{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T11:50:07Z","timestamp":1740138607696,"version":"3.37.3"},"reference-count":36,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2023,6,2]],"date-time":"2023-06-02T00:00:00Z","timestamp":1685664000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/501100000683","name":"Royal Society of Tropical Medicine and Hygiene","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000683","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,11,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The coronavirus disease 2019 (COVID-19) pandemic and the interventions to mitigate its spread impacted access to healthcare, including hospital births and newborn care. This study evaluated the impact of COVID-19 lockdown measures on newborn service utilization in Nigeria.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>The records of women who delivered in hospitals and babies admitted to neonatal wards were retrospectively reviewed before (March 2019\u2013February 2020) and during (March 2020\u2013February 2021) the COVID-19 pandemic lockdown in selected facilities in Nigeria.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>There was a nationwide reduction in institutional deliveries during the COVID-19 lockdown period in Nigeria, with 14\u2009444 before and 11\u2009723 during the lockdown\u2014a decrease of 18.8%. The number of preterm admissions decreased during the lockdown period (30.6% during lockdown vs 32.6% pre-lockdown), but the percentage of outborn preterm admissions remained unchanged. Newborn admissions varied between zones with no consistent pattern. Although neonatal jaundice and prematurity remained the most common reasons for admission, severe perinatal asphyxia increased by nearly 50%. Neonatal mortality was significantly higher during the COVID-19 lockdown compared with pre-lockdown (110.6\/1000 [11.1%] vs 91.4\/1000 [9.1%], respectively; p=0.01). The odds of a newborn dying were about four times higher if delivered outside the facility during the lockdown (p&amp;lt;0.001).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The COVID-19 lockdown had markedly deleterious effects on healthcare seeking for deliveries and neonatal care that varied between zones with no consistent pattern.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/trstmh\/trad030","type":"journal-article","created":{"date-parts":[[2023,6,2]],"date-time":"2023-06-02T21:18:50Z","timestamp":1685740730000},"page":"780-787","source":"Crossref","is-referenced-by-count":0,"title":["Marked variability in institutional deliveries and neonatal outcomes during the COVID-19 lockdown in Nigeria"],"prefix":"10.1093","volume":"117","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7437-3211","authenticated-orcid":false,"given":"Beatrice N","family":"Ezenwa","sequence":"first","affiliation":[{"name":"Department of Paediatrics, College of Medicine, University of Lagos , Lagos, Nigeria"},{"name":"Department of Paediatrics, Lagos University Teaching Hospital , Lagos , Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iretiola B","family":"Fajolu","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, College of Medicine, University of Lagos , Lagos, Nigeria"},{"name":"Department of Paediatrics, Lagos University Teaching Hospital , Lagos , Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simon","family":"Pius","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, University of Maiduguri, Maiduguri , Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Obumneme B","family":"Ezeanosike","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Alex Ekwueme Federal University Teaching Hospital , Abakaliki , Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenechukwu","family":"Iloh","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, University of Nigeria Teaching Hospital , Enugu , Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominic","family":"Umoru","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Maitama District Hospital , Abuja , Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olukemi","family":"Tongo","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, University College Hospital , Ibadan , Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0078-8048","authenticated-orcid":false,"given":"Isa","family":"Abdulkadir","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, College of Medical Sciences, Ahmadu Bello University , Zaria , 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Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olapeju","family":"Daniyan","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Alex Ekwueme Federal University Teaching Hospital , Abakaliki , Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Azuka","family":"Adeke","sequence":"additional","affiliation":[{"name":"Department of Community Medicine, Alex Ekwueme Federal University Teaching Hospital , Abakaliki , Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Obinna","family":"Nwegbu","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Alex Ekwueme Federal University Teaching Hospital , Abakaliki , Nigeria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J D","family":"Bisumang","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, University of Maiduguri, Maiduguri , 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