Document Detail


Trends in maternal mortality in a tertiary institution in Northern Nigeria.
MedLine Citation:
PMID:  20139543     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To look at the trends in maternal mortality in our institution over 5 years. METHODS: Records of 112 maternal deaths were retrospectively reviewed to determine the trends and the likely direct cause of each death over the study period. RESULTS: There were a total of 112 maternal deaths, while 3931 deliveries were conducted over the 5-year period. The maternal mortality ratio (MMR) was 2849/100,000 deliveries. The highest MMR of 6234/100,000 was observed in 2003, with remarkable decline to 1837/100,000 in 2007. Eclampsia consistently remained the leading cause, accounting for 46.4% of the maternal deaths, followed by sepsis and postpartum hemorrhage (PPH) contributing 17% and 14.3%, respectively. There were no statistically significant differences in the corresponding percentages of maternal deaths between various age groups (chi2=6.68; P =0.083). Grandmultiparas accounted for a significant proportion of maternal deaths as compared to low parity, with chi2=10.43; P =0.00054. Lack of seeking antenatal care (unbooked) and illiteracy were observed to be significant determinants of maternal mortality (chi2=64.69, P =0.00000; and chi2=18.52, P =0.0000168, respectively). CONCLUSION: In spite of decrease in the maternal mortality ratio over the years, it still remains high, with eclampsia persistently contributing most significantly. Community enlightenment on the need to avail of antenatal care and hospital delivery services, and improvement in the quality of skilled maternity care will, among other factors, drastically curtail these preventable causes of maternal death and reduce MMR.
Authors:
Abubakar Ali Kullima; Mohammed Bello Kawuwa; Bala Mohammed Audu; Ado Danazumi Geidam; Abdulkarim G Mairiga
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of African medicine     Volume:  8     ISSN:  0975-5764     ISO Abbreviation:  Ann Afr Med     Publication Date:    2009 Oct-Dec
Date Detail:
Created Date:  2010-02-08     Completed Date:  2010-05-26     Revised Date:  2010-06-10    
Medline Journal Info:
Nlm Unique ID:  101231417     Medline TA:  Ann Afr Med     Country:  Nigeria    
Other Details:
Languages:  eng     Pagination:  221-4     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynaecology, Federal Medical Centre, Nguru, Yobe State, Nigeria. drkullima@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Age Distribution
Age Factors
Cause of Death / trends
Delivery, Obstetric / statistics & numerical data*
Eclampsia / mortality
Educational Status
Female
Humans
Maternal Mortality / trends*
Nigeria / epidemiology
Parity
Postpartum Hemorrhage / mortality
Pregnancy
Retrospective Studies
Risk Factors
Young Adult

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


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