Rising trend in maternal mortality at the university of Maiduguri Teaching hospital
Context: Various interventions have been introduced to reduce the very high maternal mortality ratio in our environmentbut to date the success is only marginal at best.
Objective: To determine the trend in maternal mortality in University of Maiduguri Teaching Hospital (UMTH).
Methods: Analysis of records of all women who died in pregnancy, labour and puerperium[up to 42 days after a pregnancy event] in UMTH between January, 2006 and December, 2010 was conducted.
Results: The maternal mortality ratio (MMR) was 1074/100,000 live births. The main causes of maternal mortality were eclampsia in 34.6% of cases, haemorrhage (9.1%), HIV(17.8%) and puerperal infections (7.5%). There was rising trend in maternal mortality ratio over the study period. Factors contributing to maternal death included advanced maternal age, grand-multiparity, illiteracy, non-utilization of antenatal care services and late presentation to hospital.
Conclusion: The maternal mortality ratio in UMTH is in in the upward trend and many of the causes of maternal death are avoidable. HIV appears to be an emerging major contributor to maternal deaths. There istherefore the need to strengthen the existing maternal health care services in Maiduguri, Borno state.
Key words:Maternal mortality, trends, causes, Maiduguri