White Modern Minimalist Thesis Defense Presentation New - PPTX - 20231218 - 212915 - 0000

Research
Proposal
“A Study of Causes of Maternal and Neonatal Mortality
in Government, Trust
and Corporate Hospital”
Guide: Tata Institute of Social Sciences

Dr. Narendra Kakade
Presentation by
Aditi Master of Hospital Administration

M2023HO001 2023-2025
02 Introduction
Maternal and Neonatal Mortality
Maternal mortality is defined is the death of a woman while pregnant or within 42
completed days of termination of pregnancy, irrespective of the duration or site of
pregnancy, and can arise from any cause related to or aggravated by pregnancy or its
management, but not from accidental or incidental causes.
Neonatal mortality refers to the death of a newborn within the first 28

days of life per 1000 live births in a given year or other period.
Causes of Mortality
Maternal mortality can result from hemorrhage, hypertensive disorders, infections,
unsafe abortions, obstructed labor, pre-existing health conditions, and limited access to
healthcare services.
Neonatal mortality is often caused by preterm birth, birth asphyxia, infections,

congenital anomalies, low birth weight, inadequate postnatal care, and maternal health
issues affecting the baby.
03 Rationale
Problem Statement
⚬Maternal and neonatal mortality significantly affect healthcare quality during
pregnancy, childbirth, and postpartum phases, warranting urgent attention.
⚬Despite efforts Kenya faced challenges and gestational age under 37 weeks,
complications during labor signify critical areas affecting mortality rates.
Research Gap
⚬Current studies on neonatal and maternal mortality within Indian hospital
settings are limited, necessitating comprehensive research efforts.
⚬other potential influencing factors like access to healthcare, pre-existing
conditions, and specific treatment protocols were not extensively explored.
Need for Study

⚬Opportunity for Improvement: addressing maternal and neonatal mortality in
Indian hospital settings by proposing intervention based on study.
⚬ Improved data collection, reporting mechanisms, implementing measures and
policies and a factor to achieve Sustainable development goals.
04
Author’s name Title of the study Major findings
Literature Review
A retrospective study at an Indian teaching hospital over 3 years (2015-2017)
Maternal mortality at a
observed 81 maternal deaths among 25,498 live births, indicating a Maternal
Basu, Dr. Debraj tertiary care teaching
Mortality Ratio (MMR) of 317.6 per 100,000 live births. Factors like age,
(2019) hospital of India: a
education, socio-economics, identified causes and higher-than-average MMR
retrospective study emphasize the urgency for interventions to diminish maternal mortality. 01
Maternal and neonatal A retrospective review at Eastern Regional Hospital, Ghana, examined 811
characteristics that delivery records to identify factors influencing very early neonatal mortality.
Avoka, James A. influence very early Variables like maternal factors, gestational age, birth weight, and Apgar scores
(2018) neonatal mortality in the were studied, offering crucial insights to enhance maternal and neonatal care 02
Eastern Regional Hospital and potentially reduce mortality rates in Ghana.
of Ghana, Koforidua
The study at Kenya, between 2004 and 2011, revealed a maternal mortality ratio
A retrospective analysis
of 426 per 100,000 live births and an early neonatal mortality rate of 68 per 1000
Stewart Williams, of maternal and neonatal
live births. Factors like, referrals, preterm births, eclampsia, and limited health
Jennifer (2013) mortality at a teaching 03
resources contributed to high mortality rates. The findings stress further research
and referral hospital in and policy improvements to achieve maternal and child health goals in Kenya.
Kenya
05
Objectives
Objective 1 Objective 2 Objective 3

To investigate the impact of socio- To determine neonatal factors To identify the deficiencies in
demographic factors, economic, influencing neonatal mortality, health care delivery system and
education, or direct and indirect encompassing gestational age, propose interventions in maternal
causes of maternal and neonatal Place of delivery, no. of deliveries, and neonatal healthcare based on
mortality. birth weight, and complications. the study's revelations.
06
Research Questions
Question 1 Question 2 Question 3

What specific recommendations
How does maternal age impact
What are the prevalent direct and for interventions and
very early neonatal mortality, and
indirect causes of maternal and improvements in maternal and
what are the age-related trends
neonatal mortality? neonatal healthcare can be derived
concerning neonatal deaths?
from the study findings?
07 Methodology
1 Sources of Data 2 Sampling Procedure
Quantitative study based on secondary data Stratified random sampling can be done to collect
obtained from the medical records by taking data from a sample of neonatal and maternal
consent for Inpatient, Death and birth registers of deaths in a hospital.
government, trust, and corporate hospitals.
3 Sample Size 4 Data Collection Tools

The data analysis for the study will be conducted
A total sample of 300 can be taken, where
using SPSS Software and Microsoft Excel.
100 mother and neonate deaths in three of
government, trust, and corporate hospitals will be
studied and analyzed in 1 year respectively.
Barua, J., Nath, S. D., & Hossain, M. M. (2021). A 1 year Study on Pattern of Neonatal Admissions and Mortality Related to Neonatal and
01 Maternal Influences in A Tertiary Care Teaching Hospital of Barishal. Dhaka Shishu (Children) Hospital Journal, 36(1), 52–60.
https://doi.org/10.3329/dshj.v36i1.52637
Avoka, J. A., Adanu, R. M., Wombeogo, M., Seidu, I., & Dun-Dery, E. J. (2018). Maternal and neonatal characteristics that influence very early
02
neonatal mortality in the Eastern Regional Hospital of Ghana, Koforidua: A retrospective review. BMC Research Notes, 11(1), 91.
https://doi.org/10.1186/s13104-018-3196-x
References
Barsode, S., Taralekar, V., & Panchanadikar, T. (2019). Maternal Mortality in a Tertiary Care Hospital: A 7-year Review. Journal of South Asian
03
Federation of Obstetrics and Gynaecology, 11(2), 93–95. https://doi.org/10.5005/jp-journals-10006-1667
Mangu, C. D., Rumisha, S. F., Lyimo, E. P., Mremi, I. R., Massawe, I. S., Bwana, V. M., Chiduo, M. G., & Mboera, L. E. G. (2021). Trends,
patterns and cause-specific neonatal mortality in Tanzania: A hospital-based retrospective survey. International Health, 13(4), 334–343.
04
https://doi.org/10.1093/inthealth/ihaa070
Mohammed, M. M., El Gelany, S., Eladwy, A. R., Ali, E. I., Gadelrab, M. T., Ibrahim, E. M., Khalifa, E. M., Abdelhakium, A. K., Fares, H.,
Yousef, A. M., Hassan, H., Goma, K., Ibrahim, M. H., Gamal, A., Khairy, M., Shaban, A., Amer, S., Abdelraheim, A. R., & Abdallah, A. A. (2020).
05 A ten year analysis of maternal deaths in a tertiary hospital using the three delays model. BMC Pregnancy and Childbirth, 20(1), 585.
https://doi.org/10.1186/s12884-020-03262-7
Ndombo, P. K., Ekei, Q. M., Tochie, J. N., Temgoua, M. N., Angong, F. T. E., Ntock, F. N., & Mbuagbaw, L. (2017). A cohort analysis of neonatal
06 hospital mortality rate and predictors of neonatal mortality in a sub-urban hospital of Cameroon. Italian Journal of Pediatrics, 43(1), 52.
https://doi.org/10.1186/s13052-017-0369-5
Stewart Williams, J., Byles, J., Nyongesa, P., Aruasa, W., & D’Este, C. (2013). A retrospective analysis of maternal and neonatal mortality at a
07 teaching and referral hospital in Kenya. Reproductive Health, 10(1), 13. https://doi.org/10.1186/1742-4755-10-13
Thank you!

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Research

Guide: Tata Institute of Social Sciences

Aditi Master of Hospital Administration

Neonatal mortality refers to the death of a newborn within the first 28

Neonatal mortality is often caused by preterm birth, birth asphyxia, infections,

Need for Study

Objective 1 Objective 2 Objective 3

Question 1 Question 2 Question 3

3 Sample Size 4 Data Collection Tools

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