Document Detail


Maternal deaths: Initial report of an on-going monitoring of maternal deaths at the Federal Medical Centre Katsina, Northwest Nigeria.
MedLine Citation:
PMID:  23311885     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Abstract Objectives: To assess the maternal mortality ratio from data collected as maternal deaths occurred over a four-year period. Methods: A Departmental data-base established in 2008 was used to keep data on deliveries and maternal deaths as they occurred. The causes of death were decided after a meeting reviewed the case. Analysis was done using Microsoft Excel software and results presented in means and frequencies. Results: 8220 live deliveries that occurred were complicated by 68 maternal deaths. The maternal mortality ratio (MMR) was 827/100,000 live births. The MMR for unbooked women was 4 times higher than for booked women. Obstetric haemorrhage was the main (21.6%) direct cause of death followed by preeclampsia/ eclampsia (18.9%). While anaemia was the leading (8.1%) indirect cause of death, tetanus in the puerperium reared its head as an emerging (5.4%) indirect cause of maternal death. None of the women ever used contraceptives. Most deaths occurred in teenage mothers (23.5%), unbooked women (86%) and in the postpartum period (69%). Conclusion: The maternal mortality ratio was high and tetanus in puerperium emerged as an indirect cause of maternal deaths. There is a need to curb the emergence of tetanus in the puerperium as a cause of maternal death.
Authors:
Bo Okusanya; Eos Aigere; A Abe; Hm Ibrahim; Ra Salawu
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-13
Journal Detail:
Title:  The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians     Volume:  -     ISSN:  1476-4954     ISO Abbreviation:  J. Matern. Fetal. Neonatal. Med.     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101136916     Medline TA:  J Matern Fetal Neonatal Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Obstetrics and Gynaecology, 1College of Medicine, University of Lagos.
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