Prevalence and Correlates of Maternal Morbidity in Enugu, South-East Nigeria
), Ezugwu F. O(2), Onah H.E(3),
(1)
(2)
(3)
Corresponding Author
Abstract
The objective of the study was to determine the prevalence and correlates of maternal morbidity following childbirth in Enugu, South East Nigeria. A questionnaire-based cross-sectional study of women with recent deliveries in Enugu was done. Respondent were 8 times more likely to report a symptom than not (OR 8.14 95% C.I. 5.48, 12.68). Puerperal sepsis, perineal pain, dyspareunia, postpartum haemorrhage, gestational (postpartum) hypertension and utero-vaginal prolapse were the commonest obstetric/gynaecological morbidities. Multivariate analysis showed that the main predictors of specific morbidities were high parity category, abdominal delivery and delivery by unskilled birth attendant. It is concluded that the prevalence of morbidity following childbirth in the population sampled was high due mainly to obstetric factors and that reportage of morbidity had little to do with the demographic characteristics of respondents. A population based study is recommended to determine the actual prevalence and predictors of morbidity following childbirth in the population (Afr. J. Reprod. Health 2010; 14[3]: 121-129).
Résumé
Prévalence et corrélats de la morbidité maternelle à Enugu, au sud-est du Nigéria. Cette étude avait pour objectif de déterminer la prévalence et les corrélats de la morbidité maternelle suite à l’accouchement, à Enugu au sud est du Nigéria. Nous avons mené une étude tranversale à base des questionnaires auprès des femmes qui ont accouché récemment à Enugu. Les répondantes avaient huit fois de plus la chance de signaler un symptôme que non (OR 8,14 95% C, 1, 5,48, 12,68). La septicémie puerpérale, la douleur périnéale, la dyspareunie, l’hémorragie de la délivrance, l’hypertension (de la délivrance) et le prolapsus utéro-vaginal, étaient parmi les morbidités particulières obstétriques / gynécologiques les plus communes. L’analyse multifactorielle a montré que les indices principaux des morbidités particulières étaient une catégorie élevée de la parité, l’accouchement abdominal et l’accouchement par un accoucheur non qualifié. Comme conclusion, nous avons affirmé que la prévalence de la morbidité suite à l’accouchement auprès de la population échantillonnée était élevée à cause des facteurs obstétriques et que le fait de signaler la morbidité a très peu à voir avec les traits démographiques des répondantes. Nous préconisons une étude basée sur la population pours déterminer la vraie prévalence et les vrais indices de la mortalité suite à l’accouchement dans la population (Afr. J. Reprod. Health 2010; 14[3]: 121-129).
Key words: Prevalence, correlates, maternal morbidity, childbirth, Nigeria.
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