Determinants of perinatal mortality in Nigeria |
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Authors: | Adeniran O Fawole Archana Shah Kabir Dara Augustine C Umezulike Ademuyiwa B Eniayewun Adeniyi A Adewunmi Amos A Adebayo Olanrewaju E Onala Abdulkareem O Sullayman Mohammed Sa'id |
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Institution: | a Department of Obstetrics and Gynecology, University College Hospital, Ibadan, Nigeriab Department of Emergency Preparedness and Capacity Building, World Health Organization, Geneva, Switzerlandc Department of Pediatrics, University College Hospital, Ibadan, Nigeriad Department of Obstetrics and Gynecology, Federal Medical Centre, Katsina, Nigeriae Hospital Services Management Board, Katsina, Nigeriaf Department of Obstetrics and Gynecology, National Hospital, Abuja, Nigeriag Department of Obstetrics and Gynecology, Maitama District Hospital, Abuja, Nigeriah Department of Obstetrics and Gynecology, Gbagada General Hospital, Lagos, Nigeriai Department of Obstetrics and Gynecology, Lagos State University Teaching Hospital, Lagos, Nigeriaj Department of Obstetrics and Gynecology, Lagos University Teaching Hospital, Lagos, Nigeriak Department of Obstetrics and Gynecology, Wuse General Hospital, Abuja, Nigerial General Hospital, Badagry, Nigeriam General Hospital, Jibia, Nigerian University of Abuja Teaching Hospital, Gwagwalada, Nigeriao Department of Obstetrics and Gynecology, General Hospital, Katsina, Nigeria |
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Abstract: | ObjectiveTo determine risk factors for perinatal mortality among hospital-based deliveries in Nigeria.MethodsThe 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.ResultsOverall, 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.ConclusionThe 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. |
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Keywords: | Early neonatal death Nigeria Perinatal mortality Stillbirth |
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