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Dead mothers and injured wives: the social context of maternal morbidity and mortality among the Hausa of northern Nigeria.

Authors
  • Wall, L L
Type
Published Article
Journal
Studies in family planning
Publication Date
Dec 01, 1998
Volume
29
Issue
4
Pages
341–359
Identifiers
PMID: 9919629
Source
Medline
Keywords
License
Unknown

Abstract

This study describes the social context of maternal mortality (MM) and morbidity among the Hausa of Northern Nigeria. The analysis is based on a literature review and anthropological field research conducted in southern Katsina in 1975-77, 1994, and 1996. A study during 1975-79, at Ahmadu Bello University Teaching Hospital in Hausaland, found that the most common causes of MM were bacterial infection, pregnancy-induced hypertension and consequences, hemorrhage, anemia, and obstructed labor. The most common pattern was the interaction of two or more complications. Case fatality rates were high among teenage girls with complications; women older than 30 years with eclampsia; and women with uterine rupture. MM was highly correlated with maternal age, total number of pregnancies, absence of prenatal care, lack of formal education, and Hausa-Fulani ethnicity. The MM ratio among Hausa-Fulani was 3180 deaths/100,000 live births. Obstetric fistulas may affect nearly 250,000 women in northern Nigeria. Many other related problems occur. Estimated obstructed labor cases were 1238/100,000 births. The social context that contributes to high mortality and morbidity includes Islamic culture that undervalues women; control of women by men; seclusion of wives that limits access to medical care; female illiteracy; early marriage and pregnancy; high rates of obstructed labor; directly harmful traditional medical beliefs and practices; inadequate facilities to treat obstetric emergencies; a declining economy; and a corrupt, inefficient political culture. Men need to be educated about the reproductive health of Hausa women.

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