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The influence of travel time to health facilities on stillbirths: A geospatial case-control analysis of facility-based data in Gombe, Nigeria

PLoS Neglected Tropical Diseases Jan 14, 2021

Wariri O, Onuwabuchi E, Alhassan JAK, et al. - For preventing stillbirths, following are considered as the most effective interventions: access to quality emergency obstetric and newborn care (EmONC); having a skilled attendant at birth (SBA); adequate antenatal care; and efficient referral systems. Researchers here examined how the travel time from mother’s area of residence to a tertiary health facility where women sought care affects the likelihood of delivering a stillbirth. In this prospective matched case-control study conducted at the Federal Teaching Hospital Gombe (FTHG), Nigeria, they included all women who experienced a stillbirth after hospital admission during the study period as cases while consecutive age-matched (ratio 1:1) women who experienced a live birth were included as controls. Analysis revealed 12 times higher likelihood of having a stillborn among women who lived farther than 60 minutes relative to those who lived within 15 minutes travel time to the FTHG. For the first time, researchers here described the impact of travel time to a major tertiary referral health facility on the occurrence of stillbirths in an urban city in northeast Nigeria.

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