Assessment of the Quality of Emergency Obstetric Care at the Federal Medical Centre, Makurdi, Nigeria

Ochejele, Silas; Enegela, Joseph; Heywood, Arthur

doi:10.4314/tjog.v21i2.14493

Cited by 6 publications

(8 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This is however lower than 1381/100,000 live births found by Alobo et al, and is much less than 2337/100,000 in another study by Ochejele et al, both studies in a similar facility in Makurdi. 7,14 The maternal mortality ratio is also similar to that found in Jos (1010/100,000 deliveries) in 1994 in the same region of North Central, Nigeria. 15 The results of maternal mortality ratio in Nigeria vary according to the region, with results of 454/100,000 live births in Benin, South West, 1400/100,000 in Enugu South East, 1625/100,000 in Kano, North West, 2849/100,000 in Nguru and 1732/100,000 in Bauchi both in north East Nigeria.…”

Section: Discussionsupporting

confidence: 79%

Maternal mortality statistics and risk factors at a tertiary hospital in Makurdi, Nigeria

Hemabh-Hilekaan¹,

Eka²,

Maanongun³

et al. 2019

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background:To determine the magnitude of maternal mortality and its major causes including the trend and social demographic factors associated with the problem in our environment. Methods: A retrospective institutional review of all the case notes of maternal mortality at the Benue State University Teaching Hospital, Makurdi over a six-year study period, from July, 2012 to June, 2018 were computed and analyzed. Results: A total of 2,442 deliveries took place within the period under review, out of which 2,325 were live births. Total maternal deaths were 26, giving a total maternal mortality ratio (MMR) of 1,118 deaths per 100, 000. The major causes of maternal mortality during this period were unsafe abortion and its complications, hypertensive diseases in pregnancy, puerperal sepsis and obstetric hemorrhage. Conclusions: Maternal mortality remains very high at our facility y, although with a declining trend. This may be a reflection of the situation in the general population. Increased coverage of the National Health Insurance Scheme, blood availability and utilization of antenatal services will further reduce maternal mortality in Nigeria.

show abstract

Section: Discussionsupporting

confidence: 79%

Maternal mortality statistics and risk factors at a tertiary hospital in Makurdi, Nigeria

Hemabh-Hilekaan¹,

Eka²,

Maanongun³

et al. 2019

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

show abstract

“…The maternal mortality ratio of 2849/100,000 observed over the study period was the highest in the northern part of the country, which has the greatest burden of maternal mortality reported earlier in Sokoto, [8] Makurdi [9] and Kano. [10] There was a dramatic drop in the yearly trend, from as high as 6234/100,000 deliveries in 2003 to 1665/100,000 deliveries in 2006; this may be as a result of the substantial increase in the number of women who resorted to hospital deliveries at that time.…”

Section: Discussionmentioning

confidence: 86%

“…In Nigeria, the effort to reduce the high number of maternal deaths has received government priority, which informed the launching of the National Programme for the Prevention of Maternal Mortality (NPPMM) in 1986 with a view to expand and strengthen efforts towards advocating safe motherhood. [7] The northern part of the country is the worst, with an estimated maternal mortality ratio of 2151/100,000, [8] 2337/100,000 [9] and 2420/100,000 [10] deliveries in Sokoto, Makurdi and Kano, respectively, as reported in the institutional and population-based studies. From another institutional study in Jos, though the MMR was lower than highlighted above for the northern region, there was a significant increasing Grandmultiparas accounted for a significant proportion of maternal deaths compared to those of low parity, with χ 2 ϭ 10.43; P ϭ 0.00054.…”

Section: Introductionmentioning

confidence: 99%

Trends in maternal mortality in a tertiary institution in Northern Nigeria

et al. 2009

View full text Add to dashboard Cite

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.

show abstract

“…However, when women arrive late in hospital, the use of efficient, effective and timely emergency obstetric care in referral hospitals often determines whether women would live or die, or end up as near-miss cases. Available evidence suggests that in many secondary and tertiary care hospitals in Nigeria, the quality of emergency obstetric care is often sub-optimal [4, 5, 6], and is not appropriately designed to respond to women experiencing exacerbated pregnancy complications. This is evidenced by studies that report higher case fatality rates for women arriving in Nigerian secondary and tertiary hospitals with various obstetric complications [7, 8, 9] as compared to rates reported from more developed parts of the world.…”

Section: Introductionmentioning

confidence: 99%

Views of senior health personnel about quality of emergency obstetric care: A qualitative study in Nigeria

et al. 2017

View full text Add to dashboard Cite

BackgroundLate arrival in hospital by women experiencing pregnancy complications is an important background factor leading to maternal mortality in Nigeria. The use of effective and timely emergency obstetric care determines whether women survive or die, or become near-miss cases. Healthcare managers have the responsibility to deploy resources for implementing emergency obstetric care.ObjectivesTo determine the nature of institutional policies and frameworks for managing obstetric complications and reducing maternal deaths in Nigeria.MethodsThirty-six hospital managers, heads of obstetrics department and senior midwives were interviewed about hospital infrastructure, resources, policies and processes relating to emergency obstetric care, whilst allowing informants to discuss their thoughts and feelings. The interviews were audiotaped, transcribed and analyzed using Atlas ti 6.2software.ResultsHospital managers are aware of the seriousness of maternal mortality and the steps to improve maternal healthcare. Many reported the lack of policies and specific action-plans for maternal mortality prevention, and many did not purposely disburse budgets or resources to address the problem. Although some reported that maternal/perinatal audit take place in their hospitals, there was no substantive evidence and no records of maternal/perinatal audits were made available. Respondents decried the lack of appropriate data collection system in the hospitals for accurate monitoring of maternal mortality and identification of appropriate remediating actions.ConclusionHealthcare managers are handicapped to properly manage the healthcare system for maternal mortality prevention. Relevant training of healthcare managers would be crucial to enable the development of strategic implementation plans for the prevention of maternal mortality.

show abstract

Assessment of the Quality of Emergency Obstetric Care at the Federal Medical Centre, Makurdi, Nigeria

Cited by 6 publications

References 0 publications

Maternal mortality statistics and risk factors at a tertiary hospital in Makurdi, Nigeria

Maternal mortality statistics and risk factors at a tertiary hospital in Makurdi, Nigeria

Trends in maternal mortality in a tertiary institution in Northern Nigeria

Views of senior health personnel about quality of emergency obstetric care: A qualitative study in Nigeria

Contact Info

Product

Resources

About