Maternal Mortality Trend in South East Nigeria: Less Than a Decade to the Millennium Developmental Goals

Nwagha, UI; Nwachukwu, Daniel Chukwu; Dim, Cyril Chukwudi; Ibekwe, PC; Onyebuchi, Azubuike K.

doi:10.1089/jwh.2008.1028

Cited by 32 publications

(31 citation statements)

References 9 publications

(12 reference statements)

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“…This is similar to the report by Nwagha et al,5 but slightly differs from reports by Mairiga et al4 and Agan et al7 who found sepsis to be less prominent. Many of the cases handled by the obstetricians at the study center are cases referred from private hospitals.…”

Section: Discussionsupporting

confidence: 89%

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Pattern of deaths in females in a tertiary health center, south-west Nigeria

Omoniyi-Esan¹,

Olaofe²,

Onwubuya³

et al. 2011

IJWH

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PurposeThe aim of this study was to review autopsies to determine the pattern of deaths in females at Wesley Guild Hospital, Ilesa, Nigeria.MethodsA 9-year retrospective study was done of all autopsies done on females in the Department of Morbid Anatomy and Forensic Medicine, Obafemi Awolowo University Teaching Hospitals Complex, Wesley Guild Hospital, Ilesa, Nigeria, from January 2002 to December 2010. Records of all autopsies done on females during the period were reviewed.ResultsDuring the study period 215 cases of female death were autopsied. The age range was 0–75 years (mean = 32.9). Deaths due to trauma were most common (57.2%), followed by obstetric deaths (15.8%). Deaths due to infections and cardiovascular diseases accounted for 13% and 5.6%, respectively. Injuries sustained from automobile accidents were responsible for 88.6% of all trauma deaths. Gunshot injuries accounted was 4.9% of these trauma deaths. The causes of death from automobile accidents included multiple injuries (49.5%), head injury (38.5%), and hypovolemia (8.3%). Obstetric deaths were predominantly due to uterine sepsis (51.5%) and hemorrhagic shock (39.4%). About 39% of deaths from infection were due to septicemia. Acute bacterial meningitis, acute lobar pneumonia, and malaria caused 23.1%, 15.4%, and 7.7% of deaths from infections, respectively. Four cases of sudden unnatural deaths (other than trauma) were recorded.ConclusionTrauma was the most common cause of death in women autopsied in our hospital, and automobile injuries were the most common causes of these trauma deaths. Obstetric deaths ranked second. Sepsis and hemorrhage were the most common causes of these obstetric deaths. Deaths from eclampsia were low. Requests for autopsies on women who died from cancer were few. There is a need for clinicians to ascertain the actual cause of death in women who die from cancer.

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Section: Discussionsupporting

confidence: 89%

“…Many studies have shown the relatively high maternal mortality rate in Nigeria 2–7. Maternal deaths have remained high despite many efforts in reducing it 5. A more concerted effort is needed in the implementation of already existing policies on reduction of maternal mortality.…”

Section: Discussionmentioning

confidence: 99%

Pattern of deaths in females in a tertiary health center, south-west Nigeria

Omoniyi-Esan¹,

Olaofe²,

Onwubuya³

et al. 2011

IJWH

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“…The MMR of 1098 per 100 000 live births at NAUTH between 2004 and 2010 is very high but similar to that reported in other hospitalbased studies in Nigeria [12,13]. This ratio is less than the 2849 per 100 000 and 2151 per 100 000 deliveries reported in hospitalbased studies conducted in the Nigerian states of Gombe [14] and Sokoto [15], respectively.…”

Section: Discussionsupporting

confidence: 79%

Improving maternal mortality at a university teaching hospital in Nnewi, Nigeria

Igwegbe

Eleje

Ugboaja

et al. 2011

Intl J Gynecology & Obste

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“…Indeed, economic, geographical, sociocultural, and patient demographic peculiarities were not considered. Consequently, maternal mortality and morbidity has remained embarrassingly high, [31] and the attainment of the Millennium Development Goals is in doubt. Unfortunately, there is a dearth of information on the relationship between some micronutrients (Cu and Zn) status, parity, and obesity indices in pregnant and nonpregnant women.…”

Section: Introductionmentioning

confidence: 99%

Parity-related changes in body weight may influence the zinc and copper status of urban pregnant women: A report from south eastern Nigeria

Nwagha

Iyare

Ogbodo³

et al. 2013

J Basic Clin Reprod Sci

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A B S T R A C TBackground: Micronutrient replacement is done indiscriminately, without recourse to peculiar socioeconomic and sociodemographic variables. Particularly, the relationship between parity, body weight, and some micronutrients has received minimal attention in Nigeria. Aim: To determine the relationship between parity, body weight, and some micronutrients during pregnancy. Subjects and Methods: This is a cross-sectional study involving 130 pregnant women and 30 nonpregnant control. They were recruited from two health care facilities in Nigeria and grouped into nulliparous and multiparous. After a 24-h dietary recall, the weight (W) and height (H) were measured. The body mass index (BMI) (W in kg/H in m 2 ) was calculated. Serum copper and zinc were estimated using flame atomic absorption spectrophotometer. Results: Multiparous nonpregnant subjects parity=3.0 (0.58) had higher weight (P=0.037) and BMI (P=0.035) than their nulliparous counterparts (parity=0). In addition, there were no significant difference in Cu and zinc levels between the two groups (P=0.243 and 0.402, respectively). Expectedly, weight and BMI increased as pregnancy progressed. There was no significant difference in Cu levels between the three trimesters in the nulliparous pregnant and multiparous pregnant subjects. In the pregnant nulliparous subjects, the Zn levels of the 2 nd and 3 rd trimesters were significantly lower than that of the nonpregnant nulliparous subjects (P<0.001 and 0.039, respectively). However, in multiparous pregnant subjects, only the 3 rd trimester Zn level was significantly lower than that of the nonpregnant controls (P=0.017). Conclusion: Pregnancy weight gain is more pronounced in multiparous than nulliparous women. This parity-related pattern only affects the serum zinc levels, a situation that should be taken into consideration when formulating policies for nutritional replacement.

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Maternal Mortality Trend in South East Nigeria: Less Than a Decade to the Millennium Developmental Goals

Abstract: 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.

Cited by 32 publications

References 9 publications

Pattern of deaths in females in a tertiary health center, south-west Nigeria

Pattern of deaths in females in a tertiary health center, south-west Nigeria

Improving maternal mortality at a university teaching hospital in Nnewi, Nigeria

Parity-related changes in body weight may influence the zinc and copper status of urban pregnant women: A report from south eastern Nigeria

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