Maternal mortality among adolescent women in Jos, North-Central, Nigeria

Ujah, I. A. O.; Aisien, O. A.; Mutihir, JT; VanderJagt, Dorothy J.; Glew, Robert H.; Uguru, V. E.

doi:10.1080/01443610400023395

Cited by 30 publications

(56 citation statements)

References 11 publications

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“…Nearly 60% of the deaths were observed in those below 25 years of age, which might not be surprising as early age at first marriage and high fertility of this group are factors that contribute to increased susceptibility to pregnancy complications and mortality. As observed in other studies, [10,[21][22][23] illiteracy and non-utilization of antenatal care services were observed to be significant determinants of maternal mortality in this study also.…”

Section: Discussionsupporting

confidence: 89%

Trends in maternal mortality in a tertiary institution in Northern Nigeria

et al. 2009

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Objective: To look at the trends in maternal mortality in our institution over 5 years. Methods: Records of 112 maternal deaths were retrospectively reviewed to determine the trends and the likely direct cause of each death over the study period. Results: There were a total of 112 maternal deaths, while 3931 deliveries were conducted over the 5-year period. The maternal mortality ratio (MMR) was 2849/100,000 deliveries. The highest MMR of 6234/100,000 was observed in 2003, with remarkable decline to 1837/100,000 in 2007. Eclampsia consistently remained the leading cause, accounting for 46.4% of the maternal deaths, followed by sepsis and postpartum hemorrhage (PPH) contributing 17% and 14.3%, respectively. There were no statistically signifi cant differences in the corresponding percentages of maternal deaths between various age groups (χ 2 ϭ 6.68; P ϭ 0.083). Grandmultiparas accounted for a signifi cant proportion of maternal deaths as compared to low parity, with χ 2 ϭ 10.43; P ϭ 0.00054. Lack of seeking antenatal care (unbooked) and illiteracy were observed to be signifi cant determinants of maternal mortality (χ 2 ϭ 64.69, P ϭ 0.00000; and χ 2 ϭ 18.52, P ϭ 0.0000168, respectively). Conclusion:In spite of decrease in the maternal mortality ratio over the years, it still remains high, with eclampsia persistently contributing most signifi cantly. Community enlightenment on the need to avail of antenatal care and hospital delivery services, and improvement in the quality of skilled maternity care will, among other factors, drastically curtail these preventable causes of maternal death and reduce MMR.

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Section: Discussionsupporting

confidence: 89%

Trends in maternal mortality in a tertiary institution in Northern Nigeria

et al. 2009

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“…However the average blood loss, drop in haemoglobin concentration levels in both study groups were not statistically significant. This is similar to previous studies (12)(13)(14)(15)(16)(17)(18)(19).…”

Section: Discussionsupporting

confidence: 93%

MISOP ROSTOL : AN ALTERNATIVE TO OXYTOCIN IN MANAGEMENT OF 3 rd STAGE OF LABOUR IN RURAL INDIA??

yadav¹,

gaur²,

meena³

2017

Int J Recent Sci Res

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ARTICLE INFO ABSTRACTBackground: Postpartum haemorrhage is a life-threatening obstetricemergency that occurs after normal vaginal delivery or caesarean section. Prevention of PPH can be achieved by active management of the third stage of labour in most of the cases. Various uterotonic agents play major role in prevention of PPH. Objective: To compare efficacy of oxytocin 10 IU intramuscular and misoprostol 800µg per rectally in active management of the third stage of labor and determine duration of the third stage of labor, blood loss, effect on haemoglobin of the patient, adverse effects and need for additional uterotonics in both group. Study methods: A prospective observational study was carried out in the Department of Obstetrics and Gynaecology, Kanwatiya Hospital, SMS Medical College, Jaipur(Rajasthan) from December 2016 to February 2017. Active management of 3rd stage of labor was done by using either inj. Oxytocin 10 IU or tab. Misoprostol 800µg as per the group of the patient. Duration of the third stage of labor,the amount of blood loss, the incidenceof postpartum haemorrhage, a drop in haemoglobinconcentration from predelivery to 24 h after delivery and adverse effect of drugs were measured. Results: Demographic characteristics were similar in each treatmentgroup. There was no significant difference between treatment groups in decrease in hemoglobin (oxytocin 0.7 g/dL, misoprostol 0.8 g/dL). Duration of 3 rd stage of labor was slight more with misoprostol group.The significant side effect was shivering and fever, which were more common in the misoprostol group (shiveringmisoprostol 14% vs. oxytocin 5% and (fever -misoprostol 6% vs. oxytocin 1%). Conclusion: Rectal misoprostol 800µg is as effective as 10 IU intramuscular oxytocin in minimizing blood loss in the third stage of labour. Rectal misoprostol has a lower incidence of side effects which are self limiting. This supports the utility of misoprostol as a safe and effective uterotonic for use in the rural and remote areas of developing countries where other pharmacologic agents may be less feasible.

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“…Unfortunately, hospital deliveries for rural area were marked with annual fluctuations of not improved figures consistent with the findings from other studies [1,9,10,11]; also the rural areas had the highest maternal deaths of 1612 deaths/ 100,000 lives deliveries during the period of the study. This is because girls are married out early in rural areas when their not mature for the rigors of pregnancy and delivery and uneducated as their urban counterparts to know the danger signs of pregnancy.…”

Section: Discussion Of Findingssupporting

confidence: 89%

Temporal Analysis of Maternal Mortality in Kano State, Northern Nigeria: A Six-Year Review

Ibrahim¹

2014

AJPHR

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To determine the incidence of maternal mortality associated with non utilization of obstetric services and how socio-demographic and medical factors influence the deaths of pregnant women. A retrospective study of information extracted from hospital records on live birth, antenatal attendance, age at death, parity, educational level and cause of death was reviewed, the study covered data from thirty General hospitals in both urban and rural areas in Kano state for a period of 6 years from 1 st January 2005 to 31 st December 2010. Data collected was analyzed for pattern of antenatal care, hospital live delivery, age at death, obstetric causes of death and maternal mortality ratio. There were 2,310,727 antenatal attendance 1,886,932 live deliveries and 3,062 maternal death during the period under review given a maternal mortality ratio (MMR) of 1625/100,000 live deliveries. It was also discovered that mean age at death for pregnant women for urban areas was 28.8 years and rural 27.6 years. Both antenatal and hospital live deliveries had irregular pattern. The major direct causes of death in urban area was eclampsia and bleeding cases while in rural areas bleeding cases followed by eclampsia and obstructed labor and then anemia were more prevalent.

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Maternal mortality among adolescent women in Jos, North-Central, Nigeria

Cited by 30 publications

References 11 publications

Trends in maternal mortality in a tertiary institution in Northern Nigeria

Trends in maternal mortality in a tertiary institution in Northern Nigeria

MISOP ROSTOL : AN ALTERNATIVE TO OXYTOCIN IN MANAGEMENT OF 3 rd STAGE OF LABOUR IN RURAL INDIA??

Temporal Analysis of Maternal Mortality in Kano State, Northern Nigeria: A Six-Year Review

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