Two years prospective study of perinatal mortality in Jos, Nigeria

Aisien, AO; Lawson, Juliana O.; Okolo, AA

doi:10.1016/s0020-7292(00)00214-9

Cited by 12 publications

(14 citation statements)

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“…Rates of 16.9% and 18% reported in studies done in southwest, Nigeria were similar to that of the present study. 24,25 Emergency caesarean section rate of 90.4% reported in the present study is higher than those reported by Aisien 20 , Okonofua 26 and Nwobodo 27 but lower than 97.4% reported by Buowari. 29 The implication is that perinatal mortality rate may continue to rise until caesarean section is done as elective rather than emergency procedure.…”

Section: Discussioncontrasting

confidence: 62%

“…The perinatal mortality rate of 17.4 per 1000 found in this review is far less than 162 per 1000 reported by Onwuhafua 12 , 95.7 per 1000 reported by Adinma,31 81.6 per 1000 reported by Aisien 20 and 61.4 per 1000 reported by Okonofua. 26 Prolonged obstructed labour and preeclampsia/eclampsia are associated with severe fetal asphyxia and death if delivery is unduly delayed.…”

contrasting

confidence: 57%

“…25 In contrast, Ugwu et al and other series reported that previous caesarean sections is the commonest indication for caesarean section followed by cephalopelvic disproportion. 29,30 The reports of the present study are also in contrast to WKH ¿QGLQJV RI $GLQPD 31 Aisien, 20 and Okonofua.…”

Section: Discussionmentioning

confidence: 59%

“…[12][13][14][15][16] Caesarean section is often done as an emergency procedure in women with cephalo-pelvic disproportion, obstructed labour, foetal distress, antepartum haemorrhage and previous caesarean section resulting in high perinatal and maternal morbidities. [16][17][18][19][20][21][22][23][24] (Table 2). Caesarean section rate is falling (Figure 1).…”

Section: -8mentioning

confidence: 99%

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Caesarean Section and Perinatal Outcome in a Sub-urban Tertiary Hospital in Northwest Nigeria

Ugwa

Ashimi

Abubakar

2016

Nepal j. obstet. gynaecol.

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0HWKRGV 7KLV ZDV D UHWURVSHFWLYH VWXG\ LQYROYLQJ UHYLHZ RI FDVH ¿OHV (WKLFDO FOHDUDQFH ZDV REWDLQHG 7KH UHFRUGV RI labour ward, neonatal intensive care unit and operating theatre were use. Information extracted includes age, parity, booking status, total deliveries, indications for caesarean section and perinatal outcome from 1st January 2010 to 31st December DW )HGHUDO 0HGLFDO &HQWUH %LUQLQ .XGX 7KH GDWD REWDLQHG ZDV DQDO\]HG XVLQJ 6366 YHUVLRQ VWDWLVWLFDO VRIWZDUH (Chicago). Absolute numbers and simple percentages were used to describe categorical variables.Results: A total of 590 caesarean sections were done which is rate of 17.69%. Of the 590 caesarean deliveries, 580 case notes ZHUH UHWULHYHG JLYLQJ D UHWULHYDO UDWH RI $ WRWDO RI RXW RI EDELHV GLHG ZLWKLQ WKH ¿UVW RQH ZHHN RI FDHVDUHDQ delivery, giving a perinatal mortality rate of 17.4 per 1000. The average age of the women was 25.9±6.2 years. Majority of them were uneducated and unemployed. Obstructed labour was the most common indication for emergency caesarean section accounting for 31.7% of caesarean sections followed by pre-eclampsia/eclampsia. Conclusions:Caesarean section rate in the present study is comparatively high and perinatal mortality is low but it is unclear if there is a correlation between caesarean section rate and perinatal mortality. This needs further studies..H\ZRUGV caesarean section; Northwest Nigeria; perinatal outcomes.

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Section: Discussioncontrasting

confidence: 62%

contrasting

confidence: 57%

Section: Discussionmentioning

confidence: 59%

Section: -8mentioning

confidence: 99%

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Caesarean Section and Perinatal Outcome in a Sub-urban Tertiary Hospital in Northwest Nigeria

Ugwa

Ashimi

Abubakar

2016

Nepal j. obstet. gynaecol.

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“…The reverse is the trend in developed countries where the most popular method is female sterilization followed by the IUCD and oral contraceptive pills. Many women who should be considering permanent method are still using reversible methods of contraception out of fear of: reincarnation without fallopian tubes, death of husband and operation 31 .Some of the reasons that have also been advanced for the high parity before tubal ligation included uncertainty of survival of children in view of the high perinatal and infant mortality in Nigeria 32 , security in marriage, and the need to have a full complement of both genders 33 . The mean age and parity of the clients were similar to those found in previous studies in Nigeria 3,22,24 and elsewhere 34 .…”

Section: Discussionmentioning

confidence: 99%

Contraception with Levonorgestrel Subdermal Implants ($Norplant^R$) in Benin-City, Nigeria: A 12-year Review

Aisien¹

2007

African Journal of Reproductive Health

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The case notes of 377 clients who accepted Norplant out of 11961 acceptors of family planning methods in the Department of Obstetrics and Gynaecology University of Benin Teaching Hospital, between January 1985 and December 1996 were retrieved and analysed at the end of 2004, for socio-demographic characteristics of the clients, side effects and complications reported and reasons for discontinuation in relation to duration of use. The daily register of the acceptors were analysed for new acceptors of other methods during the same period and confirmed with their case notes. The acceptance incidence of Norplant was 3.2%. The mean age and parity of the acceptors were 32.2 ± 4.5years and 3.9 ± 1.8 respectively. The duration of use ranged between 6 months and 13 years. 65% of the acceptors reported menstrual abnormalities. 48% of them reported reduced bleeding pattern, while 7.5% (25) discontinued method under 4years of use because of increased bleeding episodes. Other side effects reported were headache 6%, weight gain 3%, mastalgia 1.8%, decreased libido 1.8%, abdominal pain 1.5% and hypertension 1.2%. 20.4% (68) discontinued the use under 4years because of desire to have another baby. 38.6% (129) had implants removed at 5years, while 20.1% (67) continued the use for 6-13years before removal and replacement with another set. Husband's request for removal constituted 7.2% (24). The effectiveness was 100% as no pregnancy was reported during the study period. The continuation rate at 5years was 58.7%. 43 clients were however lost to follow up. Norplant was found to be an effective and acceptable method of long-term reversible contraception with minimal side effects. The low incidence was attributed to the fact that the implants were donor driven and not included in the country contraceptive logistic system. Norplant acceptors who continued the use after 5years did so, because they enjoyed it and did not want to part with them without replacement of new sets. Les dossiers ont été analysés pour identifier les caractéristiques socio-démographiques des clientes, les effets secondaires et les complications signalées et les raisons pour l'arrêt par rapport à la durée de l'emploi. Le registre quotidien d'accepteurs a été analysé pour identifier les nouveaux accepteurs d'autres méthodes pendant la même période avant de les confirmer avec leurs dossiers. L'incidence de l'acceptation de Norplant était de 3,2%. L'âge moyen et la parité des accepteurs étaient de 32,2 ± 4, 5 ans et 3, 9 ± 1, 8 respectivement. La durée de l'emploi variait entre six mois et 13 ans. 65% des accepteurs ont signalé les anomalies menstruelles. 48% parmi elles ont signalé une habitude d'une hémorragie réduite, alors que 7,5%(25) ont arrêté l'emploi de la méthode en moins de quatre ans à cause des crises d'hémorragie. Autres effets secondaires signalés étaient maux de tête 6%, prise de poids 3%, mastalgie 1,8%, baisse de la libido 1,8%, douleur abdominale 1,5%, hypertension 1,2%. 20,4% (68) ont arrête l'emploi en moins de 4 ans parce qu'elles voula...

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Stillbirths: Where? When? Why? How to make the data count?

et al. 2011

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for The Lancet's Stillbirths Series steering committee* Despite increasing attention and investment for maternal, neonatal, and child health, stillbirths remain invisible-not counted in the Millennium Development Goals, nor tracked by the UN, nor in the Global Burden of Disease metrics. At least 2·65 million stillbirths (uncertainty range 2·08 million to 3·79 million) were estimated worldwide in 2008 (≥1000 g birthweight or ≥28 weeks of gestation). 98% of stillbirths occur in low-income and middle-income countries, and numbers vary from 2·0 per 1000 total births in Finland to more than 40 per 1000 total births in Nigeria and Pakistan. Worldwide, 67% of stillbirths occur in rural families, 55% in rural sub-Saharan Africa and south Asia, where skilled birth attendance and caesarean sections are much lower than that for urban births. In total, an estimated 1·19 million (range 0·82 million to 1·97 million) intrapartum stillbirths occur yearly. Most intrapartum stillbirths are associated with obstetric emergencies, whereas antepartum stillbirths are associated with maternal infections and fetal growth restriction. National estimates of causes of stillbirths are scarce, and multiple (>35) classifi cation systems impede international comparison. Immediate data improvements are feasible through household surveys and facility audit, and improvements in vital registration, including specifi c perinatal certifi cates and revised International Classifi cation of Disease codes, are needed. A simple, programme-relevant stillbirth classifi cation that can be used with verbal autopsy would provide a basis for comparable national estimates. A new focus on all deaths around the time of birth is crucial to inform programmatic investment. Why don't stillbirths count?Stillbirths are invisible in many societies and on the worldwide policy agenda, but are very real to families who experience a death. Despite 30 years of attention to child survival interventions, 1,2 more than 20 years of attention to safe motherhood, 3,4 and increasing recent attention to survival of newborn babies, 5-7 the focus worldwide has remained on survival after livebirth. Stillbirths remain mostly ignored, not counting on policy, programme, and investment agendas, both internationally and often also at the national level. 8 The importance of neonatal deaths has risen on the worldwide policy agenda, mainly because of the Millennium Development Goals (MDGs) and recognition of the increasing proportion of child deaths that happen in the fi rst month of life-from 37% in 2000 7 to 41% in 2008. 9 A baby who dies just after birth counts in the MDG tracking, but a baby who dies in the third trimester or even during labour does not. Neither the MDGs nor the Global Burden of Disease metrics mention stillbirths, and stillbirth data are not routinely compiled by the UN. Even when stillbirths are recorded in surveys, the data are frequently combined with early neonatal deaths and reported as perinatal mortality, a combination that reduces visibility and might mask reporti...

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Two years prospective study of perinatal mortality in Jos, Nigeria

Cited by 12 publications

References 0 publications

Caesarean Section and Perinatal Outcome in a Sub-urban Tertiary Hospital in Northwest Nigeria

Caesarean Section and Perinatal Outcome in a Sub-urban Tertiary Hospital in Northwest Nigeria

Contraception with Levonorgestrel Subdermal Implants ($Norplant^R$) in Benin-City, Nigeria: A 12-year Review

Stillbirths: Where? When? Why? How to make the data count?

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