ArticleBMC pregnancy and childbirth2008
A population-based study of effect of multiple birth on infant mortality in Nigeria.
Article in BMC pregnancy and childbirth, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
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Who cites it
33 citing papers in PubMed.
- Infant mortality in Brazil from 2000 to 2020: a study of spatial and trend analysis.BMC public health · 2025Article
- Under-five mortality and its associated factors in sub-Saharan Africa: a multilevel analysis of recent demographic and health surveys data based on Bayesian approach.BMC pediatrics · 2025Article
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- Prevalence and determinants of post-neonatal mortality in East Africa: a multilevel analysis of the recent demographic and health survey.Frontiers in pediatrics · 2025Article
- The risk factors of infant mortality in Somalia: evidence from the 2018/2019 Somali health & demographic survey.BMC pediatrics · 2024Article
- Neonatal mortality rate and determinants among births of mothers at extreme ages of reproductive life in low and middle income countries.Scientific reports · 2024Article
- Understanding correlates of infant mortality in Ethiopia using 2019 Ethiopian mini demographic and health survey data.Annals of medicine and surgery (2012) · 2023Article
- Article
- Incidence of infant mortality and its predictors in East Africa using Gompertz gamma shared frailty model.Archives of public health = Archives belges de sante publique · 2022Article
- Observational study on necrotizing enterocolitis in neonates born to SARS-CoV-2-positive mothers.Annals of medicine and surgery (2012) · 2022Article
- Geographic and socioeconomic inequalities in the survival of children under-five in Nigeria.Scientific reports · 2022Article
- Assessment and validation of the Community Maternal Danger Score algorithm.Global health research and policy · 2022Article
- Evolution in caesarean section practices in North Kivu: Impact of caregiver training.PloS one · 2022Article
- Time to death and its associated factors among infants in sub-Saharan Africa using the recent demographic and health surveys: shared frailty survival analysis.BMC pediatrics · 2021Article
- Under-5 Mortality and Its Associated Factors in Northern Nigeria: Evidence from 22,455 Singleton Live Births (2013-2018).International journal of environmental research and public health · 2021Article
- Preceding child survival status and its effect on infant and child mortality in India: An evidence from National Family Health Survey 2015-16.BMC public health · 2021Article
- Determinants of institutional delivery in Sub-Saharan Africa: findings from Demographic and Health Survey (2013-2017) from nine countries.Tropical medicine and health · 2021Article
- Article
- Geostatistical analysis and mapping: social and environmental determinants of under-five child mortality, evidence from the 2014 Ghana demographic and health survey.BMC public health · 2020Article
- Factors associated with under-5 mortality in three disadvantaged East African districts.International health · 2020Article
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3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMulti-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.
methodsWe 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.
resultsChildren 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.
conclusionMultiple 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.
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