Maternal Mortality - Lessons Learnt from Autopsy

Dr. Kusum D. Jashnani is currently the Professor and Head of Department of Pathology, Topiwala National Medical College, Mumbai, India. She has done her post-graduation, MD pathology from Seth GS Medical College and KEM Hospital, Mumbai. She has a special interest in cytopathology, gynecologic pathology, placental pathology and maternal autopsy and has participated as a faculty in various conferences and CMEs. Dr. Jashnani was the Organizing Secretary for CMEs on gynecologic pathology and cytopathology. She has several publications in various national and international journals and has been a postgraduate guide for MD pathology students.

• Part: I - Direct Maternal Death.- Catastrophic Abruptio Placentae- An Autopsy Case Series.- Liver Infarct in Pregnancy: A Complex, Rare and Dreadful Affair.- Cerebral Venous Sinus Thrombosis – An Avertable Catastrophe.- Fatty Liver: More Likely to be Fatal in Pregnancy!.- Eclampsia: A Risk Factor for Intracranial Haemorrhage.- Cervical Trauma: Clinical Conundrum and Correlation.- Amniotic Fluid Embolism Syndrome: A Rare, Unpredictable and Catastrophic Complication of Pregnancy.- Systemic Thromboembolism and Giant Gastric Mucor Ulcer.- Puerperal Sepsis: A Preventable Cause of Maternal Death.- Peri-partum Cardiomyopathy- Failed Cardiac Physiology.- HELLP  Syndrome: The Snowball Effect.- Uterine Anomalies: Less Common but Lethal if not Detected.- Retained Products of Conception and Dilatation & Curettage: A cause for Disseminated Intravascular Coagulation.- Part: II - Indirect Maternal Death.- Pulmonary Bone Marrow Embolism: The Uncommon but Fatal Complication of Sickle Cell Disease.- Neurocysticercosis, Pregnancy and Albendazole – The Unholy Trio.- Lupus Nephritis and Pregnancy: Concern for Both Mother and Fetus.- Disseminated Microthrombi in Pregnancy: Not Always DIC, Think of TTP.- Hepatitis E Virus Associated Hepatic Necrosis.- H1N1 Influenza in Pregnancy – Yet Another Dreaded Flu.- “Über Diffuse” Myocarditis: Still a Giant Mystery!.- Liver: A Fatal Target of Sepsis Related Organ Dysfunction.- Complicated Malaria in Pregnancy.- Adrenal Hemorrhage: A Dark Horse in Maternal Mortality.- Disseminated Miliary Tuberculosis: A classic Case of Fatality!.- Disseminated Miliary TB with Missing Millet Tubercles on Gross: Suspect Severe Immunocompromised State.- Mystic Hepatopathy in a Sickle Hemoglobinopathy.- Acute Hemorrhagic Pancreatitis and Sepsis: A Cause for Maternal Death.- Maternal Death due to Nonhodgkins Lymphoma.- Normal Physiologic Changes of Gravid Uterus.- Lobar Pneumonia: A Fatal Non-Obstetric Infection!.- Uterine Arterio-Venous Malformation.- Herpes Simplex Pneumonitis.- Renal Cortical Necrosis in Pregnancy: Still a Sad Reality in Developing Countries.- Severe Anaemia and Pregnancy.- Hypertrophic Cardiomyopathy as an Incidental Finding.- Gastro-Intestinal Candidiasis – An Unusual Accompaniment.- Plugging of Visceral Blood Vessels by Atypical Cells: Clue to Leukemia!.- Chronic Kidney Disease Masquerading as Pregnancy Induced Hypertension.- Pulmonary Edema and Aspiration Pneumonia- Cause for Maternal Death.- Post-Partum Febrile Illness - Recurrent Acute Rheumatic Fever.- Common Atrio-Ventricular Canal: A Fatality Due to A Commonality.- Choked Prosthetic Mitral Valve.- Interstitial Lung Disease: Scarred, Stiff Lungs with Honeycombing.- Diffuse Alveolar Damage in Covid 19 infection.- Takayasu Arteritis – Third Trimester Tragedy.