Incidence and sociodemographic, living environment and maternal health associations with stillbirth in a tertiary healthcare setting in Kano, Northern Nigeria. Short title: Incidence and factors associated with stillbirth in Kano, Nigeria

Milton, R., Modibbo, F., Gillespie, D. ORCID: https://orcid.org/0000-0002-6934-2928, Alkali, F. I., Mukaddas, A. S., 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. ORCID: https://orcid.org/0000-0002-5268-8631, Ghazal, P. ORCID: https://orcid.org/0000-0003-0035-2228, Sanders, J. ORCID: https://orcid.org/0000-0001-5712-9989, Hassan, B., Yusuf, Belga and Walsh, T. R. ORCID: https://orcid.org/0000-0003-4315-4096 2022. Incidence and sociodemographic, living environment and maternal health associations with stillbirth in a tertiary healthcare setting in Kano, Northern Nigeria. Short title: Incidence and factors associated with stillbirth in Kano, Nigeria. BMC Pregnancy and Childbirth 22 , 692. 10.1186/s12884-022-04971-x

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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.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Healthcare Sciences Medicine
Additional Information:	This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made.
Publisher:	BioMed Central
ISSN:	1471-2393
Date of First Compliant Deposit:	10 August 2022
Date of Acceptance:	2 August 2022
Last Modified:	14 Mar 2024 02:08
URI:	https://orca.cardiff.ac.uk/id/eprint/151881

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