Community Study of Maternal Mortality in South West Nigeria: How Applicable is the Sisterhood Method.
A significant reduction in maternal mortality was witnessed globally in the year 2010, yet, no significant reduction in the maternal mortality ratio (MMR) in Nigeria was recorded. The absence of accurate data on the numbers, causes and local factors influencing adverse maternal outcomes has been ide...
| Publicado en: | Maternal & Child Health Journal Vol. 17; no. 2; pp. 319 - 330 |
|---|---|
| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Feb2013
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104245945&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104245945 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Feb2013 vid: 17 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 104245945 85873543 10.1007/s10995-012-0977-z NLM22411705 104245945 ppf: 319 ppct: 11 formats: fmt: @attributes: type: P tig: atl: Community Study of Maternal Mortality in South West Nigeria: How Applicable is the Sisterhood Method. aug: au: Adegoke, Adetoro Campbell, Malcolm Ogundeji, Martins Lawoyin, Taiwo Thomson, Ann affil: Liverpool School of Tropical Medicine, Pembroke Place Liverpool L3 5QA UK sug: subj: Maternal Mortality Nigeria Maternal Health Services Quality Improvement Human Nigeria Incidence Confidence Intervals Retrospective Design Structured Interview Funding Source Rural Areas Random Sample Cluster Sample Questionnaires Chi Square Test Mann-Whitney U Test T-Tests Fisher's Exact Test Male Female Adolescence Adult Middle Age Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: A significant reduction in maternal mortality was witnessed globally in the year 2010, yet, no significant reduction in the maternal mortality ratio (MMR) in Nigeria was recorded. The absence of accurate data on the numbers, causes and local factors influencing adverse maternal outcomes has been identified as a major obstacle hindering appropriate distribution of resources targeted towards improving maternal healthcare. This paper reports the first community based study that measures the incidence of maternal mortality in Ibadan, Nigeria using the indirect sisterhood method and explores the applicability of this method in a community where maternal mortality is not a rare event. A community-based study was conducted in Ibadan using the principles of the sisterhood method developed by Graham et al. for developing countries. Using a multi-stage sampling design with stratification and clustering, 3,028 households were selected. All persons approached agreed to take part in the study (a participation rate of 100%), with 2,877 respondents eligible for analysis. There was a high incidence of maternal mortality in the study setting: 1,324/6,519 (20.3%) sisters of the respondents had died, with 1,139 deaths reportedly related to pregnancy, childbirth or the puerperium. The MMR was 7,778 per 100,000 live births (95% CI 7,326-8,229). Adjusted for a published Total Fertility Rate of 6.0, the MMR was 6,525 per 100,000 live births (95% CI 6,144-6,909). Women in Ibadan were dying more from pregnancy related complications than from other causes. Findings of this study have implications for midwifery education, training and practice and for the first time provide policy makers and planners with information on maternal mortality in the community of Ibadan city and shed light on the causes of maternal mortality in the area. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|