Access to quality emergency obstetric and newborn care (EmONC); having a skilled attendant at birth (SBA); adequate antenatal care; and efficient referral systems are considered the most effective interventions in preventing stillbirths. We determined the influence of travel time from mother’s area of residence to a tertiary health facility where women sought care on the likelihood of delivering a stillbirth. We carried out a prospective matched case-control study between 1st January 2019 and 31st December 2019 at the Federal Teaching Hospital Gombe (FTHG), Nigeria. All women who experienced a stillbirth after hospital admission during the study period were included as cases while controls were consecutive age-matched (ratio 1:1) women who experienced a live birth. We modelled travel time to health facilities. To determine how travel time to the nearest health facility and the FTHG were predictive of the likelihood of stillbirths, we fitted a conditional logistic regression model. A total of 318 women, including 159 who had stillborn babies (cases) and 159 age-matched women who had live births (controls) were included. We did not observe any significant difference in the mean travel time to the nearest government health facility for women who had experienced a stillbirth compared to those who had a live birth [9.3 mins (SD 7.3, 11.2) vs 6.9 mins (SD 5.1, 8.7) respectively, p = 0.077]. However, women who experienced a stillbirth had twice the mean travel time of women who had a live birth (26.3 vs 14.5 mins) when measured from their area of residence to the FTHG where deliveries occurred. Women who lived farther than 60 minutes were 12 times more likely of having a stillborn [OR = 12 (1.8, 24.3), p = 0.011] compared to those who lived within 15 minutes travel time to the FTHG. We have shown for the first time, the influence of travel time to a major tertiary referral health facility on the occurrence of stillbirths in an urban city in, northeast Nigeria.

获得优质的紧急产科和新生儿护理 (EmONC)；有熟练的助产士 (SBA)；充分的产前护理；有效的转诊系统被认为是预防死产的最有效干预措施。我们确定了从母亲居住地到妇女就医的三级医疗机构的旅行时间对死产可能性的影响。我们于2019年1月1日至2019年12月31日在尼日利亚贡贝联邦教学医院（FTHG）进行了一项前瞻性匹配病例对照研究。研究期间入院后经历过死产的所有女性都被纳入为病例，而对照组则是经历过活产的连续年龄匹配（比例 1:1）的女性。我们模拟了前往医疗机构的旅行时间。为了确定前往最近的医疗机构和 FTHG 的旅行时间如何预测死产的可能性，我们拟合了条件逻辑回归模型。共有 318 名妇女被纳入研究，其中包括 159 名死产妇女（病例）和 159 名年龄匹配的活产妇女（对照）。我们没有观察到死产妇女与活产妇女前往最近政府医疗机构的平均出行时间有任何显着差异 [9.3 分钟 (SD 7.3, 11.2) vs 6.9 分钟 (SD 5.1, 8.7) ）分别，p = 0.077]。然而，从居住地到分娩地点 FTHG 测量时，经历过死产的女性的平均行程时间是活产女性的两倍（26.3 分钟 vs 14.5 分钟）。与居住在 15 分钟内到达 FTHG 的女性相比，居住时间超过 60 分钟的女性死产的可能性高出 12 倍 [OR = 12 (1.8, 24.3)，p = 0.011]。我们首次展示了尼日利亚东北部一座城市前往主要三级转诊医疗机构的旅行时间对死产发生率的影响。