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Maternal mortality in Northern Nigeria: a population-based study
Yusuf M Adamu1, Hamisu M Salihu, Nalini Sathiakumar
1Department of Geography, Bayero University, Kano, Nigeria.
Summary
Maternal mortality in Kano, Nigeria, was alarmingly high, with eclampsia, ruptured uterus, and anemia causing 50% of deaths. Targeted interventions could halve this maternal mortality ratio.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Epidemiology
Background:
- Maternal mortality remains a critical global health challenge.
- Understanding regional variations in maternal mortality is crucial for targeted interventions.
Purpose of the Study:
- To determine the incidence and causes of maternal mortality.
- To analyze the temporal distribution of maternal deaths over a decade (1990-1999).
Main Methods:
- Analysis of all maternal deaths in Kano State, Northern Nigeria, from 1990-1999.
- Calculation of maternal mortality ratios (MMR) using Poisson assumption for confidence intervals.
- Application of non-linear regression to model MMR temporal trends.
Main Results:
- A total of 4154 maternal deaths were recorded among 171,621 deliveries.
- The maternal mortality ratio (MMR) was 2420 deaths per 100,000 live births.
- Eclampsia, ruptured uterus, and anemia accounted for approximately 50% of all maternal deaths.
Conclusions:
- The study identified one of the highest maternal mortality ratios globally.
- Effective interventions targeting eclampsia, ruptured uterus, and anemia could potentially reduce maternal mortality by half in the study area.