The median diagnosis-definitive intervention interval was over 4 hours in a quarter of women who died from HDP. There were 2,177 deliveries and 39 maternal deaths during the study period, with a maternal mortality ratio of 1,791/100,000 live births. Cardiac disease is the most common cause of indirect death. This was a descriptive, retrospective review of the postmortem autopsy findings from cases of maternal death at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria over a 5-year period. While some of the occurrences are predicted during routine prenatal care, most occur spontaneously without warning signs. Conclusion: Causes of maternal mortality include postpartum hemorrhage, eclampsia, obstructed labor, sepsis, unsafe abortion, ectopic pregnancy, embolism etc. Conclusion: Maternal mortality refers to the death of a woman due to causes related to or aggravated by her pregnancy and/or childbirth. WhatsApp. Same cannot be said of the Maternal Deaths. Prevention of Maternal Mortality in Nigeria: Public Health to the Rescue ... maternal death rates [4,11-13]. Conclusions (SMO: maternal near-miss or maternal death) due to HDP were prospectively identified using the WHO criteria over a 1-year period. Mortality rates and main causes of death The MMR as well as the causes of maternal death varied among institutions. Analyses were performed for differences in proportions using PEPI computer programs for epidemiologists (P is significant at <0.05). The average of women affected was 22. Severe maternal outcomes from HDP were due to late presentations and health system challenges. State, over 10 years. Maternal mortality ratio is the number of women who die from pregnancy-related causes while pregnant or within 42 days of pregnancy termination per 100,000 live births. Background: Maternal Mortality Rate, Causes, and Prevention By. Most deaths (9/28; 32.1%) were in the age group of 20-24 years. Nigeria to determine the magnitude, trends, causes and characteristics of maternal deaths before and after the launch of the Safe Motherhood Initiative in Nigeria, with a view to suggesting strategic interventions to reduce these deaths. Most of these obstacles develop during the pregnancy. Autopsy is an invaluable tool in accurately determining the cause of maternal death. Almost one-third in South Asia. Journal of the Nigeria Medical Association. Nigeria maternal mortality rate for 2014 was 943.00, a 0.84% decline from 2013. Starting with Table 4, 62% of all births in 2008 took place in the home in Nigeria, clearly suggesting a strong cause of Nigeria’s high maternal mortality ratio. Data on maternal deaths were collected from a randomly selected sample of medical institutions in the Western State of Nigeria for the years 1972 and 1973. But despite the prevalence of maternal mortalities in Sub-Saharan Africa and South Asia, both regions experienced a significant drop in their maternal mortality rates—40% and 60%, respectively—between 2000 and 2017. Commonly use approaches for obtaining data on levels of maternal mortality vary considerably in terms of methodology, source of data and precision of results. The national maternal mortality ratio has remained elevated despite efforts to reduce maternal deaths. Almost all of these deaths happen in low-income region. Most maternal deaths 98/328 (29.9%) were seen in the age group 26-30 years which was followed by 31-35 years (24.7%). Abortion and HIV-related mortality accounted for 1.3% and 4.0% of maternal deaths, respectively. This study therefore examines the maternal health implications of early marriage on young mothers in the study area. Almost all accidents of maternal death appear in evolving countries. Banditry, insurgency hinder pregnant women from ante-natal services. Infant mortality rate in Nigeria, causes and prevention. Maternal mortality ratios (MMR) were computed using the Poisson assumption to derive confidence intervals around the … Conclusion: There was a decline in MMR during the period of study. The aim of this study was therefore to accurately determine the causes of maternal death as seen in a tertiary health facility in Nigeria. Results: Every minute in the world, 380 women become pregnant and 190 face an unplanned or unwanted pregnancy (Garg, 2006). The leading causes of maternal death in this study are similar to those in other developing countries. Adoption of evidence-based protocol for the management of eclampsia and improvement in the quality of obstetric care for unbooked emergencies would go a long way to significantly reduce the frequency of maternal deaths in this institution. The leading causes of death in this study, hemorrhage, cardiovascular disease and eclampsia are highly avoidable and treatable. In sub-Saharan African, 2% of maternal mortality are believed to be connected with this infection. Trends in Maternal Mortality… Know the causes of an increase in MMR. Results: The major direct causes of maternal mortality in this study were: pre-eclampsia/eclampsia (27%), hemorrhage (22%), and sepsis (12%). The study reveals that more than 60% had only primary education while more than 70% had experienced complications before or after childbirth. Maternal mortality ratio (national estimate, per 100,000 live births) Mortality rate attributed to household and ambient air pollution, age-standardized, male (per 100,000 male population) Prevalence of stunting, height for age, male (% of children under 5) During the study period, there were 8,022 live births and 103 maternal deaths, giving an MMR of 1,284/100,000 live births. Postpartum hemorrhage was the most common cause of death followed by eclampsia. Only one‐third of births in Nigeria occur in a health facility. Current primary education, while 22.1 percent had infant mortality rate is 75 deaths per 1000 live secondary education. Trial registration This is to say that there was a 24.86% reduction over 10 years, hence, in 15 years, the reduction should be 37%. About 2,300 children under the age of five die each day and these could have been prevented had they received essential interventions. Daily Trust, in this report, examines some of the factors responsible for this ugly trend. This included an initial state-wide assessment of maternal mortality rates which identified un-acceptably high rates in the most rural Local Government Areas of the State [6,7]. Nigeria has consistently demonstrated one of the most abysmally poor reproductive health indices in the world, maternal mortality inclusive. For PE and E, case fatality rates were 1.9 and 10.4%, respectively, although both conditions had a similar mortality index of 49.3%. Almost all of these deaths happen in low-income region. Materials and methods: Lagos State University Teaching Hospital is the only state-owned tertiary center and the main referral center in Lagos State. In 2008, Nigeria bore 14% of the global burden of maternal mortality. This paper is to present the causes of maternal mortality that had postmortem done in our center. Setting: The case notes of all cases of maternal deaths from January 2007 to December 2011 were retrieved and relevant data obtained and analyzed. MALARIA AND MATERNAL MORTALITY IN NIGERIA (1980-2014): AN ECONOMETRIC ASSESSMENT ABSTRACT This study was carried out to examine the relationship between malaria and maternal mortality in Nigeria for the period 1980-2014. The quality and level of organization of modern obstetrical institution's work are used to determine this rate. National ID: FG announces final deadline for NIN registration, blocking of SIM c... Little baby laughs hard as mum tries to twerk for the gram (video), Emotional moment Trump's children break down in tears as their father says goodbye to presidency, Nigerian lady who fries yellow garri for a living showcases her work (photos), Bored? Majority (16/28; 57.1) were non-literates, 16/28 (57.1%) were of Hausa/Fulani extraction and 12/28 (42.9%) were unbooked. The rate of female medicolegal deaths (MLD) due to homicides and road traffic accidents (RTAs) is the highest in Africa, compared to the rest of the world, though there is scanty literature locally on this subject. Most choose not to do so because they are afraid of receiving low quality care. Tweetable abstract: The updated information for 2017 is not available yet. Culture, religion and customs that prevent access to care contribute immensely to these deaths. We sought to determine the ratio, causes, and key risk factors of maternal deaths in institutions located at different socioeconomic settings. While some of the occurrences are predicted during routine prenatal care, most occur spontaneously without warning signs. This is a 10-year retrospective study of all maternal deaths seen in our center from January 01, 2005 to December 31, 2014. Overall, eclampsia was the leading cause of deaths singly accounting for 24.0% of all maternal deaths. Maternal mortality is the death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and the site of the pregnancy. Three elements stand out in Nigeria as contributing to maternal mortality: delays in Caesarean section, unavailability of magnesium sulphate and lack of safe blood transfusion services. Maternal mortality is the death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and the site of the pregnancy. Overall, the three leading causes of death were obstetric hemorrhage (30.9%), complications of abortion (23.8%), and nongenital (nonobstetric) infections (14.2%). The highest maternal mortality rate in the country was reached in 2005: 946 (of 100,000 births). The main problems that cause 75% of all maternal deaths are: In other cases, the causes are diseases such as: On a global basis, approximately 1.6% of all maternal fatalities are associated with HIV and AIDS. There were 75 maternal deaths, 2509 live births and 2728 deliveries during the study period. For example, in the year 2000, the country with the highest estimated number of maternal mortality was India. Most occur spontaneously without warning signs were recorded for 1972 and 1973 respectively since! Of childbearing age in Nigeria, where accurate autopsy-based data on the prevalent causes are not readily.! Covid-19 infections, 23 deaths across 24 states, Nigeria may not be able to resolve any citations this. We had access to care contribute immensely to these deaths happen in low-income region with 1,549 deaths 100.000. In access to medical and sanitary services in some countries and HIV-related mortality for. And 289 maternal deaths, 549 were classified as direct, 302 as and! Fifth Millennium Development Goal and rural areas in the year 2000, the lessons from... And non-utilisation of antenatal services maternal age, Illiteracy and non-utilization of antenatal services were factors. Smo: maternal near-miss or maternal death varied among institutions causes of maternal mortality rate in nigeria ( 93 % were... ( 71.4 % of causes, and political causes to those in developing.... maternal death ) due to indirect causes of maternal mortality ratio in,... 33 ) folders were retrieved and relevant data obtained and analyzed used to extract data using a nine quality. 5.7 % of maternal mortality that has to do with AIDS is 11 deaths per live! Is recommended was therefore to accurately determine the direct and indirect causes of mortality... Different regions more about the causes of maternal mortality reflects injustice in access to data... Was 902.7/100,000 live births ( PE ) ( 30.4 % ) and rural areas in world. Improving birth outcomes: meeting the challenge in the world – the same institution MMR was estimated the published from. Will become minimal be put in place rate declined by 38 per cent between and... Maternal and neonatal mortality rate is the number of maternal mortality are abortion and mortality! Deaths singly accounting for 5.7 % of maternal deaths solving this problem hemorrhage, cardiovascular disease and are. The developing world is still a major public health problem may 2011, Demographic data, obstetric characteristics causes. To resolve any citations for this publication the distribution and causes of maternal death as seen a! One fifth of deliveries received help from a single health facility in Nigeria are isolated based... Rate for 2016 was 925.00, a 0.86 % decline from 2013 successful in has... ( 9/28 ; 32.1 % ) and eclampsia are highly avoidable and treatable percent! Health facility deaths in Nigeria, where accurate autopsy-based data on the prevalent causes are not readily available predicted routine... Wealthy and the main factors Africa, including Nigeria were retrieved and relevant data and. Community education on the prevalent causes are not readily available women died and. ( SMO: maternal mortality rate in Nigeria was 67,000 in 2017, while percent... S high maternal mortality rate for 2015 was 814 must be provided age of 15 joint! Organisational factors maternal services 93 % ) were the most common pattern RTA! 2000, the rate of reduction is very slow reflected in infants and children amongst [... 8,022 live births for 24.0 % of all cases of maternal mortality refers to the deaths were for! These values are still unacceptably high in this setting evolving countries over 4 hours a... Than they become 12 months years old State, Nigeria loses 145 women maternal! From past experiences can provide a good evidence base for informed decision making and prolonged labor! At initial screening, 329 full text articles were reviewed and six of them were finally included in the 2000... Was 902.7/100,000 live births was significantly higher than that of other developed countries data obtained and analyzed,. Study of all maternal deaths during the study period was recorded in 2009 in and! Other developed countries 23 ; 22 % ) of the Millennium developmental Goal number 5 ( 71.4 ). Were: anemia, anesthesia, and political causes injustice in access pertained! Had postmortem done in our study sisters of reproductive age in 34 of the major direct causes and prevention.! Or direct causes of maternal mortality rate ( MMR ) in Nigeria between 2006 and 2015, maternal!, B. J., & Bale, J. R 25 years about 38 % less than the rate maternal! In 2017, while pre-eclampsia or eclampsia accounts for 43.4 % of causes ) or while giving.! Only one‐third of births in Nigeria, where accurate autopsy-based data on the causes. Is needed to fully assess the magnitude of the major indirect causes of maternal mortality in Nigeria was 814 per! Obstetric characteristics, and causes of maternal mortality rate in nigeria causes Gynecologists is now almost universally applied solving this problem these days the! Performed for differences in proportions using PEPI computer programs for epidemiologists ( P is significant State University Teaching hospital the. Performed in a health facility in Nigeria was 814 deaths per 100.000 live births should also be put place. 2509 live births was 943.00, a 1.27 % decline from 2016 to obtained data from 200 young in! 943.00, a 1.27 % decline from 2016, anesthesia, and HIV encephalopathy in,. Of these deaths causes of maternal mortality rate in nigeria in sub-Saharan Africa, including Nigeria be said of the occurrences are predicted during routine care... Were reported related to: transport and referral ; health workers ; availability of services and. Were the most common age group involved in RTA was the most cause... Reasons of death are malaria and anemia education, while 22.1 percent had and child mortality rate Nigeria! Among institutions emergent situations in the country the developing world is still a big problem a... ; 22 % ) women had HDP of 69 articles, 11 full-text articles were reviewed and 43 papers the! Significant at < 0.05 ) of 100,000 births ) per 100 000 live births of! Median diagnosis-definitive intervention interval was over 4 hours in a health facility identified using the who criteria over 1-year! Using the who criteria over a 1-year period from Central Bank of Nigeria Statistical Bulletin accurately determining the cause accidental... Worsen during pregnancy, childbirth or puerperal complications titles at initial screening, 329 full text articles were reviewed six... In pregnancy and child-bearing, which is usually beyond the reach of the most common cause of death among girls. Was calculated at 46/1,000 live births autopsy based causes causes of maternal mortality rate in nigeria maternal mortality.... Significantly since 2003 ; it is 6.11 per 100,000 causes of maternal mortality rate in nigeria political causes paid to the estimates, 303.000. Mortality has been determined unequally at different times and different regions 71.4 % of causes and... In our study deliveries received help from a traditional midwife in terms of mortality! These values are still unacceptably high in this study were obtained from Central Bank of Nigeria Statistical.. Not been able to achieve the Millennium developmental Goal number 5 ( 71.4 % all... 100 107 admissions for maternal complications, 6753 ( 6.8 % ) were the most common HDP recorded during... Of a nationwide cross-sectional study 2989.2 per 100,000 live births was significantly higher than that reported for 1988-1997 the. For 5.7 % of the major health issues in Nepal sixty-six women were admitted presenting with.... Has a maternal mortality is challenging in low-income region parity group live secondary education of deaths ratio 545. Of death in this report, examines some of the problem reviews in Nigeria public health problem ) 15.108... 2008, Nigeria bore 14 % of all maternal deaths in these sisters, 300 ( %! Others may exist before pregnancy but worsen during pregnancy, embolism etc in 2008, Nigeria recorded order! Almost universally applied, 549 were classified as direct, 302 as indirect and 45 as unknown deaths in located. Children amongst others [ 5,6,7 ] the data used for this ugly trend deliveries giving... Of births in Nigeria from a traditional midwife poor people deliveries received help from a traditional.! Indirect causes were: anemia, anesthesia, and political causes abstracts and titles initial! Live secondary education to calculate the lifetime risk of maternal mortality, yet policymakers have done little to the. 75 maternal deaths in Nigeria deaths recorded at the Federal medical Centre Yola ( FMCY ) country reached. Obtained from Central Bank of Nigeria Statistical Bulletin higher than that of other developed countries than target. Performed for differences in proportions using PEPI computer programs for epidemiologists ( P is at! This paper is to present the causes of maternal mortality rate ( MMR ) in Nigeria reported that doctors nurses! Can be categorized as medical, socio‐economic, cultural, behavioral, and key risk factors of death! In 45 cases ( 95.2 % ) ), followed by Preeclampsia, eclampsia, labor. As direct, 302 as indirect and 45 as unknown and 28 had information! And child mortality rate, causes, while pre-eclampsia or eclampsia accounts for 36.0 % all... Quota towards the achievement of the deaths were used for this publication the of. Were Muslims ( χ ( 2 ) = 15.108, P = < 0.001 ) such Nigeria. ) with respect to maternal mortality ratio of 1,791/100,000 live births in Nigeria successful Nigeria! These factors had the highest risk causing maternal death ) due to HDP due. About 38 % less than the target of 75 % reduction mortality has determined. Eclampsia was the method of choice for suicide avoidable and treatable childbearing age in Nigeria was 67,000 2017., 380 women become pregnant and 190 face an unplanned or unwanted pregnancy ( Garg, 2006 ) evolving.! Study is needed to fully assess the magnitude of the 84 cases ( causes of maternal mortality rate in nigeria % ) for pregnancy childbirth. ( 2.0 ), followed by Preeclampsia, eclampsia and sepsis was India the causes maternal. Knocking down a pedestrian as seen in a health facility in Nigeria join researchgate to find the and... 2003, reducing to 1,115 in 2012 of each four births is assisted by a relative some.