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Incidence and sociodemographic, living environment and maternal health associations with stillbirth in a tertiary healthcare setting in Kano, Northern Nigeria.
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- Author(s): Milton, Rebecca; Modibbo, F.; Gillespie, D.; Alkali, F. I.; Mukaddas, A. S.; Kassim, A.; Sa'ad, F. H.; Tukur, F. M.; Khalid, R. Y.; Muhammad, M. Y.; Bello, M.; Edwin, C. P.; Ogudo, E.; Iregbu, K. C.; Jones, L.; Hood, K.; Ghazal, P.; Sanders, J.; Hassan, B.; Belga, F. J.
- Source:
BMC Pregnancy & Childbirth; 9/8/2022, Vol. 22 Issue 1, p1-14, 14p- Subject Terms:
- Source:
- Additional Information
- Subject Terms:
- Abstract:
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. [ABSTRACT FROM AUTHOR] - Abstract: Copyright of BMC Pregnancy & Childbirth is the property of BioMed Central and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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