Standard Treatment Guideline & Essential Medicine List (For Pregnant Women and for Sick Newborn). First Edition, 2012. Government of Odisha (Orissa) - India
(2012; 141 pages)


The Maternal mortality rate (MMR) for India is 254 and for Odisha State is 303 (SRS-2009) at present as per the latest reports of September, 2010 Ministry of Health and Family Welfare, Government of India. This recent improvement is because of innovative schemes and programmes like JSY, which provides incentives for institutional delivery. Maternal mortality is mainly due to haemorrhage (including APH, PPH and ruptured uterus), Hypertension (including pre-eclampsia and eclampsia), sepsis and anaemia.

The social factors contributing to maternal mortality include the delays as follows:

  • First delay: Delay in identifying a complication and in taking decision to seek care (at the level of individual and family).
  • Second delay: Delay in reaching care (at the level of community and system).
  • Third delay: Delay in getting care at the health facility.

Hence to reduce MMR further, to below 100 we need to deal with the problem comprehensively medically as well as socially. Medical interventions include pre-conceptional health care, proper antenatal care, institutional delivery and contraception to space pregnancies and limit family. To deal with the social factor the all-new JSSK (Janani Sishu Surakhya Karyakram) is being launched to facilitate and provide incentives for the above so that there is no delay in seeking care.

On this occasion this booklet has been released. This booklet includes topics mainly keeping maternal mortality in view. It is not meant to replace any ideas but only to refresh knowledge and ideas. It will be of great help to our colleagues dedicated to the service of pregnant women.

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