Gastrointestinal symptoms in pregnancy among antenatal clinic attendees in Abubakar Tafawa Balewa University Teaching Hospital Bauchi, Northeast Nigeria

Background: Pregnant women are at increasing risk of GI symptoms such as nausea, vomiting and heartburns, most of these symptoms are as a result of the hormonal and physical changes associated with pregnancy. This study aimed to determine prevalence of gastrointestinal symptoms (GI) among pregnant women attending booking clinic at a Northeastern Nigerian Teaching Hospital.Methods: The study was a cross-sectional, questionnaire-based survey of four hundred and fifty-two pregnant women booking for antenatal care. Their sociodemographic variables as well as the presence or absence of gastrointestinal symptoms in index pregnancy were obtained at by the use of researcher-administered questionnaire. Data were analyzed and presented as frequencies and percentages. A 5% significance level (p <0.05) to test associations.Results: Two fifty-five women had heart burns (56.4%) while 235 (52.0%) had nausea in pregnancy, these were observed to be the most prevalent GI symptoms among the women. Diarrhea and hemorrhoids were the uncommon GI symptoms in the study population constituting 406 (89.5%), and 360 (79.6%) respectively. Easy fullness was noted in 39.8% of the women while vomiting was in 41.8% and constipation in 29% of the respondents. A significant association was observed (p value <0.05) between parity and development of anorexia and hemorrhoids in pregnancy (p values of 0.049 and 0.051 respectively) but not for the other symptoms.Conclusions: GI symptoms are common in pregnancy, the most prevalent symptoms are that of heart burns and nausea, while diarrhea is relatively uncommon.

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Awareness and prevention of anemia among pregnant women attending antenatal clinic at a University Teaching Hospital in Nigeria

Calabar Journal of Health Sciences ◽

10.25259/cjhs_22_2020 ◽

2020 ◽

Vol 4 ◽

pp. 20-26

Author(s):

Iyabo Yewande Ademuyiwa ◽

Sunday Joseph Ayamolowo ◽

Monisola Omoyeni Oginni ◽

Michael Oluwole Akinbode

Keyword(s):

Pregnant Women ◽

Teaching Hospital ◽

Antenatal Clinic ◽

Cross Sectional Study ◽

University Teaching ◽

Chi Square ◽

Cross Sectional ◽

Ethical Approval ◽

Chi Square Test ◽

In Pregnancy

Objectives: During pregnancy, the fetus requires iron for blood formation so does the mother, this increases the iron requirement which is higher than that of non-pregnant women. This study assessed the level of awareness and prevention of anemia among pregnant women attending the antenatal clinic at Lagos University Teaching Hospital (LUTH), Lagos, Nigeria. Material and Methods: A descriptive cross-sectional study was conducted among 182 pregnant women attending the antenatal clinic at LUTH in Lagos, Nigeria. A balloting system was done to select the respondents in the clinic that runs 4 times a week, with an estimated number of 70 pregnant women per clinic. Data were collected using a structured self-administered questionnaire and analyzed with the Statistical Package of the Social Sciences version 22. Descriptive and inferential statistics were used for analysis, Chi-square test was done for the association between the variables at P < 0.05 level of significance. Ethical approval was obtained from the Human Research Ethical Committee of LUTH with approval number (ADM/DCST/HREC/APP/2589). Informed consent was taken and respondents were reassured of the privacy and confidentiality of the information obtained. Results: The highest percentage (33.3%) of the respondents was within the range of 26–30 years with a mean age of 28.18 ± 0.84 years. Majority of the women had a good level of awareness of anemia (68.89%) and good overall practices (73.89%) of prevention of anemia in pregnancy. There was no significant relationship between the respondents’ level of awareness of anemia and its prevention (χ2 = 1.533, P = 0.216). Conclusion: The study has shown that even though awareness and prevention practices were good, there is a need to create more awareness among pregnant women and also to give adequate health education on prevention of anemia to produce favorable outcome in pregnancy for both the child and mother.

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Low Prevalence of Asymptomatic Malaria in Pregnancy among Subjects Attending Antenatal Clinic at a Tertiary Hospital in Bauchi, Nigeria: A Preliminary Report

Journal of Advances in Medicine and Medical Research ◽

10.9734/jammr/2019/v29i430077 ◽

2019 ◽

pp. 1-8

Author(s):

A. S. Kadas ◽

K. O. Okon ◽

M. Alkali ◽

Y. B. Jibrin ◽

S. T. Balogun ◽

...

Keyword(s):

Pregnant Women ◽

Treatment Guidelines ◽

Malaria Prevention ◽

Antenatal Clinic ◽

Malaria In Pregnancy ◽

University Teaching ◽

Asymptomatic Malaria ◽

Cross Sectional ◽

Low Prevalence ◽

In Pregnancy

Background: Asymptomatic malaria in pregnancy still posed clinical challenge and diagnostic problem. The preventive measures are often advocated during antenatal visits. This study assessed the prevalence of asymptomatic malaria in pregnancy among subjects attending ante-natal clinics. Methodology: The cross-sectional study was conducted among 140 volunteer asymptomatic pregnant women attending antenatal clinics at Abubakar Tafawa Balewa University Teaching Hospital (ATBUTH) between July and September 2017. A structured questionnaire was used to obtain data on sociodemography, obstetric history and malaria control practices from the subjects following an informed consent. They were subjected to malaria screening by rapid diagnostic test (RDT) and Giemsa-stained blood smears were prepared for RDT-positive subjects. The malaria positive subjects were treated according to national treatment guidelines on malaria in pregnancy. Results: The overall mean (standard deviation) age of the 140 subjects was 24.2 (±10.3) years with majority within the age group of 27-32 years (41.4%, 58/140; p<0.05). Only three of the 140 subjects had malaria parasitaemia giving a prevalence of 2.1% (3/140). Among all the variables analyzed, malaria in pregnancy was associated with only older age (p<0.05) in the present study. Conclusion: The study revealed low prevalence of asymptomatic malaria among pregnant women attending ATBUTH, Nigeria and could be attributed to the satisfactory ante-natal and malaria prevention practices. However, elaborate epidemiological studies are required to ascertain the finding.

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Prevalence And Factors Associated With Psychological Distress Among Pregnant Women Attending The Antenatal Clinic At A National Referral Hospital In Uganda.

10.21203/rs.3.rs-226920/v1 ◽

2021 ◽

Author(s):

Henry Sembatya ◽

Justine Namuli ◽

Judith Ajeani ◽

Sam Ononge

Keyword(s):

Mental Health ◽

Psychological Distress ◽

Antenatal Care ◽

Pregnant Women ◽

Public Health Problem ◽

Antenatal Clinic ◽

P Value ◽

Multivariable Logistic Regression Analysis ◽

Cross Sectional ◽

Factors Associated

Abstract Background: Psychological distress (PD) among pregnant women has a bearing both on the mother and the outcome of the pregnancy and is thus a public health problem. It is a precursor for other severe mental health conditions that include anxiety, depression, bipolar disorder and so if screened and diagnosed early it can prevent progress to severe mental illness. PD has however not been screened among pregnant women and thus no available data in Uganda. The objective of this study was to determine the prevalence and factors associated with PD among pregnant women at Kawempe hospital Uganda.Methods: A cross sectional study was conducted among 530 pregnant women attending antenatal care at Kawempe hospital Uganda. The SRQ-20 tool was used to screen for PD and data on socio-demographic and clinical factors was collected using a. socio-demographic questionnaire and medical records respectively. Descriptive statistics were applied to determine the prevalence of PD and multivariable logistic regression analysis was used to assess for factors associated with PD among pregnant women.Results: The prevalence of PD was 19.1% , while having a fair/bad relationship with the spouse (P-value =0.007), a low monthly income (p-value = 0.013), and having less than two meals a day (P-value =0.022). were independently associated with PDConclusion: Approximately one in five pregnant women receiving ANC at Kawempe hospital has PD. This study therefore supports the need for integration of mental health assessment into the antenatal care package of women at Kawempe hospital and Uganda at large

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Do we need to screen and treat pregnant women for subclinical hypothyroidism? A cross sectional study in a rural tertiary centre in Kerala, India

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20170470 ◽

2017 ◽

Vol 6 (3) ◽

pp. 781

Author(s):

Radha K. R. ◽

Nishu Sugunan ◽

Resmy C. R.

Keyword(s):

Pregnant Women ◽

Subclinical Hypothyroidism ◽

Universal Screening ◽

Cross Sectional Study ◽

P Value ◽

Sectional Study ◽

Maternal Complications ◽

Cross Sectional ◽

Neonatal Hypothyroidism ◽

In Pregnancy

Background: Hypothyroidism (HT) is associated with maternal and perinatal morbidity. Subclinical HT rather than overt occur in pregnancy, because overt HT causes infertility. Treatment of overt HT was beneficial in reducing the fetal and maternal complications, Usefulness of correcting subclinical hypothyroidism was doubtful, hence Universal screening of pregnant women was not recommended.Methods: Cross sectional study, conducted in the department of obstetrics and gynecology, Government Medical College, Thrissur, Kerala, India. 50 consecutive cases of subclinical hypothyroidism in pregnancy were analyzed for Thyroid function, antenatal, natal, postnatal complications. Perinatal complications, including neonatal hypothyroidism also noted. Statistical analysis done using computer software Epi info3.4. Data expressed in its frequency and percentage, continuous data in mean.Results: All women in the study group received levothyroxine during pregnancy from time of diagnosis. At the time of delivery 84% women were euthyroid and 16% hypothyroid. Complications like anemia 36%, abruption 4%, and postpartum hemorrhage 6% showed a statistically significant association, while pre-eclampsia 20%, preterm labor 22% had no statistically significant association. Comparing the women who are euthyroid as a result of levothyroxine supplementation to women inadequately treated, complications like anemia (33% versus 50%, p value 0.042), abruption (0% versus 4%, p value0.023), PPH (2% versus 6%, p value 0.014) were significantly less in well controlled.Conclusions: Significant association was noted between inadequately treated hypothyroidism and maternal complications like anaemia, placental abruption, placenta previa, PPH, preterm delivery, and caesarean section rate for foetal distress. Universal screening of pregnant women for thyroid status is recommended.

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FAKTOR- FAKTOR YANG MEMPENGARUHI KEJADIAN ANEMIA PADA IBU HAMIL

Jurnal Kebidanan Malahayati ◽

10.33024/jkm.v7i3.4425 ◽

2021 ◽

Vol 7 (3) ◽

pp. 404-412

Author(s):

Dian Zuiatna

Keyword(s):

Nutritional Status ◽

Pregnant Women ◽

Health Center ◽

Health Workers ◽

B Value ◽

Dominant Factor ◽

Survey Method ◽

P Value ◽

Cross Sectional ◽

In Pregnancy

Introduction: Anemia is a problem in pregnancy because in pregnancy need for nutrients increases and changes in the blood and bone marrow occur. According to WHO, 40% of mortality maternal in developing countries is related to anemia in pregnancy.Objective: to determine the factors that influence anemia in pregnant women at Batu Gana Health Center in 2020.Methode: This research used an analytic survey method with a cross-sectional approach. The population was 115 people who came to check their pregnancies at the Batugana Health Center. The sample taken by using purposive sampling amounted to 53 respondents. Data analysis used the chi-square test.Results: showed that there was a correlation between knowledge about the incidence of anemia with a p-value of.040 (<.05), there was a relationship between nutritional status and the incidence of anemia with a p-value of 0.000 (<.05), there was a relationship between compliance with iron consumption and the incidence. Anemia with a p-value of .002 (<.05) and the most dominant factor affecting the incidence of anemia was nutritional status with an Exp (B) value of 30.400, meaning that family support was 30 times more likely to affect the incidence of anemia in pregnant women.Conclusion: showed that there is an effect of knowledge, nutritional status, adherence to iron consumption on the incidence of anemia.Suggestions are expected to health workers, especially midwives and doctors to improve health services, especially pregnant women so that the health status of pregnant women can be improved so that the incidence of anemia can be avoided. Keywords: Anemia Incidence, Knowledge, Nutritional Status, Compliance with Iron Consumption ABSTRAK Latar Belakang: Anemia merupakan masalah pada wanita di dunia termasuk Indonesia. Anemia lebih sering dijumpai dalam kehamilan karena dalam kehamilan kebutuhan akan zat-zat makanan bertambah dan terjadi perubahan-perubahan dalam darah dan sumsum tulang. Menurut WHO 40% kematian ibu di negara berkembang berkaitan dengan anemia dalam kehamilan.Tujuan: untuk mengetahui faktor-faktor yang mempengaruhi kejadian anemia pada ibu hamil di Puskesmas Batu Gana Tahun 2020.Metode: Jenis penelitian menggunakan metode survey analitik dengan pendekatan cross-sectional. Populasi adalah seluruh ibu hamil yang datang memeriksakan kehamilannya di Puskesmas Batugana yaitu sebanyak 115 orang dengan teknik pengambilan sampel yaitu purrposive sampel dengan menggunakan rumus slovin dan diperoleh jumlah sampel 53 responden. Analisis data dengan menggunakan uji chi square.Hasil: penelitian menunjukkan ada hubungan pengetahuan terhadap kejadian anemia dengan nilai p-value 0,040 (<0,05), ada hubungan status gizi terhadap kejadian anemia dengan nilai p-value 0,000 (<0,05), ada hubungan kepatuhan konsumsi zat besi terhadap kejadian anemia dengan nilai p-value 0,002 (<0,05) dan factor yang paling dominan mempengaruhi kejadian anemia adalah status gizi dengan nilai Exp (B) 30.400 artinya dukungan keluarga 30 kali lebih cenderung mempengaruhi kejadian anemia pada ibu hamil.Kesimpulan: ada pengaruh pengetahuan, status gizi, kepatuhan konsumsi zat besi terhadap kejadian anemia.Saran diharapkan kepada petugas kesehatan khusunya Bidan dan Dokter untuk meningkatkan pelayanan kesehatan khususnya ibu hamil agar status kesehatan ibu hamil dapat ditingkatkan sehingga kejadian anemia dapat dihindari. Kata Kunci: Kejadian Anemia, Pengetahuan, Status Gizi, Kepatuhan Konsumsi Zat Besi

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Knowledge of pregnant women about anemia is related with adherence to iron tablets

Majalah Obstetri & Ginekologi ◽

10.20473/mog.v26i12018.26-28 ◽

2018 ◽

Vol 26 (1) ◽

pp. 26

Author(s):

Baksono Winardi ◽

Elga Caecaria Grahardika Andani

Keyword(s):

Pregnant Women ◽

Cross Sectional Study ◽

P Value ◽

Fisher Exact Test ◽

Chi Square ◽

Cross Sectional ◽

Significance Level ◽

Exact Test ◽

Study Population ◽

Almost All

Objectives: to identify association between knowledge of pregnant women about anemia and the adherence to consume iron tablets in BPM Titik Suharti, Surabaya, IndonesiaMaterials and Methods: Observational analysis cross sectional study. Population consisted of 55 trimester pregnant women in BPM Titik Suharti, Surabaya, in March-April 2017. Samples were recruited using consecutive sampling. The number of sample was 35 respondents. Data were analyzed using chi-square test.Results: This research showed that all of the less knowledgeable women on anemia (100.00%) were non-adherent to consume iron tablets, almost all moderately knowledgeable women (92.9%) were adherent, and all of the fully knowledgeable women (100.00%) were adherent. Fisher exact test in significance level of 0.05 revealed p value equal to 0.0001, indicating association between knowledge about anemia and adherence to consume iron tablets at BPM Titik Suharti, Surabaya, Indonesia.Conclusion: There is an association between knowledge of pregnant women about anemia with adherence to iron tablets.

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Prevalence and factors associated with late antenatal care visit among pregnant women in Lushoto, Tanzania

Tanzania Journal of Health Research ◽

10.4314/thrb.v19i3.4 ◽

2017 ◽

Vol 19 (3) ◽

Author(s):

Flora Njiku ◽

Herman Wella ◽

Adellah Sariah ◽

Joyce Protas

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Health Care Services ◽

First Trimester ◽

Antenatal Clinic ◽

World Health ◽

P Value ◽

Cross Sectional ◽

Factors Associated ◽

Care Services

Background: Adequate utilization of antenatal health care services is associated with improved maternal and neonatal health outcomes. The World Health Organization recommends pregnant women to attend antenatal care services as early as in the first trimester. However, many women due to various reasons fail to meet the recommendations. The objective of this study was to determine the prevalence and factors associated with late antenatal booking among pregnant women in Lushoto district of north-eastern Tanzania.Methods: This hospital based cross sectional study involved pregnant women and was conducted in August-September 2015. A standardized questionnaire was used to obtain participants demographic characteristics and obstetrics history. Data analysis was done using (SPSS) and relationship between outcome variables and exposure variable was done using Chi-square test. Multivariate logistic regression was used to measure the association.Results: A total of 240 participants were involved in the study. Out of these, 169 (70.4%) participants booked late for antenatal care (ANC) services. Delayed booking was mainly associated with not being married (AOR=3.08; 95%CI 1.149-8.275; P value=0.025) and unemployment (AOR=4.28; 95% CI 2.11-8.679; p-value=0.000)Conclusion: Late first antenatal clinic visit was high in Lushoto, and was highly associated with unmarried and unemployment status. Therefore, provision of continuous health education and community sensitization on the importance of timely seeking ANC services should be strengthened.

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Determinants of coital frequency and adaptations during pregnancy in a South-western Nigerian town

Babcock University Medical Journal (BUMJ) ◽

10.38029/bumj.v1i1.20 ◽

2015 ◽

Vol 1 (1) ◽

pp. 7-13

Author(s):

JO Sotunsa ◽

JO Imaralu ◽

FI Ani ◽

AO Olaleye

Keyword(s):

Health Care Providers ◽

Antenatal Clinic ◽

University Teaching ◽

Care Providers ◽

Coital Frequency ◽

Cross Sectional Survey ◽

Southwestern Nigeria ◽

Cross Sectional ◽

Stis And Hiv ◽

In Pregnancy

Objective: To determine the trends in the frequency of coital intercourse in pregnancy, the factors responsible for these changes and adaptations by couples in Sagamu, Southwestern Nigeria. Methods: This cross-sectional survey, examined the determinants of coital sexual frequency and adaptations for coitus in pregnancy among 364 pregnant women attending antenatal clinic at the Olabisi Onabanjo University Teaching Hospital, Sagamu. Results: Decline in coital frequency occurred in 51.3% of respondents; with increasing maternal age (p=0.016, 95% CI=0.013-0.017), monogamous marriage setting (p<0.001), duration of marriage (p<0.001) and lack of awareness of HIV status (p<0.001) having significant deterrent effects. Parity (p=0.355, 95% CI=0.3450.364) and co-habitation with spouse (p=0.094, 95%CI=0.088-0.099), however had no similar effect. Although sexual dysfunction was observed (29.6% of respondents), this decline in frequency was caused mainly by uncomfortable position (51.7%). Consequently, the commonest change noted was a decreased use of the man-on-top position from 83.4% of the participants before pregnancy; to 32.7% during pregnancy. Most of the participants (76.6%) recommended continued coital activity in pregnancy.Conclusion: Coital sexual decline in pregnancy observed in Sagamu is less prevalent than reported and physical discomfort is mainly responsible for this decline. Health care providers can help couples maintain positive sexual behaviour in pregnancy against STIs and HIV .

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Long-Lasting Insecticide-Treated Nets: Assessment of the Awareness and Utilization of Them among Antenatal Clinic Attendees in Abakaliki, Southeast Nigeria

Journal of Tropical Medicine ◽

10.1155/2020/2984867 ◽

2020 ◽

Vol 2020 ◽

pp. 1-9

Author(s):

Chidebe Christian Anikwe ◽

John Chiadikobi Irechukwu ◽

Bartholomew Chukwunonye Okorochukwu ◽

Cyril Chijioke Ikeoha ◽

Johnson Akuma Obuna ◽

...

Keyword(s):

Teaching Hospital ◽

Rural Areas ◽

Tertiary Education ◽

Relevant Information ◽

Antenatal Clinic ◽

Cross Sectional Study ◽

University Teaching ◽

Insecticide Treated Nets ◽

Cross Sectional ◽

In Pregnancy

Background. The use of long-lasting insecticide-treated nets (LLITNs) is one of the effective strategies for the prevention of malaria, especially among pregnant women. Aim. This study is aimed at assessing the awareness and utilization of LLITNs during pregnancy among antenatal clinic attendees at the Alex Ekwueme Federal University Teaching Hospital Abakaliki. Materials and Methods. This was a cross-sectional study among antenatal attendees at the Alex Ekwueme Federal University Teaching Hospital Abakaliki, Ebonyi State. A semistructured questionnaire was used to obtain relevant information from the participants. Data analysis was done using SPSS version 20. Results. The mean age of the women was 26.05 ± 5.76 years. About one-third (30%) of the respondents were nulliparous. Most of the respondents had at least a secondary education. More than ninety percent of the respondents had a good knowledge of malaria with 95.8% being aware of LLITNs. The main source of information was from hospitals (54.5%). The rate of utilization of LLITNs was 37.5%; however, consistent use was only reported by about a third of this proportion. The major reasons for not utilizing the nets include discomfort/heat and fear of the chemical content. Women with tertiary education were more likely to utilize mosquito nets during pregnancy compared with women with secondary or primary education. Women who live in rural areas (OR = 0.393 95% CI 0.602–0.073) were less likely to use LLITNs during pregnancy, while those who are aware of the aetiology of malaria (OR = 4.38 95% CI 0.983–19.591) were more likely to utilize LLITNs in pregnancy. Conclusion. The level of awareness of LLITNs is high; however, its utilization was discouragingly low. Rural dwellers and those without appropriate knowledge of the aetiology of malaria were less likely to use LLITNs in pregnancy.

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Determinants of Anemia Among Pregnant Women Attending in a Tertiary Level Hospital, Kathmandu

Med Phoenix ◽

10.3126/medphoenix.v2i1.18382 ◽

2017 ◽

Vol 2 (1) ◽

pp. 24-33 ◽

Cited By ~ 3

Author(s):

Sumitra Mulepati ◽

Tanuja Kumari Chaudhary

Keyword(s):

Pregnant Women ◽

Statistical Significance ◽

Sampling Technique ◽

Antenatal Clinic ◽

University Teaching ◽

Multivariate Logistic Regression Model ◽

Tertiary Level ◽

Cross Sectional ◽

Increased Risk ◽

Level Hospital

Background: Anemia is a common problem in pregnancy, particularly in developing countries which causes low birth weight and increased risk of maternal and perinatal morbidity and mortality.Methods: A descriptive cross-sectional study was adopted to determine the factors associated with anemia among pregnant Systematic Random Sampling technique was used and sample size was 280 pregnant women who visited the antenatal clinic of the Tribhuwan University Teaching Hospital, Kathmandu. Data was collected by face to face interview technique by pretested questionnaire. Chi-square, bivariate, multivariate logistic regression model was used, and statistical significance was determined with a 95% confidence level.Results: Mean age of respondents was 25.86±4.191 years. Anemia among pregnant women was 22.1%.The significant determinants associated with anemia were pregnant women who had not taken iron regularly (AOR=18.380, 95% CI=3.687-91.624, p=0.005).Conclusion: The results indicate that anemia is still prevalence in pregnant women in tertiary level hospital at Kathmandu. Irregular intake or discontinuation of iron was significant factor for anemia. Therefore, pregnant women and their family members need counseling about the importance of regular intake of iron during pregnancy.Med Phoenix Vol.2(1) July 2017, 24-33

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