Contribution of indirect obstetric deaths to maternal mortality at Nnamdi Azikiwe University Teaching Hospital, Nnewi.

Ukanwa, U; Obiechina, NJ; Ezebialu, Ifeanyichukwu U.

doi:10.4314/tjmr.v13i1.65437

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“…This MMR is, however, lower than those reported in Port-Harcourt (2,735)9 and Sokoto (2,138) 10. It is almost the same as that reported in NAUTH in 2007 (1,282) 11. This shows that the steps that are currently in place in this center to combat maternal death is not effective enough to reach the goal of improving MMR by 2015.…”

Section: Discussionsupporting

confidence: 69%

“…All of these are preventable causes of maternal death. The contribution of pre-eclampsia to maternal death is on the increase, and it contributes to more maternal deaths than hemorrhages, as observed in other recent studies in Nigeria,10,11 although some studies in Nigeria have found that hemorrhage is still the leading cause of maternal mortality 12–14. The finding that pre-eclampsia contributes more than hemorrhage to maternal death may be explained by the availability of functional blood bank services and use of oxytocic drugs in our hospital, which help to reduce the contribution of hemorrhage to maternal death.…”

Section: Discussionmentioning

confidence: 83%

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Maternal mortality at Nnamdi Azikiwe University Teaching Hospital, Southeast Nigeria: a 10-year review (2003–2012)

Obiechina

Okolie²,

Okechukwu³

et al. 2013

IJWH

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BackgroundMaternal mortality is high the world over, especially in sub-Saharan Africa, including Nigeria. Nigeria has consistently demonstrated one of the most abysmally poor reproductive health indices in the world, maternal mortality inclusive. This is a sad reminder that, unless things are better organized, Southeast Nigeria, which Nnamdi Azikiwe University Teaching Hospital (NAUTH) represents, may not join other parts of the world in attaining Millennium Development Goal 5 to improve maternal health in 2015.ObjectivesThis study was conducted to assess NAUTH’S progress in achieving a 75% reduction in the maternal mortality ratio (MMR) and to identify the major causes of maternal mortality.Materials and methodsThis was a 10-year retrospective study, conducted between January 1, 2003 and December 31, 2012 at Nnamdi Azikiwe University Teaching Hospital, Nnewi, Southeast Nigeria.ResultsDuring the study period, there were 8,022 live births and 103 maternal deaths, giving an MMR of 1,284/100,000 live births. The MMR was 1,709 in 2003, reducing to 1,115 in 2012. This is to say that there was a 24.86% reduction over 10 years, hence, in 15 years, the reduction should be 37%. This extrapolated reduction over 15 years is about 38% less than the target of 75% reduction. The major direct causes of maternal mortality in this study were: pre-eclampsia/eclampsia (27%), hemorrhage (22%), and sepsis (12%). The indirect causes were: anemia, anesthesia, and HIV encephalopathy. Most of the maternal deaths occurred in unbooked patients (98%) and within the first 48 hours of admission (76%).ConclusionMMRs in NAUTH are still very high and the rate of reduction is very slow. At this rate, it will take this health facility 30 years, instead of 15 years, to achieve a 75% reduction in maternal mortality.

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Section: Discussionsupporting

confidence: 69%

Section: Discussionmentioning

confidence: 83%

Maternal mortality at Nnamdi Azikiwe University Teaching Hospital, Southeast Nigeria: a 10-year review (2003–2012)

Obiechina

Okolie²,

Okechukwu³

et al. 2013

IJWH

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Contribution of indirect obstetric deaths to maternal mortality at Nnamdi Azikiwe University Teaching Hospital, Nnewi.

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Maternal mortality at Nnamdi Azikiwe University Teaching Hospital, Southeast Nigeria: a 10-year review (2003–2012)

Maternal mortality at Nnamdi Azikiwe University Teaching Hospital, Southeast Nigeria: a 10-year review (2003–2012)

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Contribution of indirect obstetric deaths to maternal mortality at Nnamdi Azikiwe University Teaching Hospital, Nnewi.

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Maternal mortality at Nnamdi Azikiwe University Teaching Hospital, Southeast Nigeria: a 10-year review (2003&ndash;2012)

Maternal mortality at Nnamdi Azikiwe University Teaching Hospital, Southeast Nigeria: a 10-year review (2003&ndash;2012)

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Maternal mortality at Nnamdi Azikiwe University Teaching Hospital, Southeast Nigeria: a 10-year review (2003–2012)

Maternal mortality at Nnamdi Azikiwe University Teaching Hospital, Southeast Nigeria: a 10-year review (2003–2012)