Delivery outside hospital after antenatal care: prevalence and its predictors

Ezechi, Oliver; Fasubaa, OB; Obiesie, L O; Kalu, B K E; Loto, OM; Dubub, V I; Olomola, Omolade

doi:10.1080/014436104100009410

Cited by 11 publications

(11 citation statements)

References 8 publications

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“…28,29 To prevent possible caesarean section, mothers who have received antenatal care in hospitals often seek vaginal delivery in non-hospitalbased facilities, even when this mode of delivery presents significant risks to both mother and child. 30 Moreover, TBAs pride themselves in their ability to deliver every baby vaginally irrespective of the risks to the baby. Referral to hospital occurs late and only where there is a glaring failure of vaginal delivery necessitating emergency surgical intrapartum intervention.…”

Section: Discussionmentioning

confidence: 99%

Non‐hospital delivery and permanent congenital and early‐onset hearing loss in a developing country

Olusanya¹,

Wirz²,

Luxon³

2008

BJOG

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Objective The objective of this study was to determine the role of non-hospital delivery and other risk factors for permanent congenital and early-onset hearing loss (PCEHL) in a developing country. Design Matched case-control study. Setting Four primary healthcare centres in inner-city Lagos, Nigeria. Population Fifty-six infants with PCEHL and 280 normal hearing controls matched for age and sex from a population of infants not older than 3 months attending Bacille de Calmette-Guérin immunisation clinics. Methods Conditional logistic regression analyses of infant and maternal characteristics associated with PCEHL, and the evaluation of population exposure to each risk factor. Main outcome measures Adjusted matched odds ratios and population attributable risk percent (PAR%). Results Children with PCEHL were significantly more likely to be first born (OR 1.9, 95% CI 1.1-3.6) without skilled attendants at birth (OR 2.4, 95% CI 1.3-4.5) and have a history of neonatal jaundice requiring exchange blood transfusion (NNJ/EBT) (OR 9.6, 95% CI 2.4-38.2) but less likely to be small for gestational age (SGA) (OR 0.1, 95% CI 0.0-0.5). After controlling for other covariates, the absence of skilled attendants at birth (OR 4.2, 95% CI 2.0-8.6) and NNJ/EBT (OR 19.1, 95% CI 4.3-85.5) emerged as predictors of PCEHL, while SGA (OR 0.1, 95% CI 0.0-0.2) retained its inverse relationship with PCEHL. The PAR% was 35.9% for the lack of skilled attendants at birth and 10.6% for having NNJ/EBT. About 23% of children with PCEHL did not exhibit any risk factors. Conclusions NNJ/EBT and the absence of skilled attendant at birth rather than the place of delivery are significant predictors of PCEHL in this study population. Targeted hearing screening using these risk factors would facilitate the detection of about 77% of children with PCEHL. Keywords Developing country, early hearing detection, immunisation clinic, neonatal jaundice, traditional birth attendant, unskilled birth attendants. Please cite this paper as: Olusanya B, Wirz S, Luxon L. Non-hospital delivery and permanent congenital and early-onset hearing loss in a developing country.

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Section: Discussionmentioning

confidence: 99%

Non‐hospital delivery and permanent congenital and early‐onset hearing loss in a developing country

Olusanya¹,

Wirz²,

Luxon³

2008

BJOG

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“…Also in some deeply religious settings such as are found in many African countries, a significant proportion of births occur in spiritual/mission homes with unskilled or poorly skilled attendants. All these practice predispose to perinatal mortality [15,16,17] .…”

Section: Strategies To Reduce Perinatal Mortalitymentioning

confidence: 99%

“…In most low income countries like Nigeria, though these three levels of care exist, appropriate referral linkages from one level of healthcare to the next are lacking making the health system inefficient and dysfunctional [16,17] .The roads linking these facilities, as well as appropriate transport systems are in terrible disrepair or non-existent. In most low income countries, most deliveries are supervised by unskilled birth attendants.…”

Section: Strategies To Reduce Perinatal Mortalitymentioning

confidence: 99%

“…In most low income countries, most deliveries are supervised by unskilled birth attendants. Efforts over the years have been devoted to training these unskilled attendants with no appreciable success [17]. If the MDG 4 must be achieved by 2015, investment should be directed at training a critical mass of health workers with sufficient basic education to understand the science and techniques of perinatology.…”

Section: Strategies To Reduce Perinatal Mortalitymentioning

confidence: 99%

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Overview of Global Perinatal Mortality

Ezechi¹,

David²

2012

Perinatal Mortality

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“…Caesarean rates have been increasing in many countries [1]. 32.8% of whole deliveries have been reported to happen with caesarean, between the years 2007-2010 [2].…”

Section: Introductionmentioning

confidence: 99%

Maternal and perinatal effects of vaginal delivery after caesarean section

Özler¹,

Öztaş²,

Guler³

et al. 2016

Med-Science

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We aimed to determine the risk factors of vaginal delivery after caesarean section (VDAC) that may be effective on maternal and neonatal outcomes and compare the pregnancy outcomes of VDAC with the results of the previous caesarean delivery. 36 women, who had VDAC in Dr. Zekai Tahir Burak Women's Health Education and Research Hospital between 2009-2014 years, were included in this study. Mean age of patients was 32.53± 3.595, mean birth week of previous caesarean was 38.21 ± 1.84 and mean birth week of present vaginal delivery was 36,10 ± 3,99. Birth weeks of previous caesarean and present vaginal deliveries were significantly different. Neonatal birth weight was not significantly different between these groups. Gravida and parity of the patient, and the number of previous vaginal deliveries, have been identified as factors that reduce adverse pregnancy outcomes by lineer regression analysis. Increased number of previous vaginal deliveries, gravida and parity reduce the adverse pregnancy outcomes in women having VDAC.

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Delivery outside hospital after antenatal care: prevalence and its predictors

Cited by 11 publications

References 8 publications

Non‐hospital delivery and permanent congenital and early‐onset hearing loss in a developing country

Non‐hospital delivery and permanent congenital and early‐onset hearing loss in a developing country

Overview of Global Perinatal Mortality

Maternal and perinatal effects of vaginal delivery after caesarean section

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