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Prevalence of Maternal Morbidity: A Case Study of Owerri, Imo State, Nigeria

OBIAJURU IFEANYI O. C, Judith C. Irehie, Jacinta C. Elo - Ilo

Abstract


Prevalence of Maternal morbidity was studied in Owerri, Imo State south eastern Nigeria from January to December, 2016. A total of 41 hospitals and 10 primary health care centres were selected for the study. A structured questionnaire comprising of 2 sections: A. Institutional record and B. Maternal mortality, was used to collect clinical data relating to ante natal care and maternal morbidity. The questionnaires were administered on Medical directors and medical record officers of the selected hospitals. A total of 102 questionnaires were administered and recovered after completion. Analysis of the data showed that 5,463 pregnant women received ante natal care from the 51 health institutions from January to December, 2016. One thousand one hundred and twenty five (20.6%) did not deliver in the hospitals and primary health care centres they received ante natal care. Three thousand, nine hundred and fifty seven (72.4%) women delivered safe and 378 (6.9%) pregnant women died through pregnancy and pregnancy related causes. Out of 3,715 pregnant women that attended ante natal care in urban areas, 2,658 (71.5%) had safe delivery and 39 (0.7%) died. Out of 1,748 pregnant women that attended ante natal care in rural areas, 1,299 (74.3%) had safe delivery, 179 (10.2%) died. Statistical analysis of the data using chi square showed significant difference (p < 0.05) in rate of maternal morbidity between urban and rural communities. Maternal morbidity was higher (10.2%) in the rural communities than urban communities (0.7%). The highest cause of maternal morbidity was malaria (1.3%), followed by Pre – eclampsia and eclampsia (1.2%), Anaemia and post partum haemorrhage (0.8%). The least cause of maternal morbidity (0.3%) was delays in reaching and receiving care. This study has shown that maternal morbidity exists in Imo State and there is a great disparity in maternal morbidity rate between urban and rural communities in Imo State.

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DOI: https://doi.org/10.37628/jopnn.v4i2.802

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