This document provides information from a maternal and perinatal death surveillance and response review meeting in Lumbini Province, Nepal. It includes statistics on institutional deliveries, maternal deaths, neonatal deaths, and perinatal deaths from various hospitals in the province between 2076 to 2079. Cause of death data is presented by factors like age, caste, time of death. Community-based maternal death figures and educational status of deceased mothers are also summarized. The document aims to orient participants on implementing maternal and perinatal death surveillance and response in Lumbini Province across hospital and community settings.

1. Maternal and perinatal Death
Surveillance and Response Review
and Guideline Orientation
प्रदेश सरकार
लुम्बिनी प्रदेश
स्वास््य ,जनसङ्ख्या तथा
पररवारकल्याण मन्त्रालय
स्वास््य ननदेशनालय
Date :Aasar 17-18
Venue :Asian Hotel ,Butwal

2. MPDSR Implementation in Lumbini Province
Hospital Based MPDSR Community Based MPDSR
1. Bheri Hospital
2. Rapti Academy of Health Science
3. Lumbini Provincial Hospital
4. Rapti Provincial Hospital
5. Bardiya Hospital
6. Kapilbastu Hospital
7. Rolpa Hospital
8. Pyuthan Hospital
9. Arghakhanchi Hospital
10. Bhim Hospital
12. Prithibi Chandra Hospital
13. Lumbini Medical Collage
14. United Mission Hospital
15.Nepalgunj Medical Collage, Nepalgunj Teaching Hospital.
16. Nepalgunj Medical Collage, Nepalgunj Teaching Hospital

3. MPDSR Reported Hospitals:
1.Bheri Hospital
2.Kohalpur Medical College
3.Nepalgunj Medical College
4.Rapti Acedmy of Health
sciences
5.Lumbini Medical College
6.Palpa Mission Hospital
7.AMDA Hospital Rupandehi
8.Bhim Hospital
9.Lumbini Provincial Hospital
10.Universal College of
Medical Science

7. Total Home delivery District wise
161
34
19
0
3
5
3
3
39
45
1
8
1
119
16
18
0
16
4
4
2
2
54
3
0
0
55
6
17
0
12
2
8
2
3
5
0
0
0
0
20
40
60
80
100
120
140
160
180
2076 to 2077 2077 to 2078 2078 to 2079 (upto Jesth)
Source: DHIS2/HMIS 2079/03/16

8. Total Institutional Delivery District wise
81
46
63
67
41
28
95
40
131
52
57
156
53
80
56
68
75
45
29
88
42
119
60
61
139
54
84
57
55
61
58
42
93
44
142
54
60
143
55
0
20
40
60
80
100
120
140
160
180
Percentage
2076 to 2077 2077 to 2078 2078 to 2079( upto Jesth)
Source: DHIS2/HMIS 2079/03/16

9. 0 0
1 1
2 2
3 3 3
4
22
23
0
5
10
15
20
25
Number
of
death Total Maternal Deaths in FY 2078/79
Source: DHIS2/HMIS 2079/03/16
4
8 10
15
23 25 25
30 30
34
201
222
0
50
100
150
200
250
Total Neonatal Deaths in FY 2078/79 (n=627)

10. Total Maternal Death in Hospital(n=199)
1
3
3
4
9
9
12
32
62
64
0 10 20 30 40 50 60 70
Bhim Hospital
AMDA Hospital
Rapti Academy of Health Science
Palpa Mission Hospital
Lumbini Medical College
Nepalgunj Medical College
Lumbini Provincial Hospital
Bheri Hospital
Kohalpur Medical College
Universal College of Medical Science
Source: MPDSR report 2072 -2079

11. Caste wise death distribution(n=199)
28%
25%
20%
14%
7% 6%
MADHESI
Brahmin/Chhetri
JANAJATI
Dalit
Others
MUSLIM
Source: MPDSR report 2072 -2079

12. Age wise maternal death(n=199)
14
72
60
32
15
6
0
10
20
30
40
50
60
70
80
15-19 20-24 25-29 30-34 35-39 40-45
Number
of
death
years

13. 46%
27%
22%
5%
Time of Maternal death in Hospitals (n=199)
Postpartum period up to 48
hours after delivery
Postpartum period after 48
hours of delivery
Antenatal period
Intrapartum period(during
labor)
Source: MPDSR report 2072 -2079

14. Pre-eclampsia
21%
Postpartum haemorrhage
18%
Eclampsia
17%
Pregnancy induced
hypertension
13%
Prolonged/obstructed
labour
8%
Ante partum haemorrhage
7%
Ruptured uterus
6%
Puerperal sepsis
5%
Retained
placenta
3%
Abortion
related
complications
2%
Ectopic pregnancy
0%
Provisional cause of maternal death on admission in Hospitals (n=199)
Source: MPDSR report 2072 -2079

15. 55%
25%
13%
7%
सामुदायको मातृ मुत्युको अिस्था (n=53)
वच्चा जन्माएको ४२ दिन भित्र
गिभवती अबस्थामा
वच्चा जन्माउने बेलामा
वच्चा खेर गएको वा गिभपतन
गराएको ४२ दिन भित्र

16. 1
17
35
0
5
10
15
20
25
30
35
40
PALPA RUPANDEHI BANKE
मात
ृ
म
ु
त्
य
ु
सं
ख्
या सामुिाययक मातृ मुत्यु (n=53)

17. मृतक महिलाको शैक्षिक अवस्था (N=53)
औपचाररक भिक्षा
नभलएको
53%
प्राथभमक
24%
माध्यभमक
15%
उच ्च माध्याभमक
4%
स्नातक वा सो
िन्िा माथथ
4%
Source :Community MPDSR Report

18. Total Perinatal death(n=690)
1
2
5
5
7
15
21
68
81
109
144
232
0 50 100 150 200 250
Rolpa Hospital
Bheri Hospital
Bhim Hospital
Gulmi Hospital
Argakhachi Hospital
Bardiya Hospital
Devdaha Medical College
Universal College of Medical Science
Lumbini Medical College
AMDA Hospital Rupandehi
Palpa Mission Hospital
Lumbini Provincial Hospital
Source: MPDSR report 2072 -2079

19. Total Macerated stillborn(n=277)
0 10 20 30 40 50 60 70 80
Bhim Hospital
Bheri Zonal Hospital
Rolpa Hospital
Argakhachi Hospital
Gulmi Hospital
Devdaha Medical College
Bardiya Hospital
AMDA Hospital Rupandehi
Lumbini Medical College
Universal College of Medical Science
Palpa Mission Hospital
Lumbini Provincial Hospital
0
1
1
2
4
10
14
17
26
50
75
77
Source: MPDSR report 2072 -2079

20. THANKYOU !!