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. In Nigeria, malaria is a major public health problem. Join ResearchGate to find the people and research you need to help your work. Eclampsia, pre-eclampsia, and hemorrhage were reported to be the most common direct causes of maternal mortality, all of which are preventable by simple maneuvers like regular antenatal checkups, early detection, presence of trained birth attendants to assist with the delivery, easy access to health facilities, etc. Of the 1,841 abstracts and titles at initial screening, 329 full text articles were reviewed and 43 papers fulfilled the inclusion criteria. According to UNICEF, a woman’s chance of dying from pregnancy and childbirth in Nigeria is 1 in 13. The maternal mortality rate (MMR), the number of women who die during pregnancy and child birth per 100,000 live births, in the African Region is the highest in the world. factors limiting the utilization of maternal healthcare services 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. Measures to reduce preventable hospital deaths should also be put in place. We presented the distribution and causes of maternal mortality in Islamic Republic of Iran. 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. Autopsy records are taken from the death register and other information were extracted from the postmortem reports. Trends in Maternal Mortality… Results: Lack of antenatal care and place of residence further than 5 km from the hospital were associated with maternal death. It averages 940 deaths per 100,000 live births, with disparities among countries and between urban and rural areas in the same countries. The rate of female medicolegal deaths (MLD) due to homicides and road traffic accidents (RTAs) is the highest in Africa, compared to the rest of the world, though there is scanty literature locally on this subject. Cardiac disease is the most common cause of indirect death. To review and document the MMR. The trial is registered at clinicaltrials.gov (NCT01487707). Daily Trust, in this report, examines some of the factors responsible for this ugly trend. The study establishes that respondents in age group 15-19 years are 1.234 times more likely to experience complications when compared with the reference category 20-24 years. More than half of these cases happen in sub-Saharan Africa. The high maternal mortality rate in Nigeria can be attributed to several causes which range from direct medical causes to indirect causes like taboos, inefficient infrastructure and other social and cultural factors. Infant mortality in Nigeria is still a big problem. Maternal and neonatal mortality remains unacceptably high in this setting. Results: The MDG 5A does not appear to have been successful in Nigeria. Even though the population is growing fast, still, too many children pass away earlier than they become 12 months years old. 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. Nigeria has one of the highest rates of maternal mortality in the world, and HDP remains a focal point of study as a major cause of maternal and perinatal mortality [7]. Maternal mortality ratio (modeled estimate, per 100,000 live births) - Nigeria WHO, UNICEF, UNFPA, World Bank Group, and the United Nations Population Division. Know the causes of an increase in MMR. Entitlements and freedom that are highly relevant to reduction of maternal mortality, provided by international treaties are inaccessible to young women in the study area. This is to say that there was a 24.86% reduction over 10 years, hence, in 15 years, the reduction should be 37%. Health Minister Osagie Ehanire . Number of maternal deaths in Nigeria was 67,000 as of 2017. August 25, 2020. Urgent areas for quality improvement in obstetric care, even in tertiary and teaching hospitals should focus on organisational factors to reduce delays in conducting Caesarean section and making blood and magnesium sulphate available for all who need these interventions. Funding: Materials and methods: This was a review of the records of all maternal deaths related to pregnancy over a ten-year period, that is, January 1999 to December 2008. We had access to pertained data of 896 cases (95.2%) for review in our study. 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. Two hundred and sixty-six women were admitted presenting with stillbirth. During the study period, there were 8,022 live births and 103 maternal deaths, giving an MMR of 1,284/100,000 live births. The most common causes of maternal mortality were hemorrhage (26%), puerperal sepsis (19%), and obstructed labor (5%). Overall, the three leading causes of death were obstetric hemorrhage (30.9%), complications of abortion (23.8%), and nongenital (nonobstetric) infections (14.2%). 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. Every day, about 800 women die because of complications which are connected with pregnancy or childbirth. 2 years ago read comments by Evelyn Bankole. Current primary education, while 22.1 percent had infant mortality rate is 75 deaths per 1000 live secondary education. They can be prevented. Preventive measures should focus on this delay, which is usually beyond the reach of the hospital. Data were presented in tables and percentages, using SPSS version 16(Chicago, USA 2006). Fig. The biggest is the failure of medical practitioners to notice the early warning signs. Nigeria still has high prevalence of mortalities reflected in infants and children amongst others [5,6,7]. 3 Only one‐third of births in Nigeria occur in a health facility. 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. The median diagnosis-definitive intervention interval was over 4 hours in a quarter of women who died from HDP. Infant mortality rate in Nigeria, causes and prevention. Almost all (99%) of maternal deaths occur in developing countries, and 68% occur in Sub-Saharan Africa alone. The country is … Of 896 reported deaths, 549 were classified as direct, 302 as indirect and 45 as unknown. Results: This is a 10-year retrospective study of all maternal deaths seen in our center from January 01, 2005 to December 31, 2014. Olu Oduntan S, Odunlami VB. © 2008-2021 ResearchGate GmbH. The data used for this study were obtained from Central Bank of Nigeria Statistical Bulletin. This study was conducted to assess NAUTH'S progress in achieving a 75% reduction in the maternal mortality ratio (MMR) and to identify the major causes of maternal mortality. Majority (16/28; 57.1) were non-literates, 16/28 (57.1%) were of Hausa/Fulani extraction and 12/28 (42.9%) were unbooked. This high level of maternal mortality is also linked to Nigeria’s high rate of deaths for children under 5—newborns account for a quarter of the under-five deaths which occur in the country. mote the utilization of available health facilities by pregnant women. In 2000 the maternal mortality ratio in Nigeria was 800 per 100 000 live births. The aim of this study was to determine the direct and indirect causes of maternal mortality in Lagos State, Nigeria. 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. Nigeria is the second largest contributor in terms of under-five mortality rates in the world – the same also goes for maternal mortality. Majority of the deaths were Muslims (χ(2) = 15.108, P = <0.001). We sought to determine the ratio, causes, and key risk factors of maternal deaths in institutions located at different socioeconomic settings. This is a sad reminder that, unless things are better organized, Southeast Nigeria, which Nnamdi Azikiwe University Teaching Hospital (NAUTH) represents, may not join other parts of the world in attaining Millennium Development Goal 5 to improve maternal health in 2015. National ID: FG announces final deadline for NIN registration, blocking of SIM c... Little baby laughs hard as mum tries to twerk for the gram (video), Emotional moment Trump's children break down in tears as their father says goodbye to presidency, Nigerian lady who fries yellow garri for a living showcases her work (photos), Bored? Severe bleeding (mainly postpartum hemorrhage); stronger healthcare systems, which rely on effective facilities. 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. Nigeria maternal mortality rate for 2014 was 943.00, a 0.84% decline from 2013. demographic characteristic were identified by using medical registries, death certificates, and relevant codes according to International Classification of Diseases (ICD-9) during pregnancy, labor, and 42 days after parturition. Emergent situations in the country as well as conflicts and natural disaster has made it difficult to make any progress regarding lowering maternal deaths. Results: During 3 years, there were 5094317 deliveries and 941 maternal deaths (MMR of 18.5 per 1000000 live births). As UNICEF states, Nigeria loses 145 women to maternal mortality each day. 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%). The leading causes of death in this study, hemorrhage, cardiovascular disease and eclampsia are highly avoidable and treatable. WhatsApp. Know the causes of an increase in MMR. There are 17 percent of births that happen without any help. Maternal mortality is the death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and the site of the pregnancy. The rate changes every year. We really want to believe that soon it will become minimal. Currently, Nigeria is the highest contributor to maternal mortality in Central and Western Africa and accounts for 14% of the global maternal mortality rate. Aim: To determine the causes, trends, and level of maternal mortality rate in Abakaliki, Ebonyi. Conclusions The main problems that cause 75% of all maternal deaths are: In other cases, the causes are diseases such as: On a global basis, approximately 1.6% of all maternal fatalities are associated with HIV and AIDS. Materials and methods: After provision of an electronic Registry system for date entry, a descriptive-retrospective data collection had been performed for all maternal Deaths in March 2009- March 2012. This is 6 percent lower than the rate in 2014 (820). Of the 1,026 deaths in these sisters, 300 (29.2%) occurred during pregnancy, childbirth or within 42 days after delivery. 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. Of the indirect causes, nongenital infections (50.0%), anemia (25.0%), and preexisting hypertension (20.8%) accounted for the majority of the maternal deaths. Materials and methods: However, a consensus has now been reached. The main primary causes of neonatal deaths were prematurity (44%) and birth asphyxia (22%). Key demographic indicators for Nigeria: Under-Five Mortality Rate, Population. About 2,300 children under the age of five die each day and these could have been prevented had they received essential interventions. While some of the occurrences are predicted during routine prenatal care, most occur spontaneously without warning signs. Methods: It emphasizes the enormous gap between the wealthy and the poor people. Difficulties during pregnancy and childbirth are the main reasons of death among adolescent girls in most developing countries. ResearchGate has not been able to resolve any citations for this publication. 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. There are few papers on autopsy based causes of maternal mortality. This study therefore examines the maternal health implications of early marriage on young mothers in the study area. The total number of live births during the study period was recorded in order to calculate the maternal mortality ratio. Methods Diseases of the cardiovascular system accounted for 41.8% (n = 41) of cases, whereas pregnancy-associated deaths (excluding criminal abortions) accounted for 29.6% (n = 29) of cases in the natural causes group. 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