ArticleBMC public health2019
Community-and proximate-level factors associated with perinatal mortality in Nigeria: evidence from a nationwide household survey.
Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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17 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Negative effects of short birth interval on child mortality in low- and middle-income countries: A systematic review and meta-analysis.Journal of global health · 2022Pooled it
- Geospatial disparities in infant mortality in Ghana: evidence from national data.BMJ global health · 2026Article
- A Scoping Review of the Prevalence of Preeclampsia and its Contributions to Maternal and Perinatal Mortality in Nigeria.Annals of African medicine · 2026Article
- Birth intervals and the risk of perinatal mortality in Indonesia: findings from a cross-sectional study.BMJ open · 2026Article
- Prevalence and risk factors of adverse birth outcomes in Bangladesh: Insight from a nationwide survey.PloS one · 2026Article
- Spatial variation, pooled prevalence, and factors associated with perinatal mortality in Sub-Saharan Africa, evidence from demographic and health surveys 2015-2023: a geospatial regression approach.EClinicalMedicine · 2025Article
- Trend, and multivariate decomposition of perinatal mortality in Ethiopia using further analysis of EDHS 2005-2016.BMC pediatrics · 2024Article
- Why Babies die in the first 7 days after birth in Somalia Region of Ethiopia?Annals of medicine and surgery (2012) · 2023Article
- Determinants of perinatal mortality at tertiary hospitals in East Wollega, Western Ethiopia: a case-control study.The Journal of international medical research · 2023Article
- Belief towards caesarean section: A community based study of male partners in Ebonyi State, Nigeria.SAGE open medicine · 2023Article
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- "Your heart keeps bleeding": lived experiences of parents with a perinatal death in Northern Uganda.BMC pregnancy and childbirth · 2022Article
- Determinants for Perinatal Mortality in South China: A Prospective Cohort Study.Frontiers in pediatrics · 2022Article
- 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
- Perinatal death in Northern Uganda: incidence and risk factors in a community-based prospective cohort study.Global health action · 2021Article
- Magnitude and Determinants of Perinatal Mortality in Southwest Ethiopia.Journal of pregnancy · 2020Article
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Authors and funding
4 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe perinatal mortality rate (PMR) in Nigeria rose by approximately 5% from 39 to 41 deaths per 1000 total births between 2008 and 2013, indicating a reversal in earlier gains. This study sought to identify factors associated with increased PMR.
methodsNationally representative data including 31,121 pregnancies of 7 months or longer obtained from the 2013 Nigeria Demographic and Health Survey were used to investigate the community-, socio-economic-, proximate- and environmental-level factors related to perinatal mortality (PM). Generalized linear latent and mixed models with the logit link and binomial family that adjusted for clustering and sampling weights was employed for the analyses.
resultsBabies born to obese women (adjusted odds ratio [aOR] = 1.46, 95% confidence interval [CI]: 1.13-1.89) and babies whose mothers perceived their body size after birth to be smaller than the average size (aOR = 1.92, 95% CI: 1.61-2.30) showed greater odds of PM. Babies delivered through caesarean section were more likely to die (aOR = 2.85, 95% CI: 2.02-4.02) than those born through vaginal delivery. Other factors that significantly increased PM included age of the women (≥40 years), living in rural areas, gender (being male) and a fourth or higher birth order with a birth interval ≤ 2 years.
conclusionsNewborn and maternal care interventions are needed, especially for rural communities, that aim at counselling women that are obese. Promoting well-timed caesarean delivery, Kangaroo mother care of small-for-gestational-age babies, child spacing, timely referral for ailing babies and adequate medical check-up for older pregnant women may substantially reduce PM in Nigeria.
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