新冠疫情对尼日利亚出生率的影响：基于人口登记处的报告

The impact of COVID-19 on the birth rate in Nigeria: a report from population-based registries.

作者信息

Oguejiofor Charlotte Blanche, Ebubechukwu Kenechi Miracle, Eleje George Uchenna, Ugwu Emmanuel Onyebuchi, Enebe Joseph Tochukwu, Ekwuazi Kingsley Emeka, Okoro Chukwuemeka Chukwubuikem, Okpala Boniface Chukwuneme, Okafor Charles Chukwunomunso, Ezeora Nnanyelugo Chima, Iloghalu Emeka Ifeanyi, Anikwe Chidebe Christian, Okafor Chigozie Geoffrey, Agu Polycarp Uchenna, Igbodike Emeka Philip, Ake Iffiyeosuo Dennis, Onwuegbuna Arinze Anthony, Umeononihu Osita Samuel, Anaedu Onyedika Promise, Ikpeze Odigonma Zinobia, Ikwuka David Chibuike, Nwaolisa Henry Ifeanyi, Emeka Ekene Agatha, Okoye Jude Ogechukwu, Osuagwu Ihechinyerem Kelechi, Ugwu Angela Ogechukwu, Ejikeme Toochukwu Benjamin, Ezenkwele Eziamaka Pauline, Ezeigwe Chijioke Ogomegbunam, Nwankwo Malarchy Ekwunife, Udigwe Gerald Okanandu, Ikechebelu Joseph Ifeanyichukwu, Agbaeze Grace, Nwanja Chukwuebuka Divine, Eke Ahizechukwu Chigoziem

机构信息

Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi PMB 5025, Nigeria.

Preventive Medicine and Research Department, Clina-Lancet Laboratories, Victoria Island, Lagos 101241, Nigeria.

出版信息

Infect Dis Res. 2023 Feb 25;4(1). doi: 10.53388/idr2023004. Epub 2023 Feb 15.

DOI:10.53388/idr2023004

PMID:37986732

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10659584/

Abstract

BACKGROUND AND OBJECTIVES

Coronavirus disease 2019 (COVID-19) is a pandemic that has become a major source of morbidity and mortality worldwide, affecting the physical and mental health of individuals influencing reproduction. Despite the threat, it poses to maternal health in sub-Saharan Africa and Nigeria, there is little or no data on the impact it has on fertility, conception, gestation and birth. To compare the birth rate between pre-COVID and COVID times using selected months of the year.

MATERIALS AND METHODS

This was a secondary analysis of cross-sectional analytical study data from the birth registries of three tertiary hospitals, comparing two years [2019 (Pre-COVID)] versus [2020 (COVID era)] using three months of the year (October to December). The data relied upon was obtained from birth registries in three busy maternity clinics all within tertiary hospitals in South-East Nigeria and we aimed at discussing the potential impacts of COVID-19 on fertility in Nigeria. The secondary outcome measures were; mode of delivery, booking status of the participants, maternal age and occupation.

RESULTS

There was a significant decrease in tertiary-hospital based birth rate by 92 births ( = 0.0009; 95% CI: -16.0519 to -4.1481) among mothers in all the three hospitals in 2020 during the COVID period (post lockdown months) of October to December. There was a significant difference in the mode of delivery for mothers ( = 0.0096) with a 95% confidence interval of 1.0664 to 1.5916, as more gave birth through vaginal delivery during the 2020 COVID-19 period than pre-COVID-19.

CONCLUSION

Tertiary-hospital based birth rates were reduced during the pandemic. Our multi-centre study extrapolated on possible factors that may have played a role in this decline in their birth rate, which includes but is not limited to; decreased access to hospital care due to the total lockdowns/curfews and worsening inflation and economic recession in the country.

摘要

背景与目的

2019年冠状病毒病（COVID-19）是一场大流行病，已成为全球发病和死亡的主要原因，影响着个人的身心健康，进而影响生育。尽管它对撒哈拉以南非洲和尼日利亚的孕产妇健康构成威胁，但关于其对生育、受孕、妊娠和分娩影响的数据很少或几乎没有。为了使用一年中的特定月份比较COVID-19之前和期间的出生率。

材料与方法

这是对来自三家三级医院出生登记处的横断面分析研究数据的二次分析，使用一年中的三个月（10月至12月）比较两年[2019年（COVID-19之前）]与[2020年（COVID-19时期）]。所依赖的数据来自尼日利亚东南部三家三级医院内繁忙的产科诊所的出生登记处，我们旨在讨论COVID-19对尼日利亚生育力的潜在影响。次要结局指标为；分娩方式、参与者的预约状态、产妇年龄和职业。

结果

2020年10月至12月COVID-19期间（封锁后月份），所有三家医院的母亲中，基于三级医院的出生率显著下降了92例（ = 0.0009；95%可信区间：-16.0519至-4.1481）。母亲的分娩方式存在显著差异（ = 0.0096），95%置信区间为1.0664至1.5916，因为2020年COVID-19期间通过阴道分娩的产妇比COVID-前更多。