
13/11/2024
Maternal Mortality in Nigeria: A Sight for Sore Eyes
Available statistics show that Nigeria's maternal mortality rate (women who die from pregnancy-related complications) stands at 1,047 per 100,000. What this means is that approximately 1 woman dies from pregnancy and childbirth-related complications for every 100 recorded live births (Ajegbile, 2023). Two factors make this statistic even scarier:
1. This is a 2020 statistic; I am unsure of the current rate.
2. Just three years prior, it was less than 100 per 100,000. This represents a more than 10% increase in maternal mortality within three years.
Now imagine what the statistics might be in 2024!
The probability of maternal mortality is even more alarming; according to WHO, there is a lifetime risk that 1 woman will die in every 22 live births from pregnancy-related complications like obstetric hemorrhage (any pregnancy-related bleeding), eclampsia, sepsis (life-threatening consequence of an infection), and obstructed labor. This death could be during pregnancy, childbirth or postpartum/post-abortion.
Am I sharing these statistics to scare you? Certainly not; may Allah deliver you safely. Statistics do not tell the future; they provide insight into potential outcomes based on past trends.
To minimize risks, consider the following precautions:
● Take pregnancies seriously! This applies to both husbands and wives. Take extra care of your body while pregnant, and it's better to be cautious than nonchalant. Do not ignore any signs of trouble!
● Start antenatal care as soon as possible and recommended. Don't play superhero; there's no award for the strongest pregnant woman. Even if everyone in your family gave birth without antenatal care, you are unique.
● Seek quality healthcare while pregnant. Avoid herbal concoctions and traditional unorthodox care. Just because it worked for your mother and grandmother doesn't mean it will work for you. Better safe than sorry!
●Plan to give birth in a facility where you will receive the best care in the event of a complication. In the event of a complication, are they skilled enough to handle it? What if the baby has a breech presentation? What if you have obstructed labour? What if your case requires assisted delivery? What if you require an emergency CS? Do you know how many women have died on the way to the hospital after trying to give birth elsewhere? Then will it be worth the money you were trying to save? What is worse is that you don’t put just your life at risk. The baby may be successfully born but requiring basic life-saving interventions, like where the baby isn’t breathing requiring immediate resuscitation. Does the place have the necessary equipment to do such intervention or does the birth attendant have the skills to do so? Sometimes such babies end up with complications like cerebral palsy. Of course this could happen even where all precautions are taken, but sometimes, the attempt to save cost and putting someone’s life in danger is akin to being penny wise and pound foolish.
● While acknowledging the moribund state of our healthcare service, a tertiary health institution (like the Teaching Hospitals, and FMCs) is still a better option for delivery than most of our private hospitals. This is because in the tertiary institutions, patients’ cases are reviewed at different levels (HO, MO, Reg, SR, perhaps a consultant) so that whatever is missed by one will likely be spotted by another, compared to private hospitals where it is typically a one-man show. Whatever may be the case, always opt for the best available healthcare center, may Allāh ease our affairs and expand our resources. The number one cause of hesitation to receive quality healthcare is financial capacity.
● Space your pregnancies adequately, allowing your wife time to recover from each episode and preparing for each pregnancy.
●Unless where they are Doctors or healthcare professionals, your Imam and prophetic medicine specialist are neither Obstetricians nor Gynaecologists. If you fear any complication or feel unwell while pregnant, please go to the hospital or talk to a professional, not your spiritual leaders and experts. Prophetic medicine prescriptions if proven safe during pregnancy, can ease the process of birth. What it won't do is turn a breech presentation to a cephalic one or stop postpartum hemorrhage (bleeding) due to uterine atony or rupture. Pray and seek professional care!
May Allah assist all pregnant women and expand their husbands' resources to adequately care for them.
Reference
Ajegbile, M. L. (2023). Closing the gap in maternal health access and quality through targeted investments in low-resource settings. Journal of Global Health Reports, 7, e2023070.
Abu Imrān