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...

Full description

Bibliographic Details
Main Authors: Obasanjo Afolabi Bolarinwa, Effiong Fortune, Richard Gyan Aboagye, Abdul-Aziz Seidu, Olalekan Seun Olagunju, Ugochinyere Ijeoma Nwagbara, Edward Kwabena Ameyaw, Bright Opoku Ahinkorah
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-01-01
Series:PLoS ONE
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8568178/?tool=EBI
_version_ 1818567406594818048
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
collection DOAJ
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.
first_indexed 2024-12-14T06:22:59Z
format Article
id doaj.art-ce8f3eb54dd447fc8765fab4e9653993
institution Directory Open Access Journal
issn 1932-6203
language English
last_indexed 2024-12-14T06:22:59Z
publishDate 2021-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj.art-ce8f3eb54dd447fc8765fab4e96539932022-12-21T23:13:46ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-011611Health facility delivery among women of reproductive age in Nigeria: Does age at first birth matter?Obasanjo Afolabi BolarinwaEffiong FortuneRichard Gyan AboagyeAbdul-Aziz SeiduOlalekan Seun OlagunjuUgochinyere Ijeoma NwagbaraEdward Kwabena AmeyawBright Opoku Ahinkorah<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.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8568178/?tool=EBI
spellingShingle 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?
PLoS ONE
title 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_short 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
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8568178/?tool=EBI
work_keys_str_mv AT obasanjoafolabibolarinwa healthfacilitydeliveryamongwomenofreproductiveageinnigeriadoesageatfirstbirthmatter
AT effiongfortune healthfacilitydeliveryamongwomenofreproductiveageinnigeriadoesageatfirstbirthmatter
AT richardgyanaboagye healthfacilitydeliveryamongwomenofreproductiveageinnigeriadoesageatfirstbirthmatter
AT abdulazizseidu healthfacilitydeliveryamongwomenofreproductiveageinnigeriadoesageatfirstbirthmatter
AT olalekanseunolagunju healthfacilitydeliveryamongwomenofreproductiveageinnigeriadoesageatfirstbirthmatter
AT ugochinyereijeomanwagbara healthfacilitydeliveryamongwomenofreproductiveageinnigeriadoesageatfirstbirthmatter
AT edwardkwabenaameyaw healthfacilitydeliveryamongwomenofreproductiveageinnigeriadoesageatfirstbirthmatter
AT brightopokuahinkorah healthfacilitydeliveryamongwomenofreproductiveageinnigeriadoesageatfirstbirthmatter