al 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|
|APA/MLA Format Download EndNote Download BibTex|
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]. These problems are particularly serious among high-risk pregnancies and births, and in developing countries where the health-care system is still struggling to provide basic public health and maternal and child health care to their population[3,4]. In such countries, adequate health-care services for managing high-risk pregnancy and delivery are usually available at the referral levels such as regional and national hospitals[5,6]. However, access to these facilities remain limited owing to factors such as distance, transportation cost and medical fees; specifically for the poor women and women who live in the rural and remote areas.
Multiple births are relatively rare events, but contribute substantially to mortality in both neonatal and post-neonatal periods. Yoruba of western Nigeria is considered "land of twins". Almost 5 percent of all Yoruba births produce twin, compared with just around 1.2 percent for Western Europe and 0.8 percent for Japan. Previous studies have associated high infant mortality with multiple births in both developing [7-14] and developed [15-22] countries; specifically those with birth defects, premature birth and low birth-weight. To the best of our knowledge no study has examined the effects of multiple births on infant mortality in Nigeria. Therefore, the aim of this study was to examine if infants of multiple births have disproportionately higher risk of mortality than infants of singleton births.
This study uses data from the 2003 Nigeria Demographic and Health Survey (NDHS) . It is based on information of 6219 children born within five years prior to the survey. The NDHS collected demographic, socio-economic, and health data from nationally representative sample of 7620 women aged 15–49 years in 7864 households included in the survey. The state was stratified into 36 states and the Federal Capital Territory (FCT) of Abuja within the six geopolitical regions. Methods used in the NDHS have been published elsewhere .
Briefly, each domain is made up of enumeration areas (EAs) establ