An assessment of stillbirths in a tertiary hospital in northern Nigeria

Ugwa, Emmanuel Ajuluchukwu; Ashimi, Adewale

doi:10.3109/14767058.2014.961416

Cited by 16 publications

(18 citation statements)

References 7 publications

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“…More than three fourth of the respondents (86.4%) were married and rest of the respondents (13.6%) were unmarried. Similar study was conducted in Nigeria [9] where majority (67.3%) of the respondents had age ranged 26-35years, 73.3% were married and 81.3% were Muslim. In this study 78% were male and rests of the respondents (22.00%) were female.…”

Section: Discussionsupporting

confidence: 67%

Job satisfaction of doctors working at Upazila Health Complexes in Barisal District.

Rashid¹,

Islam²,

Ahmed³

et al. 2019

Asian J Biomed Pharmaceut Sci

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Doctor's profession has long been among one of the most attractive professions in our society, but doctors are increasingly getting dissatisfied with their jobs. Job satisfaction is very important but very less studied issue. The aim of this study to assess the level of job satisfaction among doctors at selected Upazila Health Complexes in Barisal District. A descriptive cross sectional study was conducted among 59 doctors posted in 9 Upazila Health Complexes of Barisal district. Data was collected by using structured questionnaire consisting of 54 questions and JSS (Job Satisfaction Survey) scale, where higher values indicated higher level of satisfaction. The average scores of items were computed to construct factor scores for each individual. The total number of doctors included in this study was 59.78% were male. Majority (66.1%) had age ranged 25-35 years. Majority (86.4%) of doctors was married and almost 80% were Muslim. Most of the respondents (64.4%) had clinical experience of 0 to 5 years. The result displayed that 57.6% of doctors were dissatisfied, 27.1% were satisfied and 15.3% were ambivalent. Majority of the respondents were dissatisfied with salary, promotional scope allowances, night duty, working hours, accommodation facility and transport facility. Job satisfaction among doctors in this study was low. Responsible authority should take necessary action to improve job satisfaction.

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Section: Discussionsupporting

confidence: 67%

Job satisfaction of doctors working at Upazila Health Complexes in Barisal District.

Rashid¹,

Islam²,

Ahmed³

et al. 2019

Asian J Biomed Pharmaceut Sci

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“…The SB rate of 33 per 1000 births as observed in this study is comparable to an average rate of 32 per 1000 births quoted for Low-Middle Income Countries (LMIC) [ 11 ]. The figure is however significantly lower than earlier values of 170 per 1000 in Birnin Kudu, northwest Nigeria and 74 per 1000 births in Enugu, Southeastern Nigeria [ 11 , 12 ]. This is not too surprising as Southwest Nigeria is the most educated region in the country and is known to have better health indices.…”

Section: Discussioncontrasting

confidence: 59%

Baird-Pattinson Aetiological Classification and Phases of Delay Contributing to Stillbirths in a Nigerian Tertiary Hospital

Awoleke

Adanikin

2016

Journal of Pregnancy

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Purpose. This study aims to identify triggers of stillbirth in the study setting and to make suggestions to reduce the prevalence. Method. A three-year retrospective case-control study of stillbirths at Ekiti State University Teaching Hospital. Results. The stillbirth rate was 33 per 1000 births. Based on Baird-Pattinson classification of the primary obstetric causes of stillbirth, adverse intrapartum events, hypertensive diseases, and unexplained intrapartum fetal deaths were topmost causes of stillbirths. In comparison with the controls, other identified predictors of SB were grand multiparity (p = 0.016), delays in seeking medical care and/or in receiving treatment (p = 0.001), wrong initial diagnosis (p = 0.001), inadequate intrapartum monitoring (p = 0.001), and inappropriate clinical management (p = 0.001). Conclusion. Stillbirth rate remains high in our setting. Elimination of obstacles to accessing care, effective management of hypertensive disorders in pregnancy, updated health facilities, improved dedication to duty, and retraining of health workers will reduce the prevalence.

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“…Congenital anomalies was the most frequently reported category, included in 93% of all reports. The proportion of stillbirths assigned to this category ranged from 1.4% in Nigeria to 64.4% in China (Figure , Table S5). The second category was Unexplained , included in 82% of all reports, ranging from 0.3% in Turkey to 82.0% in Japan .…”

Section: Resultsmentioning

confidence: 99%

Making stillbirths visible: a systematic review of globally reported causes of stillbirth

Reinebrant

Leisher

Coory

et al. 2017

BJOG

140

138

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Background Stillbirth is a global health problem. The World Health Organization (WHO) application of the International Classification of Diseases for perinatal mortality (ICD‐PM) aims to improve data on stillbirth to enable prevention. Objectives To identify globally reported causes of stillbirth, classification systems, and alignment with the ICD‐PM. Search strategy We searched CINAHL, EMBASE, Medline, Global Health, and Pubmed from 2009 to 2016. Selection criteria Reports of stillbirth causes in unselective cohorts. Data collection and analysis Pooled estimates of causes were derived for country representative reports. Systems and causes were assessed for alignment with the ICD‐PM. Data are presented by income setting (low, middle, and high income countries; LIC, MIC, HIC). Main results Eighty‐five reports from 50 countries (489 089 stillbirths) were included. The most frequent categories were Unexplained, Antepartum haemorrhage, and Other (all settings); Infection and Hypoxic peripartum (LIC), and Placental (MIC, HIC). Overall report quality was low. Only one classification system fully aligned with ICD‐PM. All stillbirth causes mapped to ICD‐PM. In a subset from HIC, mapping obscured major causes. Conclusions There is a paucity of quality information on causes of stillbirth globally. Improving investigation of stillbirths and standardisation of audit and classification is urgently needed and should be achievable in all well‐resourced settings. Implementation of the WHO Perinatal Mortality Audit and Review guide is needed, particularly across high burden settings. Funding HR, SH, SHL, and AW were supported by an NHMRC‐CRE grant (APP1116640). VF was funded by an NHMRC‐CDF (APP1123611). Tweetable abstract Urgent need to improve data on causes of stillbirths across all settings to meet global targets. Plain Language Summary Background and methodsNearly three million babies are stillborn every year. These deaths have deep and long‐lasting effects on parents, healthcare providers, and the society. One of the major challenges to preventing stillbirths is the lack of information about why they happen. In this study, we collected reports on the causes of stillbirth from high‐, middle‐, and low‐income countries to: (1) Understand the causes of stillbirth, and (2) Understand how to improve reporting of stillbirths. FindingsWe found 85 reports from 50 different countries. The information available from the reports was inconsistent and often of poor quality, so it was hard to get a clear picture about what are the causes of stillbirth across the world. Many different definitions of stillbirth were used. There was also wide variation in what investigations of the mother and baby were undertaken to identify the cause of stillbirth. Stillbirths in all income settings (low‐, middle‐, and high‐income countries) were most frequently reported as Unexplained, Other, and Haemorrhage (bleeding). Unexplained and Other are not helpful in understanding why a baby was stillborn. In low‐income countries, stillbirths were often attribute...

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An assessment of stillbirths in a tertiary hospital in northern Nigeria

Abstract: The stillbirth rate reported in this study was higher than those reported from other regions of Nigeria and obstructed labour was the common cause.

Cited by 16 publications

References 7 publications

Job satisfaction of doctors working at Upazila Health Complexes in Barisal District.

Job satisfaction of doctors working at Upazila Health Complexes in Barisal District.

Baird-Pattinson Aetiological Classification and Phases of Delay Contributing to Stillbirths in a Nigerian Tertiary Hospital

Making stillbirths visible: a systematic review of globally reported causes of stillbirth

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