Prevalence of postpartum morbidities in a tertiary care center in Northern Nigeria

Abstract

Background: Complications can arise during the postpartum period and if unrecognized can lead to physical discomfort, psychological distress, and a poor quality of life for the mothers. The true burden of postpartum maternal morbidity is still not known. It is estimated to be highest in low- and middle-income countries. Objective: This study was aimed at determining the pattern of postpartum morbidities at Aminu Kano Teaching Hospital and their possible determinants. Methodology: It was a cross-sectional study of women admitted into postnatal ward of Aminu Kano Teaching Hospital, Kano, Nigeria, on account of postpartum morbidities from January 1to December 31, 2016. The admission register of antenatal/postnatal ward was retrieved and only women admitted within the postpartum period were included in the study. Result: There were 3933 deliveries over the studied period and 141 women were admitted for postpartum morbidities. The most common morbidities were anaemia (35.5%), hypertensive disorders (19.6%), and puerperal sepsis (19.6%). Nearly 70% of the patients were unbooked and had spontaneous vaginal delivery. There was a significant association between postpartum morbidities and booking status, level of educational, and mode of delivery. Conclusion: Anaemia, hypertension, and sepsis are the common postpartum morbidities in Kano, north-west Nigeria. Health education on the importance of quality antenatal and intrapartum care will go a long way in reducing these morbidities.