Year : 2010 | Volume
: 51 | Issue : 4 | Page : 147--151
Trends in maternal mortality at University of Maiduguri teaching hospital, Maiduguri, Nigeria - A five year review
BM Audu, UI Takai, M Bukar
Department of Obstetrics and Gynaecology, University of Maiduguri Teaching Hospital, Nigeria
Background: Maternal mortality is on the rise in Nigeria with the North- East having the highest ratio, and Borno state records one of the highest maternal mortality ratios in the country.
Objective: To determine the trends in maternal mortality in UMTH, identify the background socio- cultural factors, establish the major causes of deaths and determine avoidable factors.
Study design: Retrospective study of maternal deaths.
Methods: The case records of all recorded cases of maternal deaths between January 2001 and December 2005 inclusive were retrieved and relevant data obtained and analysed.
Results: The maternal mortality ratio (MMR) for the period under review was 430 per 100,000 live births. There were annual fluctuations in MMR. However, there was a consistently rising trend in MMR from 2002-2004 with the highest ratio of 545 per 100,000 live births recorded in the year 2004, with a decline in 2005. Thirty (78.9%) of these deaths occurred among the unbooked patients and more than 90% of this were referred as obstetric emergencies. Age range was 14-39 years with a mean of 26.5years. The highest maternal death occurred at the two extremes of reproductive age group (14-19 years and 35 years and above). Grandmultiparas suffered the highest maternal mortality of 36.8%, followed by teenage mothers. P1-4 contributed the least to maternal mortality. The direct causes of maternal death accounted for 92.1% of the deaths. The major causes of death were eclampsia 34.2%, sepsis 26.3% and prolonged obstructed labour/ruptured uterus 13.2%. Amongst the indirect causes of maternal death, HIV/Tuberculosis was the leading cause accounting for 5.3%. Basic but professional antenatal care, skilled attendance at birth, community mobilization and health education messages for a healthy pregnancy and safe birth will help to reduce the unacceptably high maternal mortality ratio in Borno state and the country at large.
Department of Obstetrics and Gynaecology, University of Maiduguri Teaching Hospital. P. M. B. 1414 Maiduguri, Borno State
|How to cite this article:|
Audu B M, Takai U I, Bukar M. Trends in maternal mortality at University of Maiduguri teaching hospital, Maiduguri, Nigeria - A five year review.Niger Med J 2010;51:147-151
|How to cite this URL:|
Audu B M, Takai U I, Bukar M. Trends in maternal mortality at University of Maiduguri teaching hospital, Maiduguri, Nigeria - A five year review. Niger Med J [serial online] 2010 [cited 2020 Feb 20 ];51:147-151
Available from: http://www.nigeriamedj.com/article.asp?issn=0300-1652;year=2010;volume=51;issue=4;spage=147;epage=151;aulast=Audu;type=0