Document Detail


Maternal mortality in a rural referral hospital in the Niger Delta, Nigeria.
MedLine Citation:
PMID:  17464810     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Almost two decades after the safe motherhood initiative, maternal mortality figures remain very high in Nigeria. Very few studies are available on the features of maternal mortality in rural Nigeria. The objective of this study was to determine the incidence and causes of maternal mortality in a rural referral hospital in the Niger Delta, Nigeria. An audit of 115 consecutive maternal mortalities over a 10-year period at a rural-based tertiary hospital was undertaken. There were 5,153 deliveries and 115 maternal deaths during the study period, with a maternal mortality ratio of 2,232/100,000 live births. The most common causes of maternal mortalities were puerperal sepsis, abortion complications, pre-eclampsia/eclampsia, prolonged obstructed labour, haemorrhage accounting for 33%, 22.6%, 17.4%, 13.0% and 7.8%, respectively. The percentage mortality for unbooked was 10 times that for booked patients. Unbooked status is a risk factor for maternal mortality as this was statistically significant p < 0.0001. Traditional birth attendants were involved in the initial management of at least two-fifths (38.2%) of the non-abortion mortalities while half had been managed in private hospitals and maternities. Maternal mortality will continue to increase unless appropriate steps are taken to improve the use of antenatal care, thereby reducing unbooked emergencies. Hospitals need to be equipped with facilities for emergency obstetric care. Continuous programmes that will integrate TBAs and orthodox practices should be put in place as this will reduce delays and improve referral systems.
Authors:
G O Igberase; P N Ebeigbe
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology     Volume:  27     ISSN:  0144-3615     ISO Abbreviation:  J Obstet Gynaecol     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-04-27     Completed Date:  2007-08-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309140     Medline TA:  J Obstet Gynaecol     Country:  England    
Other Details:
Languages:  eng     Pagination:  275-8     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, Baptist Medical Centre, Eku, Sapele. gabosaa@yahoo.ca
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Hospitals, Rural / statistics & numerical data*
Humans
Maternal Health Services / utilization
Maternal Mortality / trends
Medically Underserved Area
Nigeria / epidemiology
Outcome Assessment (Health Care)*
Pregnancy
Pregnancy Complications / mortality*,  pathology
Pregnancy Outcome
Referral and Consultation
Rural Health Services / utilization

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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