FACULTY OF CLINICAL SCIENCES

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Subject: search.filters.subject.maternal mortality

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    Perceived Factors Influencing the Utilization of Traditional Birth Attendants in Akinyele Local Government, Ibadan, Nigeria
    (Association of Public Health Physicians of Nigeria, 2016) Ogunyomi, M. T.; Ndikom, C. M.
    Background: Studies have shown that one of the major causes of maternal death especially in developing countries is unskilled birth attendants at pregnancy and childbirth. The aim of this study is to determine the reasons for the utilization of traditional birth attendants' services among mothers in Akinyele Local Government, Ibadan, Nigeria. Methodology: The study design was cross sectional and interviewer-administered questionnaire was used to elicit information from the women who had ever given birth. Data was collected from the women who attend the post-natal and Immunization clinics in the selected health centres. A total of 130 questionnaires were retrieved and analyzed using statistical package of the social sciences (SPSS) and presented as tables and figures. Two hypotheses were tested using chi-square test p ≤ 0.05 level of significance. Results: The findings revealed that 55.4% have ever utilized the TBA. Significant reasons for patronizing of TBAs by the women were that the TBAs were more user friendly (p= 0.012), were readily accessible (p=0.000) and their belief in them (p=0.000). Poverty (p=0.988) and educational level (p =0.133) were not found to be statistically significant in this study. Conclusion: Effort should be made by care providers and policy makers to ensure that our modern health care services for mothers are more accessible, user friendly with culturally sensitive care.
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    Burden and outcomes of postpartum haemorrhage in Nigerian referral-level hospitals.
    (2024) Adebayo, T.; Adefemi, A.; Adewumi, I.; Akinajo, O.; Akinkunmi, B.; Awonuga, D.; Aworinde, O.; Ayegbusi, E.; Dedeke, I.; Fajolu, I.; Imam, Z.; Jagun, O.; Kuku, O.; Ogundare, E.; Oluwasola, T.; Oyeneyin, L.; Adebanjo-Aina, D.; Adenuga, E.; Adeyanju, A.; Akinsanya, O.; Campbell, I.; Kuti, B.; Olofinbiyi, B.; Salau, Q.; Tongo, O.; Ezekwe, B.; Lavin, T.; Oladapo, O. T.; Tukur, J.; Adesina, O.
    Objective: To determine the prevalence of primary postpartum haemorrhage (PPH), risk factors, and maternal and neonatal outcomes in a multicentre study across Nigeria. Design: A secondary data analysis using a cross-sectional design. Setting: Referral-level hospitals (48 public and six private facilities). Population: Women admitted for birth between 1 September 2019 and 31 August 2020. Methods: Data collected over a 1-year period from the Maternal and Perinatal Database for Quality, Equity and Dignity programme in Nigeria were analysed, stratified by mode of delivery (vaginal or caesarean), using a mixed-effects logistic regression model. Main outcome measures: Prevalence of PPH and maternal and neonatal outcomes. Results: Of 68 754 women, 2169 (3.2%, 95% CI 3.07%–3.30%) had PPH, with a prevalence of 2.7% (95% CI 2.55%–2.85%) and 4.0% (95% CI 3.75%–4.25%) for vaginal and caesarean deliveries, respectively. Factors associated with PPH following vaginal delivery were: no formal education (aOR 2.2, 95% CI 1.8–2.6, P < 0.001); multiple pregnancy (aOR 2.7, 95% CI 2.1–3.5, P < 0.001); and antepartum haemorrhage (aOR 11.7, 95% CI 9.4–14.7, P < 0.001). Factors associated with PPH in a caesarean delivery were: maternal age of >35 years (aOR 1.7, 95% CI 1.5–2.0, P < 0.001); eferral from informal setting (aOR 2.4, 95% CI 1.4–4.0, P = 0.002); and antepartum haemorrhage (aOR 3.7, 95% CI 2.8–4.7, P < 0.001). Maternal mortality occurred in 4.8% (104/2169) of deliveries overall, and in 8.5% (101/1182) of intensive care unit admissions. One-quarter of all infants were stillborn (570/2307), representing 23.9% (429/1796) of neonatal intensive care unit admissions. Conclusions: A PPH prevalence of 3.2% can be reduced with improved access to skilled birth attendants.