Maternal Mortality At The State Specialist Hospital Bauchi, Northern Nigeria

Mairiga, AG; Saleh, Wael Fayek

doi:10.4314/eamj.v86i1.46924

Cited by 35 publications

(27 citation statements)

References 4 publications

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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%

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%

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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“…Furthermore, the causes were little bit different, e.g. eclampsia, hemorrhage, and sepsis were the major cause for maternal mortality in Nigeria [4].…”

Section: Discussionmentioning

confidence: 99%

Lack of antenatal care, education, and high maternal mortality in Kassala hospital, eastern Sudan during 2005–2009

Ali

Adam

2011

The Journal of Maternal-Fetal & Neonatal Medicine

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The aim of this study was to investigate the incidence and causes of maternal deaths at Kassala maternity hospital, eastern Sudan during 2005-2009. All maternal deaths during this period were reviewed and classified retrospectively. The medical file of consequent women who were discharged from the same ward in the hospital was reviewed to act as control for the maternal death. There were 132 maternal deaths and 20,485 (644/100,000) live births. Septicemia, preeclampsia/eclampsia, hemorrhage, anemia, viral hepatitis, and malaria were the causes for maternal mortality. Primipare (OR = 3.3, CI = 1.6-6.9, p = 0.001), lack of antenatal care (OR = 3.9, CI = 1.6-9.5, p = 0.002), illiteracy (OR = 2.6, CI = 1.4-4.8, p = 0.002), and rural residence (OR = 2.2, CI = 1.2-4.1; p = 0.008) were the predictors for maternal death. The levels of maternal education and antenatal attendance should be raised to reduce the high maternal mortality.

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“…In developing countries case fatality rate of up to 14% is reported in relation to eclampsia compared to 0% to 1.8% in developed countries 3 . In Northern Nigeria reports from different parts have sited eclampsia as the leading cause of maternal mortality 4,5 . This is variously attributed to cultural practices leading to early child bearing in the wake of poor maternity care services that are grossly underutilised.…”

Section: Introductionmentioning

confidence: 99%

Ecalmpsia: maternal and fetal outcome

Jido¹

2012

Af Hlth Sci

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Objective: To determine the incidence of eclampsia and examine the maternal and fetal outcome. Methods: A hundred and twenty consecutive admissions with eclampsia managed in Aminu Kano Teaching Hospital, Kano, Nigeria, were prospectively collated and analysed. Maternal and fetal morbidity and mortality were recorded. Results: The incidence of eclampsia was 1.2% of deliveries. Most (69.2%) of the patients had no antenatal care. In 93 (77.5%), the convulsions were controlled with diazepam, and 22.5% magnesium sulphate. Maternal complications rate was 39.2%, and use of Diazepam for control of convulsions increases complications (RR 3.12, 95% CI = 1.23-7.92, p= 0.02). Case fatality rate was 11.7%, diazepam use failed to achieve significant association with maternal death (RR 8.64, 95% CI = 0.53-140.29, p= 0.13). Stillbirth rate was 22.5% with significant association with diazepam use (RR 7.55, 95% CI= 1.07-53.09, p=0.04). Birth asphyxia was recorded in 39.1% and low birth weight in 25.8%. Conclusion:The incidence of eclampsia in our hospital was very high, with corresponding high maternal and perinatal morbidity and mortality. Increased antenatal screening and use of magnesium sulphate to control convulsions will reduce the incidence and associated morbidity and mortality for both mother and fetus.

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Maternal Mortality At The State Specialist Hospital Bauchi, Northern Nigeria

Cited by 35 publications

References 4 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

Lack of antenatal care, education, and high maternal mortality in Kassala hospital, eastern Sudan during 2005–2009

Ecalmpsia: maternal and fetal outcome

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