Health facility delivery among women of reproductive age in Nigeria: Does age at first birth matter?

<h4>Background</h4> High maternal mortality ratio in sub-Saharan Africa (SSA) has been linked to inadequate medical care for pregnant women due to limited health facility delivery utilization. Thus, this study, examined the association between age at first childbirth and health facility...

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Autores principales:	Obasanjo Afolabi Bolarinwa, Effiong Fortune, Richard Gyan Aboagye, Abdul-Aziz Seidu, Olalekan Seun Olagunju, Ugochinyere Ijeoma Nwagbara, Edward Kwabena Ameyaw, Bright Opoku Ahinkorah
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/ce8f3eb54dd447fc8765fab4e9653993
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spelling	oai:doaj.org-article:ce8f3eb54dd447fc8765fab4e96539932021-11-11T07:14:39ZHealth facility delivery among women of reproductive age in Nigeria: Does age at first birth matter?1932-6203https://doaj.org/article/ce8f3eb54dd447fc8765fab4e96539932021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8568178/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4> High maternal mortality ratio in sub-Saharan Africa (SSA) has been linked to inadequate medical care for pregnant women due to limited health facility delivery utilization. Thus, this study, examined the association between age at first childbirth and health facility delivery among women of reproductive age in Nigeria. <h4>Methods</h4> The study used the most recent secondary dataset from Nigeria’s Demographic and Health Survey (NDHS) conducted in 2018. Only women aged15-49 were considered for the study (N = 34,193). Bi-variate and multivariable logistic regression models were used to examine the association between age at first birth and place of delivery. The results were presented as crude odds ratios and adjusted odds ratios (aOR) with corresponding 95% confidence intervals (CIs). Statistical significance was set at p<0.05. <h4>Results</h4> The results showed that the prevalence of health facility deliveries was 41% in Nigeria. Women who had their first birth below age 20 [aOR = 0.82; 95%(CI = 0.74–0.90)] were less likely to give birth at health facilities compared to those who had their first birth at age 20 and above. <h4>Conclusion</h4> Our findings suggest the need to design interventions that will encourage women of reproductive age in Nigeria who are younger than 20 years to give birth in health facilities to avoid the risks of maternal complications associated with home delivery. Such interventions should include male involvement in antenatal care visits and the education of both partners and young women on the importance of health facility delivery.Obasanjo Afolabi BolarinwaEffiong FortuneRichard Gyan AboagyeAbdul-Aziz SeiduOlalekan Seun OlagunjuUgochinyere Ijeoma NwagbaraEdward Kwabena AmeyawBright Opoku AhinkorahPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Obasanjo Afolabi Bolarinwa Effiong Fortune Richard Gyan Aboagye Abdul-Aziz Seidu Olalekan Seun Olagunju Ugochinyere Ijeoma Nwagbara Edward Kwabena Ameyaw Bright Opoku Ahinkorah Health facility delivery among women of reproductive age in Nigeria: Does age at first birth matter?
description	<h4>Background</h4> High maternal mortality ratio in sub-Saharan Africa (SSA) has been linked to inadequate medical care for pregnant women due to limited health facility delivery utilization. Thus, this study, examined the association between age at first childbirth and health facility delivery among women of reproductive age in Nigeria. <h4>Methods</h4> The study used the most recent secondary dataset from Nigeria’s Demographic and Health Survey (NDHS) conducted in 2018. Only women aged15-49 were considered for the study (N = 34,193). Bi-variate and multivariable logistic regression models were used to examine the association between age at first birth and place of delivery. The results were presented as crude odds ratios and adjusted odds ratios (aOR) with corresponding 95% confidence intervals (CIs). Statistical significance was set at p<0.05. <h4>Results</h4> The results showed that the prevalence of health facility deliveries was 41% in Nigeria. Women who had their first birth below age 20 [aOR = 0.82; 95%(CI = 0.74–0.90)] were less likely to give birth at health facilities compared to those who had their first birth at age 20 and above. <h4>Conclusion</h4> Our findings suggest the need to design interventions that will encourage women of reproductive age in Nigeria who are younger than 20 years to give birth in health facilities to avoid the risks of maternal complications associated with home delivery. Such interventions should include male involvement in antenatal care visits and the education of both partners and young women on the importance of health facility delivery.
format	article
author	Obasanjo Afolabi Bolarinwa Effiong Fortune Richard Gyan Aboagye Abdul-Aziz Seidu Olalekan Seun Olagunju Ugochinyere Ijeoma Nwagbara Edward Kwabena Ameyaw Bright Opoku Ahinkorah
author_facet	Obasanjo Afolabi Bolarinwa Effiong Fortune Richard Gyan Aboagye Abdul-Aziz Seidu Olalekan Seun Olagunju Ugochinyere Ijeoma Nwagbara Edward Kwabena Ameyaw Bright Opoku Ahinkorah
author_sort	Obasanjo Afolabi Bolarinwa
title	Health facility delivery among women of reproductive age in Nigeria: Does age at first birth matter?
title_short	Health facility delivery among women of reproductive age in Nigeria: Does age at first birth matter?
title_full	Health facility delivery among women of reproductive age in Nigeria: Does age at first birth matter?
title_fullStr	Health facility delivery among women of reproductive age in Nigeria: Does age at first birth matter?
title_full_unstemmed	Health facility delivery among women of reproductive age in Nigeria: Does age at first birth matter?
title_sort	health facility delivery among women of reproductive age in nigeria: does age at first birth matter?
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/ce8f3eb54dd447fc8765fab4e9653993
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Health facility delivery among women of reproductive age in Nigeria: Does age at first birth matter?

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