A Retrospective Study on Maternal Mortality in Rangpur Medical College Hospital

Background:
Bangladesh’s maternal mortality ratio (MMR: 156/100,000 live births,
2022), despite global declines, faces challenges from socioeconomic
disparities, healthcare access gaps, and COVID-19. Despite national
programs, achieving SDG-3 (MMR <70 by 2030) requires strengthened
ANC, emergency obstetric services, and addressing systemic inequities.

Objective:
The study aimed to summarize the frequencies of sociodemographic
characteristics, parity distribution, antenatal care patterns, and causes of
death among maternal mortality.

Methods:
This retrospective study analysed maternal mortality at Rangpur Medical
College Hospital, Bangladesh, in 2024, reviewing 4,741 birth records
with 83 maternal deaths.

Results:
Among 83 maternal death, majority of deaths occurred among women
aged 16–25 (41%) and those from low socioeconomic backgrounds
(72.2%). Parity distribution showed 49.39% had 1–2 children, while
73.4% received no antenatal care (ANC), highlighting gaps in
healthcare access. Eclampsia (37.35%) and obstetric hemorrhage
(26.50%) were the predominant cause of death.

Conclusion:
The findings underscore persistent challenges in achieving Bangladesh’s
SDG-3 target, particularly among socioeconomically disadvantaged
and younger populations. Urgent priorities: strengthen ANC, emergency
obstetric care, and address systemic inequities to improve healthcare
infrastructure and reduce maternal mortality.