Burden and determinants of stillbirth in a Nigerian Tertiary health facility: a five-year retrospective cohort analysis
Rattachement africain : Nigéria, us, in, au, ca. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Stillbirth rates can reflect the quality of a country’s healthcare system for pregnant women. The burden, however, differs across and within countries. Hence, determining the burden and associated factors could provide valuable location-specific insights that could guide interventions. To determine the incidence and correlates of stillbirth in a Nigerian Tertiary health facility. This was a retrospective study of women who delivered in the Dalhatu Araf Specialist Hospital, Lafia, Nasarawa State, Nigeria, between 1st January 2016 and 31st December 2020. Data for the women were extracted from medical records, including sociodemographic data, time of delivery, mode of delivery, and perinatal outcomes. Regression analysis was used to identify predictors of stillbirth. The overall stillbirth rate was 88.30 per 1,000 births (1,033/11,699 per 1,000 births), while the rates from 2016 to 2020 were 93.65, 96.25, 90.98, 82.84, and 80.72, respectively. Multiple gestations are associated with a 2.22-fold higher risk of stillbirth compared to single gestations (AOR: 0.45, 95% CI: 0.30–0.67). Primiparous women were 2.63 times at risk of delivering stillbirths compared to multiparous women (AOR: 0.38, 95% CI: 0.30–0.47) and 1.75 times the risk compared to grand multiparous women (AOR: 0.57, 95% CI: 0.47–0.68). Furthermore, unbooked pregnancy and prematurity were associated with 3.47 (AOR 3.47, 95% CI: 2.99–4.07) and 9.60 (AOR 9.62, 95% CI: 7.99–11.57) times increased odds of stillbirths. Maternal employment status and maternal age showed no significant association with the risk of stillbirth. The stillbirth rate is high and calls for comprehensive intervention. Strengthening antenatal and perinatal care for high-risk groups, including women with multiple gestations, unbooked pregnancies, and premature deliveries, is essential. Stillbirth remains a major public health problem, especially in low- and middle-income countries like Nigeria. In this study, we examined how common stillbirths are and what factors are associated with them in a large hospital in North-central Nigeria. We reviewed records of 11,699 women who gave birth between 2016 and 2020. Overall, 1,033 babies were stillborn, giving a stillbirth rate of 88 per 1,000 births. Although this rate is high, we observed a gradual decline over the five-year period. We found that some factors were strongly linked to stillbirth. Women who did not attend antenatal care (unbooked) had a much higher chance of stillbirth compared to those who received care during pregnancy. Babies born too early (preterm) were also at a much higher risk. In addition, pregnancies involving twins or more (multiple gestation) had higher odds of stillbirth compared to single pregnancies. Parity (number of previous births) was also important. First-time mothers (primiparous women) had the highest risk, while women who had given birth before had lower risks. The timing of delivery (morning, afternoon, or night) showed some differences, but these were not consistent after adjusting for other factors. Overall, our findings suggest that improving access to and use of antenatal care, identifying high-risk pregnancies early, and ensuring timely care during pregnancy and labour could help reduce stillbirths in similar settings.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Burden and determinants of stillbirth in a Nigerian Tertiary health facility: a five-year retrospective cohort analysis
- Date Crossref
- 24/06/2026
- Éditeur
- Springer Science and Business Media LLC
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Federal University Lafia Nigéria (code pays fourni par la source)Université ou école supérieure
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Partners In Health Sierra Leone (pays nommé en fin d’affiliation)Organisation à but non lucratif
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Government Medical College pays non établi dans la noticeUniversité ou école supérieure
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University of Ilorin University of Ilorin, Nigéria (code pays fourni par la source)Université ou école supérieure
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Nigeria Centre for Disease Control Nigéria (code pays fourni par la source)Organisme public
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International Foundation Against Infectious Disease in Nigeria Abuja, Nigéria (code pays fourni par la source)Organisation à but non lucratif
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The University of Western Australia pays non établi dans la noticeUniversité ou école supérieure
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St. Thomas Hospital pays non établi dans la noticeÉtablissement de santé
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Federal University Teaching Hospital Nigéria (pays nommé en fin d’affiliation)Université ou école supérieure
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Koidu Government Hospital Department of Paediatrics Sierra Leone (pays nommé en fin d’affiliation)Établissement de santé
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School of Population and Global Health pays non établi dans la noticeUniversité ou école supérieure
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Evelina Neonatal Unit pays non établi dans la noticeInstitution
Federal University Lafia (Nigéria), Partners In Health (Sierra Leone) et Government Medical College, avec 9 autres affiliations. Pays d’affiliation : Nigéria, Sierra Leone.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.