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Original Article| Volume 54, 103642, May 2023

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Equity in provision and access to obstetric anaesthesia care in Nigeria

  • B.O.I. Onajin-Obembe
    Correspondence
    Corresponding author at: Department of Anaesthesiology, University of Port Harcourt Teaching Hospital, Rivers State, Nigeria.
    Affiliations
    Department of Anaesthesiology, Faculty of Health Sciences, College of Health Sciences, University of Port Harcourt, Rivers State, Nigeria

    Department of Anaesthesiology, University of Port Harcourt Teaching Hospital, Rivers State, Nigeria
    Search for articles by this author
Published:February 08, 2023DOI:https://doi.org/10.1016/j.ijoa.2023.103642

      Highlights

      • Wide variation in the proportion of births by caesarean section within Nigeria.
      • COVID-19 and conflicts impacted maternal healthcare and access to obstetric care.
      • The availability of obstetric anaesthesia in Nigeria is discussed.
      • Inequities were intensified by unwanted pregnancy, abortion, and preventable death.

      Abstract

      Nigeria has a high maternal mortality rate, yet there is wide variation in the proportion of births by caesarean section between zones, states, and cities within Nigeria. This review examines the pattern of the COVID-19 pandemic and the impact of mitigation measures on women’s health in Nigeria. The combined impact of COVID-19 and conflicts on maternal healthcare and access to obstetric care, as well as the availability of obstetric anaesthesia in Nigeria, are discussed. There is a vicious cycle, intensified by unwanted pregnancy, abortion, and preventable maternal death.

      Keywords

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