Nigeria still ranks second globally in the number of maternal deaths. Maternal mortality is the death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of duration and site of pregnancy from any cause related or aggravated by the pregnancy or its management and not due to any accidental or incidental cause. Maternal mortality is the probability or percentage of mothers dying as a result of pregnancy related complications or postdelivery complications every year. Severe maternal morbidity smm includes unexpected outcomes of labor and delivery that result in. Cdc issues report on maternal mortality, prevention. Chapter 7 interventions to reduce maternal and newborn morbidity and mortality. Adapted from the march april 2010 global health matters article fogarty grantees employ implementation science to reduce maternal deaths in nigeria. Interventions to reduce maternal and newborn morbidity and mortality. The most recent estimate of the maternal mortality ratio mmr in nigeria was 545100,000 live births in 2008. Meeting the challenges of measuring and preventing maternal.
Conceptual model for the prevention of maternal mortality in. Reports from india, kenya, nigeria, and malawi identify anemia as the underlying cause of 8 to 16. In developed countries, dying during childbirth or because of pregnancy is very rare, even if your pregnancy is highrisk. Although the actual incidence of maternal mortality is relatively unknown in nigeria as majority of these cases are unreported, it is however estimated that nigeria has the second highest record of maternal deaths about 40,000 deaths were recorded only in 2010. This should result in innovative approaches to the prevention of maternal and child mortality and morbidity. Department of physical and health education, college of education, azare abstract. Hand hygiene is a critical element in disease prevention, including preventing the spread of covid19, but based on the latest global estimates, 2 out of 5 people or 3 billion people around the world lack basic handwashing facilities. Maternal mortality is one of the major health problems confronting nigeria and other resourcepoor countries. A patient and her child at the katsina specialist hospital in nigeria.
An assessment of policies and programs for reducing maternal mortality in lagos state, nigeria. Prevention of maternal mortality in nigeria juniper publishers. Since its inception in 1995, the multiple indicator cluster surveys, known as mics, has become the largest source of statistically sound and internationally comparable data on women and children worldwide. Doc major causes of maternal mortality in nigeria maimuna. Almost all maternal deaths 99 percent occur in the developing world world health. Reducing maternal mortality and morbidity improving birth. Public health to the rescue ogu rn1 and ephraimemmanuel bc2 1department of obstetrics and gynaecology, university of port harcourt, nigeria 2department of preventive and social medicine, university of port harcourt, nigeria submission. Factors associated with knowledge and attitude to preventing maternal. Trends in maternal mortality at the university of calabar. In practice, the definition adopted by the international federation of obstetricians and gynecologists is now almost universally applied. Reducing maternal mortality and morbidity improving. Maternal mortality and maternal health care in nigeria. Pdf on jun, 2018, ogu rn and others published prevention of maternal mortality in nigeria.
Meeting the challenges of measuring and preventing. The struggle to reduce high maternal mortality in nigeria. A community action research in bakassi local government area, cross river state, nigeria. The objective of this study was to assess trends in maternal mortality in a tertiary health facility.
Keep on reading further and find out how to save babies and young children from death. Nigeria accounts for a huge chunk of the maternal mortality rate globally. The maternal mortality ratio mmr stands at 576 per 100,000 live births demographic and health survey 20. Pdf risk factors for maternal mortality in nigeria. Nov 14, 2017 nigeria has the largest number of maternal deaths nearly 20% of all maternal deaths globally like the united states, nigerias maternal mortality ratio mmr is increasing in recent years, the mmr increased from 545 to 576 deaths per 100,000 live births fewer than 40% of deliveries take place in a health facility.
Achievement of sexual and reproductive health is also a human rights issue. A metin gulmezoglu, theresa a lawrie, natasha hezelgrave, olufemi t oladapo, joao paulo souza, marijke gielen, joy e lawn, rajiv bahl, fernando althabe, daniela colaci, and g justus hofmeyr. Jun 23, 2015 nigeria is second only to india in terms of the number of maternal deaths it experiences, and along with five other countriesindia, pakistan, the democratic republic of the congo, china and ethiopianigeria is part of a group which makes up more than 50 percent of the maternal mortalities that occur in the world. In nigeria for instance, maternal mortality accounts for 59,000 deaths of women annually 6, 7, 8. The major causes of maternal morbidity and mortality include haemorrhage, infection, high blood pressure, unsafe abortion, and obstructed labour. Public health strategies to prevent maternal mortality in nigeria the prevention of maternal mortality and consequent. Maternal mortality in nigeria is one of the highest in the world. In recent years, there has been increased recognition that reducing maternal mortality is not just an issue of development, but also an issue of human rights. Mar 03, 2014 as we conclude in our 106page paper entitled research and evaluation agenda for maternal health and hiv in subsaharan africa, improving maternal health in the context of the subsaharan african hiv epidemic requires greater understanding of the relationships between hiv disease and maternal morbidity and mortality, integrated and effective. Subsaharan africa had the highest maternal mortality ratio mmr in 2015. Centers for disease control and prevention cdc states. This research is a case study of the decline in nigerias maternal mortality ratio.
Maternal mortality, sometimes known as maternal death, remains a major cause of death among women of childbearing age in nigeria and many other countries and remains a serious public health concern particularly in developing nations of the world. Relationship of antenatal care with the prevention of maternal mortality among pregnant women in bauchi state nigeria yusuf mohammed rn,b sc. Outcomes of interventions to reduce pregnancyrelated mortality in nigeria. The social determinants of maternal mortality are complex and most co. Public health to the rescue find, read and cite all the. Maternal mortality in nigeria international journal of humanities. Helpmums revenue stream is the direct sale of the birth kit. The struggle to reduce high maternal mortality in nigeria kelsey a harrison abstract according to unicef estimates for nigeria, maternal mortality ratio is 1100 per 100,000 live births, antenatal care coverage 47 percent, institutional delivery rate 33 percent, and each woman bears six children on the average.
Causes and contributory factors of maternal mortality. The annual average change in the maternal mortality estimate during this period was 6. Heres how tech is helping to reduce maternal deaths cnn. Jul 03, 2019 this brief presents factors contributing to infant and maternal death and provides statelevel solutions and policy options.
According to the world health organization, this was the second highest number of annual maternal deaths in the world in 2010 and 14% of all maternal deaths globally. There is thus the need to focus on prevention of maternal deaths in nigeria by tackling these problems affecting the ability of pregnant women to access timely and quality maternal health services 1416. Preventable maternal mortality occurs where there is a failure to give effect to the rights of women to health, equality and nondiscrimination. Nigeria has one of the highest maternal mortality rates in the world, second only to india whose population is eight times larger than that of nigeria. Maternal mortality causes, risk factors and prevention. Sep 19, 2019 between 2000 and 2017, the maternal mortality ratio mmr, number of maternal deaths per 100,000 live births dropped by about 38% worldwide. The maximum increase in maternal deaths in nigeria between 2006 and 2015 was recorded in 2009. The significance of this study lies in its potential to identify what government actions, other organizations, and or social activists contributed to a decrease in maternal mortality in nigeria. But, if you live in a country like the united states, you can breathe a sigh of relief. Maternal health refers to the health of women during pregnancy, childbirth and the postpartum period. This nigerian company is leading the fight to reduce those numbers.
Aug 10, 2010 maternal mortality remains a major public health challenge, not only at the university of calabar teaching hospital, but in the developing world in general. Reducing maternal mortality and morbidity in developing countries. Read more about the causes of maternal mortality in nigeria. Maternal mortality has been described as one of the foremost and most neglected health problems and human rights abused in the world.
Maternal mortality centers for disease control and prevention. Very low weak in women with severe preeclampsia, a viable fetus and between 34 and 36 plus 6 days weeks of gestation, a policy of expectant management may be recommended, provided that uncontrolled maternal hypertension, increasing maternal organ dysfunction or fetal. This study employed secondary data in answering the research question. Social determinants of maternal mortality in nigeria. Also provided are examples of how states are using data to identify opportunities for evidencebased interventions and policies that help reduce u. The rate is higher in the rural communities than in the urban. The estimated lifetime risk of maternal mortality in some developing countries, where 1. Relationship of antenatal care with the prevention of. Determinantscauses of maternal mortality in nigeria. Maternal mortality is the probability or percentage of mothers.
Cdc issues report on maternal mortality, prevention strategies may 07, 2019 03. Government policy and initiatives on maternal mortality. Poverty, lack of education, unemployment, and gender relations are often cited in the professional literature as contributing to maternal death ratios lanre. Government policy and initiatives on maternal mortality reduction in. Interventions to reduce maternal and newborn morbidity and. Infant mortality rate in nigeria, causes and prevention legit. Sep 04, 2019 the death of a woman during pregnancy, at delivery, or soon after delivery is a tragedy for her family and for society as a whole. Strategies toward ending preventable maternal mortality epmm. Evidence on the efficacy of uterine massage for the prevention of pph is limited and. Here is what you need to know about the rate, causes, and prevention of maternal mortality. Reducing maternal deaths in nigeria fogarty international.
Since its inception in 1995, the multiple indicator cluster surveys, known as mics, has become the largest source of statistically sound and internationally comparable data on. The use of sisterhood method for estimating maternal mortality ratio in lagos state, nigeria. Conceptual model for the prevention of maternal mortality. It is one of the most common causes of death for women of reproductive age in nigeria. Nigeria has the largest number of maternal deaths nearly 20% of all maternal deaths globally like the united states, nigeria s maternal mortality ratio mmr is increasing in recent years, the mmr increased from 545 to 576 deaths per 100,000 live births fewer than 40% of deliveries take place in a health facility. The purpose of this study was to examine the relationship of antenatal care with the. Using incentives to reduce maternal mortality in nigeria. Maternal mortality has been determined unequally at different times and different regions.
1152 1053 374 1071 993 185 306 1663 823 401 1450 505 787 352 759 664 248 905 638 383 916 1115 1039 1182 140 241 1270 1284 207 787 338 899 16 1223