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Feb 10, 2005Keywords:
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Assessment of the Quality of Emergency Obstetric Care at the Federal Medical Centre, Makurdi, Nigeria
Abstract
Objective: To assess the quality of emergency obstetric care using the maternal mortality ratio, case fatality rate, the caesarean section rate and management problems (Drugs, Equipment and Staff).
Subjects and Methods: A four year descriptive study of obstetric service data from 1 January 2000 to 31 December, 2003 in Federal Medical Centre, Makurdi.
Results: During the study period, there were a total of 3,551 deliveries and 83 maternal deaths giving amaternal mortality ratio of 2,337/100,000 deliveries. Of the 83 maternal deaths, adequate data for analysisof the Case Fatality Ratio was available in 73 (88%). Out of these 73 deaths, there were 66 direct maternal deaths. Total recorded direct obstetric complications for the period were 459 giving the overall case fatality rate of 14%. The caesarean section Rate was 10%. Parenteral antibiotics and anticonvulsants and blood were not immediately available in the maternity during the period. The readiness and responsiveness of the staff to obstetric emergencies during the period was slow.
Conclusion: The results suggest that the quality of Emergency Obstetric Care (EmOC) in the centre is poor and this is a call to action.
Key Words: Quality Assessment, Emergency Obstetric Care (EmOC)
[Trop J Obstet Gynaecol, 2004;21:160-163]
