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A population-based study of effect of multiple birth on infant mortality in Nigeria
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Uthman, Olalekan A., Uthman, Mubashir B. and Yahaya, Ismail (2008) A population-based study of effect of multiple birth on infant mortality in Nigeria. BMC Pregnancy and Childbirth, 8 . 41. doi:10.1186/1471-2393-8-41 ISSN 1471-2393.
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Official URL: http://doi.org/10.1186/1471-2393-8-41
Abstract
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.
Item Type: | Journal Article | ||||
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Subjects: | R Medicine > RG Gynecology and obstetrics | ||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Population, Evidence & Technologies (PET) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Library of Congress Subject Headings (LCSH): | Infants -- Mortality., Infants -- Mortality -- Nigeria., Multiple birth -- Nigeria., Infants -- Mortality -- Statistics., Nigeria -- Statistics, Vital | ||||
Journal or Publication Title: | BMC Pregnancy and Childbirth | ||||
Publisher: | BioMed Central Ltd. | ||||
ISSN: | 1471-2393 | ||||
Official Date: | September 2008 | ||||
Dates: |
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Volume: | 8 | ||||
Article Number: | 41 | ||||
DOI: | 10.1186/1471-2393-8-41 | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Open Access (Creative Commons) |
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