{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T22:53:52Z","timestamp":1793055232694,"version":"4.5.0"},"reference-count":42,"publisher":"Wiley","issue":"S3","license":[{"start":{"date-parts":[[2024,4,30]],"date-time":"2024-04-30T00:00:00Z","timestamp":1714435200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,4,30]],"date-time":"2024-04-30T00:00:00Z","timestamp":1714435200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100004423","name":"World Health Organization","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004423","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine the prevalence of primary postpartum haemorrhage (PPH), risk factors, and maternal and neonatal outcomes in a multicentre study across Nigeria.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A secondary data analysis using a cross\u2010sectional design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Referral\u2010level hospitals (48 public and six private facilities).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Population<\/jats:title>\n                    <jats:p>Women admitted for birth between 1 September 2019 and 31 August 2020.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data collected over a 1\u2010year period from the Maternal and Perinatal Database for Quality, Equity and Dignity programme in Nigeria were analysed, stratified by mode of delivery (vaginal or caesarean), using a mixed\u2010effects logistic regression model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>Prevalence of PPH and maternal and neonatal outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 68\u2009754 women, 2169 (3.2%, 95%\u2009CI 3.07%\u20133.30%) had PPH, with a prevalence of 2.7% (95%\u2009CI 2.55%\u20132.85%) and 4.0% (95%\u2009CI 3.75%\u20134.25%) for vaginal and caesarean deliveries, respectively. Factors associated with PPH following vaginal delivery were: no formal education (aOR\u20092.2, 95%\u2009CI 1.8\u20132.6,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001); multiple pregnancy (aOR\u20092.7, 95%\u2009CI 2.1\u20133.5,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001); and antepartum haemorrhage (aOR\u200911.7, 95%\u2009CI 9.4\u201314.7,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001). Factors associated with PPH in a caesarean delivery were: maternal age of &gt;35\u2009years (aOR\u20091.7, 95%\u2009CI 1.5\u20132.0,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001); referral from informal setting (aOR\u20092.4, 95%\u2009CI 1.4\u20134.0,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.002); and antepartum haemorrhage (aOR\u20093.7, 95%\u2009CI 2.8\u20134.7,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001). Maternal mortality occurred in 4.8% (104\/2169) of deliveries overall, and in 8.5% (101\/1182) of intensive care unit admissions. One\u2010quarter of all infants were stillborn (570\/2307), representing 23.9% (429\/1796) of neonatal intensive care unit admissions.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A PPH prevalence of 3.2% can be reduced with improved access to skilled birth attendants.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1471-0528.17822","type":"journal-article","created":{"date-parts":[[2024,4,30]],"date-time":"2024-04-30T03:53:46Z","timestamp":1714449226000},"page":"64-77","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Burden and outcomes of postpartum haemorrhage in Nigerian referral\u2010level hospitals"],"prefix":"10.1111","volume":"131","author":[{"given":"Tajudeen","family":"Adebayo","sequence":"first","affiliation":[{"name":"Federal Medical Centre  Owo 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