Cesarean Section and Maternal-fetal Mortality Rates in Nigeria: An Ecological Lens into the Last Decade

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dc.contributor.authorGaladanci, Hadiza
dc.contributor.authorDongarwar, Deepa
dc.contributor.authorKünzel, Wolfgang
dc.date.accessioned2023-05-09T18:59:57Z
dc.date.available2023-05-09T18:59:57Z
dc.date.issued2020-03-06
dc.description.abstractBackground or Objectives: Despite the global decline in maternal mortality within the last decade, women continue to die excessively from pregnancy-related complicationsin developing countries. We assessed the trends in maternal mortality, fetal mortality and cesarean section (C-Section) rates within 25 selected Nigerian hospitals over the last decade. Methods: Basic obstetric data on all deliveries were routinely collected by midwives using the maternity record book developed for the project in all the participating hospitals. Trends of C-Section Rates (CSR), Maternal Mortality Rates (MMR), Fetal Mortality Rates (FMR) and Spontaneous Vaginal Delivery rates (SVD) were calculated using joinpoint regression models. Results: The annual average percent change in CSR was 12.2%, which was statistically significant, indicating a rise in CSR over the decade of the study. There was a noticeable fall in MMR from a zenith of about 1,868 per 100,000 at baseline down to 1,315/100,000 by the end of the study period, representing a relative drop in MMR of about 30%. An average annual drop of 3.8% in FMR and 1.5% drop in SVD over time were noted over the course of the study period. Conclusion and Global Health Implications: We observed an overall CSR of 10.4% and a significant rise in CSR over the 9-year period (2008-2016) of about 108% across hospital facilities in Nigeria. Despite the decrease in MMR, it was still high compared to the global average of 546 maternal deaths per 100 000 livebirths. The FMR was also high compared with the global average. The MMR found in this study clearly indicates that Nigeria is far behind in making progress toward achieving the Sustainable Development Goal 3 (SGD 3) which aims to reduce the global MMR to less than 70 per 100 000 live births by 2030.en_US
dc.description.sponsorshipACE: Population Health and Policyen_US
dc.identifier.citationGaladanci H, Dongarwar D, Künzel W, Shittu O, Yusuf M, Abdurrahman S, Lufadeju D, Salihu HM. Cesarean Section and Maternal-fetal Mortality Rates in Nigeria: An Ecological Lens into the Last Decade. Int J MCH AIDS. 2020;9(1):128-135. doi: 10.21106/ijma.349. Epub 2020 Mar 6. PMID: 32219011; PMCID: PMC7094804.en_US
dc.identifier.issn2161-8674
dc.identifier.issn2161-864X
dc.identifier.urihttp://hdl.handle.net/123456789/1749
dc.language.isoenen_US
dc.publisherGlobal Health and Education Projectsen_US
dc.relation.ispartofseriesInternational Journal of Maternal and Child Health and AIDS;(2020), Volume 9, Issue 1,
dc.subjectCesarean sectionen_US
dc.subjectFetal mortalityen_US
dc.subjectMaternal mortalityen_US
dc.subjectNigeriaen_US
dc.subjectpontaneous vaginal deliveryen_US
dc.subjectTrends in MMRen_US
dc.subjectACE: Population Health and Policyen_US
dc.subjectBayero University, Kanoen_US
dc.subjectACEPHAPen_US
dc.subjectOladapo Shittuen_US
dc.subjectMurtala Yusufen_US
dc.titleCesarean Section and Maternal-fetal Mortality Rates in Nigeria: An Ecological Lens into the Last Decadeen_US
dc.typeArticleen_US
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