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Incidence and sociodemographic, living environment and maternal health associations with stillbirth in a tertiary healthcare setting in Kano, Northern Nigeria
Abstract
Background: Almost two million stillbirths occur annually, most occurring in low- and middle-income countries. Nigeria is reported to have one of the highest stillbirth rates on the African continent. The aim was to identify sociodemographic, living environment, and health status factors associated with stillbirth and determine the associations between pregnancy and birth factors and stillbirth in the Murtala Mohammed Specialist Hospital, Kano, Nigeria. Methods: A three-month single-site prospective observational feasibility study. Demographic and clinical data were collected. We fitted bivariable and multivariable models for stillbirth (yes/no) and three-category livebirth/macerated stillbirth/non-macerated stillbirth outcomes to explore their association with demographic and clinical factors. Findings: 1,998 neonates and 1,926 mothers were enrolled. Higher odds of stillbirth were associated with low-levels of maternal education, a further distance to travel to the hospital, living in a shack, maternal hypertension, previous stillbirth, birthing complications, increased duration of labour, antepartum haemorrhage, prolonged or obstructed labour, vaginal breech delivery, emergency caesarean-section, and signs of trauma to the neonate following birth. Interpretation: This work has obtained data on some factors influencing stillbirth. This in turn will facilitate the development of improved public health interventions to reduce preventable deaths and to progress maternal health within this site.
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From Effects of maternal education on maternal and perinatal outcomes: An individual participant data meta‐analysis of 2 356 402 pregnancies (2026) · cites this paper as [52]
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Cited by
Bello‐Álvarez, L., Fernández‐Félix, B. M., Allotey, J., Thangaratinam, S., & Zamora, J. (2026) · International Journal of Gynecology & Obstetrics · doi:10.1002/ijgo.70401 · Cited by 20
Metadata
- Authors
- Milton, R., Modibbo, F., Gillespie, D., Alkali, F. I., Mukaddas, A. S., Kassim, A., Sa’ad, F. H., Tukur, F. M., Khalid, R. Y., Muhammad, M. Y., Bello, M., Edwin, C. P., Ogudo, E., Iregbu, K. C., Jones, L., Hood, K., Ghazal, P., Sanders, J., Hassan, B., Belga, F. J., & Walsh, T. R.
- Venue
- BMC Pregnancy and Childbirth
- Published
- 2022-09-08
- Volume
- 22
- Issue
- 1
- ISSN
- 1471-2393
- Cited by
- 9
- References
- 0
- Language
- en
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- Milton, R., Modibbo, F., Gillespie, D., Alkali, F. I., Mukaddas, A. S., Kassim, A., Sa’ad, F. H., Tukur, F. M., Khalid, R. Y., Muhammad, M. Y., Bello, M., Edwin, C. P., Ogudo, E., Iregbu, K. C., Jones, L., Hood, K., Ghazal, P., Sanders, J., Hassan, B., . . . Walsh, T. R. (2022). Incidence and sociodemographic, living environment and maternal health associations with stillbirth in a tertiary healthcare setting in Kano, Northern Nigeria. BMC Pregnancy and Childbirth. https://doi.org/10.1186/s12884-022-04971-x
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