Format

Send to

Choose Destination
J Matern Fetal Neonatal Med. 2013 Jun;26(9):885-8. doi: 10.3109/14767058.2013.765851. Epub 2013 Feb 11.

Maternal deaths: initial report of an on-going monitoring of maternal deaths at the Federal Medical Centre Katsina, Northwest Nigeria.

Author information

1
Department of Obstetrics and Gynaecology, College of Medicine, University of Lagos, Lagos, Nigeria. babakusanya@yahoo.co.uk

Abstract

OBJECTIVES:

To assess the maternal mortality ratio (MMR) from data collected as maternal deaths occurred over a 4-year period.

METHODS:

A Departmental database 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:

Eight thousand two hundred and twenty live deliveries that occurred were complicated by 68 maternal deaths. The MMR was 827/100‚ÄČ000 live births. The MMR for unbooked women was four 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 MMR 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.

PMID:
23311885
DOI:
10.3109/14767058.2013.765851
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Taylor & Francis
Loading ...
Support Center