Abstract
Despite the efforts of the Safe Motherhood Initiative in Nigeria maternal mortality remains a neglected problem in the country. The maternal mortality rate is 652 per 100000 and abdominal deliveries were approximately 5 times more common than vaginal deliveries. Nulliparity carried the greatest risk of maternal death (1072/100000); also this group contributed to the highest number of abortion-related deaths. Aside from abortion eclampsia ruptured uterus obstetric hemorrhage anesthetic death puerperal sepsis and amniotic fluid infusion contributed to the direct cause of maternal mortality. Due to the failure of the Safe Motherhood Initiative a structural adjustment program is needed for intensification of mass education provision of family planning services especially for adolescents and training of more obstetricians and midwives and re-training of traditional birth attendants.
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