Home About us Editorial board Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
  • Users Online: 812
  • Home
  • Print this page
  • Email this page
ARTICLE
Year : 2007  |  Volume : 14  |  Issue : 3  |  Page : 256-260

Pathology of maternal deaths in Rivers state (a ten year autopsy review) in a referral hospital


Department of Anatomical Pathology, University of Port Harcourt Teaching Hospital, PMB 6173, Port Harcourt, Nigeria

Correspondence Address:
D S Fubara
Department of Anatomical Pathology, University of Port Harcourt Teaching Hospital, PMB 6173, Port Harcourt
Nigeria
Login to access the Email id

Source of Support: None, Conflict of Interest: None


Rights and PermissionsRights and Permissions

BACKGROUND: Most of the maternal death studies in this environment based their statistics on clinical cause with no reference to autopsy records. This gap of knowledge would be filled with autopsies performed on the victims. OBJECTIVES: To highlight the importance of autopsy in the study of maternal mortality. DESIGN/SETTING: A ten year (1st January 1991 - 31st December 2000) retrospective autopsy study of maternal deaths in University of Port Harcourt Teaching Hospital (UPTH), Port Harcourt. METHODOLOGY: The coroner's autopsy report and hospital autopsy records on maternal deaths were retrieved and re-evaluated for this study. Variables considered were the ages of the victims, primary place of antenatal care/management and the cause of death at autopsy. RESULTS: A total of 60 maternal autopsies were performed during the period under review. Forty eight (80%) cases were direct maternal deaths of which haemorrhagic shock from ruptured ectopic pregnancy was the most common 21(35%). The highest frequency of direct maternal death occurred in the age group 20 - 29 years. Indirect (fortuitous) maternal deaths accounted for 20% cases of which cardiovascular disorders was the most common cause of death 4(7.1%) and the age group 40-49 years were most affected 4(6.7%). Majority of the deaths occurred at the traditional birth attendants (TBA) centres 26(43.3%) of which 25(41.7%) were direct or obstetric maternal deaths. The indirect maternal death was highest in the general hospitals 4(6.7%). CONCLUSION: Maternal mortality is a common obstetric problem in this environment. As the death toll was highest in the TBA centers, they should be trained and be integrated to the health care delivery system. There should be an established referral system and improved emergency obstetric services including blood transfusion in our local health centres. These will drastically reduce the mortality rate.


[PDF Not available]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed286    
    Printed4    
    Emailed0    
    PDF Downloaded0    
    Comments [Add]    

Recommend this journal