A five-year review of perinatal and maternal outcomes and their predisposing socio-demographic factors in a tertiary hospital in South-South Nigeria
DOI:
https://doi.org/10.18203/2349-3933.ijam20220777Keywords:
Maternal, Perinatal, Outcome, Morbidity, MortalityAbstract
Background: With a ‘Very High’ maternal mortality ratio (MMR) of 814 per 100,000 live births, Nigeria contributes the largest proportion of 19% to the global burden of maternal mortality. The causes of maternal and perinatal mortality in Nigeria are linked to the three levels of delay in accessing maternal healthcare. The objective of the study was to identify the sociodemographic contributors to adverse maternal and perinatal outcomes and mortalities in the facility and make appropriate recommendations that would improve maternal and perinatal outcomes/mortalities.
Methods: This research was a retrospective study. It was conducted between January, 2016 and December, 2020. Relevant data was retrieved, entered into a pre-designed proforma, and analysed using Statistical Product and Service Solutions for windows® version 25, SPSS Inc.; Chicago, USA.
Results: Age of the women (X2=12.94; p-0.005), marital status (X2=66.86; p-0.001), level of education (X2=8.77; p-0.033) and occupation of participants (X2=26.30; p-0.001) were sociodemographic characteristics that are significantly associated with the outcome of pregnancies in this centre. perinatal mortality was also associated with age of the women (X2=15.52; p-0.001), their marital status (X2=105.48; p-0.001), level of education (X2=223.15; p-0.005) and occupation (X2=229.6; p-0.001).
Conclusions: Our study revealed that socio-demographic factors of the patients to a large extent contributes to maternal and perinatal morbidity and mortality, and not just the three delays.
References
Awowole IO, Badejoko OO, Kuti O, Ijarotimi OA, Sowemimo OO, Ogunduyile IE. Maternal mortality in the last triennium of the Millennium Development Goal Era at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria. J Obstet Gynaecol. 2018;38(2):189-93.
Fawole AO, Shah A, Tongo O, Dara K, El-Ladan AM, Umezulike AC, et al. Determinants of perinatal mortality in Nigeria. Int J Gynecol Obstet. 2011;114(1):37-42.
Trends in maternal mortality: 1990 to 2015. Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. Geneva: WHO. Available at: https://www.who.int/reproductivehealth/publications/monitoring/maternal-mortality-2015/en/ Accessed on 10 March, 2022.
Alkema L, Chou D, Hogan D, Zhang S, Moller A, Gemmill A, et al. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter Agency Group. Lancet. 2015;6736:828-37.
World Health Organization. Fact sheets. 2018. Available at: https://www.who.int/news-room/fact-sheets/detail/maternal-mortality Accessed on 17 March, 2022
Allagoa DO, Oriji PC, Ohaeri OS, Chika MN, Atemie G, Ubom AE, et al. Post-partum haemorrhage at the Federal Medical Centre, Yenagoa, South-South Nigeria: A 5-year review. West J Med Biomed Sci. 2021;2(2):121-9.
Ubom AE, Ijarotimi OA, Ogunduyile IE, Omilakin A, Nyeche S, Igbodike EP, et al. Obstructed labour in a Nigerian tertiary health facility: a mixed-method study. Int J Reprod Contracept Obstet Gynecol. 2021;10(8):2937-43.
Oriji PC, Allagoa DO, Briggs DC, Chika MN, Mariere UI, Ikoro C, et al. A 5-year review of obstructed labour and its sequalae in the Federal Medical Centre, Yenagoa, South-South, Nigeria. Int J Clin Obstet Gynaecol. 2021;5(5):6-12.
Say L, Chou D, Gemmill A, Tunçalp Ö, Moller AB, Daniels JD, et al. Global Causes of Maternal Death: A WHO Systematic Analysis. Lancet Global Health. 2014;2(6):e323-33.
World Health Organisation. Neonatal and perinatal mortality. Available at: http://whqlibdoc.who.int/publications/ 2006/9241563206_eng.pdf. Published 2006. Accessed on 10 March, 2022.
Briggs DC, Eneh AU, Alikor EAD. Basic neonatal resuscitation: retention of knowledge and skills of primary health care workers in Port Harcourt, Rivers State, southern Nigeria. Pan Afr Med J. 2021;38.
Ope BW. Reducing maternal mortality in Nigeria: addressing maternal health services’ perception and experience. J Global Health Rep. 2020;4:e2020028.
Allagoa DO, Oriji PC, Wajio TJ, Briggs DC, Oguche I, Mbooh TR, et al. A 5-year review of uterine rupture in the Federal Medical Centre, Yenagoa, South-South Nigeria. Int J Res Rep Gynaecol. 2021;4(3):27-35.
Oriji PC, Allagoa DO, Ubom AE, Kattey KA, Briggs DC, Chika MN, et al. Hypertensive disorders in pregnancy at the Federal Medical Centre, Yenagoa, South-South Nigeria: a 5-year review. Int J Res Med Sci. 2021;9(10):2923-9.
Oriji PC, Allagoa DO, Ikoro C, Oriji VK, Unachukwu CE, Ubom AE, et al. A Five-year Review of Puerperal Sepsis and Its Complications at the Federal Medical Centre, Yenagoa, South-South Nigeria. J Adv Microbiol. 2021;21(8):55-6.
Hamal M, Dieleman M, De Brouwere V, de Cock Buning T. Social determinants of maternal health: a scoping review of factors influencing maternal mortality and maternal health service use in India. Public Health Rev. 2020;41(1):13.
Oriji PC, Allagoa DO, Omietimi JE, Obagah L, Orisabinone IB, Tekenah ES. Abruptio placentae from abdominal massage in a tertiary hospital in South-South, Nigeria: A case series. Yen Med J. 2020;2(3):32-5.
Azuh DE, Azuh AE, Iweala EJ, Adeloye D, Mordi RC. Factors influencing maternal mortality among rural communities in southwestern Nigeria. Int J Womens Health. 2017;9:179-88.
Ibrahim IA, Oyeyemi A, Onwudiegwu U. Twin pregnancies in the Niger Delta of Nigeria: a four-year review. Int J Womens Health. 2012;245.
Umeora OUJ, AneziOkoro EA, Egwuatu VE. Higher-order multiple births in Abakaliki, Southeast Nigeria. Singapore Med J. 2011;52(3):163-7.
Mutihir JT, Pam VC. Obstetric outcome of twin pregnancies in Jos, Nigeria. Niger J Clin Pract. 2007;10(1):15-8.
Nwokoro UU, Dahiru T, Olorukooba A, Daam CK, Waziri HS, Adebowale A, et al. Determinants of perinatal mortality in public secondary health facilities, Abuja Municipal Area Council, Federal Capital Territory, Abuja, Nigeria. Pan Afr Med J. 2020;37(114).
Meh C, Thind A, Terry AL. Ratios and determinants of maternal mortality: a comparison of geographic differences in the northern and southern regions of Cameroon. BMC Pregnancy Childbirth. 2020;20(1):194.
