Department of Obstetrics and Gynaecology

Permanent URI for this community

https://ir.unilag.edu.ng/handle/123456789/3609

Browse

Browsing Department of Obstetrics and Gynaecology by Author "Adebayo, A.A"

Now showing 1 - 2 of 2
  • Item
    Open Access
    Determinants of Perinatal Mortality in Nigeria. International Journal of Gynaecology and Obstetrics
    (Elsevier Ltd, 2011) Fawole, A.O; Shah, A; Tongo, O; Dara, K; El-Ladan, A.M; Umezulike, A.C; Alu, F.E; Eniayewun, A.B; Fabanwo, A.O; Adewunmi, A.A; ADEGBOLA, O; Adebayo, A.A; Obaitan, F.O; Onala, O.E; Usman, Y; Sullayman, A.O; Kailani, S; Said, M
    Objective: To determine risk factors for perinatal mortality among hospital-based deliveries in Nigeria. Methods: The WHO Global Maternal and Perinatal Health Survey was implemented in Nigeria as a first step in establishing a global system for monitoring maternal and perinatal health. Twenty-one health facilities with more than 1000 deliveries annually were selected by a stratified multistage cluster sampling strategy. Information was recorded on all women who delivered and their neonates within a 3-month period. Results: Overall, there were 9208 deliveries, comprising 8526 live births, 369 fresh stillbirths, 282 macerated stillbirths, 70 early neonatal deaths, and 721 perinatal deaths. The stillbirth and perinatalmortality rateswere, respectively, 71 and 78 per 1000 deliveries; the early neonatal death rate was 8 per 1000 live births. Approximately 10% of all newborns weighed less than 2500 g, and 12.3% were born at less than 37 weeks of gestation. Predictors of perinatal mortality were mother's age, lack of prenatal care, unbooked status, prematurity, and birth asphyxia. Conclusion: The perinatal mortality rate remains unacceptably high in Nigeria. Fresh stillbirth accounted formost perinatal deaths. Interventions to improve the utilization and quality of prenatal care, in addition to the quality of intrapartum care, would considerably reduce perinatal death.
  • Item
    Open Access
    Predictors of Maternal Mortality in Institutional Deliveries in Nigeria
    (Makerere University Medical School Uganda, 2012) Fawole, A.O; Shah, A; Fabanwo, A.O; ADEGBOLA, O; Adewunmi, A.A; Eniayewun, A.B; Dara, K; El-Ladan, A.M; Umezulike, A.C; Adebayo, A.A; Obaitan, F.O; Onola, O.E; Usman, Y; Sullayman, A.O; Kailani, S; Said, M
    Background: Maternal mortality in poor countries reflects the under-development in these societies. Global recognition of the burden of maternal mortality and the urgency for a reversal of the trend underpin the Millenium Development Goals (MDGs). Objective: To determine risk factors for maternal mortality in institutional births in Nigeria. Method: Twenty one health facilities in three states were selected using stratified multi-stage cluster sampling strategy. Information on all delivered mothers and their newborn infants within a three-month period was culled from medical records. Results: A total of 9 208 deliveries were recorded. About one-fifth (20.5%) of women had no antenatal care while 79.5% had at least one antenatal visit during pregnancy. Four-fifths (80.5%) of all deliveries were normal deliveries. Elective and emergency caesarean section rates were 3.1% and 11.5% respectively. There were 79 maternal deaths and 8 526 live births, giving a maternal mortality ratio of 927 maternal deaths per 100 000 live births. No antenatal care, parity, level of education, and mode of delivery were significantly associated with maternal mortality. Low maternal education, high parity, emergency caesarean delivery, and high risk patients risk independently predicted maternal mortality. Conclusion: Meeting goal five of the MDGs remains a major challenge in Nigeria. Multi-sectoral approaches and focused political will are needed to revert the high maternal mortality