United Nations Population Fund, Abuja, Nigeria.
University of Medical Sciences, Ondo, Ondo State, Nigeria.
BMC Pregnancy Childbirth. 2019 Feb 11;19(1):63. doi: 10.1186/s12884-019-2202-1.
Nigeria still ranks second globally in the number of maternal deaths. Most maternal death reviews in Nigeria are isolated research based reports from a single health facility. This study determined causes and contributory factors of maternal mortality in Ogun statefollowing a periodic State-widematernal and perinatal deaths surveillance and response (MPDSR) review.
We carried out a retrospective analysis of cases of maternal deaths notified (n = 77) and reviewed (n = 45) in health facilities in Ogun State from 2015 to 2016selected using total sampling method. Using the national MPDSR structured and validated data collection tools or questionnaire, collected data was extracted from existing MPDSR data base, andanalyzed using the Statistical Package for Social Sciences (SPSS) software 20.0. We obtained approval from the State Ministry of Health for this study.
Average age at maternal death was 30.8 ± 5.7 years. Haemorrhageand pre-eclampsia or eclampsia account for 43.4 and 36.9% of causes respectively. Leading contributory factors ofmaternal deaths include inadequate human resource for health, delay in seeking care, inadequate equipment, lack of ambulance transportation, and delay in referrals services. 51.1%of the women had antenatal care while a significant proportion of the women were referred from Traditional Births Attendants (TBAs) and mission houses.
We concluded that many of the contributory factors of maternal mortality could be avoided if preventive measures were taken and adequate care available. MPDSR provides a platform for critical evidence of where the main problems lie, and can provide valuable information on strategies which maternal mortality prevention programs should focus on. The implementation and institutionalization of MPDSR programme is on course in Ogun State. MPDSR is feasible and should be institutionalized in all states of Nigeria. A commitment to act upon the findings of MPDSR is a key prerequisite for success.
尼日利亚的产妇死亡人数仍位居全球第二。尼日利亚的大多数产妇死亡审查都是单一卫生机构的孤立研究报告。本研究通过定期的州范围产妇和围产期死亡监测和应对（MPDSR）审查，确定了奥贡州产妇死亡的原因和促成因素。
我们对 2015 年至 2016 年期间在奥贡州卫生机构报告（n=77）和审查（n=45）的产妇死亡病例进行了回顾性分析，采用完全抽样法选择病例。使用国家 MPDSR 结构化和验证的数据收集工具或问卷，从现有的 MPDSR 数据库中提取数据，并使用统计软件包（SPSS）20.0 进行分析。我们为这项研究获得了州卫生部的批准。
产妇死亡的平均年龄为 30.8±5.7 岁。出血和子痫前期或子痫分别占原因的 43.4%和 36.9%。导致产妇死亡的主要促成因素包括卫生人力资源不足、寻求医疗护理延迟、设备不足、缺乏救护车运输和转诊服务延迟。51.1%的妇女接受了产前护理，而相当一部分妇女是从传统助产士和传教士那里转来的。
我们得出结论，如果采取预防措施并提供充足的护理，许多导致产妇死亡的因素是可以避免的。MPDSR 提供了一个关键证据的平台，指出了主要问题所在，并可以提供有价值的信息，说明预防产妇死亡的方案应重点关注哪些策略。奥贡州已经在实施和制度化 MPDSR 方案。MPDSR 在尼日利亚所有州都可行，应该制度化。承诺根据 MPDSR 的调查结果采取行动是成功的关键前提。
