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Abstract   Background  Maternal mortality in developing countries is higher than that in developed countries. There are few published articles on the factors associated with maternal deaths in northern Nigeria.    Objectives  The objective of this study was to identify the medical causes and factors associated with maternal mortality in Sokoto, northern Nigeria.    Method  A verbal autopsy questionnaire was used to interview close relatives of women within the reproductive age group who had died of pregnancy-related complications in the Sokoto metropolis during the preceding two years. A multistage sampling method using simple random sampling at each step was used to select areas of study within the Sokoto metropolis. Data analysis was carried out using a statistical package for social sciences (SPSS), version 19, and the Spearman correlation was used to test association. Significance level was set at 0.05.    Results  The major causes of death were haemorrhage (48.3%), eclampsia (19%) and prolonged labour (13.8%). The association between maternal mortality and the absence of antenatal booking was significant ( p  < 0.001); the association between maternal mortality and the ‘three delays’ was also significant ( p  = 0.013). The association between maternal mortality and educational status and occupation was, however, not significant ( p  = 0.687 and  p  = 0.427 respectively).    Conclusion  The medical causes of maternal mortality identified in this study were similar to those of the hospital-based studies in the area. In addition, an association between maternal deaths and the ‘three delays’ and the absence of antenatal booking was found. There is a need for public education efforts to address these factors in order to reduce maternal mortality in the study area.

Aetiology of maternal mortality using verbal autopsy at Sokoto, North-Western Nigeria