Maternity care monitoring: A contrast at two levels of health care delivery in Ibadan, Nigeria

Abstract

The obstetric performance of women delivering at two hospitals in Ibadan is compared in this study. The prevalence of high-risk pregnancies at the tertiary level hospital (University College Hospital) was higher than that of the secondary level hospital (Oluyoro Catholic Hospital). Consequently, the cesarean section rate of the UCH (21.8%) was higher than that at the OCH (2.3%). Similarly, the maternal mortality (3.5 per 1000) and perinatal mortality (60.2 per 1000) at the UCH were significantly higher than at the OCH, 2.0 per 1000 and 9.8 per 1000, respectively. The need for a national birth survey based on a representative sample of all the different types of health establishments in Nigeria was stressed.

Maternal deaths where do they occur? A survey of health facilities in Abia state, south east Nigeria

“…Harrison KA recorded 1050/100,000 deliveries in Zaria [26] , while 2,151/100,000, 2,397.3/100,000 and 739/100,000 were recorded in tertiary hospitals in Sokoto, Enugu and Jos respectively [27][28][29] . The MMR obtained from surveys of secondary health facilities in Anambra State and Ibadan were 497/100, 000 and 200/100, 000 respectively [30,31] . The tertiary facilities have higher prevalence of high risk pregnancies than the secondary and therefore record more fatalities [31] .…”

“…The MMR obtained from surveys of secondary health facilities in Anambra State and Ibadan were 497/100, 000 and 200/100, 000 respectively [30,31] . The tertiary facilities have higher prevalence of high risk pregnancies than the secondary and therefore record more fatalities [31] . Therefore, the MMR of 171/100,000 found in this study may be as a result of inclusion of both secondary and primary health facilities whose clientele have lower prevalence of high risk pregnancies.…”