BACKGROUND AND OBJECTIVE: Maternal mortality is increasing despite all global efforts to reverse the trend. In our environment, most studies were based on only a single health institution, leading to varying reports of ratios and causes of maternal death. We sought to determine the ratio, causes, and key risk factors of maternal deaths in institutions located at different socioeconomic settings. METHODS: A retrospective study was carried out in two tertiary and two secondary healthcare institutions in Ebonyi state, Southeastern Nigeria over the 3-year period January 2003 to December 2005. All facilities had emergency obstetric services. Sociodemographic characteristics, causes of maternal death, and factors that contributed to the deaths were noted. RESULTS: The maternal mortality ratio (MMR) was 902.7/100,000 live births. The ratio increased from 756.8 in 2003 to 897.6 in 2004 and then to 1052.2 in 2005. Major risk factors include grand multiparity, maternal age of > or =35 years, low socioeconomic status (SES), and unscheduled emergencies. The commonest cause of maternal death was sepsis (25.8%), followed by obstetric hemorrhage (23.7%). Preeclampsia/eclampsia and anemia accounted for 12.4% each. The MMR as well as the causes of maternal death varied among institutions. CONCLUSIONS: The MMR is worsening. If this trend is not reversed, Nigeria may not be able to achieve the millennium developmental goal number 5 (MDG 5). A prospective, multicenter, community-based study is needed to fully assess the magnitude of the problem.
BACKGROUND AND OBJECTIVE: Maternal mortality is increasing despite all global efforts to reverse the trend. In our environment, most studies were based on only a single health institution, leading to varying reports of ratios and causes of maternal death. We sought to determine the ratio, causes, and key risk factors of maternal deaths in institutions located at different socioeconomic settings. METHODS: A retrospective study was carried out in two tertiary and two secondary healthcare institutions in Ebonyi state, Southeastern Nigeria over the 3-year period January 2003 to December 2005. All facilities had emergency obstetric services. Sociodemographic characteristics, causes of maternal death, and factors that contributed to the deaths were noted. RESULTS: The maternal mortality ratio (MMR) was 902.7/100,000 live births. The ratio increased from 756.8 in 2003 to 897.6 in 2004 and then to 1052.2 in 2005. Major risk factors include grand multiparity, maternal age of > or =35 years, low socioeconomic status (SES), and unscheduled emergencies. The commonest cause of maternal death was sepsis (25.8%), followed by obstetric hemorrhage (23.7%). Preeclampsia/eclampsia and anemia accounted for 12.4% each. The MMR as well as the causes of maternal death varied among institutions. CONCLUSIONS: The MMR is worsening. If this trend is not reversed, Nigeria may not be able to achieve the millennium developmental goal number 5 (MDG 5). A prospective, multicenter, community-based study is needed to fully assess the magnitude of the problem.
Authors: Chidebe Christian Anikwe; Bartholomew Chukwunonye Okorochukwu; Cyril Chijioke Ikeoha; Obiora G K Asiegbu; Ugochukwu Uzodimma Nnadozie; Justus Ndulue Eze; Johnson Akuma Obuna; Francis Chigozie Okoroafor Journal: Biomed Res Int Date: 2020-07-25 Impact factor: 3.411