Evidence map›Paper›PMID 33425147›Full record

ArticleThe Pan African medical journal2020

Determinants of perinatal mortality in public secondary health facilities, Abuja Municipal Area Council, Federal Capital Territory, Abuja, Nigeria.

Ugochukwu Uzoechina Nwokoro, Tukur Dahiru, Abdulhakeem Olorukooba, Clement Koelengoen Daam, Hyelshini Samuel Waziri, Ayo Adebowale, Ndadilnasiya Endie Waziri, Patrick Nguku

Open access · goldAbstract read
In one paragraph

Article in The Pan African medical journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
4.6field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 20 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Ugochukwu Uzoechina NwokoroNigeria Field Epidemiology and Laboratory Training Program, Abuja, Nigeria.
Tukur DahiruDepartment of Community Medicine, Faculty of Medicine, Ahmadu Bello University, Zaria, Nigeria.
Abdulhakeem OlorukoobaDepartment of Community Medicine, Faculty of Medicine, Ahmadu Bello University, Zaria, Nigeria.
Clement Koelengoen DaamNigeria Field Epidemiology and Laboratory Training Program, Abuja, Nigeria.
Hyelshini Samuel WaziriNigeria Field Epidemiology and Laboratory Training Program, Abuja, Nigeria.
Ayo AdebowaleDepartment of Epidemiology and Medical Statistics, Faculty of Public Health, University of Ibadan, Ibadan, Nigeria.
Ndadilnasiya Endie WaziriNigeria Field Epidemiology and Laboratory Training Program, Abuja, Nigeria.
Patrick NgukuNigeria Field Epidemiology and Laboratory Training Program, Abuja, Nigeria.
African Field Epidemiology Network · NGAhmadu Bello University · NGUniversity of Ibadan · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionin Nigeria, perinatal mortality rate remains high among births at the health facility. Births occur majorly at the secondary healthcare level in Abuja Municipal Area Council (AMAC) of the Federal Capital Territory (FCT). Identifying factors influencing perinatal deaths in this setting would inform interventions on perinatal deaths reduction. We assessed perinatal mortality and its determinants in public secondary health facilities in AMAC.

methodsdelivery and neonatal data from two selected public secondary health facilities between 2013 and 2016 were reviewed and we extracted maternal socio-demographics, obstetrics and neonatal data from hospital delivery, newborns´ admissions and discharge registers. Data were analyzed using descriptive statistics and Cox proportional hazard models (α = 5%).

resultsperinatal mortality rate was 129.5 per 1000 births. Asphyxia 475 (34.0%), neonatal infection 279 (20.0%) and prematurity 242 (17.3%) accounted for majority of the 1,398 perinatal deaths. Unbooked status [aHR = 1.8 (95% CI 1.4 - 2.2)], antepartum haemorrhage [aHR = 2.8 (95% CI 1.2 - 6.7)], previous perinatal death [aHR = 2.3 (95% CI 1.7 - 3.1)] and maternal age ≥ 35 years [aHR= 1.4 (95% CI 1.0 - 1.8)] were associated with increased risk of perinatal death.

conclusionperinatal mortality in the studied hospitals was high. Determinants of perinatal death were unbooked antenatal care (ANC) status, antepartum haemorrhage, previous perinatal death and high maternal age. Reducing perinatal deaths would require improving antenatal care attendance with healthcare staff identifying and targeting women at risk of pregnancy complications.

Indexed as

Perinatal MortalityAdultFemaleHumansInfant, NewbornInfant, Newborn, DiseasesMaleMaternal AgeNigeriaPerinatal DeathPregnancyPregnancy ComplicationsPrenatal CareRetrospective StudiesYoung Adultantenatal careNigeriaPerinatal deathsecondary health facility

Identifiers

PMID33425147
PMCPMC7755356
OpenAlexW3091477684

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.