Maternal Mortality: A Review of Aetiology in a Lassa Fever Endemic Region of Nigeria – Pages 34-37

Oboh SA1,*, Eifediyi RA1, Yaya O1, Okoeguale J1, Ikheloa JO1, Njoku I.A2 , Ajekweneh A1, Mojeed M1, Eigbefoh J1, Okogbenin SA1, Olugbenga E.O1, Oboh CO1

1 Department of obstetrics and Gynecology Irrua Specialist Teaching Hospital, Irrua, Nigeria,

2 Department of obstetrics and Gynecology College of Medicine, AAU, Ekpoma, Nigeria

DOI: https://doi.org/10.31907/2309-4400.2020.08.07

Abstract:

Background: Maternal deaths are a subset of all female deaths; they are defined as any deaths that occur during pregnancy or childbirth or within 42 days after the birth or termination of a pregnancy. The Nigeria National Demographic Health Survey of 2018 (NDHS) reported that the lifetime risk of maternal death was 0.029, which indicated at the time of this report that 1,000 women (one in 34 women) would die before the age of 50 during pregnancy, during childbirth, or within 2 months of childbirth. Maternal mortality reduction is one of the key goals of the safe motherhood initiative which Nigeria endorsed and also one of the UN millennium development goals. Reducing maternal mortality in Nigeria has been a topical issue, efforts have been futile, and the scourge of maternal deaths have defiled many interventional attempts. In this study, a survey of pregnant women and hospital births in Irrua, South-South Nigeria was undertaken to examine factors associated with the trend of maternal mortality during or up to 42 days after pregnancy.

Objective: To determine the trends in maternal mortality in ISTH, identify the background, socio- cultural factors and major causes of maternal death.

Matherials and Methods: This was a retrospective cross sectional study of all pregnancy related deaths between January 2008 and December 2018. Case folders with complete information of interest where retrieved and relevant data obtained for analysis.

Results: The maternal mortality ratio (MMR) for the period under review was 531 per 100,000 live births. There were annual fluctuations in MMR with the highest ratio of 708 per 100,000 live births recorded in the year 2011. Obstetric Haemorrhage, Eclampsia and viral haemorrhagic fever (lassa fever) contributed 28%, 18% and 16% respectively to maternal mortality respectively. Teenagers and advanced maternal age, illiteracy and non-utilization of the services of skilled birth attendants were risk factors for maternal death.

Conclusion: This study reported high mortality ratio, but a downward trend from the last review in 2007. Obstetrics haemorrhage, eclampsia, and viral haemorrhagic fever (Lassa fever) were the highest contributors to maternal mortality in this study.Teenagers and advanced maternal age, illiteracy and non-utilisation of the services of a skilled birth attendant were risk factors for maternal death

Keywords: Maternal mortality, ISTH irrua, Obstetrics haemorrhage and eclampsia and lassa fever