FETO-MATERNAL OUTCOME AND FACTORS ASSOCIATED WITH COMPLICATED DELIVERIES AT A TERTIARY CENTRE IN NORTHWESTERN NIGERIA

A. N. Adamu* and J. A. Garba

ABSTRACT

Background: Complicated deliveries are associated with a higher risk of poor feto-maternal outcome. Availability of data on the magnitude and nature of conditions that complicate childbirth in our setting could guide proper design of interventions to improve these outcomes. Methodology: An analysis of records of women managed for complicated deliveries at Federal Medical Centre Birnin Kebbi, Nigeria, between January 2018 and December 2019 was done. There were 1,414 deliveries and 632 had complications, these latter formed the study population. Results are presented in proportions and means (standard deviation) for categorical and numerical data respectively. Chi square and t tests were used to test for significance where necessary. Level of significance was set at p < 0.05. Results: Total deliveries in the period were 1,414 out of which there were 29 maternal deaths and 192 perinatal deaths, giving an overall maternal mortality ratio of 2,051 per 100,000 live births and a perinatal death rate of 136 per 1000 deliveries. There was 1 complicated delivery for every 2 deliveries conducted in the center (632:1414 deliveries). The most common indication for admission was obstructed labour followed by obstetric haemorrhage. Majority (56.5%) had emergency caesarean section and the major indication for the caesarean section was previous caesarean section. The factors associated with maternal complications were maternal age, booking status and parity. Conclusion: There is a high admission rate for complications in labour and delivery at our facility. The factors associated with maternal and fetal complications were maternal age, booking status and parity.

Keywords: Maternal mortality, maternal morbidity, labour complications.