AI Article Synopsis

  • The study evaluates the effects of the Janani Suraksha Yojana (JSY) on Maternal Mortality Ratio (MMR) by analyzing maternal deaths from 2001 to 2009.
  • The total number of deliveries increased significantly over the years, while the MMR initially rose and then declined, indicating mixed outcomes from maternity benefit schemes.
  • Findings show a rise in maternal deaths from conditions like anemia and eclampsia, despite a decline in deaths from sepsis and hemorrhage, highlighting the critical need for improved antenatal care.

Article Abstract

Objective: To analyse the impact of Janani Suraksha Yojana (JSY) on Maternal Mortality Ratio (MMR).

Design: Retrospective analysis of maternal mortality.

Methods: Analysis of all maternal deaths between January 2001 and December 2009.

Results And Discussion: The total number of deliveries has been steadily rising from 1,685 in 2001 to 3,957 in 2009. The MMR doubled from 1,500/100,000 live births in 2001 to 3,000/100,000 live births in 2006, then declined to 2,464/100,000 live births in 2009. Implementation of the various maternity benefit schemes has had no significant impact on the profile of dying mothers-admission-to-death interval. Deaths due to anemia and eclampsia have significantly increased (P < 0.05), whereas due to sepsis (P < 0.001) and hemorrhage (P < 0.05), deaths have significantly decreased. Almost 96 % of dying subjects received inadequate antenatal care. However, significantly less number (P < 0.001) of women are delivering at home.

Conclusions: There is a need to stress the importance of good antenatal care in reducing MMR.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3444551PMC
http://dx.doi.org/10.1007/s13224-012-0221-1DOI Listing

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