Incidence and sociodemographic, living environment and maternal health associations with stillbirth in a tertiary healthcare setting in Kano, Northern Nigeria.

Autor: Milton R; Centre for Trials Research, Cardiff University, Cardiff, UK. Miltonrl1@Cardiff.ac.uk., Modibbo F; Murtala Mohammed Specialist Hospital (MMSH), Kano, Nigeria., Gillespie D; Centre for Trials Research, Cardiff University, Cardiff, UK., Alkali FI; Department of Biochemistry, Bayero University, Kano, Nigeria., Mukaddas AS; Department of Biological Sciences, Bayero University, Kano, Nigeria., Kassim A; Department of Biological Sciences, Bayero University, Kano, Nigeria., Sa'ad FH; Department of Medical Microbiology and Parasitology, Bayero University, Kano, Nigeria., Tukur FM; Department of Biological Sciences, Bayero University, Kano, Nigeria., Khalid RY; Murtala Mohammed Specialist Hospital (MMSH), Kano, Nigeria., Muhammad MY; Murtala Mohammed Specialist Hospital (MMSH), Kano, Nigeria., Bello M; Murtala Mohammed Specialist Hospital (MMSH), Kano, Nigeria., Edwin CP; Department of Microbiology, Aminu Kano Teaching Hospital, Kano, Nigeria., Ogudo E; Murtala Mohammed Specialist Hospital (MMSH), Kano, Nigeria., Iregbu KC; Department of Medical Microbiology, National Hospital Abuja, Abuja, Nigeria., Jones L; Department of Medical Microbiology Cardiff, Public Health Wales, University Hospital of Wales, Cardiff, UK., Hood K; Centre for Trials Research, Cardiff University, Cardiff, UK., Ghazal P; Systems Immunity Research Institute, School of Medicine, Cardiff University, Cardiff, UK., Sanders J; School of Healthcare Sciences, Cardiff University, Cardiff, UK., Hassan B; Institute of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK., Belga FJ; Murtala Mohammed Specialist Hospital (MMSH), Kano, Nigeria., Walsh TR; Institute of Infection and Immunity, School of Medicine, Cardiff University, Cardiff, UK.; Department of Zoology, Ineos Institute of Antimicrobial Research, University of Oxford, Oxford, UK.
Jazyk: angličtina
Zdroj: BMC pregnancy and childbirth [BMC Pregnancy Childbirth] 2022 Sep 08; Vol. 22 (1), pp. 692. Date of Electronic Publication: 2022 Sep 08.
DOI: 10.1186/s12884-022-04971-x
Abstrakt: Background: Almost two million stillbirths occur annually, most occurring in low- and middle-income countries. Nigeria is reported to have one of the highest stillbirth rates on the African continent. The aim was to identify sociodemographic, living environment, and health status factors associated with stillbirth and determine the associations between pregnancy and birth factors and stillbirth in the Murtala Mohammed Specialist Hospital, Kano, Nigeria.
Methods: A three-month single-site prospective observational feasibility study. Demographic and clinical data were collected. We fitted bivariable and multivariable models for stillbirth (yes/no) and three-category livebirth/macerated stillbirth/non-macerated stillbirth outcomes to explore their association with demographic and clinical factors.
Findings: 1,998 neonates and 1,926 mothers were enrolled. Higher odds of stillbirth were associated with low-levels of maternal education, a further distance to travel to the hospital, living in a shack, maternal hypertension, previous stillbirth, birthing complications, increased duration of labour, antepartum haemorrhage, prolonged or obstructed labour, vaginal breech delivery, emergency caesarean-section, and signs of trauma to the neonate following birth.
Interpretation: This work has obtained data on some factors influencing stillbirth. This in turn will facilitate the development of improved public health interventions to reduce preventable deaths and to progress maternal health within this site.
(© 2022. The Author(s).)
Databáze: MEDLINE
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