A population-based study of effect of multiple birth on infant mortality in Nigeria

Uthman, Olalekan A.; Uthman, Mubashir B; Yahaya, Ismail

doi:10.1186/1471-2393-8-41

Cited by 58 publications

(51 citation statements)

References 33 publications

(22 reference statements)

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“…After controlling for spatial dependence in the data, the majority of the covariates in the fixed part of the models were found to have significant effects in the right direction. Findings on birth order, multiple births and gender for instance conform with existing literature on sub-Saharan Africa (Magadi et al 2007;Manda 1999;Uthman et al 2008). Multi-foetal pregnancy and multiple births including twins and higher order multiples such as triplets and quadruplets are known to be high-risk pregnancies and births while first births are likely to have occurred to inexperienced mothers.…”

Section: Discussion Of Resultssupporting

confidence: 61%

Geographical variations in infant and child mortality in West Africa: a geo-additive discrete-time survival modelling

Gayawan

Adarabioyo

Okewole

et al. 2016

Genus

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This study examines the residual geographical variations in infant and child mortality and how the different categories of the risk factors account for the spatial inequality in West African countries. To this end, we pooled data for 10 of the countries extracted from Demographic and Health Surveys and used the spatial extension of discrete-time survival model to examine how the variables exert influence on infant and child mortality across space. Inference was Bayesian based on the computational efficient MCMC technique. We found different geographical patterns for infant and child mortality. In the case of children under five, demographic factors inherent to the mother and child as well as maternal status variables when accounted for explain away a good part of the huge variations observed in the crude rates. There are no evidence of significant variations, however, in infant mortality except for three neighbouring regions of Liberia and Sierra Leone. The findings can guide in evidence-based allocation of scarce resources in West Africa with the aim of improving the survival chance of young children.

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Section: Discussion Of Resultssupporting

confidence: 61%

Geographical variations in infant and child mortality in West Africa: a geo-additive discrete-time survival modelling

Gayawan

Adarabioyo

Okewole

et al. 2016

Genus

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“…With a very low contraceptive usage and a high unmet need for family planning in Nigeria, adequate birth spacing would be difficult to achieve. The results also further emphasised the significant influence of multiplicity of births and short birth intervals as risk factors of under-five mortality in Nigeria (Uthman et al 2008) and other countries (Alam et al 2007). Multiple birth children are at higher risks of low birth weight and other complications as well http://aps.journals.ac.za/ as prematurity which is also a leading cause of underfive death (Black et al 2010).…”

Section: Trends In Effects and Relative Contributions Of Under-five Mmentioning

confidence: 99%

“…For instance, multiple births and male children have higher risks of death. Multiplicity of births increases the risk of low birth weight and other complications in the perinatal period (Uthman et al 2008).…”

Section: Discussionmentioning

confidence: 99%

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New trends in under-five mortality determinants and their effects on child survival in Nigeria: A review of childhood mortality data from 1990-2008

Akinyemi

Bamgboye

Ayeni

2013

APS

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“…Children born in these cases were more than twice as likely to die during infancy as infants born singleton. 9 In our case apart from the complications of preeclampsia, prematurity, and IUGR additionally Cervical insufficiency, polyhydramnios with considerable maternal pressure effects (breathlessness) have been encountered.…”

Section: Triplet Pregnancy-reproductive Performancementioning

confidence: 99%

Successful outcome of a triplet pregnancy following laparoscopic myomectomy for infertility: a unique case report

Hymavathi¹,

Tadisetti²,

Gottipati³

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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Infertility is a burning problem affecting 10-15% of the couples globally. The female factors contribute to about 40- 45% among which uterine factor is up to 10%. Presence of uterine myomas also significantly contribute to infertility. A conservative surgical approach like myomectomy is indicated for women in reproductive age both for psychological reasons as well as to preserve their reproductive potential. In recent years laparoscopic myomectomy (LM) has become the procedure of choice. Pregnancy outcome after myomectomy is a more significant concern especially with regard to the obstetric calamity of sudden uterine rupture due to the presence of an operative scar. The intensity of such complication will be considerably high when a triplet pregnancy occurs with a LM scar in the upper uterine segment with history of uterine cavity being opened during the myomectomy surgery. Managing such a case will be a difficult task to the attending clinician posing many unexpected clinical dilemmas. We are reporting a unique case of triplet pregnancy occurred following a LM resulting in successful maternal and fetal outcome. During the course of this pregnancy apart from considerable maternal distress due to uterine over distension many clinical problems like cervical insufficiency, pre eclampsia, polyhydraminos, intrauterine growth restriction (IUGR) and last but not the least severe postpartum haemorrhage (PPH) have been encountered and could be managed efficiently. An elective Caesarean section was performed at 33+4 weeks gestation delivering live triplets. Mother and all the three babies discharged from the hospital in good condition.

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A population-based study of effect of multiple birth on infant mortality in Nigeria

Abstract: Background: Multi-foetal pregnancies and multiple births including twins and higher order multiples births such as triplets and quadruplets are high-risk pregnancy and birth. These high-risk groups contribute to the higher rate of childhood mortality especially during early period of life.

Cited by 58 publications

References 33 publications

Geographical variations in infant and child mortality in West Africa: a geo-additive discrete-time survival modelling

Geographical variations in infant and child mortality in West Africa: a geo-additive discrete-time survival modelling

New trends in under-five mortality determinants and their effects on child survival in Nigeria: A review of childhood mortality data from 1990-2008

Successful outcome of a triplet pregnancy following laparoscopic myomectomy for infertility: a unique case report

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