SynthesisReproductive health2016
Maternal death and obstetric care audits in Nigeria: a systematic review of barriers and enabling factors in the provision of emergency care.
Synthesis in Reproductive health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
31 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Tracking and appraising maternal and perinatal death surveillance and response implementation in Nigeria: a historical timeline and policy analysis.Reproductive health · 2025Pooled it
- Facility-Based Maternal Quality of Care Frameworks: A Systematic Review and Best Fit Framework Analysis.Maternal and child health journal · 2023Pooled it
- The reliability of maternal audit instruments to assign cause of death in maternal deaths review process: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2021Pooled it
- Barriers to access and utilization of emergency obstetric care at health facilities in sub-Saharan Africa: a systematic review of literature.Systematic reviews · 2018Pooled it
- The WOMAN trial: clinical and contextual factors surrounding the deaths of 483 women following post-partum haemorrhage in developing countries.BMC pregnancy and childbirth · 2020Trial
- Identifying the 'real cause of death': the complexities of maternal death reviews in Tanzania.Health policy and planning · 2026Article
- Determinants of maternal mortality among obstetric patients admitted to intensive care unit of Wolaita Sodo comprehensive specialized hospital, Southern Ethiopia: unmatched case-control study.BMC pregnancy and childbirth · 2025Article
- Exploring evidence of healthcare-seeking pathways for maternal complications in Sub-Saharan Africa: a scoping review.BMC pregnancy and childbirth · 2025Article
- Experiences with facility delivery services within the context of a maternal neonatal health project in Gombe State, Northeast Nigeria: a qualitative study.The Pan African medical journal · 2025Article
- Tanzanian midwives' clinical practices and experiences in caring for women with antepartum hemorrhage: a critical incident technique study.BMC pregnancy and childbirth · 2024Article
- Barriers to and enablers of quality improvement in primary health care in low- and middle-income countries: A systematic review.PLOS global public health · 2024Article
- Provision of emergency obstetric care: Midwives' knowledge and involvement in rural health facilities of Cross River State, Nigeria.Journal of education and health promotion · 2023Article
- A multi-level analysis of prevalence and factors associated with caesarean section in Nigeria.PLOS global public health · 2023Article
- Bilateral trauma case conferences: an approach to global surgery equity through a virtual education exchange.Global surgical education : journal of the Association for Surgical Education · 2023Article
- Exploring the sustainability of perinatal audit in four district hospitals in the Western Cape, South Africa: a multiple case study approach.BMJ global health · 2022Article
- Perceptions and Experiences of Health Care Workers on Accountability Mechanisms for Enhancing Quality Improvement in the Delivery of Maternal Newborns and Child Health Services in Mkuranga, Tanzania.Frontiers in global women's health · 2022Article
- Critical comparative analysis of data sources toward understanding referral during pregnancy and childbirth: three perspectives from Nigeria.BMC health services research · 2021Article
- The status of emergency obstetric and newborn care in post-conflict eastern DRC: a facility-level cross-sectional study.Conflict and health · 2021Article
- Maternal and perinatal death surveillance and response in low- and middle-income countries: a scoping review of implementation factors.Health policy and planning · 2021Article
- Estimation of gestational age using trans-cerebellar diameter: a sonographic study of a cohort of healthy pregnant women of Igbo ethnic origin in a suburb of Lagos, southwest Nigeria.Journal of ultrasound · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMaternal death reviews and obstetric audits identify causes and circumstances related to occurrence of a maternal death or serious complication and inform improvements in quality of care. Given Nigeria's high maternal mortality, the lessons learned from past experiences can provide a good evidence base for informed decision making. We aimed to synthesise findings from maternal death reviews and other obstetric audits conducted in Nigeria through a systematic review, seeking to identify common barriers and enabling factors related to the provision of emergency obstetric care.
methodsWe searched for maternal death reviews and obstetric care audits reported in the published literature from 2000-2014. A 'best-fit' framework approach was used to extract data using a structured data extraction form. The articles that met the inclusion criteria were assessed using a nine point quality score.
resultsOf the 1,841 abstracts and titles at initial screening, 329 full text articles were reviewed and 43 papers fulfilled the inclusion criteria. Four types of barriers were reported related to: transport and referral; health workers; availability of services; and organisational factors. Three elements stand out in Nigeria as contributing to maternal mortality: delays in Caesarean section, unavailability of magnesium sulphate and lack of safe blood transfusion services.
conclusionsObstetric care reviews and audits are useful activities to undertake and should be promoted by improving the processes used to conduct them, as well as extending their implementation to rural and basic level health facilities and to the community. Urgent areas for quality improvement in obstetric care, even in tertiary and teaching hospitals should focus on organisational factors to reduce delays in conducting Caesarean section and making blood and magnesium sulphate available for all who need these interventions.
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