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Trends in delivery with no one present in Nigeria between 2003 and 2013

PURPOSE: Skilled attendance at birth is a proven intervention to improve maternal and newborn health outcomes. Unfortunately, in Nigeria there are many women who give birth alone, with no one present (NOP). The purpose of this study was to document trends in women delivering with NOP between 2003 an...

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Autores principales: Austin, Anne, Fapohunda, Bolaji, Langer, Ana, Orobaton, Nosakhare
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4396652/
https://www.ncbi.nlm.nih.gov/pubmed/25897265
http://dx.doi.org/10.2147/IJWH.S79573
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author Austin, Anne
Fapohunda, Bolaji
Langer, Ana
Orobaton, Nosakhare
author_facet Austin, Anne
Fapohunda, Bolaji
Langer, Ana
Orobaton, Nosakhare
author_sort Austin, Anne
collection PubMed
description PURPOSE: Skilled attendance at birth is a proven intervention to improve maternal and newborn health outcomes. Unfortunately, in Nigeria there are many women who give birth alone, with no one present (NOP). The purpose of this study was to document trends in women delivering with NOP between 2003 and 2013, and to identify the characteristics of women who are engaging in this risky practice. METHODS: We utilized pooled data sets from the 2003, 2008, and 2013 Nigerian Demographic and Health Surveys. Married women, who had given birth in the 5 years before each survey were included, resulting in a sample size of 38,949 women. We used logistic regression to assess the unadjusted and adjusted odds of a woman delivering with NOP over time, by socio-demographic characteristics. RESULTS: Prevalence of delivery with NOP in Nigeria declined by 30% between 2003 and 2013. The largest declines occurred in Sokoto State, where the number of women giving birth with NOP declined by almost 100% between 2003 and 2013. In the North West of the country, however, there was a 27% increase in the number of women giving birth alone over this time period. Older, poorer, less educated, higher parity, Muslim women residing in the Northern regions were significantly more likely to give birth with NOP. Women, who were involved in decisions surrounding their own health, and who had accessed antenatal care were significantly less likely to give birth with NOP. CONCLUSION: Although there have been improvements in Nigeria’s Maternal Mortality Ratio since 1990, recent estimates suggest a stagnation in this trend. One reason for this protracted decline may be lack of access to skilled delivery care. The 2013 national prevalence of Nigerian women giving birth with NOP was 14%, equivalent to over 1 million births in 2013. Nigeria must implement interventions to ensure every woman’s timely access to, and use of skilled care to reduce preventable maternal mortality and morbidity.
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spelling pubmed-43966522015-04-20 Trends in delivery with no one present in Nigeria between 2003 and 2013 Austin, Anne Fapohunda, Bolaji Langer, Ana Orobaton, Nosakhare Int J Womens Health Original Research PURPOSE: Skilled attendance at birth is a proven intervention to improve maternal and newborn health outcomes. Unfortunately, in Nigeria there are many women who give birth alone, with no one present (NOP). The purpose of this study was to document trends in women delivering with NOP between 2003 and 2013, and to identify the characteristics of women who are engaging in this risky practice. METHODS: We utilized pooled data sets from the 2003, 2008, and 2013 Nigerian Demographic and Health Surveys. Married women, who had given birth in the 5 years before each survey were included, resulting in a sample size of 38,949 women. We used logistic regression to assess the unadjusted and adjusted odds of a woman delivering with NOP over time, by socio-demographic characteristics. RESULTS: Prevalence of delivery with NOP in Nigeria declined by 30% between 2003 and 2013. The largest declines occurred in Sokoto State, where the number of women giving birth with NOP declined by almost 100% between 2003 and 2013. In the North West of the country, however, there was a 27% increase in the number of women giving birth alone over this time period. Older, poorer, less educated, higher parity, Muslim women residing in the Northern regions were significantly more likely to give birth with NOP. Women, who were involved in decisions surrounding their own health, and who had accessed antenatal care were significantly less likely to give birth with NOP. CONCLUSION: Although there have been improvements in Nigeria’s Maternal Mortality Ratio since 1990, recent estimates suggest a stagnation in this trend. One reason for this protracted decline may be lack of access to skilled delivery care. The 2013 national prevalence of Nigerian women giving birth with NOP was 14%, equivalent to over 1 million births in 2013. Nigeria must implement interventions to ensure every woman’s timely access to, and use of skilled care to reduce preventable maternal mortality and morbidity. Dove Medical Press 2015-04-07 /pmc/articles/PMC4396652/ /pubmed/25897265 http://dx.doi.org/10.2147/IJWH.S79573 Text en © 2015 Austin et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Austin, Anne
Fapohunda, Bolaji
Langer, Ana
Orobaton, Nosakhare
Trends in delivery with no one present in Nigeria between 2003 and 2013
title Trends in delivery with no one present in Nigeria between 2003 and 2013
title_full Trends in delivery with no one present in Nigeria between 2003 and 2013
title_fullStr Trends in delivery with no one present in Nigeria between 2003 and 2013
title_full_unstemmed Trends in delivery with no one present in Nigeria between 2003 and 2013
title_short Trends in delivery with no one present in Nigeria between 2003 and 2013
title_sort trends in delivery with no one present in nigeria between 2003 and 2013
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4396652/
https://www.ncbi.nlm.nih.gov/pubmed/25897265
http://dx.doi.org/10.2147/IJWH.S79573
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