Current Trends in Perinatal Mortality in Developing Countries: Nigeria as a Case Study

Onwudiegwu, Uchenna; Awowole, Ibraheem O.

doi:10.5772/32328

Cited by 3 publications

(2 citation statements)

References 18 publications

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“…In addition, one study showed that nulliparous women of <18 years have the highest odds of adverse neonatal outcomes in general [15]. Women in developing countries generally tend to have many pregnancies [16] and research provides conflicting views about whether increasing parity increases the risk of perinatal mortality. Previous studies demonstrated that maternal parity > 4 [17] [18] was significantly associated with perinatal mortality and newborn deaths, respectively.…”

Section: Paritymentioning

confidence: 99%

Perinatal Mortality and Associated Risk Factors among Singleton Babies in Unguja Island, Zanzibar

Bakar¹,

Manongi²,

Mmbaga³

et al. 2019

Health

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Background: Perinatal mortality is a major public health problem, particularly in developing countries where three quarters of neonatal deaths happen in the first week of life. Therefore, it is crucial to understand factors associated with perinatal mortality in order to design strategies and interventions that will improve newborn outcomes. Methods: A prospective cohort study was carried out, whereby pregnant women with gestational age ≥ 28 weeks were enrolled. Interviews were conducted during antenatal booking using structured questionnaire. Follow-up visits were made within 48 hours after delivery and on seventh day post delivery. Results: A total of 959 pregnant women were enrolled; 38 were lost to follow-up prior delivery. The remaining 921 participants, resulting in PMR of 45.5 per 1000 births. Over half of the deaths were stillbirths (SBR 29.6 per 1000 births) and early neonatal deaths (ENMR 16.8 per 1000 live births). Using Generalized Linear Model (GLM), risk factors associated with perinatal mortality included: maternal age ≥ 35 years (ARR 3.0, 95% CI: 1.0 to 9.0), nulliparous women (ARR 4.2, 95% CI: 1.6 to 11.1), assisted vaginal delivery (ARR 5.1, 95% CI: 1.4 to 19.0), home delivery (ARR 3.3, 95% CI: 1.6 to 6.6), previous newborn death (ARR 4.0, 95% CI: 1.5 to 10.1), pregnancy-induced hypertension (ARR 4.8, 95% CI: 2.4 to 9.4), herbal use during labour (ARR 2.4, 95% CI: 1.2 to 5.1) and newborn asphyxia (ARR 5.9, 95% CI: 1.3 to 26.5). Conclusions: Perinatal mortality was found to be high in Zanzibar. Healthcare providers should pay special attention to women with pregnancy-induced hypertension and nulliparous women throughout How to cite this paper:

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Section: Paritymentioning

confidence: 99%

Perinatal Mortality and Associated Risk Factors among Singleton Babies in Unguja Island, Zanzibar

Bakar¹,

Manongi²,

Mmbaga³

et al. 2019

Health

View full text Add to dashboard Cite

show abstract

“…According to OSSAP-MDG 2013 report, this sector-specific manifested majorly in service delivery (supply-side) in terms of cost of care; shortage of skilled health care personnel; waiting time due to delays in getting treatment; shortage of emergency obstetric care services; inadequate critical supplies in PHCs; and lack of adequate attention to special (disadvantaged) groups of mothers particularly in the case of obstetric and childcare [26] . Most affected are patients in Nigeria's rural areas, as the majority of them lack access to health care facilities and health personnel [27] .…”

Section: Introductionmentioning

confidence: 99%

Individual and Systemic Factors of Under-five Mortality in Nigeria: A Cox Proportional Hazard Model

Ojewumi

2023

macro. manag. & public. polic.

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Despite considerable efforts to reduce under-five mortality nationwide, Nigeria has fallen short of achieving the Millennium Development Goals (MDGs) target of 67 deaths per 1,000 live births by 2015. Of all the documented factors of under-five mortality, little evidence exists on the impact of systemic barriers and individual factors (maternal health-seeking behaviour) on under-five mortality in Nigeria. The study used a nationally representative sample from Nigeria Demographic and Health Survey (NDHS) 2013 dataset. The target population was 20,192 women aged 15-59 years who had given birth to 31,480 children five years before the survey. Stata software was used for data analysis. The risk of death was estimated using Cox proportional hazard models and results are presented as hazards ratios (HR) with 95% confidence intervals (CI). Findings from the overall Model I-IV revealed individual factors (maternal health-seeking indicators) as significant factors of under-five deaths (p < 0.05). Children whose mothers received antenatal care coverage (ANC) outside health care facilities (HCF) (HR: 1.60, CI: 1.0-2.4, p < 0.05); or delivered outside HCF (HR: 1.02, CI: 0.7-1.5, p < 0.05) had elevated hazard risk of death before age five. Conversely, children who were presented for postnatal check within two weeks of delivery (HR: 0.60, CI: 0.5-0.8, p < 0.05), or delivered within the longer birth interval (HR: 0.67, CI: 0.6-0.8, p < 0.001) had significantly lower hazard risk of death before age five. As part of systemic factors, children whose mothers were covered by health insurance scheme had significantly (HR: 0.52, CI: 0.2-1.2, p < 0.001) lower risk of death when compared with their counterparts without health insurance coverage. The study emphasized the need to revitalize strategies and programs to improve women health seeking behaviour and investment in the health sector through health insurance, infrastructure, and supplies.

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Borderline Amniotic Fluid Index in Nigerian Pregnant Women is Associated with Worse Fetal Outcomes

Aramabi

Ebeigbe

Ogbeide

et al. 2022

Nigerian Journal of Clinical Practice

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Background: The amniotic fluid index (AFI) is one of the parameters used to assess fetal well-being and predict perinatal outcomes. There is, however, a dearth of studies on the pregnancy outcomes of women with borderline AFI in Nigerian and African women. Aim: To compare the pregnancy outcomes of Nigerian women with borderline and normal amniotic fluid index. Subjects and Methods: This was a prospective cohort study conducted at two health facilities in Delta State, Southern Nigeria. A total of 114 pregnant women attending the antenatal clinics with singleton pregnancies at gestational age 37 to 41 + 6 weeks were recruited over a 5-month period. Fifty-seven subjects with borderline amniotic fluid index were matched with an equal number of subjects with the normal amniotic fluid index for gestational age, age of the parturient, and parity. These women were followed up till delivery, and pregnancy outcomes were determined. The data were analyzed using the Statistical Package for the Social Sciences (SPSS) version 22 software. Results: The results showed that borderline amniotic fluid index was associated with increased risk of adverse pregnancy outcomes including intrapartum fetal distress, Appearance, Pulse, Grimace, Activity, and Respiration (Apgar) score <7 in 5 min, and birthweight <2.5 kg, and these were statistically significant (P = 0.04, 0.01, and 0.04, respectively). Conclusions: Borderline AFI is associated with an increased risk of adverse pregnancy outcomes in low-risk Nigerian women.

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Current Trends in Perinatal Mortality in Developing Countries: Nigeria as a Case Study

Cited by 3 publications

References 18 publications

Perinatal Mortality and Associated Risk Factors among Singleton Babies in Unguja Island, Zanzibar

Perinatal Mortality and Associated Risk Factors among Singleton Babies in Unguja Island, Zanzibar

Individual and Systemic Factors of Under-five Mortality in Nigeria: A Cox Proportional Hazard Model

Borderline Amniotic Fluid Index in Nigerian Pregnant Women is Associated with Worse Fetal Outcomes

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