The impact of COVID-19 on the birth rate in Nigeria:a report from population-based registries  

作　　者：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 

机构地区：[1]Department of Obstetrics and Gynecology,Nnamdi Azikiwe University Teaching Hospital,Nnewi PMB 5025,Nigeria [2]Preventive Medicine and Research Department,Clina-Lancet Laboratories,Victoria Island,Lagos 101241,Nigeria [3]Effective Care Research Unit,Department of Obstetrics and Gynecology,Nnamdi Azikiwe University,Nnewi Campus 435001,Nigeria [4]Department of Obstetrics and Gynecology,College of Medicine,University of Nigeria Enugu Campus,Enugu,Enugu State 400102,Nigeria [5]Department of Obstetrics and Gynecology,University of Nigeria Teaching Hospital,Ituku Ozalla,Enugu State 400102,Nigeria [6]Department of Obstetrics and Gynecology,ESUT Teaching Hospital,Parklane,Enugu 400102,Nigeria [7]Medical Department,Divine Medical Centre,South West Ikoyi,Lagos 1001233,Nigeria [8]Department of Obstetrics and Gynecology,Havana Specialist Hospital,Surulere,Lagos 100011,Nigeria [9]Clinical Trial Division,Drug Evaluation and Research Directorate,NAFDAC office Complex,Lagos 100011,Nigeria [10]Department of Ophthalmology,Nnamdi Azikiwe University,Nnewi campus 435001,Nigeria [11]Department of Human Physiology,Nnamdi Azikiwe University Nnewi,Anambra State 435001,Nigeria [12]Department of Family Medicine,Faculty of Medicine,Nnamdi Azikiwe University,Awka 435001,Nigeria [13]Department of Medical Laboratory Science,Faculty of Health Sciences and Technology,Nnamdi Azikiwe University,Awka 435001,Nigeria [14]Department of Health Services,Federal University of Technology,Owerri 460103,Nigeria [15]Department of Haematology and Immunology,College of Medicine,University of Nigeria Enugu Campus,Enugu,Enugu State 400102,Nigeria [16]Musgrove Park Hospital Somerset NHS,Foundation Trust,United Kingdom [17]TLTp Medical(UHS),Southampton WS15,United Kingdom [18]Division of Maternal Fetal Medicine,Department of Gynecology and Obstetrics,Johns Hopkins University School of Medicine,Baltimore 21201,U.S.A

出　　处：《Infectious Diseases Research》2023年第1期14-18,共5页传染病研究（英文）

摘　　要：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.

关 键 词：birth rates COVID-19 lockdown NIGERIA PANDEMIC pre-COVID 

分 类 号：C92[社会学—人口学]