↓ Skip to main content

Dove Medical Press

Prevalence and risk factors for maternal mortality in referral hospitals in Nigeria: a multicenter study

Overview of attention for article published in International Journal of Women's Health, February 2018
Altmetric Badge

About this Attention Score

  • Average Attention Score compared to outputs of the same age

Mentioned by

twitter
2 X users

Citations

dimensions_citation
42 Dimensions

Readers on

mendeley
251 Mendeley
Title
Prevalence and risk factors for maternal mortality in referral hospitals in Nigeria: a multicenter study
Published in
International Journal of Women's Health, February 2018
DOI 10.2147/ijwh.s151784
Pubmed ID
Authors

Lorretta F Ntoimo, Friday E Okonofua, Rosemary N Ogu, Hadiza S Galadanci, Mohammed Gana, Ola N Okike, Kingsley N Agholor, Rukiyat A Abdus-Salam, Adetoye Durodola, Eghe Abe, Abdullahi J Randawa

Abstract

While reports from individual hospitals have helped to provide insights into the causes of maternal mortality in low-income countries, they are often limited for policymaking at national and subnational levels. This multisite study was designed to determine maternal mortality ratios (MMRs) and identify the risk factors for maternal deaths in referral health facilities in Nigeria. A pretested study protocol was used over a 6-month period (January 1-June 30, 2014) to obtain clinical data on pregnancies, births, and maternal deaths in eight referral hospitals across eight states and four geopolitical zones of Nigeria. Data were analyzed centrally using univariate, bivariate, and multivariate statistics. The results show an MMR of 2,085 per 100,000 live births in the hospitals (range: 877-4,210 per 100,000 births). Several covariates were identified as increasing the odds for maternal mortality; however, after adjustment for confounding, five factors remained significant in the logistic regression model. These include delivery in a secondary health facility as opposed to delivery in a tertiary hospital, non-booking for antenatal and delivery care, referral as obstetric emergency from nonhospital sources of care, previous experience by women of early pregnancy complications, and grandmultiparity. MMR remains high in referral health facilities in Nigeria due to institutional and patient-related factors. Efforts to reduce MMR in these health facilities should include the improvement of emergency obstetric care, public health education so that women can seek appropriate and immediate evidence-based pregnancy care, the socioeconomic empowerment of women, and the strengthening of the health care system.

X Demographics

X Demographics

The data shown below were collected from the profiles of 2 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 251 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 251 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 32 13%
Student > Postgraduate 31 12%
Researcher 27 11%
Student > Bachelor 23 9%
Student > Ph. D. Student 12 5%
Other 32 13%
Unknown 94 37%
Readers by discipline Count As %
Medicine and Dentistry 66 26%
Nursing and Health Professions 46 18%
Social Sciences 12 5%
Environmental Science 5 2%
Agricultural and Biological Sciences 4 2%
Other 20 8%
Unknown 98 39%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 08 February 2018.
All research outputs
#14,374,920
of 23,020,670 outputs
Outputs from International Journal of Women's Health
#440
of 785 outputs
Outputs of similar age
#240,285
of 440,103 outputs
Outputs of similar age from International Journal of Women's Health
#10
of 12 outputs
Altmetric has tracked 23,020,670 research outputs across all sources so far. This one is in the 35th percentile – i.e., 35% of other outputs scored the same or lower than it.
So far Altmetric has tracked 785 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 11.6. This one is in the 39th percentile – i.e., 39% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 440,103 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 42nd percentile – i.e., 42% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 12 others from the same source and published within six weeks on either side of this one. This one is in the 8th percentile – i.e., 8% of its contemporaries scored the same or lower than it.