Cargando…

Causes and contributory factors of maternal mortality: evidence from maternal and perinatal death surveillance and response in Ogun state, Southwest Nigeria

BACKGROUND: Nigeria still ranks second globally in the number of maternal deaths. Most maternal death reviews in Nigeria are isolated research based reports from a single health facility. This study determined causes and contributory factors of maternal mortality in Ogun statefollowing a periodic St...

Descripción completa

Detalles Bibliográficos
Autores principales: Sageer, Rabiatu, Kongnyuy, Eugene, Adebimpe, Wasiu Olalekan, Omosehin, Omolaso, Ogunsola, Elijah Ayowole, Sanni, Bola
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6371466/
https://www.ncbi.nlm.nih.gov/pubmed/30744576
http://dx.doi.org/10.1186/s12884-019-2202-1
_version_ 1783394548734492672
author Sageer, Rabiatu
Kongnyuy, Eugene
Adebimpe, Wasiu Olalekan
Omosehin, Omolaso
Ogunsola, Elijah Ayowole
Sanni, Bola
author_facet Sageer, Rabiatu
Kongnyuy, Eugene
Adebimpe, Wasiu Olalekan
Omosehin, Omolaso
Ogunsola, Elijah Ayowole
Sanni, Bola
author_sort Sageer, Rabiatu
collection PubMed
description BACKGROUND: Nigeria still ranks second globally in the number of maternal deaths. Most maternal death reviews in Nigeria are isolated research based reports from a single health facility. This study determined causes and contributory factors of maternal mortality in Ogun statefollowing a periodic State-widematernal and perinatal deaths surveillance and response (MPDSR) review. METHODS: We carried out a retrospective analysis of cases of maternal deaths notified (n = 77) and reviewed (n = 45) in health facilities in Ogun State from 2015 to 2016selected using total sampling method. Using the national MPDSR structured and validated data collection tools or questionnaire, collected data was extracted from existing MPDSR data base, andanalyzed using the Statistical Package for Social Sciences (SPSS) software 20.0. We obtained approval from the State Ministry of Health for this study. RESULTS: Average age at maternal death was 30.8 ± 5.7 years. Haemorrhageand pre-eclampsia or eclampsia account for 43.4 and 36.9% of causes respectively. Leading contributory factors ofmaternal deaths include inadequate human resource for health, delay in seeking care, inadequate equipment, lack of ambulance transportation, and delay in referrals services. 51.1%of the women had antenatal care while a significant proportion of the women were referred from Traditional Births Attendants (TBAs) and mission houses. CONCLUSION: We concluded that many of the contributory factors of maternal mortality could be avoided if preventive measures were taken and adequate care available. MPDSR provides a platform for critical evidence of where the main problems lie, and can provide valuable information on strategies which maternal mortality prevention programs should focus on. The implementation and institutionalization of MPDSR programme is on course in Ogun State. MPDSR is feasible and should be institutionalized in all states of Nigeria. A commitment to act upon the findings of MPDSR is a key prerequisite for success.
format Online
Article
Text
id pubmed-6371466
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-63714662019-02-21 Causes and contributory factors of maternal mortality: evidence from maternal and perinatal death surveillance and response in Ogun state, Southwest Nigeria Sageer, Rabiatu Kongnyuy, Eugene Adebimpe, Wasiu Olalekan Omosehin, Omolaso Ogunsola, Elijah Ayowole Sanni, Bola BMC Pregnancy Childbirth Research Article BACKGROUND: Nigeria still ranks second globally in the number of maternal deaths. Most maternal death reviews in Nigeria are isolated research based reports from a single health facility. This study determined causes and contributory factors of maternal mortality in Ogun statefollowing a periodic State-widematernal and perinatal deaths surveillance and response (MPDSR) review. METHODS: We carried out a retrospective analysis of cases of maternal deaths notified (n = 77) and reviewed (n = 45) in health facilities in Ogun State from 2015 to 2016selected using total sampling method. Using the national MPDSR structured and validated data collection tools or questionnaire, collected data was extracted from existing MPDSR data base, andanalyzed using the Statistical Package for Social Sciences (SPSS) software 20.0. We obtained approval from the State Ministry of Health for this study. RESULTS: Average age at maternal death was 30.8 ± 5.7 years. Haemorrhageand pre-eclampsia or eclampsia account for 43.4 and 36.9% of causes respectively. Leading contributory factors ofmaternal deaths include inadequate human resource for health, delay in seeking care, inadequate equipment, lack of ambulance transportation, and delay in referrals services. 51.1%of the women had antenatal care while a significant proportion of the women were referred from Traditional Births Attendants (TBAs) and mission houses. CONCLUSION: We concluded that many of the contributory factors of maternal mortality could be avoided if preventive measures were taken and adequate care available. MPDSR provides a platform for critical evidence of where the main problems lie, and can provide valuable information on strategies which maternal mortality prevention programs should focus on. The implementation and institutionalization of MPDSR programme is on course in Ogun State. MPDSR is feasible and should be institutionalized in all states of Nigeria. A commitment to act upon the findings of MPDSR is a key prerequisite for success. BioMed Central 2019-02-11 /pmc/articles/PMC6371466/ /pubmed/30744576 http://dx.doi.org/10.1186/s12884-019-2202-1 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Sageer, Rabiatu
Kongnyuy, Eugene
Adebimpe, Wasiu Olalekan
Omosehin, Omolaso
Ogunsola, Elijah Ayowole
Sanni, Bola
Causes and contributory factors of maternal mortality: evidence from maternal and perinatal death surveillance and response in Ogun state, Southwest Nigeria
title Causes and contributory factors of maternal mortality: evidence from maternal and perinatal death surveillance and response in Ogun state, Southwest Nigeria
title_full Causes and contributory factors of maternal mortality: evidence from maternal and perinatal death surveillance and response in Ogun state, Southwest Nigeria
title_fullStr Causes and contributory factors of maternal mortality: evidence from maternal and perinatal death surveillance and response in Ogun state, Southwest Nigeria
title_full_unstemmed Causes and contributory factors of maternal mortality: evidence from maternal and perinatal death surveillance and response in Ogun state, Southwest Nigeria
title_short Causes and contributory factors of maternal mortality: evidence from maternal and perinatal death surveillance and response in Ogun state, Southwest Nigeria
title_sort causes and contributory factors of maternal mortality: evidence from maternal and perinatal death surveillance and response in ogun state, southwest nigeria
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6371466/
https://www.ncbi.nlm.nih.gov/pubmed/30744576
http://dx.doi.org/10.1186/s12884-019-2202-1
work_keys_str_mv AT sageerrabiatu causesandcontributoryfactorsofmaternalmortalityevidencefrommaternalandperinataldeathsurveillanceandresponseinogunstatesouthwestnigeria
AT kongnyuyeugene causesandcontributoryfactorsofmaternalmortalityevidencefrommaternalandperinataldeathsurveillanceandresponseinogunstatesouthwestnigeria
AT adebimpewasiuolalekan causesandcontributoryfactorsofmaternalmortalityevidencefrommaternalandperinataldeathsurveillanceandresponseinogunstatesouthwestnigeria
AT omosehinomolaso causesandcontributoryfactorsofmaternalmortalityevidencefrommaternalandperinataldeathsurveillanceandresponseinogunstatesouthwestnigeria
AT ogunsolaelijahayowole causesandcontributoryfactorsofmaternalmortalityevidencefrommaternalandperinataldeathsurveillanceandresponseinogunstatesouthwestnigeria
AT sannibola causesandcontributoryfactorsofmaternalmortalityevidencefrommaternalandperinataldeathsurveillanceandresponseinogunstatesouthwestnigeria