Purpose: To determine the practice of obstetric care providers regarding routine screening for hepatitis B virus infection, and to assess their knowledge of the management of the positive pregnant women. Methods: A cr...Purpose: To determine the practice of obstetric care providers regarding routine screening for hepatitis B virus infection, and to assess their knowledge of the management of the positive pregnant women. Methods: A cross sectional descriptive study of obstetric care providers in southwestern Nigeria. Mean and standard deviation was used to summarize continuous variables while frequency and percentage was used for categorical variables. Categorical variables were compared with chi-square test and Fisher’s exact tests as appropriate;while continuous variables were compared using the t-test. The level of statistical significance was set at P ≤ 0.05. Scoring of the outcome variables for knowledge was done, and the score categorized into good and poor knowledge, depending on if the respondent scored above or below the mean score. Results: Three hundred and eighty-one (67.4%) of the care givers routinely screen pregnant women for the serum marker (HBSAg) of HBV infection. Two hundred and seventy-four (48.5%) of the respondents had good knowledge score of the management of HBV infection in pregnancy. Routine screening for HBV infection was significantly associated with age (p = 0.002), years of practice (p < 0.001), specialty (p = 0.001) and professional cadre (p < 0.001), while knowledge was significantly associated with age (p = 0.012), years of practice (p = 0.003), specialty (p = 0.047) and types of practice (p = 0.014). Conclusion: Screening for HBV infection in pregnant women is not universal in southwestern Nigeria, and the care providers have poor knowledge of the management of the positive mothers.展开更多
Background: Grand-multiparity has been known to be an obstetric risk because of the documented complications associated with the condition, and it is an indication for booking in a tertiary health institution. The inc...Background: Grand-multiparity has been known to be an obstetric risk because of the documented complications associated with the condition, and it is an indication for booking in a tertiary health institution. The increase use of contraceptives and improved health care delivery is expected to reduce both the prevalence and complications of this condition. Aims and Objectives: To determine the prevalence of grandmultiparity, and if it is still associated with the previously documented complications in the obstetric population presenting at Ladoke Akintola University of Technology (LAUTECH) Teaching Hospital, Osogbo. Materials and Methods: A case controlled retrospective study of grand-multiparous women presenting in our institution over a period of ten years. All grandmultiparous women within the study period were identified from the labour ward register, and women with parity 2 - 4 served as control. Statistical analysis was done using SPSS 14. Statistical significance was set at p < 0.05. Logistic regression was done to adjust for confounding variables. Result: There were 5126 deliveries during the study period, and grand-multiparous constituted 128 (2.49%) of these deliveries. Grand-multiparity was found to be associated with pre-labour rupture of membranes, 16.2% versus 4.0% (p = 0.004), hypertensive diseases in pregnancy, 27.1% versus 8.1% (p = 0.001), placenta praevia, 15.3% versus 4.0% (p = 0.007) and other medical illnesses, 23.2% versus 6.1% (p = 0.001). Post-partum haemorrhage, anaemia, puerperal sepsis and urinary tract infections were found to be significantly commoner in the grand-multiparous than in the lower parity group (p < 0.05). After adjusting for confounding variables grand-multiparity was still found to be significantly associated with complications at delivery (OR = 2.70;95% CI 1.13 - 6.48) and poor fetal outcome (OR = 2.28;95% CI 1.11 - 4.65). Conclusion: Although the prevalence of grand-multiparity is on the downward trend, it still remained an obstetric risk, therefore, the importance of booking and delivery in a well-equipped facility should be emphasized among the obstetric population so as to reduce the complications that were found to be associated with the condition.展开更多
文摘Purpose: To determine the practice of obstetric care providers regarding routine screening for hepatitis B virus infection, and to assess their knowledge of the management of the positive pregnant women. Methods: A cross sectional descriptive study of obstetric care providers in southwestern Nigeria. Mean and standard deviation was used to summarize continuous variables while frequency and percentage was used for categorical variables. Categorical variables were compared with chi-square test and Fisher’s exact tests as appropriate;while continuous variables were compared using the t-test. The level of statistical significance was set at P ≤ 0.05. Scoring of the outcome variables for knowledge was done, and the score categorized into good and poor knowledge, depending on if the respondent scored above or below the mean score. Results: Three hundred and eighty-one (67.4%) of the care givers routinely screen pregnant women for the serum marker (HBSAg) of HBV infection. Two hundred and seventy-four (48.5%) of the respondents had good knowledge score of the management of HBV infection in pregnancy. Routine screening for HBV infection was significantly associated with age (p = 0.002), years of practice (p < 0.001), specialty (p = 0.001) and professional cadre (p < 0.001), while knowledge was significantly associated with age (p = 0.012), years of practice (p = 0.003), specialty (p = 0.047) and types of practice (p = 0.014). Conclusion: Screening for HBV infection in pregnant women is not universal in southwestern Nigeria, and the care providers have poor knowledge of the management of the positive mothers.
文摘Background: Grand-multiparity has been known to be an obstetric risk because of the documented complications associated with the condition, and it is an indication for booking in a tertiary health institution. The increase use of contraceptives and improved health care delivery is expected to reduce both the prevalence and complications of this condition. Aims and Objectives: To determine the prevalence of grandmultiparity, and if it is still associated with the previously documented complications in the obstetric population presenting at Ladoke Akintola University of Technology (LAUTECH) Teaching Hospital, Osogbo. Materials and Methods: A case controlled retrospective study of grand-multiparous women presenting in our institution over a period of ten years. All grandmultiparous women within the study period were identified from the labour ward register, and women with parity 2 - 4 served as control. Statistical analysis was done using SPSS 14. Statistical significance was set at p < 0.05. Logistic regression was done to adjust for confounding variables. Result: There were 5126 deliveries during the study period, and grand-multiparous constituted 128 (2.49%) of these deliveries. Grand-multiparity was found to be associated with pre-labour rupture of membranes, 16.2% versus 4.0% (p = 0.004), hypertensive diseases in pregnancy, 27.1% versus 8.1% (p = 0.001), placenta praevia, 15.3% versus 4.0% (p = 0.007) and other medical illnesses, 23.2% versus 6.1% (p = 0.001). Post-partum haemorrhage, anaemia, puerperal sepsis and urinary tract infections were found to be significantly commoner in the grand-multiparous than in the lower parity group (p < 0.05). After adjusting for confounding variables grand-multiparity was still found to be significantly associated with complications at delivery (OR = 2.70;95% CI 1.13 - 6.48) and poor fetal outcome (OR = 2.28;95% CI 1.11 - 4.65). Conclusion: Although the prevalence of grand-multiparity is on the downward trend, it still remained an obstetric risk, therefore, the importance of booking and delivery in a well-equipped facility should be emphasized among the obstetric population so as to reduce the complications that were found to be associated with the condition.
