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

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 afte...

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Bibliographic Details
Published in:The journal of maternal-fetal & neonatal medicine 2013-06, Vol.26 (9), p.885-888
Main Authors: Okusanya, B. O., Aigere, E. O. S., Abe, A., Ibrahim, H. M., Salawu, R. A.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Cause of Death
Epidemiological Monitoring
Female
Humans
Infant, Newborn
Maternal Death - statistics & numerical data
Maternal Health Services - statistics & numerical data
Maternal mortality
Maternal Mortality - trends
Middle Aged
Nigeria - epidemiology
Northwest Nigeria
Pregnancy
tetanus in pregnancy
Young Adult
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Summary: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 827/100 000 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.
ISSN:1476-7058
1476-4954
DOI:10.3109/14767058.2013.765851