Trends in maternal mortality in a tertiary institution in Northern Nigeria
Trends in maternal mortality in a tertiary institution in Northern Nigeria
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DOI：
10.4103/1596-3519.59575
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发表时间：
2009-10-01
影响因子：
0.9
通讯作者：
Mairiga, Abdulkarim G.
中科院分区：
文献类型：
--
作者：
Kullima, Abubakar Ali;Kawuwa, Mohammed Bello;Mairiga, Abdulkarim G.
目的：要看看在我们的机构在孕产妇死亡率的趋势超过5 years.Methods：112例孕产妇死亡的记录进行了回顾性审查，以确定的趋势和可能的直接原因，每个死亡在研究period.Results：共有112例孕产妇死亡，而3931交付进行了5年的时间。孕产妇死亡率（MMR）为2849/10万次分娩。2003年的孕产妇死亡率最高，为6 234/100 000，2007年显著下降至1 837/100 000。子痫始终是导致孕产妇死亡的主要原因，占46.4%，其次是败血症和产后出血（PPH），分别占17%和14.3%。不同年龄组的孕产妇死亡率差异无统计学意义（χ（2）= 6.68; P = 0.083）。与低产次相比，大产次占孕产妇死亡的显著比例，卡方2 = 10.43; P = 0.00054。缺乏产前护理（未登记）和文盲是孕产妇死亡率的重要决定因素（卡方2 = 64.69，P = 0.00000;卡方2 = 18.52，P = 0.0000168）。尽管多年来孕产妇死亡率有所下降，但仍然很高，其中子痫持续造成的死亡率最高。除其他因素外，社区对利用产前护理和住院分娩服务的必要性进行宣传，以及提高熟练产妇护理的质量，将大大减少这些可预防的产妇死亡原因，降低孕产妇死亡率。
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 significant differences in the corresponding percentages of maternal deaths between various age groups (chi(2) = 6.68; P = 0.083). Grandmultiparas accounted for a significant proportion of maternal deaths as compared to low parity, with chi 2 = 10.43; P = 0.00054. Lack of seeking antenatal care (unbooked) and illiteracy were observed to be significant determinants of maternal mortality (chi 2 = 64.69, P = 0.00000; and chi 2 = 18.52, P = 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 significantly. 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.