Association between time of delivery and poor perinatal outcomes -An evaluation of deliveries in a tertiary hospital, South-east Nigeria.
<h4>Objectives</h4>Nigeria account for a significant proportion of adverse perinatal outcome. Nigerian studies assessing impact of time of delivery on perinatal outcome are scarce. This study evaluates any associations between time of delivery and perinatal outcome.<h4>Methods</...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2019-01-01
|
| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0217943 |
| _version_ | 1819028647119421440 |
|---|---|
| author | Paul Eze Lucky Osaheni Lawani Chukwuemeka Ikechi Ukaegbe Okechukwu Bonaventure Anozie Chukwuemeka Anthony Iyoke |
| author_facet | Paul Eze Lucky Osaheni Lawani Chukwuemeka Ikechi Ukaegbe Okechukwu Bonaventure Anozie Chukwuemeka Anthony Iyoke |
| author_sort | Paul Eze |
| collection | DOAJ |
| description | <h4>Objectives</h4>Nigeria account for a significant proportion of adverse perinatal outcome. Nigerian studies assessing impact of time of delivery on perinatal outcome are scarce. This study evaluates any associations between time of delivery and perinatal outcome.<h4>Methods</h4>This was a cross-sectional study at the Federal Teaching Hospital, Abakaliki from 01 January 2016 to 30 June 2018. Data were analysed with IBM SPSS version 25.0.<h4>Results</h4>A total of 4,556 deliveries were analysed. Majority (72.2%) delivered on week days and 27.8% on weekends. Over 90% had 1st and 5th minutes Apgar scores ≥7. There was statistical difference in NICU admission between morning and evening hours (p = 0.009) but not between morning and night hours (p = 0.795). ENND during evening was twice higher (1.2%) than morning (0.5%); p = 0.047 and night hours (0.6%); p = 0.623.There was no difference in the risk of fresh stillbirths between morning and evening (p = 0.560), as well as morning and night hours (p = 0.75), there was also no difference in fresh stillbirths between week days and weekends (p = 0.895). There was no difference in low Apgar scores at 1st minute between morning and evening (p = 0.053) and night (p = 0.221), and between weekdays and weekends (p = 0.524). Similarly, there was no difference in low 5th minute Apgar scores between morning and evening (p = 0.165) and night (p = 0.944), as well as between week days and weekends (p = 0.529). However, ENND was twice (p = 0.085) and 1.3 times higher (p = 0.526) for evening and night hours respectively, while there was no difference between weekends and week days (p = 0.652).<h4>Conclusion</h4>NICU admission and ENND were commoner during evening hours. However, work hours did not affect the rate of stillbirth and low Apgar scores during weekdays and weekends. It is pertinent for each obstetric unit to identify and modify factors responsible for unfavourable outcomes during various shifts, with the aim of improving perinatal health. |
| first_indexed | 2024-12-21T06:01:41Z |
| format | Article |
| id | doaj.art-e43bc12417fb41c4b70ffbf7e231f745 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-21T06:01:41Z |
| publishDate | 2019-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-e43bc12417fb41c4b70ffbf7e231f7452022-12-21T19:13:45ZengPublic Library of Science (PLoS)PLoS ONE1932-62032019-01-01146e021794310.1371/journal.pone.0217943Association between time of delivery and poor perinatal outcomes -An evaluation of deliveries in a tertiary hospital, South-east Nigeria.Paul EzeLucky Osaheni LawaniChukwuemeka Ikechi UkaegbeOkechukwu Bonaventure AnozieChukwuemeka Anthony Iyoke<h4>Objectives</h4>Nigeria account for a significant proportion of adverse perinatal outcome. Nigerian studies assessing impact of time of delivery on perinatal outcome are scarce. This study evaluates any associations between time of delivery and perinatal outcome.<h4>Methods</h4>This was a cross-sectional study at the Federal Teaching Hospital, Abakaliki from 01 January 2016 to 30 June 2018. Data were analysed with IBM SPSS version 25.0.<h4>Results</h4>A total of 4,556 deliveries were analysed. Majority (72.2%) delivered on week days and 27.8% on weekends. Over 90% had 1st and 5th minutes Apgar scores ≥7. There was statistical difference in NICU admission between morning and evening hours (p = 0.009) but not between morning and night hours (p = 0.795). ENND during evening was twice higher (1.2%) than morning (0.5%); p = 0.047 and night hours (0.6%); p = 0.623.There was no difference in the risk of fresh stillbirths between morning and evening (p = 0.560), as well as morning and night hours (p = 0.75), there was also no difference in fresh stillbirths between week days and weekends (p = 0.895). There was no difference in low Apgar scores at 1st minute between morning and evening (p = 0.053) and night (p = 0.221), and between weekdays and weekends (p = 0.524). Similarly, there was no difference in low 5th minute Apgar scores between morning and evening (p = 0.165) and night (p = 0.944), as well as between week days and weekends (p = 0.529). However, ENND was twice (p = 0.085) and 1.3 times higher (p = 0.526) for evening and night hours respectively, while there was no difference between weekends and week days (p = 0.652).<h4>Conclusion</h4>NICU admission and ENND were commoner during evening hours. However, work hours did not affect the rate of stillbirth and low Apgar scores during weekdays and weekends. It is pertinent for each obstetric unit to identify and modify factors responsible for unfavourable outcomes during various shifts, with the aim of improving perinatal health.https://doi.org/10.1371/journal.pone.0217943 |
| spellingShingle | Paul Eze Lucky Osaheni Lawani Chukwuemeka Ikechi Ukaegbe Okechukwu Bonaventure Anozie Chukwuemeka Anthony Iyoke Association between time of delivery and poor perinatal outcomes -An evaluation of deliveries in a tertiary hospital, South-east Nigeria. PLoS ONE |
| title | Association between time of delivery and poor perinatal outcomes -An evaluation of deliveries in a tertiary hospital, South-east Nigeria. |
| title_full | Association between time of delivery and poor perinatal outcomes -An evaluation of deliveries in a tertiary hospital, South-east Nigeria. |
| title_fullStr | Association between time of delivery and poor perinatal outcomes -An evaluation of deliveries in a tertiary hospital, South-east Nigeria. |
| title_full_unstemmed | Association between time of delivery and poor perinatal outcomes -An evaluation of deliveries in a tertiary hospital, South-east Nigeria. |
| title_short | Association between time of delivery and poor perinatal outcomes -An evaluation of deliveries in a tertiary hospital, South-east Nigeria. |
| title_sort | association between time of delivery and poor perinatal outcomes an evaluation of deliveries in a tertiary hospital south east nigeria |
| url | https://doi.org/10.1371/journal.pone.0217943 |
| work_keys_str_mv | AT pauleze associationbetweentimeofdeliveryandpoorperinataloutcomesanevaluationofdeliveriesinatertiaryhospitalsoutheastnigeria AT luckyosahenilawani associationbetweentimeofdeliveryandpoorperinataloutcomesanevaluationofdeliveriesinatertiaryhospitalsoutheastnigeria AT chukwuemekaikechiukaegbe associationbetweentimeofdeliveryandpoorperinataloutcomesanevaluationofdeliveriesinatertiaryhospitalsoutheastnigeria AT okechukwubonaventureanozie associationbetweentimeofdeliveryandpoorperinataloutcomesanevaluationofdeliveriesinatertiaryhospitalsoutheastnigeria AT chukwuemekaanthonyiyoke associationbetweentimeofdeliveryandpoorperinataloutcomesanevaluationofdeliveriesinatertiaryhospitalsoutheastnigeria |