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The effects of centering pregnancy on maternal and fetal outcomes in northern Nigeria; a prospective cohort analysis

Overview of attention for article published in BMC Pregnancy and Childbirth, May 2018
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Title
The effects of centering pregnancy on maternal and fetal outcomes in northern Nigeria; a prospective cohort analysis
Published in
BMC Pregnancy and Childbirth, May 2018
DOI 10.1186/s12884-018-1805-2
Pubmed ID
Authors

George I. Eluwa, Sylvia B. Adebajo, Kwasi Torpey, Oladapo Shittu, Shittu Abdu-Aguye, Daniel Pearlman, Umma Bawa, Aira Olorukooba, Hadiza Khamofu, Robert Chiegli

Abstract

Maternal and infant mortality remains high in Nigeria primarily due to low use of skilled birth attendants. Huge disparities exist between southern and northen Nigeria on use of skilled birth attendants with south significantly higher than the north. We assessed the effect of centering pregnancy group (CPG) antenatal care on the uptake of antenatal care (ANC), facility delivery and immunization rates for infants in Kano state. Between December 2012 and May 2014, pregnant women with similar sociodemographics and obstetric history were enrolled into intervention (CPG) and control groups and followed up prospectively. Chi-square tests were conducted to compare the differences between the intervention and the control groups with respect to background characteristics and intervention outcomes. Logistic regression was used to measure the associations between CPG and uptake of services for mother-baby pairs in care. A total of 517 (260 in the control group and 257 in the CPG) pregnant women enrolled and participated in the study. Thirty-six percent of women in the control group attended ANC at least once in 2nd and 3nd trimester compared to 49% of respondents in the CPG (p < 0.01). Health facility delivery was higher among CPG (13% vs. 8%; p < 0.01). When controlled for age, number of previous pregnancies, number of term deliveries, number of children alive and occupation of respondent or their spouses, respondents who participated in the CPGs compared to those who did not, were more likely to attend at least one antenatal care (ANC) session in the third trimester [adjusted risk ratio (ARR):1.52; 95% CI:1.36-1.69], more likely to immunize their babies at six weeks [ARR: 2.23; 95% CI: 1.16-4.29] and fourteen weeks [ARR: 3.46; 95% CI: 1.19-10.01] and more likely to use health services [ARR: 1.50; 95% CI: 1.06-2.13]. Centering or group pregnancy showed a positive effect on the use of antenatal services, facility delivery and postnatal services and thus is a promising intervention to increase uptake of maternal health care services in northern Nigeria. The low facility delivery remains a cause for alarm and requires further investigation to improve facility delivery in northern Nigeria.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 150 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 150 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 33 22%
Researcher 14 9%
Student > Ph. D. Student 10 7%
Student > Bachelor 10 7%
Student > Postgraduate 7 5%
Other 23 15%
Unknown 53 35%
Readers by discipline Count As %
Medicine and Dentistry 32 21%
Social Sciences 20 13%
Nursing and Health Professions 19 13%
Agricultural and Biological Sciences 5 3%
Chemistry 3 2%
Other 11 7%
Unknown 60 40%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. 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 15 March 2019.
All research outputs
#17,950,284
of 23,049,027 outputs
Outputs from BMC Pregnancy and Childbirth
#3,368
of 4,245 outputs
Outputs of similar age
#236,023
of 325,569 outputs
Outputs of similar age from BMC Pregnancy and Childbirth
#133
of 152 outputs
Altmetric has tracked 23,049,027 research outputs across all sources so far. This one is in the 19th percentile – i.e., 19% of other outputs scored the same or lower than it.
So far Altmetric has tracked 4,245 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.9. This one is in the 17th percentile – i.e., 17% 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 325,569 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 22nd percentile – i.e., 22% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 152 others from the same source and published within six weeks on either side of this one. This one is in the 9th percentile – i.e., 9% of its contemporaries scored the same or lower than it.