scholarly journals Influence of maternal occupation on adverse pregnancy outcomes in a Nigerian tertiary health facility

Author(s):  
Hope O. Nwoga ◽  
Miriam O. Ajuba ◽  
Chukwuma P. Igweagu

Background: There is accumulating evidence that the type of work and environmental exposures in the work environment during pregnancy may have adverse effects on fetal development and pregnancy outcome. The objective was to determine the influence of maternal occupation on adverse pregnancy outcomes.Methods: The study was a prospective hospital based study conducted at the obstetrics and gynecology department of a tertiary health facility in Nigeria. All the data were retrieved from the ante natal and delivery card of all the women that delivered at the unit within the time of data collection. Data was analyzed using SPSS version 25 and variables were presented as frequencies, percentages, means, and standard deviation. Bivariate analysis was done using chi-square test. The level of significance was set at p value ≤ 0.05.Results: Maternal occupation did not significantly affect the gestational age at delivery (X2=10.143, p=0.428) and birth weight (X2=16.807, p=0.079) however, it significantly affected the still birth (X2=28.134, p=0.002). Agricultural, forestry and fishery workers and plant and machine operators were about 8 times and 17 times more likely to have still birth than the unemployed respectively.Conclusions: There were substantial differences in the risk of adverse pregnancy outcomes between the different occupational groups.

Author(s):  
Hope O. Nwoga ◽  
Miriam O. Ajuba ◽  
Chukwuma P. Igweagu

Background: Stillbirth is one of the common adverse outcomes of pregnancy that occur worldwide. The prevalence differs in different continents of the world and even within different localities in the same country. The objective of this study was to determine the prevalence and social determinants of health that affect still birth in Enugu state, Nigeria.Methods: The study was a prospective hospital-based study conducted at the obstetrics and gynecology department of a tertiary health facility in Nigeria. All the data were retrieved from the ante natal and delivery card of all the women that delivered at the unit within the time of data collection. Data was analyzed using SPSS version 25 and variables were presented as frequencies, percentages, means, and standard deviation. Bivariate analysis was done using chi-square test. The level of significance was set at p value≤0.05.Results: The mean age of the mothers was 29.76±4.69 while most of them were aged 21-30 years 431(56.0%). Majority of them were employed 529 (68.7%) and had tertiary education 484 (62.9%). The prevalence of still birth was 40.3 per 1000 births. Maternal age, marital status, educational levels and booking status affected the prevalence of still birth.On logistic regression, un-booked mothers had 25 times odds of having still birth when compared to those that booked after 28 weeks gestationConclusions: The prevalence of still birth is high in Enugu state with un-booked mothers contributing about 88.6%. Early booking helps to detect possible complications early with timely interventions.


2021 ◽  
Vol 11 (6) ◽  
pp. 190-196
Author(s):  
Nwoga Hope Obiageli ◽  
Ajuba Miriam Obinwanne ◽  
Igweagu Chukwuma Paulinus

Background: Preterm birth (PTB) is a complex complication of pregnancy with multiple etiologies. This results in long term medical burdens to the families and health care system at large. The objective of the study was to determine the socio-demographic and obstetric characteristics that affect preterm delivery. Methods: The study was a prospective cohort study conducted at the Obstetrics and Gynecology Department of a tertiary health facility in Nigeria. Data for the study were retrieved from the ante-natal and delivery card of the women that delivered at the unit within the time of data collection. Data was analyzed using SPSS version 25 and variables were presented as frequencies, percentages, means, and standard deviation. Bivariate analysis was done using chi-square test. The level of significance was set at p value ≤ 0.05. Binary logistic regression was used to determine factors that predicted preterm delivery. Results: Majority of them were married 746(96.9%), Igbos 763(99.1) and Christians 766(99.5%). Most of the women were civil servants 429(55.7%), while about 31.3% of them were unemployed 241(31.3%). Majority of the women 484(62.9%) had tertiary education. About 48% of them delivered through caesarean section while 53.9% booked within 14-28weeks gestation. Delivering through caesarean section and gestational age at booking predicted preterm delivery. Un-booked mothers have about 7times odds of having PTB when compared to those that booked at ≥28 week’s gestation. Conclusion: The prevalence of PTB is still high in Nigeria. Booking status of the mother and C/S delivery were found to be strongly associated with preterm delivery. Key words: Enugu State, Nigeria, Preterm delivery, Prevalence, Tertiary health facility.


2021 ◽  
Author(s):  
Shiping He ◽  
Zhi Li ◽  
Yijun Song ◽  
Yunjiao Yang ◽  
Jing Li ◽  
...  

Abstract BackgroundsTakayasu Arteritis (TAK) is a chronic inflammatory autoimmune disease with a high prevalence in women of child-bearing age. We aim to investigate the maternal complications and pregnancy outcomes in patients with TAK and identify the related factors.MethodsA total of 110 pregnancies in 80 TAK patients in a Chinese TAK patient cohort and 440 matched pregnancies in healthy women between 2000 to 2020 were included. The maternal complications and pregnancy outcomes between TAK patients and matched controls were compared by chi-square test. The logistic regression analysis was used to identify the risk factors of maternal complications and adverse pregnancy outcomes in patients with TAK.ResultsMaternal complications and adverse pregnancy outcomes were more frequent in pregnancies with TAK than that in healthy women (P<0.001). In pregnancies with TAK, the most common maternal complication was new-onset or worsening of hypertension (18.2% [20/110]) and the most prevalent obstetrical complication was spontaneous abortion (32.7% [36/110]). Hypertension (OR 5.01, 95% CI 1.61 to 16.01), heart disease (OR 15.83, 95% CI 1.99 to 125.99), and active TAK (OR 7.54, 95% CI 1.85 to 30.72) before pregnancy were independently associated with increased maternal complications. The disease duration (OR 1.12, 95% CI 1.02 to 1.23) and active disease during pregnancy (OR 14.59, 95% CI 1.81 to 117.49) were correlated with adverse pregnancy outcomes. ConclusionTAK disease itself is a risk factor for adverse pregnancy outcomes. Treating the disease to a stable state before and after pregnancy, and close collaboration between rheumatologists and obstetricians are important measures to reduce maternal complications and reach favorable pregnancy outcomes.


2018 ◽  
Vol 1 (1) ◽  
pp. 34
Author(s):  
Ni Nyoman Novita ◽  
Gusman Arsyad

Implementation of IMD in hospitals has decreased from the previous year and has not reached the target set by the government. Some IMD implementation processes have not been carried out according to applicable standards. So that babies do not get an IMD in accordance with existing SOPs. The purpose of this study was to determine the determinant factors associated with the implementation of the IMD by midwives in the Midwifery and Maternity Room Emergency Room (IGD) at the Anutapura General Hospital in Palu. This research method is analytical with cross sectional approach. The population of this study was that all midwives in the obstetrics emergency room and maternity room at Anutapura Palu Hospital were 37 respondents. The sample in this study is total sampling. The analysis used was univariate, and bivariate analysis using the chi square test with a confidence level of 95% (α = 0.05). The results of statistical tests on variable knowledge of midwives with the implementation of IMD p value: 0.018 (p value <0.05). APN training with the implementation of IMD p value: 0.697 (p value> 0.05). length of work with the implementation of IMD p value: 0.029 (p value <0.05). and peer support with the implementation of IMD p value: 0.007 (p value <0.05). Conclusions there is a relationship between knowledge, length of work, peer support with the implementation of the IMD, and training factors that have nothing to do with IMD implementation. The strongest factor in the relationship is peer support. It is recommended that the Anutarapura Palu Hospital be able to motivate midwives so that they can further enhance their role in the implementation and provide support to their colleagues so that the implementation of the IMD can be carried out in accordance with applicable standards.Keywords: Knowledge, APN Training, Duration of work, Implementation of IMD


2021 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Eti Cahya Fitrianti ◽  
Sintha Fransiske Simanungkalit

High blood pressure is defined as systolic blood pressure that is equal to or above 140 mm Hg or diastolic blood pressure equal to or above 90 mm Hg (JNC VIII, 2013). In 2018, the prevalence of hypertension in Indonesia is based on the characteristics of the age 45-75 years and above with an average of 58.33% (Riskesdas, 2018). The aimed of this study was to determine of fiber intake, stress levels, and physical activity with blood pressure in pre elderly and elderly at RW 03 Lubang Buaya and RW 09 Kampung Tengah, East Jakarta. This research method is observational with cross sectional approach followed by 80 respondents with simple random sampling technique Data collection was taken, namely blood pressure measurement using a Sphygmomanometer, fiber intake using the Food Recall form 2 x 24 hours (Weekend and Weekday), stress levels with the DASS-14 questionnaire, and physical activity with the Baecke questionnaire. Data processing was analyzed by univariate and bivariate using Chi-Square test. The results of bivariate analysis with chi-square test showed a significant relationship between fiber intake (p value = 0.007), stress level (p value = 0,000), and physical activity (p value = 0.022) with blood pressure. There is a relationship between fiber intake, stress level, and physical activity with blood pressure in the elderly and elderly in Lubang Buaya and Kampung Tengah.


2021 ◽  
Vol 2 (2) ◽  
pp. 158
Author(s):  
Ahmad Zubairi ◽  
Nova Seftiana

Introduction: Early marriage that occurs cannot be separated from parental support, they have the perception that marrying off their children at an early age to keep their children safe, and put pressure on children not to continue their education due to low economics. Methods: To find out how the relationship between parenting families with the perception of early marriage in adolescents, Knowing the description of parenting patterns for early marriage in adolescents. Research Methods: This study is a quantitative study, with a descriptive correlation type of design. Samples were taken through random sampling with a cross sectional approach. Results: From the results of bivariate analysis using the chi square test, the p-value of 0.038 (<0. 05) can be concluded so that it can be concluded that there is a relationship between family parenting patterns and perceptions of early marriage in adolescents in Senior High School 1 Plus Computer Nerwork Engineering in 2021. Conclusion: The results of the respondents were 50 female students and 30 male students. The results of the respondents' parenting in the family were 42.5% good, 57.5% good enough, and 0 bad parenting


2016 ◽  
Vol 1 (2) ◽  
Author(s):  
Eti Kurniawati

<p>Ascariasis incidence in children under five in the region work of Puskesmas Olak Kemang still a health problem that needs to be addressed, with a percentage of 51.0% is higher than in other wilayh. The disease is not lethal but can undermine the health of the human body so that the resulting decline in nutritional status, decreased intelligence and brain power or immune health in children.</p><p>               This research is a quantitative study using descriptive analytic method with cross sectional study design that aims to determine the relationship between the independent variables and the dependent variable. The population in this research that all children under five in the area of Puskesmas Olak Kemang, samples in this study were 75 children under five. Data were analyzed using analysis Univariate and Bivariate analysis with Chi-Square Test.</p><p>               The results showed that 78.0% of mothers of children under five who are not air personal hygiene, 60.4% of mothers of children under five unusual CTPS, 82.1% of respondents who did not state house meliliki latrine / WC. The results of the bivariate analysis showed that there was a significant relationship between personal hygiene (p-value = 0.000), customs CTPS (p-value = 0.001), latrine ownership (p-value = 0.000) with the incidence of intestinal worms in Puskesmas Olak Kemang Jambi.</p><p>               In connection with the results obtained, that the danger of de- worming is dependent on the cleanliness of his mother in serving as personal hygiene, CTPS and Owners toilets in every home. Thus the researchers suggested that the health center may be able to provide information to the public education about the dangers of de- worming to create a healthy society.</p><p> </p>Keyword                     :  Behavior, Children Events


2017 ◽  
Vol 16 (1) ◽  
pp. 17 ◽  
Author(s):  
Aria Gusti

Judul : Faktor-Faktor Yang Berhubungan Dengan Gejala Neurotoksik Akibat Paparan Pestisida Pada Petani Sayuran Di Kenagarian Alahan Panjang Kabupaten SolokLatar belakang: Sekitar 60% petani penyempro sayur di Kanagarian Alahan Panjang mempunyai riwayat gejala neurotoksik.. Penelitian ini bertujuan untuk mengkaji faktor-faktor yang berhubungan dengan gejala gangguan syaraf pada petani penyemprot yang menggunakan pestisida di Kanagarian Alahan Panjang Kabupaten Solok.Metode: Penelitian ini merupakan penelitian observasional dengan rancangan cross-sectional. Subyek penelitian sebanyak 75 responden. Penarikan sampel dilakukan secara random. Variabel yang dikaji dalam penelitian ini meliputi jenis pestisida, komposisi pestisida, pemakaian alat pelindung diri, dan gejala neurotoksik. Instrument penelitian menggunakan kuesioner Q18 versi Jerman. Analisis data menggunakan uji Chi-square pada taraf signifikasi 5%.Hasil: Hasil penelitian menunjukkan sebanyak 62,7% petani penyemprot sayuran pernah mengalami gejala neurotoksik. Hasil analisis statistik menunjukkan ada hubungan signifikan antara jumlah dan komposisi pestisida yang digunakan dengan gangguan neurotoksik pada petani sayuran (p-value <0,05). Sedang kebiasaan pemakaian alat pelindung diri tidak berpengaruh terhadap kejadian gangguan neorotoksin.  Simpulan: Jumlah dan komposisis pestisida berhubungan dengan gangguan neurotoksik pada petani sayuran di Kanagarian Alahan Kabupaten Solok. Petani sayur disarankan untuk memperhatian komposis pestidian dan tidak menggunakan secara berlebihan dalam menyemprot sayuran. AbstractTitle: Factors related with neurotoxic symptoms on pesticides exposed vegetable farmer in Kanagarian Alahan Panjang, Solok DistrictBackground: Around 60% of vegetable farmer sprayer in Kenagarian Alahan Panjang have experienced of the neurotoxic symptoms. The purpose of this study was to determine factors associated with neurotoxic symptoms on vegetable farmer sprayer with pesticide in Kenagarian Alahan Panjang Solok District in 2016. Method: Type of this research was quantitative using cross-sectional design. The sample were 75 respondents. Sampling using simple random sampling technique. Processing data using univariate and bivariate analysis with chi-square test. Results: The result of this research showed (62,7%) vegetable farmer sprayer have experienced of the neurotoxic symptoms. Bivariate analysis showed there were significant relationship (p<0,05) between pesticide composition and amount of pesticide with neurotoxic symptoms. There was no significant relationship between use of personal protective equipment with neurotoxic symptoms. Conclusion: The number and compostion of pesticides were factors which had associated significantly with neurotoxic symptoms. It was suggested to vegetable farmers to change organofosfat pesticide which was not dangerous to health like faction of pyrethroids. Vegetable farmers were suggested to use appliance protector of X’self completely when activity of mixing and application of pesticide.


2020 ◽  
Vol 8 (2) ◽  
pp. 112-118
Author(s):  
Yulaeka Yulaeka

Anemia is a condition when the levels of hemoglobin and erythrocytes are lower than normal. The normal value of hemoglobin in women is 12 -16 g / dl with erythrocytes from 3.5 to 4.5 jt / mm3. This study aimed to determine the relationship between nutritional status and Anemia of teenage girl. This research is analytic with cross sectional study design. The samples taken are 66 teenage girls, chosen by quote sampling. The data of this research used primary data obtained through checking up of body mass index and hemoglobin level. The data analysis used univariate analysis and bivariate analysis used Chi-square test. The results of this study indicate that there is a relationship between nutritional status and Anemia (p value 0.001).


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