J Med Assoc Thai 1999; 82 (4):357

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Maternal Mortality in Ramathibodi Hospital : A 28-Year Comparative Study
Roungsipragam R Mail, Jaovisidha A , Herabutya Y

A comparative review of maternal mortality rates at Ramathibodi Hospital from I969
through 1996 including 176,161 live births is presented. The data are divided into two time periods,
both of 14 years, for comparison. A significant decrease in direct obstetric deaths secondary to
infection and toxemia (P < 0.05). The rate of deaths due to indirect causes in unchanged. Deaths
due to malignancies have increased.
This study of maternal mortality demonstrates the need for increased contraceptive services,
voluntary sterilization, patient education and preconceptional identification of high-risk patients for
further reduction of the maternal mortality rate.
Key word : Maternal Mortality, Direct Obstetric Deaths, Indirect Obstetric Deaths, Ramathibodi Hospital

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