Introduction: Pregnancy is considered to be a physiological state but can develop severe morbidities or even death during any period. Maternal mortality rate (MMR) is a sensitive index that reflects the quality of reproductive care provided to pregnant women. A maternal death is defined as death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of pregnancy, from any cause related to or aggravated by pregnancy or its management but not from accidental or incidental causes” (ICD-10)

Methodology: A retrospective observational hospital-based study was carried out in the department of Obstetrics and Gynecology, College of Medicine and JNM hospital which is a tertiary level health care referral center, situated in kalyani West Bengal, over a period of 3 years from January 2018 to December 2020. Distribution of maternal deaths in relation to age, parity index, gestational period, mode of delivery and admission to death interval causes of deaths and MMR was calculated.

Results:  In this three-year study the total maternal mortality of 60. In 2018 maternal deaths were 24, in 2019 - 12 and 2020 -24. Maternal mortality due to direct causes was 45 (75%) and indirect causes were 15 (25%) altogether. The most common direct cause was hemorrhage (26.6%) considering ante partum, intra partum and postpartum deaths in all three years. The MMR as pr live birth during the study period was 277.

Conclusion: Maternal mortality can be prevented with better antenatal care and early referral as more deaths are due to direct cause.

Keywords: hospital-based, maternal, mortality

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