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Risk Factors Associated with Infant Mortality in Owerri Metropolis, Imo State, Southeastern Nigeria
Science Journal of Public Health
Volume 3, Issue 5-1, September 2015, Pages: 64-71
Received: Jul. 30, 2015; Accepted: Sep. 13, 2015; Published: Dec. 17, 2015
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Nwaokoro Joakin Chidozie, Department of Public Health Technology, School of Health Technology, Federal University of Technology Owerri, Imo State, Nigeria
Ibe Sally N. O., Department of Public Health Technology, School of Health Technology, Federal University of Technology Owerri, Imo State, Nigeria
Ihenachor Chinenye A., Central Registry Unit, Federal University of Technology, Owerri, Nigeria
Emerole Chima O., Department of Public Health Technology, School of Health Technology, Federal University of Technology Owerri, Imo State, Nigeria
Nwufo Regina C., Department of Public Health Technology, School of Health Technology, Federal University of Technology Owerri, Imo State, Nigeria
Ebiriekwe Sabinus Chidubem, Raw Materials Research and Development Council (RMRDC), Maitama, Abuja, Nigeria
Onwuliri Viola A., Department of Biochemistry, Federal University of Technology, Owerri, Nigeria
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Despite, new advances in medicine, infant mortality continues to threaten many families and the country in general. Investigation of the risk factors associated with infant mortality in Owerri metropolis, Imo State, Nigeria was therefore carried out. Selected hospitals in Owerri metropolis were used as study areas. A total of 200 respondents (health workers) were recruited for the study. Pre-tested structured questionnaires were administered to the respondents for data collection. Presentation and analysis of data were done using descriptive statistics and chi square test. Results obtained showed that pre-pregnancy factors (previous number of children, birth spacing, previous birth complications, Human Immunodeficiency Virus (HIV) infection, malnutrition, alcohol intake, level of mother’s education, previous caesarian section), antenatal factors (low birth weight, gestational diabetes, failure to receive tetanus toxoid vaccine, congenital malformation, drinking alcohol, smoking or staying near a smoker, malaria in mother, obesity, feeding habit of a pregnant woman) and post natal factors (over weight of a baby, place of delivery, birth attendant, preterm birth, length of labour, placenta abnormalities, caesarian section, failure to have a wellness baby check, jaundice) were observed to contribute to infant mortality. There existed high significant difference among the parameters that were considered. Therefore, it was surmised that the parameters that were studied under pre-pregnancy, antenatal and post-natal risk factors contributed to infant mortality in Owerri, metropolis.
Infant, Mortality, Risk Factors, Pregnancy
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Nwaokoro Joakin Chidozie, Ibe Sally N. O., Ihenachor Chinenye A., Emerole Chima O., Nwufo Regina C., Ebiriekwe Sabinus Chidubem, Onwuliri Viola A., Risk Factors Associated with Infant Mortality in Owerri Metropolis, Imo State, Southeastern Nigeria, Science Journal of Public Health. Special Issue: Who Is Afraid of the Microbes. Vol. 3, No. 5-1, 2015, pp. 64-71. doi: 10.11648/j.sjph.s.2015030501.22
B. Alm, G. Winnergren, G. Norvenius and K. Helweglarsen, “Caffeine and Alcohol as Risk factors for Sudden Infant Death Syndrome, ”Nordic Epidemiological SIDS Study, Arch Dis. child, 81 (2): 107-111, 1999.
Center for Disease Control and Prevention, “Infant Mortality,” www. CDC. gov/reproductivehealth/maternalinfanthealth/infantmortality. htm, August 12, 2014.
T. O. Lawoyin, “Risk Factors for Infant Mortality in a Rural Community in Nigeria,” The Journal of the Royal Society for the Promotion of Health 121 (2):114-118, 2001.
O. O. Ayoola, “A Five year Childhood Mortality of the University College Hospital, Ibadan, Nigeria,” West Africa Journal at Med, 24 (2):175-179, 2005.
B. Larroque, G. Breart, M. Kaminski, M. Dehan, M. Andre, A. Burguet, H. Grand Jean, B. Ledesert, C. Leveque, F. J. Mailard, “Survival of very Preterm Infants, ” A Pop Based Cohort Study, 89 (2):139- 144, 2004.
P. S. Blair, P. J. Flemming, D. Bensley, I. Smith and C. Bacon, “Smoking and the Sudden Infant Death Syndrome: Results from 1993-5 Case Study for Confidential inquiry into Stillbirths and Deaths in infancy,” BMJ, 27; 313 (7051): 195-198, 1996.
M. Norton, “New Evidence on Birth Spacing: Promising findings for Improving Newborn, Infant, Child, and Maternal Health,” International Journal of Gynecology & Obstetrics 89: 1–6, 2005.
National Center for Health Statistics. National Vital Statistics Reports (NVSR). Deaths: Final Data for 2011.
N. J. Sebire, M. Jolly, J. P. Harris, J. Wadsworth, M. Joffe, R. W. Beard, L. Regan, and S. Robinson, “Maternal Obesity and Pregnancy Outcome; A Study of 287, 213 pregnancies in London, ” Int. J. Obes Relat. Metab. Disord, 25 (8):175- 1182, 2009.
World Health Organization, “Maternal Anthropometry for Prediction of Pregnancy Outcome: Memorandum for a USAID/WHO/PAHO Mother Care Meeting,” Bulletin of the World Health Organization, 69:523-532, 1991.
T. D. Clause and E. Mathersen, “Poor Pregnancy Outcome in Women with Type 2 diabetes,” Diabetes care 28 (2): 323-328, 2005.
M. F. MacDorman and T. J. Mathews, “The Challenge of Infant Mortality, Have We Reached a Plateau,” Public Health Reports, 124, 2009.
E. Rey and A. Couturier, “Prognosis of Pregnancy in Women with Chronic Hypertension,” Am. J. Obstet Gynecol, 171 (2); 410-416, 1994.
T. J. Mathews and M. F. MacDorman, “Infant Mortality Statistics from 2006 Period linked Birth/infant Death data set,” Nathvitalstat. Rep, 30; 58 (17): 1-31, 2010.
S. J. Scholer, G. B. Hickson and W. A. Ray, “Socio demographic factors identify US infants at High risk of Injury Mortality,” Paediatrics 103 (6): 1183-1188, 1999.
M. Khashu, M. Narayanan, S. Bhargava and H. Osiovic, “Prenatal Outcomes associated with Preterm Birth a 33 to 36 weeks gestation, ” A pop. Based cohort study, 123 (1): 109-113, 2009.
J. Zeitlin, M. EI Ayoubi, P. H. Jarreau, E. S. Draper, B. Blondel, W. Kunzel, M. Cuttini, M. Kaminski, L. Gortner and P. Van Reempts, “Impact of Fetal Growth Restriction on Mortality and Morbidity in a very Preterm Birth Cohort,” J. Pedatr, 157 (5): 733-739, 2010.
M. C. Macintosh, K. M. Fleming, J. A. Bailey, P. Doyle, J. Modder, D. Acolet, “Perinatal Mortality and Congenital Anomalies In Babies of women with type 1 or 2 Diabetes in England, Walles and Northern Ireland,” BMJ 22- 333, 2006.
K. Wisborg, U. Kesmodel, and T. B. Henrikesen, “Exposure to tobacco smoke in utero and the risk of stillbirth and death in the first year of life,” Am J. Epidermiol, 15; 154 (4): 322-327, 2000.
P. Brocklehurst and R. French, “The Association between Maternal HIV Infection and Perinatal Outcome: A Systematic Review of the Literature and Meta-analysis,” J. Obsteric. Gynaecol, 105 (8): 836-848, 1998.
Z. C. Luo, R. Wilkins, M. S. Kramer, “Fetal and Infant Health Study Group of the Canadian Perinatal Surveillance System. Disparities in Pregnancy outcome according to Marital and Cohabitation status,” Obstet. Gynecol, 103 (6): 1183-1188, 2004.
M. Vanek, E. Sheiner, A. Levy, M. Mazor, “Chronic Hypertension and the Risk for Adverse Pregnancy outcome after Super Imposed Pre-Eclampsia,” Int. J. Gynaecol. obstet, 8 6 (1): 7-1, 2004.
E. A. Nohr, M. Vaeth, B. H. Bech, T. B. Henriskseri, S. Cnattingius, J. Olsen, “Maternal Obesity and Neonatal Mortality according to subtype of Preterm Birth, ” Obstet. Gynecol, 110 (5): 1083-1090, 2006.
J. Kristiansen, M. Vestergaard, K. Wisborg, U. Kesmodel, and N. J. Secher, “Pre-Pregnancy Weight and the Risk of Still Birth and Neonatal Death,” Int J of obstetrics and Gynecology, vol. 112: 403-408, 2005.
U. M. Reddy, S. K. Laughon, L. Sun, J. Troendle and M. Willinger, “Pre-Pregrancy risk Factors for Ante Partum still Birth in the United State,” Obstet. Gynecol, 166 (5): 1119-1126, 2010.
U. Kesmodel, K. Wisborg, S. F. Olsen, T. B. Henriksen and N. J. Secher, “Moderate Alcohol Intake in Pre-Pregnancy and the Risk of Spontaneous Abortion,” Alcohol 37 (1): 87-92, 2002.
G. C. Windham, J. Von Behren, L. Fenster and C. Schaefer, “Moderate Maternal Alcohol Consumption and Risk of Spontaneous Abortion,” Epidemiology, 8 (5): 509-514, 1997.
H. Pollack, P. M. Lantze, J. G. Frohna, “Maternal Smoking and Adverse Birth Outcomes among Singletons and Twins,” Am J Public Health, 90 (3): 395-400, 2000.
K. K. Venkatesh, G. De Bruyn, E. Marinda, K. Otwombe and R. Van Niekerk, “Morbidity among Infants born to HIV-infected Women in South Africa: Implication for Child Health in Resource-limited Setting,” J. Trop Pediatr. 57 (2): 109-19, 2011.
R. Farmer, D. Miller and R. Lawrensen, Epidemiology and Public Health Medicine, 4th Edition. Paris: Blackwell Science Ltd, 1996, pp. 3-106.
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