Pregnancy and Childbirth problems in Nigeria – Maternal mortality following Complications of pregnancy in Nigeria

Le résumé fourni par la source

A retrospective analysis of data from St. Clara Maternity Hospital Umana Ndiagu in Nigeria. In 2005 a total of 1570 pregnant women passed through the hospital. 942 (60%) had early registration. 628 (40%) were prehandled by Unskilled birth Attendants before hospital presentation. Out of the 40% ; 320 (20.4%) were refered out due to severe complications. 246 (15.7%) stayed longer in hospital due to mild Complications, 62 (3.9%) delivered with no complications. Unfortunately 16 women out of the 20.4% refered to bigger health centers lost their lives. Majority of pregnant women are not sure of coming out alive from the delivery-rooms. Maternal mortality rate is about 800 per 100,000 live births and once in every ten minutes a woman dies due to complications of pregnancy (Federal ministry of Health, 2000). Nigeria ranks second as having the highest incidence of maternal mortality in the whole world (WHO,2007). Main causes of maternal mortality in Nigeria are Haemorrhage 26% and Sepsis (15%). Other causes are unsafe abortion 13%, Hypertensive disorders 12%, Obstructed labour 8% and pre-existing maternal diesease. No Health Insurance system makes health care services unaffordable. Lack of functional Transport system creats delays. It makes early diagnosis and management of all potential life treatening conditions in pregnancy extremely impossible.Lack of functional blood bank facilities with 24 hour blood supply in cases of emergency is still a major set back in Nigeria. Sufficient Trained Health Care Providers, Basic Health Education, Poverty alleviation, Erradication of fake drugs, provision of Essential drugs and full government support are neccessary to save the current situation in Nigeria. Literatur: *Federal Ministry of Health Nig.; Modified Life-Saving Skills manual for Community Health Extension Workers.Federal Ministry of Health of Nigeria; 2005 pg 39. *Matthews Et al; Managing Complications in Pregnancy and Childbirth: A guide for midwives and doctors.WHO: 2003 *Daily Trust newspaper publication November 2008. *Dr. Anikwe I. E. ;Maternal and Childhealth Development and Education Center Nigeria; MCDEC-research work; 2006 pg3. Maternal mortality - Peripartal haemorrhage - perinatal mortality

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