International Journal of Medicine and Medical Sciences

ISSN 2167-0404

International Journal of Medicine and Medical Sciences ISSN: 2167-0404 Vol. 2 (12), pp. 301-306, December, 2012. © International Scholars Journals 

Full Length Research Paper

The burden of maternal mortality in a semi urban Nigerian town: Five year experience

Ibrahim Isa A.1*, Owoeye Gani I. O.2 and Obilahi Abhulimen1

1Department of Obstetrics and Gynaecology, College of Health Sciences, Niger Delta University,    Amassoma,

Bayelsa State, Nigeria.

2Department of Community Medicine, College of Health Sciences, Niger Delta University, Amassoma,

Bayelsa State, Nigeria.

*Corresponding author. E-mail: [email protected]

Received 15 July, 2012; Accepted 23 December, 2012

Abstract

Pregnancy is one of the most important periods in the life of a woman, but it can unpredictably at times be affected by obstetrics complications thereby leading to the death of women either directly or indirectly during antenatal period, labour or in the puerperium. This study aims to determine the magnitude and causes of maternal deaths in a tertiary hospital. This is a five-year retrospective descriptive analysis of all cases of pregnancy related maternal deaths at the Niger Delta University Teaching Hospital Okolobiri, Bayelsa State, in the Niger Delta of Nigeria. There were 13 maternal deaths and a total of 1812 live births during the study period giving a maternal mortality ratio of 717.4 per 100,000 live births. Major causes of deaths were sepsis 6 (50.0%) and pre-eclampsia/ eclampsia 4 (33.3%). Maternal death was more likely to  occur  in the unbooked (p ; 0.001; 95% CI ; 0.02 to 0.51), between ages 19 to 23 years (p; 0.035; 95% CI ,0.918 to 11.615), in women of high parity (p ; 0.000; 95% CI ; 0.00 to 0.08)and in the unemployed(x2 = 28.198; df = 5; p = 0.000). There is an urgent need to address and improve on the quality of care given to unbooked emergencies in our institution. In addition other preventable social causes need to be tackled.

Key words: Maternal mortality, causes, Niger Delta, Nigeria.