Factors Contributing to Maternal Mortality in North-Central Nigeria: A Seventeen-year Review
作者： O. A. Aisien , J. T. Mutihir , V. E. Uguru , R. H. Glew , I. A. O. Ujah
关键词: Childbirth 、 Standardized mortality ratio 、 Pregnancy 、 Obstetrics 、 Cause of death 、 Population 、 Unsafe abortion 、 Maternal death 、 Medicine 、 Abortion
摘要: Maternal mortality ratio in Nigeria is one of the highest world. This paper reports a facility based study north-central to determine magnitude, trends, causes and characteristics maternal deaths before after launch Safe Motherhood Initiative Nigeria, with view suggesting strategic interventions reduce these deaths. The records all deliveries case files women who died during pregnancy childbirth between January 1, 1985 December 31, 2001, maternity unit Jos University Teaching Hospital, Jos, were reviewed. Data collected analysed for socio-biological variables including age, booking status, educational level, parity, ethnic group, marital mode delivery, duration hospital stay death occurred, cause (s) There 38,768 267 period under review, giving (MMR) 740/ 100,000 total deliveries. trend fluctuated 450 1990 1,010/100.000 1994. mean age was 26.4 (SD 8.1) years. greatest risk MMR among young teenagers (> 15 years) older (< 40 years). Parity-specific grand multiparous women. Unbooked as well illiterate associated very high ratio. Hausa - Fulani group contributed largest number (44%) by tribe our study. major direct haemorrhage (34.6%), sepsis (28.3%), eclampsia (23.6%) unsafe abortion (9.6%). most common indirect hepatitis (18.6%), anaesthetic (14.6%), anaemia meningitis (12.0%), HIV/AIDS (10.6%) acute renal failure (8.0%). Seventy-nine percent occurred within 24 hours admission. Most preventable. A regional-specific programme should be planned deplorably Nigeria.
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