A retrospective study of maternal mortality rate in Warji local government area of Bauchi state, Nigeria
Michael E Aisuodionoe, Gideon I Ogu
A five year retrospective study was carried out to investigate the maternal mortality rate (MMR) in some public health centers in Warji LGA of Bauchi State, Nigeria. A total of 17,323 women who registered for and received ante-natal care at the health centers in the area from 1st January 2009 to 31st December 2013 was the sample population size. The data were retrieved from yearly summary report on live birth deliveries, ante-natal care registration, still births, maternal deaths and employment records of Warji LGA. However specific case records of the mothers who died within the period were retrieved from the data base of General Hospital, Warji and were assumed to approximate for the total number of deaths in all health facilities in Warji LGA. Data analyses showed a general reduction in MMR from 932 per 100,000 live births in 2009 to 604 per 100,000 live birth in 2013 (a reduction of 328 per 100,000). This reduction correlates with an increase in antenatal care (ANC) registration of 3065 in 2005 to 3778 in 2009. There has been an increase in proportion of delivery in health facilities from 59% in 2005 to 64.6% in 2009 corresponding to reduction from 836 per 100,000 live births to 604 per 100,000 live births. The number of skilled staff employed increased by 36.4% since 2005 and correlated to MMR reduction of 328 per 100,000 live births since that period. The key obstetric cause of death over the period was haemorrhagc (44%), followed by infection (24%), eclampsia (12%) and obstructed labour (8%). Anaemia, rupture uterus and others had 4% respectively. The causes of maternal death seemed to be affected by age and parity. Generally, reduction in MMR tends to correlate with increasing ANC registration and number of employed staff. Efforts should be made to sustain or increase antenatal services and staff capacity development within the local government.
Michael E Aisuodionoe, Gideon I Ogu. A retrospective study of maternal mortality rate in Warji local government area of Bauchi state, Nigeria. International Journal of Medical and Health Research, Volume 1, Issue 5, 2015, Pages 30-34