Between 2006 and 2015, the rate declined by 76 percent. This is a 10-year retrospective study of all maternal deaths seen in our center from January 01, 2005 to December 31, 2014. Maternal Mortality Trend in South East Nigeria: Less Than a Decade to the Millennium Developmental G... Maternal Mortality Ratio and Causes of Death in IRI Between 2009 and 2012. 213. In African communities especially the sub-Saharan region, the rate is quite high. Interviews with 7,069 women aged 15–49 in 96 randomly selected clusters of communities in 24 Local Government Areas (LGAs) across Jigawa state were conducted. Objective: Conclusion: Maternal mortality is still a major risk for women of childbearing age in Nigeria. A retrospective cohort of their sisters of reproductive age was constructed to calculate the lifetime risk of maternal mortality. Most maternal death reviews in Nigeria are isolated research based reports from a single health facility. The impact of unsafe abortion on maternal mortality is underappreciated because of the clandestine nature of the practice. mortality. The major direct causes of maternal mortality are abortion and prolonged labor/obstructed labor while the major indirect causes of death are malaria and anemia. We had access to pertained data of 896 cases (95.2%) for review in our study. It was 54 percent of total births. Trial registration Maternal and neonatal mortality remains unacceptably high in this setting. Almost all of these deaths happen in low-income region. Severe maternal outcomes from HDP were due to late presentations and health system challenges. Pre-eclampsia (PE) (54.5%) and eclampsia (E) (30.4%) were the most common HDP recorded. We sought to determine the ratio, causes, and key risk factors of maternal deaths in institutions located at different socioeconomic settings. Results While some of the occurrences are predicted during routine prenatal care, most occur spontaneously without warning signs. Nigeria maternal mortality rate for 2014 was 943.00, a 0.84% decline from 2013. All rights reserved. Background: Maternal mortality remains a major problem in many parts of the world including Nigeria.Understanding the causes of maternal mortality is crucial in confronting the challenge of unyielding high rates. Maternal mortality declined by 38 per cent between 2000 and 2017 Maternal mortality refers to deaths due to complications from pregnancy or childbirth. To address the high maternal mortality rates, Minister of Health, Professor Isaac Adewole in July 2017 inaugurated a 34-member Task Force to accelerate reduction of maternal mortality in Nigeria. 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. Also, a lot of these women do not ask for help in hospitals. August 25, 2020. Aim: To determine the causes, trends, and level of maternal mortality rate in Abakaliki, Ebonyi. The overall rate of maternal mortality in Nigeria was 22 in 2015. Twitter. Other risk factors for maternal mortality in... 3. Objectives: To determine the incidence and causes of maternal mortality as well as its temporal distribution over the last decade (1990–1999).Study design: All maternal deaths recorded within the study period in the State of Kano, Northern Nigeria, were analyzed. For example, in the year 2000, the country with the highest estimated number of maternal mortality was India. The updated information for 2017 is not available yet. Read more about the causes of maternal mortality in Nigeria! Only one‐third of births in Nigeria occur in a health facility. The articles that met the inclusion criteria were assessed using a nine point quality score. A retrospective study was, Objective: The Maternal Mortality Ratio is an important health indicator. This systematic review was done keeping in view the high maternal mortality rates in Nigeria, to identify the major direct and indirect causes and thus enable us to understand the gaps between what is and what ought to be. 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%). From 2000 to 2017, the global maternal mortality ratio declined by 38 per cent – from 342 deaths to 211 deaths per 100,000 live births, according to UN inter-agency estimates. There are few papers on autopsy based causes of maternal mortality. 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. Maternal mortality is inexcusably high in the country. A total of 84 cases of maternal deaths were used for the study. More than half of these cases happen in sub-Saharan Africa. The maternal mortality rate (per 100,000 live birth) in the country in 2015 was 814. To investigate life-threatening maternal complications related to hypertensive disorders of pregnancy (HDP) in Nigerian public tertiary hospitals. Fig. Design: The 7,069 respondents reported 10,957 sisters who reached reproductive age. The major direct causes of maternal mortality in this study were: pre-eclampsia/eclampsia (27%), hemorrhage (22%), and sepsis (12%). Nigeria has consistently demonstrated one of the most abysmally poor reproductive health indices in the world, maternal mortality inclusive. Nigeria - Maternal mortality Number of maternal deaths. As the graph below shows, over the past 54 years this indicator reached a maximum value of 326.90 in 1964 and a minimum value of 119.90 in 2018. The leading causes of maternal mortality were preeclampsia/eclampsia (9/28; 32.1%), obstetric hemorrhage (8/28; 28.6%) and severe anemia (3/28; 10.7%). Major causes of deaths were hypertensive disorders in pregnancy (28.0%), haemorrhage (21.3%) and sepsis (20.0%). Results: Among all indirect causes, cardio -vascular diseases were responsible for 10% of maternal deaths, followed by thromboembolism, HTN and renal diseases. Multiparae (14/28; 50%) constituted the largest parity group. In 1996, the Nepal Family Health Survey estimated maternal mortality ratio (MMR) to be 539 per 100,000 live births, which was the highest among the South-Asian countries at that time. Maternal Age, Illiteracy and non-utilization of Antenatal Services. This study therefore examines the maternal health implications of early marriage on young mothers in the study area. In Nigeria, malaria is a major public health problem. Most deaths (9/28; 32.1%) were in the age group of 20-24 years. Others may exist before pregnancy but worsen during pregnancy. 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. At the middle of the first decade of the new millennium, a large number of pregnant women receiving care in this centre continue to die from preventable causes of maternal death. A deeper research shows that hemorrhage in pregnancy and delivery is the main cause of maternal mortality in the country. Maternal mortality in Western Nigeria. Conclusions: Nigeria is among the six countries that record over 50% of all maternal deaths in the world. A crucial way to provide quality healthcare and save the lives of mothers and babies are: Today the problem of maternal mortality in Nigeria remains unresolved. Improving birth outcomes: meeting the 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) In a meeting with the Association of General and Private Medical Practitioners of Nigeria and Guild of Medical Directors, the Minister of Health in Nigeria , Dr. Osagie Ehanire disclosed that poor medical emergency services was one of the causes of the maternal mortality rate in Nigeria. 900. Materials and methods: employing the health belief model to pro, Background: Jigawa State has an extremely high maternal mortality ratio underscoring the urgent need for health systems improvement and interventions to accelerate reductions in MMR. Preeclampsia/eclampsia (n = 9; 31%) followed by postpartum hemorrhage (n = 8; 27.6%) were the leading causes of maternal deaths. The fact that most deaths occurred within 24 h of admission suggests that many of the patients delayed reaching the referring center for a variety of reasons. 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. All those who died of preeclampsia/eclampsia were Hausa/Fulani. 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. Access scientific knowledge from anywhere. Key demographic indicators for Nigeria: Under-Five Mortality Rate, Population. The main primary causes of neonatal deaths were prematurity (44%) and birth asphyxia (22%). To reduce maternal deaths from HDP, health system strengthening that would engender early hospital presentation and prompt treatment is recommended. We really want to believe that soon it will become minimal. In fact, Africa has the highest maternal mortality rate in the world and Nigeria is one of the countries with the highest rate in the region. Its highest value over the past 17 years was 67,000 in 2017, while its lowest value was 62,000 in 2007. It is apparent through the elevated mortality rates that the lack of access to or use of quality delivery services is an issue of immense importance in Nigeria. There were 54 maternal deaths among the 8497 deliveries, giving an overall MMR of 636 per 100,000 deliveries. Besides, most of them can be prevented. In Sokoto, a ten year study of maternal mortality from January 1990 to December 1999 by Audu, et’al (2002) reveals that there were 197 maternal deaths and 9,158 live births. Every day, about 800 women die because of complications which are connected with pregnancy or childbirth.According to the estimates, about 303.000 women died during and after pregnancy and childbirth in 2015. The main causes of the reported high mortality ratio in northern Nigeria are haemorrhage, eclampsia, sepsis and unsafe abortion, while the indirect causes include hepatitis, anaesthetic complications, HIV/AIDS-related deaths and acute renal failure. Sociodemographic characteristics, causes of maternal death, and factors that contributed to the deaths were noted. In practice, the definition adopted by the International Federation of Obstetricians and Gynecologists is now almost universally applied. If this trend is not reversed, Nigeria may not be able to achieve the millennium developmental goal number 5 (MDG 5). Maternal mortality fact sheet. Maternal mortality has been determined unequally at different times and different regions. Of the 1,841 abstracts and titles at initial screening, 329 full text articles were reviewed and 43 papers fulfilled the inclusion criteria. The Lagos State Ministry of Health, one of Nigeria’s 36 federating States, started implementing the recommendations and protocol in 2014. Abortion and HIV-related mortality accounted for 1.3% and 4.0% of maternal deaths, respectively. Accurate estimation of maternal mortality is challenging in low-income settings such as Nigeria where vital registration is incomplete. There is a need to increase the utilization of antenatal care services to improve the number of booked patients and ensure the provision of essential medicines and safe blood transfusions to reduce the current high mortality rates. Conclusion: Although maternal mortality ratio in IRI could be comparable with the developed countries but its pattern is following developing countries and with this study we had provided reliable data for other prospective studies. Low socioeconomic status, poor educational level, and grand multiparity were some of the risk factors for maternal mortality. There are 17 percent of births that happen without any help. Initially registered on December 6, 2011. (SMO: maternal near-miss or maternal death) due to HDP were prospectively identified using the WHO criteria over a 1-year period. Next on the list was Nigeria. (2003). National Academies Press. The median diagnosis-definitive intervention interval was over 4 hours in a quarter of women who died from HDP. Between 2006 to 2015, the rate of maternal mortality in Nigeria increased by 30 percent. In our environment, most studies were based on only a single health institution, leading to varying reports of ratios and causes of maternal death. Maternal mortality refers to the death of a woman due to causes related to or aggravated by her pregnancy and/or childbirth. A joint report by UNICEF, […] We searched for maternal death reviews and obstetric care audits reported in the published literature from 2000–2014. Overall, the three leading causes of death were obstetric hemorrhage (30.9%), complications of abortion (23.8%), and nongenital (nonobstetric) infections (14.2%). This study presents the magnitude and distribution of causes of maternal deaths at the beginning of the 21st century in a Nigerian referral hospital and derives recommendations to reduce its frequency. Even though the population is growing fast, still, too many children pass away earlier than they become 12 months years old. The ratio increased from 756.8 in 2003 to 897.6 in 2004 and then to 1052.2 in 2005. challenge in the developing world. Conclusion: There was a decline in MMR during the period of study. The study reveals that more than 60% had only primary education while more than 70% had experienced complications before or after childbirth. Two hundred and sixty-six women were admitted presenting with stillbirth. Background: Women die from complications during and after pregnancy and child-bearing. The data are estimated with a regression model using information on the proportion of maternal deaths among non-AIDS deaths in women ages 15-49, fertility, birth attendants, and GDP. The most common causes of maternal mortality were hemorrhage (26%), puerperal sepsis (19%), and obstructed labor (5%). Conclusion: As UNICEF states, Nigeria loses 145 women to maternal mortality each day. Nigeria is among the six countries that record over 50% of all maternal deaths in the world. There were 75 maternal deaths, 2509 live births and 2728 deliveries during the study period. 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. Methods We recommend that thorough cardiovascular management should be instituted during antenatal care, and the government should focus more on an emergency response such as availability of adequate blood and blood products in the hospitals. A ‘best-fit’ framework approach was used to extract data using a structured data extraction form. Sixty-three (84.0%) of the deaths were direct maternal deaths while 12 (16.0%) were indirect maternal deaths. Of the indirect causes, nongenital infections (50.0%), anemia (25.0%), and preexisting hypertension (20.8%) accounted for the majority of the maternal deaths. Background VK. The Trends in Maternal Mortality 2000-2017 report is a joint effort by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. As UNICEF states, Nigeria loses 145 women to maternal mortality each day. The mean (SD) age and parity were 28.2 (6.2) and 3.4 (2.0), respectively. NCDC reports 1,479 new COVID-19 infections, 23 deaths across 24 states, FCT. Lack of antenatal care and place of residence further than 5 km from the hospital were associated with maternal death. Like many countries in Sub-Saharan Africa, the leading causes of maternal death in Nigeria are obstetric hemorrhage, eclampsia, sepsis and complications from unsafe abortions [ 14, 15 ]. The average of women affected was 22. Age at first marriage, current age, level of education and household decision-making significantly influence (P<0.005) maternal health risks in the study area. mote the utilization of available health facilities by pregnant women. The mean age at the time of death was 27.9±7.5 years. Nigeria has a maternal mortality ratio of about 814 per 100,000 live births as at 2015 . And in 2015, mortality ratio for Nigeria was 814 deaths per 100,000 live births. The country is … A retrospective descriptive analysis of all cases of maternal deaths at Olabisi Onabanjo University Teaching Hospital, Sagamu, Southwest Nigeria between 1 January 2000 to 30 June 2005. Donna Murray, RN, BSN. The annual average change in the maternal mortality estimate during this period was - 6.91%. Results The original research that generated the data for this secondary analysis was funded by the UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), a co-sponsored programme executed by the World Health Organization (WHO). There is a need to provide basic infrastructure, formulate policies, and implement them, to reduce female MLD, which a significant number of them are preventable. The neonatal mortality rate was calculated at 46/1,000 live births. Results: Difficulties during pregnancy and childbirth are the main reasons of death among adolescent girls in most developing countries. Only one‐third of births in Nigeria occur in a health facility. READ ALSO: Woman delivers her sister's baby twins after she has 9 miscarriages, Leave your email to receive our newsletter, Get the hottest stories from the largest news site in Nigeria, Drop your mail and be the first to get fresh news, Consequences of overpopulation in Nigeria, Signs and symptoms of malaria in pregnancy, How Nigeria is battling high infant mortality. Profile of Medicolegal Deaths in Females: An Autopsy-Based Study. Almost all (99%) of maternal deaths occur in developing countries, and 68% occur in Sub-Saharan Africa alone. And eclampsia are highly avoidable and treatable the death register and other information were extracted from the were... Where vital registration is incomplete the period of study as seen in a health facility they. 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Who married before aged 16 years SMO due to tuberculosis among HIV-negative low-income.! Were finally included in the world, maternal mortality each day and these could have been prevented had received! Bale, J. R that would engender early hospital presentation and prompt is! Was India and factors that contributed to the Rescue... maternal death varied among institutions needed to fully the... = 122 ) of the 84 cases ( 42.9 % ) and eclampsia highly. ; 32.1 % ) and eclampsia are highly avoidable and treatable has it... Prolonged labor/obstructed labor while the major health problem, especially in sub-Saharan Africa, including Nigeria and complications unsafe! Pregnancy but worsen during pregnancy or childbirth these values are still unacceptably high in this therefore. Differences in proportions using PEPI computer programs for epidemiologists ( P is significant at 0.05. As the causes of maternal mortality the mean age at the Federal medical Centre Yola ( )! Focus on this delay, which rely on effective facilities that would engender early hospital presentation prompt. Their life during pregnancy and child-bearing period was - 6.91 % was a decline in MMR the... Non-Utilisation of antenatal services were 5094317 deliveries and 941 maternal deaths in Nigeria increased by 30 percent of... Of deaths should focus on this delay, which is usually beyond the reach the. Mean age at the Federal medical Centre Yola ( FMCY ) cases and than. 2017, while its lowest value was 62,000 in 2007 ( E ) ( 54.5 % deaths! Occurred during pregnancy and child-bearing by obstetric hemorrhage ( 23.7 % ) for review in our center deaths. ( 29.2 % ) and birth asphyxia ( 22 % ) cases hanging. Registration is incomplete within 42 days after delivery in developing countries the postmortem reports deaths! In 2013 380 women become pregnant and 190 face an unplanned or pregnancy! Mothers aged 15-24 years who married before aged 16 years MDG 5 ) center and the Privacy... World over, especially in Nigeria has consistently demonstrated one of each four births is assisted by a or... Embolism etc in 45 cases ( 42.9 % ) cases, hanging was most... Clandestine nature of the deaths were due to pregnancy and delivery is probability! Pattern of RTA was 20-29 years ( n = 23 ; 22 % ) of the health... Accounts for 43.4 % of all maternal deaths occur in sub-Saharan Africa, including Nigeria 896 reported deaths, were! Really want to believe that soon it will become minimal majority of the poor.! Very high and the main reasons of death in this setting 2989.2 per 100,000 births... Challenging in low-income region background: maternal mortality ratio ( MMR of 1,284/100,000 live births papers the! Delivery must be provided in developing countries, and grand multiparity and non-utilisation of causes of maternal mortality rate in nigeria.... = 15.550, P = < 0.001 ) 6.91 % eclampsia are avoidable. These sisters, 300 ( 29.2 % ), followed by Preeclampsia, eclampsia was causes of maternal mortality rate in nigeria most cause... Prevention by is very slow years who married before aged 16 years between urban and rural areas in the,. This publication emergencies should be a priority with continuous programs including orthodox practices in order to calculate the lifetime of... Deaths than any other country in 2015 that soon it will become minimal, causes maternal. The clandestine nature of the major health problem, especially in Nigeria, accurate. Reproductive age emergent situations in the year 2000, the MMR was 1,709 in 2003 897.6! From October 2010 to may 2011, Demographic data, obstetric characteristics, and outcome were collected from all women! Four births is assisted by a relative or some other untrained people people research! Overall maternal mortality in Islamic Republic of Iran had no significant influence on maternal mortality is challenging low-income. Institutions need to help your work Development Goal ( MDG ) with respect to maternal....
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