Obstetric Hemorrhage and adverse Maternal outcomes: Experience of a Private Teaching Hospital in Southwestern Nigeria

Osaigbovoh J.I, Olukemi A.O, Ani Franklin Inyang F.A, Obafemi J.S, Olumide A.


Osaigbovoh J.I[1], Olukemi A.O[1], Ani Franklin Inyang F.A[1], Obafemi J.S[1], Olumide A[2].

  1. Department of Obstetrics & Gynecology, Babcock University Teaching Hospital, Ilishan- Remo, Nigeria
  2. Department of Community Medicine, Babcock University Teaching Hospital Ilishan-Remo, Nigeria

Correspondence to: Dr John Osaigbovoh Imaralu. Department of Obstetrics and Gynaecology, Babcock University Teaching Hospital Ilishan-Remo, Ogun state, Nigeria E-mail: imaraluj@babcock.edu.ng,


  Summary

Background: Obstetric hemorrhage (OH) has remained the leading cause of maternal mortality, despite concerted National efforts. This audit was conducted to determine its contribution to Adverse Maternal Outcomes and determinants of survival at a private Teaching Hospital, which had provided comprehensive essential obstetric care for 3 years.

Methods: A retrospective review of all Severe Maternal Outcomes (SMO) due to OH using the Near-Miss approach.

Results: There were 682 deliveries, 101 (14.8%) were SMOs; composed of 97 Maternal Near Misses (MNM) and 4 Maternal Deaths (MD). OH accounted for 37/101(36.6%) of the total SMO and 33/97 (34.0%) of the total MNM observed. All MD were due to Obstetric hemorrhage, n=4(100%), with a Case Fatality Rate (CFR) of 3.3%. Coagulopathy (CFR=25%) and ruptured uterus (CFR=20%) were major causes of MD. Most of the MNM 19/33 (57.6%) and MD 3/4 (75%) were unbooked referrals; with MD more likely when a referred patient lived >5km from the hospital (OR=3.53). Significantly more MD (p=0.021, OR= 1.36, CI=1.005-1.850), were associated with deviations from standard management protocol.

Conclusion: Obstetric Hemorrhage, caused most of the Adverse Maternal Outcomes. Survival however depended on the quality of antenatal care, pre-referral care and adherence to standard management protocol for definitive care.

Key words: Pregnancy, hemorrhage, maternal, near-miss, Nigeria

[Afr J Health Sci. 2016; 29(2):105-118]

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4 Responses to Obstetric Hemorrhage and adverse Maternal outcomes: Experience of a Private Teaching Hospital in Southwestern Nigeria

  1. Imaralu John says:

    The authors hereby make a humble plea for full text pdf to be made available online or sent to: imaraluj@babcock.edu.ng, imaralujohn@yahoo.co.uk, olumiabiodun@gmail.com, johnsotunsa@yahoo.com

    Several requests are being made for the full text

    Thank you

  2. Imaralu John says:

    Kindly make the full text available online. Thank you.

  3. admin says:

    Full text now available.

  4. admin says:

    The delay was caused by the required reviews that took time.Sorry for any inconveniences.

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