Maternal Mortality at the Central Hospital, Benin City Nigeria: A Ten Year Review
), Lawrence O. Omo-Aghoja(2),
(1)
(2)
Corresponding Author
Abstract
Maternal mortality remains a major challenge in Nigeria. This retrospective study was conceptualized to document the number and pattern of obstetric deaths at the Central Hospital, Benin City, over a ten year period, to identify common causes of maternal deaths and proffer relevant interventions. The overall maternal mortality ratio (MMR) was 518/100,000. MMR was 30 times higher in unbooked as compared to the booked patients, while 60% of maternal deaths occurred within 24 hours of admission. The leading direct causes of maternal deaths were sepsis, hemorrhage, obstructed labor and preeclampsia/eclampsia, while the major indirect causes are institutional difficulties and anaemia. Low literacy, high poverty levels, extremes of parity and non-utilization of maternity services were associated with maternal mortality. Recommendations are made for public enlightenment campaign and advocacy activities aimed at mobilizing resources for reducing maternal mortality. Also, female education and poverty alleviation programmes will contribute to the reduction of the burden of maternal mortality (Afr J Reprod Health 2008; 12[3]:17-26).
RĖSUMĖ
Mortalité maternelle à Central Hospital, Benin City, Nigeria : Une revue de dix ans La mortalité maternelle reste un défi principal au Nigeria. Cette étude rétrospective a été conceptualisée pour se documenter sur le nombre et le modèle de morts obstétriques à Central Hospital, Bénin City, au cours d'une période de dix ans, d’identifier les causes communes de morts maternelles et offrir des interventions pertinentes. La proportion de mortalité maternelle complète (MMC) était 518/100,000. MMC était 30 fois plus élevée pour des patients non réservés en comparaison des patients réservés, tandis que 60 % des morts maternelles sont arrivés dans 24 heures d'admission. Les causes directes principales des morts maternelles étaient la septicité, l'hémorragie, l’accouchement entravé et prééclampsie/éclampsie, tandis que les causes indirectes majeures sont des difficultés institutionnelles et l'anémie. L'alphabétisation basse, de hauts niveaux de pauvreté, les extrêmes de parité et la nonutilisation de services de maternité a été associée à la mortalité maternelle. Les recommandations sont faites pour la campagne d'éclaircissement publique et les activités de plaidoyer ont visé à mobiliser des ressources pour réduire la mortalité maternelle. Aussi, l'éducation féminine et des programmes d'allégement de pauvreté contribueront à la réduction du fardeau de mortalité maternelle (Afr J Reprod Health 2008; 12[3]:17-26).
KEY WORDS: Maternal Mortality, Benin City Nigeria, A ten year review
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