Journal article
When getting there is not enough: A nationwide cross-sectional study of 998 maternal deaths and 1451 near-misses in public tertiary hospitals in a low-income country
OT Oladapo, OO Adetoro, BA Ekele, C Chama, SJ Etuk, AP Aboyeji, HE Onah, AM Abasiattai, AN Adamu, O Adegbola, AS Adeniran, CO Aimakhu, O Akinsanya, LD Aliyu, AB Ande, A Ashimi, M Bwala, A Fabamwo, AD Geidam, JI Ikechebelu Show all
BJOG an International Journal of Obstetrics and Gynaecology | WILEY | Published : 2016
Abstract
Objective To investigate the burden and causes of life-threatening maternal complications and the quality of emergency obstetric care in Nigerian public tertiary hospitals. Design Nationwide cross-sectional study. Setting Forty-two tertiary hospitals. Population Women admitted for pregnancy, childbirth and puerperal complications. Methods All cases of severe maternal outcome (SMO: maternal near-miss or maternal death) were prospectively identified using the WHO criteria over a 1-year period. Main outcome measures Incidence and causes of SMO, health service events, case fatality rate, and mortality index (% of maternal death/SMO). Results Participating hospitals recorded 91 724 live births an..
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Funding Acknowledgements
The UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Reproductive Health and Research, World Health Organization funded the study. The end-of-project meeting of all investigators was jointly supported by a grant from Merck, through its Merck for Mothers Programme, and the World Health Organization.