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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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| Published in: | The journal of maternal-fetal & neonatal medicine 2013-06, Vol.26 (9), p.885-888 |
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| container_issue | 9 |
| container_start_page | 885 |
| container_title | The journal of maternal-fetal & neonatal medicine |
| container_volume | 26 |
| creator | Okusanya, B. O. Aigere, E. O. S. Abe, A. Ibrahim, H. M. Salawu, R. A. |
| description | 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. |
| doi_str_mv | 10.3109/14767058.2013.765851 |
| format | article |
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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.</description><identifier>ISSN: 1476-7058</identifier><identifier>EISSN: 1476-4954</identifier><identifier>DOI: 10.3109/14767058.2013.765851</identifier><identifier>PMID: 23311885</identifier><language>eng</language><publisher>England: Informa UK Ltd</publisher><subject>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</subject><ispartof>The journal of maternal-fetal & neonatal medicine, 2013-06, Vol.26 (9), p.885-888</ispartof><rights>2013 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c418t-886ff5b692c4000cd6df8bf7a971adffa1bf42297b8b3d59444a601c2a6f75433</citedby><cites>FETCH-LOGICAL-c418t-886ff5b692c4000cd6df8bf7a971adffa1bf42297b8b3d59444a601c2a6f75433</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23311885$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Okusanya, B. O.</creatorcontrib><creatorcontrib>Aigere, E. O. S.</creatorcontrib><creatorcontrib>Abe, A.</creatorcontrib><creatorcontrib>Ibrahim, H. M.</creatorcontrib><creatorcontrib>Salawu, R. A.</creatorcontrib><title>Maternal deaths: initial report of an on-going monitoring of maternal deaths at the Federal Medical Centre Katsina, Northwest Nigeria</title><title>The journal of maternal-fetal & neonatal medicine</title><addtitle>J Matern Fetal Neonatal Med</addtitle><description>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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Cause of Death</subject><subject>Epidemiological Monitoring</subject><subject>Female</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Maternal Death - statistics & numerical data</subject><subject>Maternal Health Services - statistics & numerical data</subject><subject>Maternal mortality</subject><subject>Maternal Mortality - trends</subject><subject>Middle Aged</subject><subject>Nigeria - epidemiology</subject><subject>Northwest Nigeria</subject><subject>Pregnancy</subject><subject>tetanus in pregnancy</subject><subject>Young Adult</subject><issn>1476-7058</issn><issn>1476-4954</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNp9Uctu1DAUjRAVLaV_gJCXLMjUju3EYQFCI9oi2rKha-vGj4mrxB5sj6p-AP-No5kiddPVfZ1z7tU9VfWe4BUluD8nrGs7zMWqwYSuupYLTl5VJ0u7Zj1nrw_5gjmu3qZ0j3FDGOZvquOGUkKE4CfV3xvIJnqYkDaQx_QZOe-yK3U02xAzChaBR8HXm-D8Bs2hjENc0jKZn5MRZJRHgy6MNrF0b4x2qsS18Tka9BNych4-odsiPD6YlNGt25jo4F11ZGFK5uwQT6u7i--_11f19a_LH-tv17ViRORaiNZaPrR9oxjGWOlWWzHYDvqOgLYWyGBZ0_TdIAaqec8YgxYT1UBrO84oPa0-7nW3MfzZlQPk7JIy0wTehF2ShHLKOtFwXKBsD1UxpBSNldvoZoiPkmC5GCCfDJCLAXJvQKF9OGzYDbPR_0lPHy-Ar3uA8zbEGR5CnLTM8DiFaCN45dIi_-KKL88URgNTHhVEI-_DbrEjvXzjP_4XqZs</recordid><startdate>201306</startdate><enddate>201306</enddate><creator>Okusanya, B. O.</creator><creator>Aigere, E. O. S.</creator><creator>Abe, A.</creator><creator>Ibrahim, H. M.</creator><creator>Salawu, R. A.</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201306</creationdate><title>Maternal deaths: initial report of an on-going monitoring of maternal deaths at the Federal Medical Centre Katsina, Northwest Nigeria</title><author>Okusanya, B. O. ; Aigere, E. O. S. ; Abe, A. ; Ibrahim, H. M. ; Salawu, R. A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c418t-886ff5b692c4000cd6df8bf7a971adffa1bf42297b8b3d59444a601c2a6f75433</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Cause of Death</topic><topic>Epidemiological Monitoring</topic><topic>Female</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Maternal Death - statistics & numerical data</topic><topic>Maternal Health Services - statistics & numerical data</topic><topic>Maternal mortality</topic><topic>Maternal Mortality - trends</topic><topic>Middle Aged</topic><topic>Nigeria - epidemiology</topic><topic>Northwest Nigeria</topic><topic>Pregnancy</topic><topic>tetanus in pregnancy</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Okusanya, B. O.</creatorcontrib><creatorcontrib>Aigere, E. O. S.</creatorcontrib><creatorcontrib>Abe, A.</creatorcontrib><creatorcontrib>Ibrahim, H. M.</creatorcontrib><creatorcontrib>Salawu, R. A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of maternal-fetal & neonatal medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Okusanya, B. O.</au><au>Aigere, E. O. S.</au><au>Abe, A.</au><au>Ibrahim, H. M.</au><au>Salawu, R. A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Maternal deaths: initial report of an on-going monitoring of maternal deaths at the Federal Medical Centre Katsina, Northwest Nigeria</atitle><jtitle>The journal of maternal-fetal & neonatal medicine</jtitle><addtitle>J Matern Fetal Neonatal Med</addtitle><date>2013-06</date><risdate>2013</risdate><volume>26</volume><issue>9</issue><spage>885</spage><epage>888</epage><pages>885-888</pages><issn>1476-7058</issn><eissn>1476-4954</eissn><abstract>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.</abstract><cop>England</cop><pub>Informa UK Ltd</pub><pmid>23311885</pmid><doi>10.3109/14767058.2013.765851</doi><tpages>4</tpages></addata></record> |
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| ispartof | The journal of maternal-fetal & neonatal medicine, 2013-06, Vol.26 (9), p.885-888 |
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| language | eng |
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| source | Taylor and Francis:Jisc Collections:Taylor and Francis Read and Publish Agreement 2024-2025:Medical Collection (Reading list) |
| 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 |
| title | Maternal deaths: initial report of an on-going monitoring of maternal deaths at the Federal Medical Centre Katsina, Northwest Nigeria |
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