Determinants of perinatal mortality in Nigeria
| Autor: | Mohammed Sa'id, Felix O. Obaitan, A O Fawole, Kabir Dara, A.O Fabanwo, Yalwa Usman, Omololu Adegbola, Ademuyiwa B. Eniayewun, Olanrewaju E. Onala, Abdulkareem O. Sullayman, Adewunmi Aa, Aliyu M. El-Ladan, Amos Adebayo, AC Umezulike, Olukemi O. Tongo, Archana Shah, Sikiratu Kailani, Frank E. Alu |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
medicine.medical_specialty Birth weight Population Nigeria Prenatal care Young Adult Pregnancy Risk Factors Infant Mortality Medicine Cluster Analysis Humans Prospective Studies education Perinatal Mortality Asphyxia education.field_of_study business.industry Obstetrics Infant Newborn Obstetrics and Gynecology Gestational age Prenatal Care General Medicine Stillbirth medicine.disease Health Surveys Infant mortality Cross-Sectional Studies Premature birth Female medicine.symptom business Maternal Age |
| Zdroj: | International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics. 114(1) |
| ISSN: | 1879-3479 |
| Popis: | Objective To determine risk factors for perinatal mortality among hospital-based deliveries in Nigeria. Methods The WHO Global Maternal and Perinatal Health Survey was implemented in Nigeria as a first step in establishing a global system for monitoring maternal and perinatal health. Twenty-one health facilities with more than 1000 deliveries annually were selected by a stratified multistage cluster sampling strategy. Information was recorded on all women who delivered and their neonates within a 3-month period. Results Overall, there were 9208 deliveries, comprising 8526 live births, 369 fresh stillbirths, 282 macerated stillbirths, 70 early neonatal deaths, and 721 perinatal deaths. The stillbirth and perinatal mortality rates were, respectively, 71 and 78 per 1000 deliveries; the early neonatal death rate was 8 per 1000 live births. Approximately 10% of all newborns weighed less than 2500 g, and 12.3% were born at less than 37 weeks of gestation. Predictors of perinatal mortality were mother's age, lack of prenatal care, unbooked status, prematurity, and birth asphyxia. Conclusion The perinatal mortality rate remains unacceptably high in Nigeria. Fresh stillbirth accounted for most perinatal deaths. Interventions to improve the utilization and quality of prenatal care, in addition to the quality of intrapartum care, would considerably reduce perinatal death. |
| Databáze: | OpenAIRE |
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