Maternal mortality in a Nigerian teaching hospital

Abstract

The aim of this review is to determine the maternal mortality ratio (MMR) in a Nigerian tertiary health institution (University of Ilorin Teaching Hospital, Ilorin, Nigeria). The review was done through a retrospective analysis of maternal mortality records. The MMR for the 6-year period (1997-2002) was 825 per 100,000 live births. The common causes of maternal mortality included severe pre-eclampsia/eclampsia, 30 (27.8%); haemorrhage, 22 (20.4%) and complications of unsafe abortion 16 (14.8%). Grandmultiparous and patients aged 40 years and above were at the highest risk. This hospital-based MMR is very high and when compared with previous reports showed a 150% increase. Most of the maternal deaths are, however, preventable. Increased efforts at educating women, improvement of the socioeconomic conditions of the populace and strong political commitment in making emergency obstetric care available in rural and district hospitals are some of the measures that need to be adopted to reduce this avoidable tragedy.

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References

Audu

, Ekele

. A ten-year review of maternal mortality in Sokoto, Northern Nigeria. W Afr J Med 2002; 21; 74–6

Adegbola

O Oye

, Adeniran

, Igwillo

. Maternal mortality in Africa. Afr Health 2003; 25; 22–4

Elizabeth

, Nancy

. Making motherhood safer: overcoming obstacles on the pathway for care. Populat Ref Bureau 2002; 7

Aboyeji

. Trends in maternal mortality in Ilorin, Nigeria. Trop J Obstet Gynaecol 1998: 15–20

Adetoro

. Maternal mortality -a twelve-year survey at the University of Ilorin Teaching Hospital (U.I.T.H.) Ilorin, Nigeria. Int J Gynaecol Obstet 1987; 25; 93–8

Adetoro

, Okwerekwu

, Ogunbode

. Maternal mortality in Ilorin, Nigeria. Trop J Obstet Gynaecol 1988; 1; 18–21

UNFPA Population Reference Bureau Nigeria. Country profiles for population and reproductive health: policy developments and indicators New York: UNFPA, 2003: 72

Verma

, Thomas

, Sharma

, Ohar

, Bhambri

. Maternal mortality in rural India: a hospital based 10 year retrospective analysis. J Obstet Gynaecol Res 2001; 27; 183–7

Orero

, Oyo

, Ogattu

, Obunga

, Ombake

. Mobilising resources to repair hospital beds and equipment to improve obstetric care in Western Kenya. Regional Prevention of Maternal Mortality Network. Second Generation Result Conference, Accra 2003: 4

10.

Mazimba

. Emergency obstetric care services at Simwatachla Health Centre Kolomo Distric, Zambia: Needs assessment finding. Regional Prevention of Maternal Mortality Network. Second Generation Result Conference, Accra 2003; 3

11.

Ibison

, Swerdlow

, Head

, Marmot

. Maternal mortality in England and Wales 1970-1985: an analysis by country of birth. Br J Obstet Gynaecol 1996; 103; 973–80

12.

United Nation System in Nigeria. Nigeria: Common Country Assessment. New York: United Nations, 2001

13.

Olatunji

, Abudu

. A review of maternal mortality in Lagos University Teaching Hospital (1976-1985). Nig Med Pract 1996; 31; 2–5

14.

Egwatu

. Reflections on maternal mortality in Nigeria - the fifth Okoronkwo Kesandu Ogan Memorial ovation. Trop J Obstet Gynaecol 2003; 20; 76–82

15.

Shiffman

. Can poor countries surmount high maternal mortality. Studies in family planning. 2000; 31; 276–89

Maternal mortality in a Nigerian teaching hospital - a continuing tragedy

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