|A population-based study of effect of multiple birth on infant mortality in Nigeria.|
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|PMID: 18783603 Owner: NLM Status: MEDLINE|
|BACKGROUND: Multi-foetal pregnancies and multiple births including twins and higher order multiples births such as triplets and quadruplets are high-risk pregnancy and birth. These high-risk groups contribute to the higher rate of childhood mortality especially during early period of life.
METHODS: We examined the relationship between multiple births and infant mortality using univariable and multivariable survival regression procedure with Weibull hazard function, controlling for child's sex, birth order, prenatal care, delivery assistance; mother's age at child birth, nutritional status, education level; household living conditions and several other risk factors.
RESULTS: Children born multiple births were more than twice as likely to die during infancy as infants born singleton (hazard ratio = 2.19; 95% confidence interval: 1.50, 3.19) holding other factors constant. Maternal education and household asset index were associated with lower risk of infant mortality.
CONCLUSION: Multiple births are strongly negatively associated with infant survival in Nigeria independent of other risk factors. Mother's education played a protective role against infant death. This evidence suggests that improving maternal education may be key to improving child survival in Nigeria. A well-educated mother has a better chance of satisfying important factors that can improve infant survival: the quality of infant feeding, general care, household sanitation, and adequate use of preventive and curative health services.
|Olalekan A Uthman; Mubashir B Uthman; Ismail Yahaya|
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|Type: Journal Article Date: 2008-09-10|
|Title: BMC pregnancy and childbirth Volume: 8 ISSN: 1471-2393 ISO Abbreviation: BMC Pregnancy Childbirth Publication Date: 2008|
|Created Date: 2008-09-24 Completed Date: 2008-12-09 Revised Date: 2013-06-05|
Medline Journal Info:
|Nlm Unique ID: 100967799 Medline TA: BMC Pregnancy Childbirth Country: England|
|Languages: eng Pagination: 41 Citation Subset: IM|
|Center for Evidence-Based Global Health, Ilorin, Kwara State, Nigeria. firstname.lastname@example.org|
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Delivery, Obstetric / methods, statistics & numerical data
Multiple Birth Offspring / statistics & numerical data*
Nigeria / epidemiology
Pregnancy, Multiple / statistics & numerical data*
Prenatal Care / statistics & numerical data
Rural Population / statistics & numerical data
Journal ID (nlm-ta): BMC Pregnancy Childbirth
Publisher: BioMed Central
Copyright © 2008 Uthman et al; licensee BioMed Central Ltd.
open-access: This is an Open Access article distributed under the terms of the Creative Commons Attribution License (), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received Day: 16 Month: 4 Year: 2008
Accepted Day: 10 Month: 9 Year: 2008
collection publication date: Year: 2008
Electronic publication date: Day: 10 Month: 9 Year: 2008
Volume: 8First Page: 41 Last Page: 41
Publisher Id: 1471-2393-8-41
PubMed Id: 18783603
|A population-based study of effect of multiple birth on infant mortality in Nigeria|
|Olalekan A Uthman1||Email: email@example.com|
|Mubashir B Uthman2||Email: firstname.lastname@example.org|
|Ismail Yahaya1||Email: email@example.com|
1Center for Evidence-Based Global Health, Ilorin, Kwara State, Nigeria
2Department of Epidemiology and Community Health, University of Ilorin, Ilorin, Kwara State, Nigeria
Despite significant improvements in child survival in recent decades, levels of infant and child mortality and morbidity remain unacceptably high in many developing countries [1,2