Background: Maternal mortality rate is recognized as a social indicator and is dependent upon the general socioeconomic status, nutrition level and the level of maternal healthcare in the community. Aims: The present study was undertaken with a view to determine factors causing maternal deaths, to recognize cause of death and to discuss the utility of autopsy record as a useful and adjunct data source for ascertainment of maternal deaths and to study the cases that were subjected to pathological autopsy. Material and Methods: This was a retrospective study. The maternal autopsy data during the period 2009 to 2014 were analyzed. Clinical data was also obtained from the case record. The maternal death cases related only to pregnancy were included in the study. Paraffin sections were reviewed. Autopsy findings were correlated with clinical details and investigation in each case to establish an accurate cause of death. Results: 33 pregnancies related maternal death cases were studied. The age ranging from 15 -26 years. Cases belonged to lower socio-econmic status. Haemorrhages were the predominant cause of maternal mortality. 70% of maternal deaths were occurred within the first 24 hour of hospital admission. Multigravidity was seen in 60% cases of maternal deaths. Conclusion: Maternal death is the index of health care in community. Forensic pathologist plays a crucial role in identifying the cause of maternal death. Findings of such studies and the RCH guidelines will improve the maternal care and helps to reduce the maternal mortality rate.

Keywords: Maternal Mortality; Autopsy; Haemorrhages; Forensic Pathologist; Maternal Death.