Maternal birth outcomes: processes and challenges in Anambra State, Nigeria.

The views of nurse experts and policymakers on maternal birth outcomes in Anambra State, Nigeria, were explored using qualitative content analysis. The findings indicate that although there are different levels of birth attendants in Anambra State, nurses attend to most deliveries; are highly favored; and are the most trusted obstetric providers among skilled personnel. Obstetric complications are extensive, leading to high mortality and morbidity. Poverty, gender inequity, and weak health systems-encompassing insufficiency of trained nursing workforce among other issues-intensify poor maternal birth outcomes.