Nigeria Field Epidemiology and Laboratory Training Program, Abuja, Nigeria.
Department of Community Medicine, Faculty of Medicine, Ahmadu Bello University, Zaria, Nigeria.
Pan Afr Med J. 2020 Oct 2;37:114. doi: 10.11604/pamj.2020.37.114.17108. eCollection 2020.
in 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.
delivery 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%).
perinatal 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.
perinatal 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.
在尼日利亚，医疗机构分娩的围产儿死亡率仍然很高。阿布贾市议会（AMAC）的联邦首都特区（FCT）的二级保健水平主要发生分娩。确定这一环境中围产儿死亡的影响因素将为减少围产儿死亡提供干预措施。我们评估了 AMAC 内两家选定的公立二级医疗机构的围产儿死亡率及其决定因素。
对 2013 年至 2016 年期间两家选定的公立二级医疗机构的分娩和新生儿数据进行了回顾，并从医院分娩、新生儿入院和出院登记处提取了产妇社会人口统计学、产科和新生儿数据。使用描述性统计和 Cox 比例风险模型（α = 5%）进行数据分析。
围产儿死亡率为 129.5/1000 例活产。窒息 475 例（34.0%）、新生儿感染 279 例（20.0%）和早产 242 例（17.3%）是 1398 例围产儿死亡的主要原因。未预约状态[aHR=1.8（95%CI 1.4-2.2)]、产前出血[aHR=2.8（95%CI 1.2-6.7)]、既往围产儿死亡[aHR=2.3（95%CI 1.7-3.1)]和产妇年龄≥35 岁[aHR=1.4（95%CI 1.0-1.8)]与围产儿死亡风险增加相关。
研究医院的围产儿死亡率较高。围产儿死亡的决定因素是未预约的产前护理（ANC）状态、产前出血、既往围产儿死亡和产妇年龄较高。减少围产儿死亡需要改善产前护理出勤率，医疗保健人员应识别和针对有妊娠并发症风险的妇女。
