Olukemi Tongo

Determinants of perinatal mortality in Nigeria

To determine risk factors for perinatal mortality among hospital‐based deliveries in Nigeria.

Neonatal Mortality in an Urban Population in Ibadan, Nigeria

BACKGROUND Neonatal mortality remains a major contributor to death among children younger than 5 years in developing countries. This study was undertaken to determine the neonatal mortality rate (NMR), causes of death, and associated risk factors among hospital live births in a suburban population in Nigeria. PATIENTS AND METHODS A total of 1058 consecutive live newborns at Adeoyo Maternity Hospital, Ibadan, were enrolled at birth and followed up in their homes for 28 days. The causes of death were extracted from hospital records, and verbal autopsy was used to determine the causes of death outside the hospital. RESULTS The NMR was 32.1 per 1000 live births. The leading causes of death were severe perinatal asphyxia (79.4%), low birth weight (LBW: 55.9%), and infections (41.2%). The associated risk factors were lack of antenatal care [relative risk (RR)=45.18; 95% confidence interval (CI)=7.80, 261.60]; prolonged rupture of membranes (RR=4.47; 95% CI=1.95, 10.25); maternal peripartal fever (RR=5.42; 95% CI=2.35, 12.52); prematurity (RR=7.53; 95% CI=4.91, 11.55); and LBW (RR=5.50; 95% CI=3.88, 7.80). CONCLUSION NMR is high among hospital live births in Ibadan. There is a need for programs encouraging the use of antenatal care, improving skills on neonatal resuscitation and care of LBW infants; as well as implementation of community-based newborn survival strategies.

The Economic Burden of Preterm/Very Low Birth Weight Care in Nigeria

The care of very low birth weight (VLBW) neonates may impose an enormous burden on professional resources and finances of caregivers. This study seeks to evaluate the immediate cost of care of VLBW babies in a developing economy. Twenty-four hospital case records VLBW babies who survived till discharge over a 1 year period at the University College Hospital, Ibadan, Nigeria were reviewed. Estimates of the out of pocket costs of managing these babies were calculated. The overall cost of hospital care ranged from US

Utilisation of malaria preventive measures during pregnancy and birth outcomes in Ibadan, Nigeria

211.1 to US

Esophageal, Tympanic, Rectal, and Skin Temperatures in Children Undergoing Surgery With General Anesthesia

1573.9. The direct (median) and indirect (median) cost of care ranged from US

Cranial Magnetic Resonance Imaging Findings in Kwashiorkor

80 to US

Serum copeptin and pregnancy outcome in preeclampsia.

1055 (US

Etiology of early onset septicemia among neonates at the University College Hospital, Ibadan, Nigeria.

247.3) and US

Static skinfold thickness in African newborns as an index of fetal nutritional assessment

101.0 to US

Neonatal transport practices in Ibadan, Nigeria

1128.1 (US