Marked variability in institutional deliveries and neonatal outcomes during the COVID-19 lockdown in Nigeria.

التفاصيل البيبلوغرافية
العنوان:	Marked variability in institutional deliveries and neonatal outcomes during the COVID-19 lockdown in Nigeria.
المؤلفون:	Ezenwa BN; Department of Paediatrics, College of Medicine, University of Lagos, Lagos, Nigeria.; Department of Paediatrics, Lagos University Teaching Hospital, Lagos, Nigeria., Fajolu IB; Department of Paediatrics, College of Medicine, University of Lagos, Lagos, Nigeria.; Department of Paediatrics, Lagos University Teaching Hospital, Lagos, Nigeria., Pius S; Department of Paediatrics, University of Maiduguri, Maiduguri, Nigeria., Ezeanosike OB; Department of Paediatrics, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria., Iloh K; Department of Paediatrics, University of Nigeria Teaching Hospital, Enugu, Nigeria., Umoru D; Department of Paediatrics, Maitama District Hospital, Abuja, Nigeria., Tongo O; Department of Paediatrics, University College Hospital, Ibadan, Nigeria., Abdulkadir I; Department of Paediatrics, College of Medical Sciences, Ahmadu Bello University, Zaria, Nigeria., Okolo AA; Department of Paediatrics, Federal Medical Centre, Asaba, Delta State, Nigeria., Nabwera HM; Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.; Centre of Excellence for Women and Child Health, Aga Khan University, Nairobi, Kenya., Oleolo-Ayodeji K; Department of Paediatrics, Lagos University Teaching Hospital, Lagos, Nigeria., Daniel N; Department of Paediatrics, Lagos University Teaching Hospital, Lagos, Nigeria., Abubakar I; Insilico Unit, Cancer Therapeutic, Institute of Cancer Research, Sutton, UK., Obu C; Department of Paediatrics, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria., Onwe-Ogah E; Department of Paediatrics, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria., Daniyan O; Department of Paediatrics, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria., Adeke A; Department of Community Medicine, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria., Nwegbu O; Department of Paediatrics, Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria., Bisumang JD; Department of Paediatrics, University of Maiduguri, Maiduguri, Nigeria., Hassan L; Department of Paediatrics, University College Hospital, Ibadan, Nigeria., Abdullahi F; Department of Paediatrics, University College Hospital, Ibadan, Nigeria., Mohammad A; Department of Paediatrics, University College Hospital, Ibadan, Nigeria., Nasir U; Department of Paediatrics, University College Hospital, Ibadan, Nigeria., Ezeaka VC; Department of Paediatrics, College of Medicine, University of Lagos, Lagos, Nigeria.; Department of Paediatrics, Lagos University Teaching Hospital, Lagos, Nigeria., Allen S; Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK.; Department of Paediatrics, Edwards Francis Small Teaching Hospital, Banjul, The Gambia.
المصدر:	Transactions of the Royal Society of Tropical Medicine and Hygiene [Trans R Soc Trop Med Hyg] 2023 Nov 03; Vol. 117 (11), pp. 780-787.
نوع المنشور:	Journal Article
اللغة:	English
بيانات الدورية:	Publisher: Oxford University Press Country of Publication: England NLM ID: 7506129 Publication Model: Print Cited Medium: Internet ISSN: 1878-3503 (Electronic) Linking ISSN: 00359203 NLM ISO Abbreviation: Trans R Soc Trop Med Hyg Subsets: MEDLINE
أسماء مطبوعة:	Publication: 2013- : Oxford : Oxford University Press Original Publication: 1920- : London : Royal Society of Tropical Medicine and Hygiene
مواضيع طبية MeSH:	COVID-19/epidemiology , COVID-19/prevention & control, Infant, Newborn ; Pregnancy ; Humans ; Female ; Retrospective Studies ; Nigeria/epidemiology ; Pandemics ; Communicable Disease Control
مستخلص:	Background: The coronavirus disease 2019 (COVID-19) pandemic and the interventions to mitigate its spread impacted access to healthcare, including hospital births and newborn care. This study evaluated the impact of COVID-19 lockdown measures on newborn service utilization in Nigeria. Methods: The records of women who delivered in hospitals and babies admitted to neonatal wards were retrospectively reviewed before (March 2019-February 2020) and during (March 2020-February 2021) the COVID-19 pandemic lockdown in selected facilities in Nigeria. Results: There was a nationwide reduction in institutional deliveries during the COVID-19 lockdown period in Nigeria, with 14 444 before and 11 723 during the lockdown-a decrease of 18.8%. The number of preterm admissions decreased during the lockdown period (30.6% during lockdown vs 32.6% pre-lockdown), but the percentage of outborn preterm admissions remained unchanged. Newborn admissions varied between zones with no consistent pattern. Although neonatal jaundice and prematurity remained the most common reasons for admission, severe perinatal asphyxia increased by nearly 50%. Neonatal mortality was significantly higher during the COVID-19 lockdown compared with pre-lockdown (110.6/1000 [11.1%] vs 91.4/1000 [9.1%], respectively; p=0.01). The odds of a newborn dying were about four times higher if delivered outside the facility during the lockdown (p<0.001). Conclusions: The COVID-19 lockdown had markedly deleterious effects on healthcare seeking for deliveries and neonatal care that varied between zones with no consistent pattern. (© The Author(s) 2023. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene.)
معلومات مُعتمدة:	MR/V030698/1 United Kingdom MRC_ Medical Research Council
فهرسة مساهمة:	Keywords: COVID-19; Nigeria; health lockdown; healthcare utilization; newborns; pandemics
تواريخ الأحداث:	Date Created: 20230602 Date Completed: 20231109 Latest Revision: 20240501
رمز التحديث:	20240501
DOI:	10.1093/trstmh/trad030
PMID:	37264932
قاعدة البيانات:	MEDLINE

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الوصف
تدمد:	1878-3503
DOI:	10.1093/trstmh/trad030