[show abstract][hide abstract] ABSTRACT: We sought to determine the magnitude and spatio-temporal pattern of maternal morbidity in Kano State, Nigeria. Analysis was on deliveries within the period 1990-1999. We counted 59772 maternal complications among 171621 deliveries, yielding an overall maternal morbidity ratio of 34.8%. We observed yearly variations and increment in the number of complications among mothers (p=0.04). A total of 4154 maternal deaths were registered within the period. The level of maternal deaths correlated significantly with burden of morbidity (r=0.44; p=0.0008). Case fatality rate was 6.9% with temporal fluctuations, and wide variations among the various health institutions. Our study revealed an extremely high morbidity ratio, which indicates that a high proportion of pregnant mothers are in need of essential obstetric care in this population.
Journal of Obstetrics and Gynaecology 07/2004; 24(4):367-71. · 0.55 Impact Factor
[show abstract][hide abstract] ABSTRACT: To determine the incidence and causes of maternal mortality as well as its temporal distribution over the last decade (1990-1999).
All maternal deaths recorded within the study period in the State of Kano, Northern Nigeria, were analyzed. Maternal mortality ratios (MMR) were computed using the Poisson assumption to derive confidence intervals around the estimates. A non-linear regression model was fitted to obtain the best temporal trajectory for MMR across the decade of study.
A total of 4154 maternal deaths occurred among 171,621 deliveries, yielding an MMR of 2420 deaths per 100,000. Eclampsia, ruptured uterus and anemia were responsible for about 50% of maternal deaths.
We found one of the highest maternal mortality ratios in the world. Maternal mortality could be reduced by half at study site with effective interventions targeted to prevent deaths from eclampsia, ruptured uterus and anemia.
European Journal of Obstetrics & Gynecology and Reproductive Biology 09/2003; 109(2):153-9. · 1.84 Impact Factor
[show abstract][hide abstract] ABSTRACT: The objective of this study was to identify the sociocultural and economic factors that act as barriers to women's use of antenatal care services and hospital delivery in a rural community in Kano State, Northern Nigeria. The study was based on an interview of 107 pregnant women conducted by a trained midwife in the native language of the area. Findings indicate that the majority of women (88%) (CI = 81.8-94.2%) in the study area did not attend for antenatal care, and 96.3% (CI = 93.0-99.8%) had delivered or plan to deliver at home without a skilled attendant. Major barriers identified were economic, cultural and those related to the women's perception of their condition. The study recommends that poverty reduction and economic empowerment of rural women are prerequisites for any tangible improvement in the utilisation of antenatal care and obstetric delivery services.
Journal of Obstetrics and Gynaecology 12/2002; 22(6):600-3. · 0.55 Impact Factor