Autopsy-certified maternal mortality at Ile-Ife, Nigeria
Amatare Dinyain,1 G Olutoyin Omoniyi-Esan,2 Olaejirinde O Olaofe,3 Donatus Sabageh,3 Akinwumi O Komolafe,2 Olusegun S Ojo21Department of Anatomic Pathology, Niger Delta University Teaching Hospital, Okolobiri, Bayelsa State, Nigeria; 2Department of Morbid Anatomy and Forensic Medicine, Obafemi Awolo...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2013-12-01
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| Series: | International Journal of Women's Health |
| Online Access: | http://www.dovepress.com/autopsy-certified-maternal-mortality-at-ile-ife-nigeria-a15412 |
| _version_ | 1818209328437395456 |
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| author | Dinyain A Omoniyi-Esan GO Olaofe OO Sabageh D Komolafe AO Ojo OS |
| author_facet | Dinyain A Omoniyi-Esan GO Olaofe OO Sabageh D Komolafe AO Ojo OS |
| author_sort | Dinyain A |
| collection | DOAJ |
| description | Amatare Dinyain,1 G Olutoyin Omoniyi-Esan,2 Olaejirinde O Olaofe,3 Donatus Sabageh,3 Akinwumi O Komolafe,2 Olusegun S Ojo21Department of Anatomic Pathology, Niger Delta University Teaching Hospital, Okolobiri, Bayelsa State, Nigeria; 2Department of Morbid Anatomy and Forensic Medicine, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria; 3Department of Morbid Anatomy and Histopathology, Ladoke Akintola University of Technology, Ogbomoso, Oyo State, NigeriaAim: Maternal mortality is a major health problem, especially in Nigeria, where accurate autopsy-based data on the prevalent causes are not readily available. The aim of this study was therefore to accurately determine the causes of maternal death as seen in a tertiary health facility in Nigeria.Materials and methods: This was a descriptive, retrospective review of the postmortem autopsy findings from cases of maternal death at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria over a 5-year period. Analyses were performed for differences in proportions using PEPI computer programs for epidemiologists (P is significant at <0.05).Results: A total of 84 cases of maternal deaths were used for the study. Approximately 71.4% of the maternal deaths were due to direct causes and 28.6% were due to indirect causes. The mean age at the time of death was 27.9±7.5 years. Overall, the three leading causes of death were obstetric hemorrhage (30.9%), complications of abortion (23.8%), and nongenital (nonobstetric) infections (14.2%). Of the direct causes of maternal death, obstetric hemorrhage (43.3%) was the leading cause, with postpartum hemorrhage accounting for most (65.0%) of such deaths; other causes included complications of unsafe induced abortion (33.3%) and of labor (11.7%). Of the indirect causes, nongenital infections (50.0%), anemia (25.0%), and preexisting hypertension (20.8%) accounted for the majority of the maternal deaths. There was disparity between the clinical and autopsy diagnoses in 34 of the 84 cases (38.1%).Conclusion: The leading causes of maternal death in this study are similar to those in other developing countries. Autopsy is an invaluable tool in accurately determining the cause of maternal death.Keywords: autopsy, causes, maternal mortality, Nigeria |
| first_indexed | 2024-12-12T04:58:58Z |
| format | Article |
| id | doaj.art-bf8420b01e4746be82108489e746c637 |
| institution | Directory Open Access Journal |
| issn | 1179-1411 |
| language | English |
| last_indexed | 2024-12-12T04:58:58Z |
| publishDate | 2013-12-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | International Journal of Women's Health |
| spelling | doaj.art-bf8420b01e4746be82108489e746c6372022-12-22T00:37:16ZengDove Medical PressInternational Journal of Women's Health1179-14112013-12-012014default414615412Autopsy-certified maternal mortality at Ile-Ife, NigeriaDinyain AOmoniyi-Esan GOOlaofe OOSabageh DKomolafe AOOjo OSAmatare Dinyain,1 G Olutoyin Omoniyi-Esan,2 Olaejirinde O Olaofe,3 Donatus Sabageh,3 Akinwumi O Komolafe,2 Olusegun S Ojo21Department of Anatomic Pathology, Niger Delta University Teaching Hospital, Okolobiri, Bayelsa State, Nigeria; 2Department of Morbid Anatomy and Forensic Medicine, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria; 3Department of Morbid Anatomy and Histopathology, Ladoke Akintola University of Technology, Ogbomoso, Oyo State, NigeriaAim: Maternal mortality is a major health problem, especially in Nigeria, where accurate autopsy-based data on the prevalent causes are not readily available. The aim of this study was therefore to accurately determine the causes of maternal death as seen in a tertiary health facility in Nigeria.Materials and methods: This was a descriptive, retrospective review of the postmortem autopsy findings from cases of maternal death at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria over a 5-year period. Analyses were performed for differences in proportions using PEPI computer programs for epidemiologists (P is significant at <0.05).Results: A total of 84 cases of maternal deaths were used for the study. Approximately 71.4% of the maternal deaths were due to direct causes and 28.6% were due to indirect causes. The mean age at the time of death was 27.9±7.5 years. Overall, the three leading causes of death were obstetric hemorrhage (30.9%), complications of abortion (23.8%), and nongenital (nonobstetric) infections (14.2%). Of the direct causes of maternal death, obstetric hemorrhage (43.3%) was the leading cause, with postpartum hemorrhage accounting for most (65.0%) of such deaths; other causes included complications of unsafe induced abortion (33.3%) and of labor (11.7%). Of the indirect causes, nongenital infections (50.0%), anemia (25.0%), and preexisting hypertension (20.8%) accounted for the majority of the maternal deaths. There was disparity between the clinical and autopsy diagnoses in 34 of the 84 cases (38.1%).Conclusion: The leading causes of maternal death in this study are similar to those in other developing countries. Autopsy is an invaluable tool in accurately determining the cause of maternal death.Keywords: autopsy, causes, maternal mortality, Nigeriahttp://www.dovepress.com/autopsy-certified-maternal-mortality-at-ile-ife-nigeria-a15412 |
| spellingShingle | Dinyain A Omoniyi-Esan GO Olaofe OO Sabageh D Komolafe AO Ojo OS Autopsy-certified maternal mortality at Ile-Ife, Nigeria International Journal of Women's Health |
| title | Autopsy-certified maternal mortality at Ile-Ife, Nigeria |
| title_full | Autopsy-certified maternal mortality at Ile-Ife, Nigeria |
| title_fullStr | Autopsy-certified maternal mortality at Ile-Ife, Nigeria |
| title_full_unstemmed | Autopsy-certified maternal mortality at Ile-Ife, Nigeria |
| title_short | Autopsy-certified maternal mortality at Ile-Ife, Nigeria |
| title_sort | autopsy certified maternal mortality at ile ife nigeria |
| url | http://www.dovepress.com/autopsy-certified-maternal-mortality-at-ile-ife-nigeria-a15412 |
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