Conference abstract

Investigating institutional maternal deaths in Ogun State, Nigeria: analysis of 2016 maternal and perinatal deaths surveillance data

Pan African Medical Journal - Conference Proceedings. 2018:8(83).09 Dec 2018.
doi: 10.11604/pamj-cp.2018.8.83.665

Contact the corresponding author
Keywords: Maternal, surveillance, mortality, perinatal
Opening ceremony

Investigating institutional maternal deaths in Ogun State, Nigeria: analysis of 2016 maternal and perinatal deaths surveillance data

Salimat Bola Sanni1,&, Adebobola Bashorun1, Aboyowa Edukugho1, Saheed Gidado1, Elijah Ogunsola2, Olalekan Adebimpe3

1Nigeria Field Epidemiology and Laboratory Training Programme, Abuja, Nigeria, 2Ogun State Primary Health Care Development Board, Abeokuta, Nigeria, 3Department of Community Medicine, Osun State University, Oshogbo, Nigeria

&Corresponding author
Salimat Bola Sanni, Nigeria Field Epidemiology and Laboratory Training Programme, Asokoro, Abuja, Nigeria

Abstract

Introduction: globally over 600,000 women die annually from complications of pregnancy. Nigeria ranks second globally in the number of maternal deaths. Ogun State has maternal mortality rate (MMR) of 179 per 100000 live births, with 5728 women dying of pregnancy related complications annually. Ogun State has a total fertility rate of 5.4 and contraceptive prevalence rate of 26%. Maternal and Perinatal Deaths Surveillance and Response (MPDSR) started as Maternal Death Review (MDR) in Ogun State in year 2009. The initiative was geared towards conducting qualitative assessment of the causes of maternal and perinatal deaths for evidence-based decisions to prevent reoccurrences of such preventable deaths. This study describes the outcome of maternal death review conducted in selected health facilities in Ogun State to give insight to why women die from pregnancy and related events.

Methods: this is a cross-sectional study. We conducted desk review of 2016 Ogun State Maternal death review (MDR) forms retrieved from the Monitoring and Evaluation unit of Ogun State Primary Health Care Development Board. A total sampling of the health facilities conducting MPDSR in the State was taken and the study population constitutes all cases of maternal deaths in those facilities. Data analysis was done using SPSS software version 20.0. We determined the Frequencies, proportions, means, ratio and proportionate risk of the variables abstracted.

Results: the health facilities offering MPDSR notified 49 maternal deaths in 2016 and reviewed 32 (63%) of the maternal deaths. Average age at death was 30.8 + 5.7 years, 41 (92%) of them were married, 31 (69%) lived in urban areas, 27 (55%) belonged to the low socio-economic class. The average institutional mortality ratio (iMMR) obtained was 534 per 100,000 live births. Thirty nine (88%) of the women delivered via a caesarean section. Thirty of the women (61%) died at peurperium. Haemorrhage accounts for 22 (43%) of maternal deaths while eclampsia accounts for 8 (36%) of deaths.

Conclusion: haemorrhage and eclampsia are the leading cause of maternal deaths with most maternal deaths occurring postpartum. It is important to involve other health facilities and communities in the surveillance to obtain a representative outcome of death review to facilitate intervention.