternal Deaths in Dakshina Karnataka District Over A 10-Year Period. Indian Journal of Forensic Medicine & Toxicology, 14(3), 1697-1701. Retrieved from http://medicopublication.com/index.php/ijfmt/article/view/10660