Article Sidebar
Published:
Nov 3, 2017Keywords:
Article Details
The entire contents of the Tropical Journal of Obstetrics and Gynaecology are protected under Indian and international copyrights. The Journal, however, grants to all users a free, irrevocable, worldwide, perpetual right of access to, and a license to copy, use, distribute, perform and display the work publicly and to make and distribute derivative works in any digital medium for any reasonable non-commercial purpose, subject to proper attribution of authorship and ownership of the rights. The journal also grants the right to make small numbers of printed copies for their personal non-commercial use.
This journal content is distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
Main Article Content
Maternal mortality ratio in a Tertiary Hospital offering free maternity services in South‑western Nigeria – A five‑year review
Abstract
Aim: To determine annual trends of maternal mortality ratio in a tertiary hospital offering free maternity services.
Settings and Design: This retrospective descriptive study was conducted at the Mother and Child Hospital Akure, Ondo State, a busy purpose‑built tertiary care facility premised on evidence‑based protocol management of patients and offering free consultations, admissions, drugs, laboratory tests, blood transfusions and surgeries.
Materials and Methods: Data were collected from available hospital records from inception on 24th February 2010 to 31st December 2014 and analysed using Microsoft Excel 2010 software.
Statistical Analysis: Data analysis was done using descriptive statistics. Categorical variables were expressed as frequency (percentage) and continuous variables as mean, median and range.
Results: In the 5‑year period, antenatal registration was 49195; increasing from 7378 in 2010 to 12002 in 2013 (63% increase) before dipping to 9780 in 2014. Number of births was 30031; increasing from 3673 in 2010 to 7634 in 2013 (108% increase) before dipping to 6234 in 2014. The overall maternal mortality ratio was 383 per 100,000 births reducing from 708 in 2010 to 208 in 2014 (70% reduction). The most common causes of maternal deaths were postpartum haemorrhage (30%), eclampsia (29%) and uterine rupture (14%).
Conclusions: Over 5 years, a busy tertiary maternity centre premised on evidence‑based protocol management of patients and offering free services had a sustained reduction in facility‑based maternal mortality ratio. It is, therefore, recommended that the model be adopted in all public maternity centres.
Key words: Facility‑based maternal mortality ratio; free maternity services; maternal death.
