Equity in provision and access to obstetric anaesthesia care in Nigeria

•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 preve...

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Bibliographic Details
Published in:International journal of obstetric anesthesia 2023-05, Vol.54, p.103642-103642, Article 103642
Main Author: Onajin-Obembe, B.O.I.
Format: Article
Language:English
Subjects:
Access
Anesthesia, Obstetrical
Cesarean Section
Conflicts
COVID-19
Female
Humans
Maternal Mortality
Nigeria
Nigeria - epidemiology
Obstetric anaesthesia
Pandemics
Pregnancy
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Summary:•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. 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.
ISSN:0959-289X
1532-3374
DOI:10.1016/j.ijoa.2023.103642