On a recent visit to Nigeria, in particular to the Northern States Kano and Kaduna,
I [WK] became aware of the needs of the obstetrical services, especially in rural
areas. Plenty of information is already available about the high maternal and infant
mortality in such states. Despite a huge supply of drugs and other necessities by
many non-governmental organisations the tragedy of maternal mortality and obstetric
fistula continues and could not be changed over the past 20 years. This was stated
again at the “Women deliver” conference last November in London. Millennium development
goals 4 and 5 are still far out of reach. It is surprising that no practical concept
has been developed up till now to reduce the high maternal mortality rates (MMRs)
and perinatal mortality rates (PMRs) and to prevent obstetric fistula. An enormous
number of papers analyse the MMR and PMR but a way forward has not been given.
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Article info
Publication history
Published online: September 02, 2008
Identification
Copyright
© 2008 Elsevier Ireland Ltd. Published by Elsevier Inc. All rights reserved.
