2019冠状病毒病对尼日利亚出生率的影响:基于人口登记的报告。

Infectious diseases research Pub Date : 2023-02-25 Epub Date: 2023-02-15 DOI:10.53388/idr2023004
Charlotte Blanche Oguejiofor, Kenechi Miracle Ebubechukwu, George Uchenna Eleje, Emmanuel Onyebuchi Ugwu, Joseph Tochukwu Enebe, Kingsley Emeka Ekwuazi, Chukwuemeka Chukwubuikem Okoro, Boniface Chukwuneme Okpala, Charles Chukwunomunso Okafor, Nnanyelugo Chima Ezeora, Emeka Ifeanyi Iloghalu, Chidebe Christian Anikwe, Chigozie Geoffrey Okafor, Polycarp Uchenna Agu, Emeka Philip Igbodike, Iffiyeosuo Dennis Ake, Arinze Anthony Onwuegbuna, Osita Samuel Umeononihu, Onyedika Promise Anaedu, Odigonma Zinobia Ikpeze, David Chibuike Ikwuka, Henry Ifeanyi Nwaolisa, Ekene Agatha Emeka, Jude Ogechukwu Okoye, Ihechinyerem Kelechi Osuagwu, Angela Ogechukwu Ugwu, Toochukwu Benjamin Ejikeme, Eziamaka Pauline Ezenkwele, Chijioke Ogomegbunam Ezeigwe, Malarchy Ekwunife Nwankwo, Gerald Okanandu Udigwe, Joseph Ifeanyichukwu Ikechebelu, Grace Agbaeze, Chukwuebuka Divine Nwanja, Ahizechukwu Chigoziem Eke
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引用次数: 0

摘要

背景与目的:2019冠状病毒病(COVID-19)是一种大流行,已成为全球发病率和死亡率的主要来源,影响到影响生殖的个体的身心健康。尽管它对撒哈拉以南非洲和尼日利亚的孕产妇健康构成威胁,但很少或根本没有数据表明它对生育、受孕、妊娠和分娩的影响。使用一年中的选定月份比较COVID前和COVID时间之间的出生率。材料和方法:本研究对来自三家三级医院出生登记的横断面分析研究数据进行了二次分析,使用一年中的三个月(10月至12月)对[2019年(COVID前)]和[2020年(COVID时代)]这两年进行了比较。所依赖的数据来自尼日利亚东南部三级医院内三家繁忙的产科诊所的出生登记处,我们旨在讨论COVID-19对尼日利亚生育率的潜在影响。次要结局指标为;分娩方式、参与者预约状态、产妇年龄及职业。结果:三级医院的出生率明显下降了92例(P = 0.0009;95% CI: -16.0519至-4.1481),在2020年10月至12月的COVID期间(封锁后的几个月),所有三家医院的母亲中。产妇的分娩方式存在显著差异(P = 0.0096), 95%可信区间为1.0664 ~ 1.5916,因为在2020年COVID-19期间,阴道分娩比COVID-19前更多。结论:大流行期间,三级医院的出生率有所下降。我们的多中心研究推断了可能导致出生率下降的因素,包括但不限于;由于全面封锁/宵禁以及该国通货膨胀和经济衰退加剧,获得医院护理的机会减少。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The impact of COVID-19 on the birth rate in Nigeria: a report from population-based registries.

Background and objectives: Coronavirus disease 2019 (COVID-19) is a pandemic that has become a major source of morbidity and mortality worldwide, affecting the physical and mental health of individuals influencing reproduction. Despite the threat, it poses to maternal health in sub-Saharan Africa and Nigeria, there is little or no data on the impact it has on fertility, conception, gestation and birth. To compare the birth rate between pre-COVID and COVID times using selected months of the year.

Materials and methods: This was a secondary analysis of cross-sectional analytical study data from the birth registries of three tertiary hospitals, comparing two years [2019 (Pre-COVID)] versus [2020 (COVID era)] using three months of the year (October to December). The data relied upon was obtained from birth registries in three busy maternity clinics all within tertiary hospitals in South-East Nigeria and we aimed at discussing the potential impacts of COVID-19 on fertility in Nigeria. The secondary outcome measures were; mode of delivery, booking status of the participants, maternal age and occupation.

Results: There was a significant decrease in tertiary-hospital based birth rate by 92 births (P = 0.0009; 95% CI: -16.0519 to -4.1481) among mothers in all the three hospitals in 2020 during the COVID period (post lockdown months) of October to December. There was a significant difference in the mode of delivery for mothers (P = 0.0096) with a 95% confidence interval of 1.0664 to 1.5916, as more gave birth through vaginal delivery during the 2020 COVID-19 period than pre-COVID-19.

Conclusion: Tertiary-hospital based birth rates were reduced during the pandemic. Our multi-centre study extrapolated on possible factors that may have played a role in this decline in their birth rate, which includes but is not limited to; decreased access to hospital care due to the total lockdowns/curfews and worsening inflation and economic recession in the country.

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