Perinatal Mortality at the Ogun State University Teaching Hospital, Sagamu, Nigeria

Njokanma, OF; Sule-Odu, AO; Akesode, F. A.

doi:10.1093/tropej/40.2.78

Cited by 43 publications

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“…This was reflected in the fact that majority of the stillbirths 84% occurred in the unbooked patients. This is also similar to findings in Shagamu[14] and Lagos,[16] Nigeria, which showed that majority of the women were unbooked. Being unbooked, these women cannot fully access antenatal care, which includes the detection of at risk women and providing them with specialized care and delivery.…”

Section: Discussionsupporting

confidence: 90%

Stillbirth rate in a teaching hospital in South-eastern Nigeria: A silent tragedy

Okeudo¹,

Bu²,

Ee³

2012

Ann Med Health Sci Res

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Background:Stillbirths often are not seen as a major public health problem, for despite increasing attention and investment on maternal, neonatal, and child health, stillbirths remain invisible.Aim:The objective of this study was to determine the stillbirth rate at the Imo State University Teaching Hospital, Orlu.Subjects and Methods:Analysis of the case records of stillbirths that occurred in the institution over a 5-year period from 1st July 2005 to 30th June 2010 was made. Data retrieved was analyzed for age of the women, parity, presumptive risk factor for the stillbirth, and booking status of the women. Also, the total births during the period of study were obtained. A P-value of <0.05 is said to be significant at confidence level of 95% (95/100).Results:There were a total of 1,142 deliveries within the study period, out of which 206 resulted in stillbirths. This gave an institutional stillbirth rate of 18% (180/1000 deliveries). One-hundred and fifty-five 75.2% (155/206) of the stillbirths were macerated stillbirth. The age range of the women was 15-44 years. The modal age was 31 years. The age group of 26-30 years had the highest prevalence rate of stillbirths of 79 (38.3%, 79/206), while age group of more than 40 years contributed the least with four stillbirths 4 (1.9%, 4/206).Conclusion:The stillbirth rate at the institution is too high and efforts must be made to reduce it.

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Section: Discussionsupporting

confidence: 90%

Stillbirth rate in a teaching hospital in South-eastern Nigeria: A silent tragedy

Okeudo¹,

Bu²,

Ee³

2012

Ann Med Health Sci Res

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“…This finding was similar to that in Orlu and shagamu [2] [25]. Being unbooked, these women cannot fully access antenatal care, which includes the detection of women at risk and providing them with specialized care and delivery [26].…”

Section: O D Okochi Et Alsupporting

confidence: 69%

Stillbirth at a Nigerian Tertiary Hospital

Okochi¹,

Isah²,

Agida³

et al. 2018

OJOG

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Background: Despite improvements in antenatal and intrapartum care, stillbirth still remains an important, largely understudied and pregnant problem in obstetrics. Most of the stillbirths occur in the developing world and the majority of stillbirths are preventable. Objective: To determine the stillbirth rate, the identifiable risk factors and sociodemographic factors associated with stillbirths. Materials and Methods: This was a retrospective review of all deliveries conducted at UATH over a five-year period spanning from the January 2012 to December 2016. In this study, stillbirths were considered as foetal death at or after 28 weeks of gestation or a birth weight of 1000 g or more. The folders of cases that met the definition of stillbirth within the study period were retrieved and analyzed for sociodemographic factors, type of stillbirth, fetomaternal determinants of stillbirths and presumptive/identifiable risk factors for the stillbirth. Results: There were a total of 5714 deliveries within the period under review, of which 288 resulted in stillbirths giving an institutional stillbirth rate of 50.4/1000 deliveries. Out of the 288 stillbirths, 136 (47.2%) were fresh stillbirths while 152 (52.8%) were macerated. Macerated stillbirth (152, 52.8%) was slightly predominant, with obstructed labour 94 (32.6%) being responsible for most of the stillbirths. Most of the stillbirths were preterm (183, 63.5%). There were 6 congenitally malformed stillbirth foetuses and no autopsy was carried out on any of the 288 stillborn. However, majority of the parturients who had stillbirth were unemployed (137, 47.6%) and uneducated (110, 38.2%). Conclusion: The stillbirth rate within the study period appears. Complications of labour seem to be the leading risk factor for stillbirth in this study. Low socioeconomic status underscores the need to reduce factors related to social, educational, occupational and healthy inequalities in the developing world.

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“…8 It is difficult to generalize on facility and community based rates as neonatal mortality in facility deliveries as low as 16.4 per 1000 live births and as high as 51 per 1000 live births were obtained in similar Nigerian communities at the time of the study. 15,16 What may explain the relatively lower rates obtained in this study could be the presence of the Department of Community Medicine, Public Health Clinic which provided preventive education and care to the community for many years (excluding obstetric care). The verification exercise done after the reported vital event gives one the assurance that very few births and deaths were missed.…”

Section: Discussionmentioning

confidence: 73%

Neonatal Mortality and Perinatal Risk Factors in Rural Southwestern Nigeria: A Community-Based Prospective Study

To¹,

Mo²,

Eo³

2010

West African Journal of Medicine

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BACKGROUND: Reliable data on births and deaths particularly at the community level are scarce yet they are urgently needed to inform policy and assess the improvements which may have occurred with recent interventions. OBJECTIVE: To determine neonatal mortality rate and identify perinatal risk factors associated with neonatal deaths. METHODS: In a community-based prospective study, baseline data on births and deaths were collected as they occurred in a rural community of Southwest Nigeria from 1993 to 1998. Data on births and deaths were collected for the period. RESULTS: There were 972 live births and 64 infant deaths giving an infant mortality rate of 65.8 per 1000. Neonatal deaths accounted for a half of all infant deaths (N=32) giving a neonatal mortality rate of 32.9 per 1000. Twelve (37.5%) of neonatal deaths occurred on the first day of life; half of all neonatal deaths occurred within two days of birth, 21(65.6%) occurred during the first seven days of life and only 11 (34.4%) occurred over the last three weeks of the first month. The commonest known cause of death was associated with low birth weight (LBW) which was responsible for eight (25%) of deaths, while sepsis/fever and maternal deaths/failure to thrive were responsible for four (12.5%) and three (9.4%) deaths respectively. Asphyxia accounted for 3(9.4%) deaths; neonatal tetanus, congenital abnormality and diarrhoea were responsible for one (3.1%) death each. Cause of death was unclassified in many early neonatal deaths particularly those which occurred at home. Predictors of neonatal death included LBW {RR=4.7 (1.7-13.1) p=0.03}, delivery outside a health facility {RR=3.6 (1.001-13.2) p=0.05}, lack of attendant at delivery {RR=5.01 (1.3-19.1) p=0.018} and Traditional Birth Attendant (TBA) delivering the baby {RR=2.7 (1.1-6.4) p=0.03). Effect of sex of the neonate, mother and fathers' ages were not significant at the 5% level in the model. CONCLUSION: Neonatal deaths contribute significantly to the high infant mortality in this rural community. Services provided by TBAs are not optimal but appear to be better than having no one in attendance at delivery. TBAs therefore need to be trained to identify at risk neonates and refer.

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Perinatal Mortality at the Ogun State University Teaching Hospital, Sagamu, Nigeria

Cited by 43 publications

References 0 publications

Stillbirth rate in a teaching hospital in South-eastern Nigeria: A silent tragedy

Stillbirth rate in a teaching hospital in South-eastern Nigeria: A silent tragedy

Stillbirth at a Nigerian Tertiary Hospital

Neonatal Mortality and Perinatal Risk Factors in Rural Southwestern Nigeria: A Community-Based Prospective Study

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