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

Med Phoenix ◽  
2017 ◽  
Vol 2 (1) ◽  
pp. 24-33 ◽  
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

scholarly journals Determinants of dietary diversity practice among pregnant women attending antenatal clinic at Wachemo University Nigist Eleni Mohammed memorial referral hospital, Southern Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0250037
Author(s):  
Romedan Delil ◽  
Beakal Zinab ◽  
Hassen Mosa ◽  
Ritbano Ahmed ◽  
Habtamu Hassen
Keyword(s):  
Pregnant Women ◽  
Dietary Diversity ◽  
Statistical Significance ◽  
Sampling Technique ◽  
Educational Status ◽  
Antenatal Clinic ◽  
Referral Hospital ◽  
Outcome Variable ◽  
Southern Ethiopia ◽  
Cross Sectional

Background Dietary diversity has continued to receive a global attention among pregnant women as they have been considered susceptible to malnutrition because of their increased nutrient demands. Thus, a variety of foodstuffs in their diet are necessary for ensuring the appropriateness of their nutrient consumptions. This study, therefore assessed the dietary diversity practice and its determinants among pregnant women attending antenatal clinic at Wachemo University Nigist Eleni Mohammed memorial referral hospital, Southern Ethiopia. Methods A hospital-based cross-sectional study was carried out on 303 participants from May 1 to June 15, 2019 using a systematic random sampling technique. Data were entered and analyzed using SPSS (version24.0). Both bivariate and multivariable logistic regression analyses were used to decide the association of each explanatory variable with the outcome variable. Odds ratio with their 95% confidence intervals was calculated to identify the presence and strength of association, and statistical significance was declared at p < 0.05. Results The overall prevalence of adequate dietary diversity practices was observed to be 42.6%. The determinants of dietary diversity practice included earning of a monthly income ≥2000 Ethiopian birr (AOR = 1.62; 95%CI:1.19–2.85), maternal educational level (AOR = 2.50; 95% CI: 1.05–6.12), educational status of partner (AOR = 2.45; 95% CI:1.20, 9.57), having a partner who was a government employee (AOR = 4; 95% CI:2.18–7.21), and the receiving of nutritional information (AOR = 1.35; 95% CI: 3.39–6.94). Conclusions The study indicated that the overall consumption of adequate dietary diversity practice was found to be low. Therefore, increasing household income, enhancing nutritional related information, advancing the academic level of both wife and her partner is essential to improve women’s dietary diversity practice.

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

2020 ◽  
Vol 9 (3) ◽  
pp. 1029
Author(s):  
Muhammad Baffah Aminu ◽  
Mohammed Alkali ◽  
Bala M. Audu ◽  
Toyin Abdulrazak
Keyword(s):  
Pregnant Women ◽  
Gastrointestinal Symptoms ◽  
Antenatal Clinic ◽  
University Teaching ◽  
P Value ◽  
Cross Sectional ◽  
Significance Level ◽  
Gi Symptoms ◽  
Physical Changes ◽  
In Pregnancy

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.

scholarly journals Effectiveness of Visual Inspection with Acetic Acid and Pap Smear for Early Detection of Cervical Cancer among Women attending Gynecology O.P.D of Tertiary Level Hospital Gwalior (M.P) India

2021 ◽  
Vol 4 (1) ◽  
pp. 44-50
Author(s):  
Nisha Mehta ◽  
Saroj Singh
Keyword(s):  
Cervical Cancer ◽  
Acetic Acid ◽  
Early Detection ◽  
Visual Inspection ◽  
Pap Smear ◽  
Sampling Technique ◽  
Tertiary Level ◽  
Cross Sectional ◽  
Screening Programs ◽  
Level Hospital

Introduction: Cervical cancer is the fourth most common cause of cancer in women in the world and the second most common cancer among Indian women. About 23% of the global cervical cancer burden is beard by India alone. The screening of cervical cancer is commonly done by a pap smear, visual inspection of acetic acid, human papillomavirus DNA testing etc. These identify precancerous changes which when treated can prevent the development of cancer. The objectives of the study were to screen the patient at Gynecology OPD by visual Inspection with acetic acid (VIA) and Pap smear for early detection of cervical cancer and to evaluate the efficacy of visual inspection with acetic acid and Pap smear in the early detection of cervical cancer. Methods: A descriptive cross-sectional study was conducted among 60 women attending Gynecology O.P.D of a Tertiary Level Hospital, Gwalior (India) by non-probability purposive sampling technique between 1st August to 30th August 2017. Pap smear was taken from each woman followed by VIA. Women with positive VIA and/or positive Pap smear were referred for colposcopy-directed cervical biopsy. Results: After the application of 3% VIA among 60 women, 16 (26.67%) developed acetowhite while 44 (73.33%) didn’t. While the result of Pap smear shows, 22 (36.66%) had an inflammatory smear, 6(10%) shows benign smear, 9(15%) bacterial vaginosis, 1(1.66%) squamous metaplastic cells, 12 (20%) shows adenocarcinoma and 10(16.66%) normal pap smear.  Conclusion: The study concludes that VIA and pap smear were effective methods for the early detection of cervical cancer. Visual inspection of the cervix after acetic acid application (VIA) is widely recommended as the method of choice in cervical cancer screening programs in resource-limited settings and developing countries because of its simplicity, cost-effectiveness and ability to link with immediate treatment.

scholarly journals Utilization and Associated Factors of Insecticide Treated Bed Net among Pregnant Women Attending Antenatal Clinic of Addis Zemen Hospital, North-Western Ethiopia: An Institutional Based Study

2018 ◽  
Vol 2018 ◽  
pp. 1-9
Author(s):  
Azeb Ewinetu Yitayew ◽  
Habtamu Demelash Enyew ◽  
Yitayal Ayalew Goshu
Keyword(s):  
Pregnant Women ◽  
Associated Factors ◽  
Sampling Technique ◽  
Educational Status ◽  
Antenatal Clinic ◽  
Bed Net ◽  
Insecticide Treated Nets ◽  
Cross Sectional ◽  
Control Approach ◽  
Pregnant Mothers

Introduction. Insecticide treated bed net (ITN) is one type of cost-effective vector control approach for the prevention of malaria. It has to be treated with insecticide and needs ongoing treatment with chemicals. Malaria infcetion during pregnancy is a amajor health problem in Ethiopia. Little is known about the utilization of ITN by pregnant women in the study area. This study was aimed to assess utilization and associated factors of insecticide-treated nets among pregnant women in Adis Zemen Hospital. Methods. This hospital based cross-sectional study was conducted in Adis Zemen from May 1 to 30, 2018, among 226 pregnant mothers. After obtaining informed consent, data were collected using a pretested structured questionnaire via face to face interview. To reach the study unit, a systematic random sampling technique was used. The collected data were entered, cleaned, checked using Epi data version 3.1, and finally analyzed using SPSS version 20. Binary and multivariable logistic regressions were computed to identify significantly associated variables at 95% confidence interval. Result. A total of 226 pregnant mothers attending antenatal clinics participated in making the response rate 100%. Among a total 226 subjects, 160(70.8%) of mothers had good utilization of insecticide bet net. Mothers who had an educational status of college and above were 2.8 times more likely to utilize insecticide-treated bed net than mothers who could not read and write (AOR; 2. 8: CI; 1.9, 6.5). Mothers whose age was >30 were 70% times less likely utilized insecticide-treated bed net than mothers whose age was 30 and less (AOR;.3: CI;.2,.6). Conclusion and Recommendation. Utilization of insecticide-treated bed net by pregnant women is low in the study area. The participants’ age, educational status, household monthly income, and husband educational status were significantly associated with utilization of insecticide-treated bed net. Different stakeholders shall give a special attention to awareness creation on advantageous of insecticide bed net.

scholarly journals Assessment of the Knowledge of Risk Factors of Congenital Hydrocephalus among Mothers Attending Antenatal Clinics in a Rural Tertiary Hospital Irrua, Edo State

2020 ◽  
Vol 11 (01) ◽  
pp. 045-052
Author(s):  
Eghosa Morgan ◽  
Perpetua I. Agbeboh ◽  
Charles O. Poluyi ◽  
Chibuikem A. Ikwuegbuenyi ◽  
Amy O. Aphiar ◽  
...  
Keyword(s):  
Risk Factors ◽  
Psychosocial Development ◽  
Sampling Technique ◽  
Antenatal Clinic ◽  
Tertiary Hospital ◽  
Congenital Hydrocephalus ◽  
Good Knowledge ◽  
Cross Sectional ◽  
Increased Risk ◽  
Edo State

Abstract Background One of the congenital central nervous system malformations with great impact on the mental and psychosocial development of children is congenital hydrocephalus and it happens to be one of the most common. A large vacuum exists between knowledge on maternal environmental risk factors associated with congenital hydrocephalus, most especially in our rural community which consists of a large segment of our society. Our study aimed to determine the knowledge and perception of mothers on factors existing in the maternal environment that potentially puts an increased risk of developing congenital hydrocephalus. Materials and Methods This was a cross-sectional study design spanning a period of 8 months (March 2018–October 2018), in which the knowledge and perception of the risk factors of congenital hydrocephalus among mothers attending antenatal clinic in Irrua specialist teaching hospital, a rural tertiary hospital in Irrua, Edo state, Nigeria, were assessed using a random sampling technique. Interviewer-administered questionnaires (reviewed and validated) were used. The data collected were entered and analyzed using SPSS version 21. Results The findings showed varying levels of knowledge of congenital hydrocephalus. Less than half (44.0%) of the respondents had poor knowledge, 34.5% had fair knowledge, and 21.6% had good knowledge. There was a statistically significant relationship between knowledge of congenital hydrocephalus and respondents’ knowledge of the risk factors of congenital hydrocephalus. Most (52.6%) had good perception of the risk factors of congenital hydrocephalus, while 23.3% had poor perception. Conclusion This study revealed a fairly good knowledge of congenital hydrocephalus and its risk factors among mothers, most especially those with a good level of education.

scholarly journals Knowledge Regarding Neonatal Jaundice Management among Mothers: A Descriptive Study Done In a Tertiary Level Hospital of Dhaka City

2017 ◽  
Vol 8 (2) ◽  
pp. 121-127 ◽  
Author(s):  
Sazia Huq ◽  
Sarder Mahmud Hossain ◽  
Syed Mohammad Tanjilul Haque ◽  
Monowar Ahmed Tarafder
Keyword(s):  
Neonatal Jaundice ◽  
Preventive Measures ◽  
Sampling Technique ◽  
Herbal Remedies ◽  
Medical Attention ◽  
Tertiary Level ◽  
Test Model ◽  
Cross Sectional ◽  
Level Of Knowledge ◽  
Level Hospital

Background: Jaundice is the most common clinical condition in the newborn that requires medical attention. This study was carried out in order to assess the knowledge on neonatal jaundice management among the mothers in a selected tertiary level hospital of Dhaka city.Methodology: It was a descriptive type of cross-sectional study. 150 samples were selected by non randomized purposive sampling technique with the administration of a pretested, modified and semistructured questionnaire by face to face interview.Results: Study found that majority of the respondents (76.7%) was in the age group 17-27 years with mean age 23.78±5.397 years. Majority of the respondents (83.3%) had heard about neonatal jaundice previously and 16.7% did not hear about it. Regarding Knowledge on preventive measures of NNJ (neonatal jaundice) 90.6% respondents had knowledge on "Putting jaundiced baby under direct sun light", 62.7% said "Herbal remedies", 48% indicated "Consult with doctor" and 12% had knowledge on "phototherapy". Another major finding from the study was that 7.3% respondents had excellent level of knowledge regarding NNJ, whereas 40.0%, 34.0% and 18.7% had satisfactory, good and poor level of knowledge respectively. The Chi-square test model showed a significant association between previous knowledge of the respondents on NNJ with level of knowledge among the respondents (p= 0.027) and age of the respondents (p=0.012).Conclusion: Awareness should be created among the expecting mothers about neonatal jaundice and encourage them to take preventive measures to avert neonatal mortality and morbidity.Anwer Khan Modern Medical College Journal Vol. 8, No. 2: Jul 2017, P 121-127

scholarly journals Group B Streptococcus Colonization in Pregnancy: Prevalence, Determinants and Antibacterial Susceptibility Pattern in Sagamu, Nigeria

2019 ◽  
pp. 1-8
Author(s):  
Adebayo A. Akadri ◽  
Bamidele D. Osuolale ◽  
Tessie O. Shorunmu ◽  
Oluwaseyi I. Odelola
Keyword(s):  
Pregnant Women ◽  
Group B Streptococcus ◽  
Antenatal Clinic ◽  
Cross Sectional Study ◽  
University Teaching ◽  
Binary Logistic Regression Analysis ◽  
Susceptibility Pattern ◽  
Cross Sectional ◽  
Ogun State ◽  
Group B

Aims: To establish the prevalence, determinants and the antibiotic susceptibility pattern of Group B streptococcus in pregnant women in Sagamu, Ogun State, Nigeria. Study Design: Prospective cross-sectional study Place and Duration of Study: The study was carried out at the antenatal clinic at Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria, between July 2017 and December 2017. Methodology: The study involved 184 pregnant women attending antenatal clinic. Lower vaginal and rectal swabs were collected under aseptic condition and immediately sent to the laboratory for processing. The samples were assayed for the presence of group B streptococcus using conventional methods. Information on the socio demographic characteristics and details of delivery were recorded on a data capture sheet. Results: The prevalence of Group B streptococcus was 27.7%. The odds of Group B streptococcus colonization was significantly higher among women of low parity (≤ 2) and binary logistic regression analysis showed that parity was predictive of Group B streptococcus colonization (OR 3.7; 95% CI = 1.03-13.46; P=.045). Younger women (age ≤ 30 years) and women carrying term pregnancies had a non significant trend towards higher odds of Group B streptococcus colonization [(OR= 1.22, 95% CI: 0.6-2.3, P = .54) and (OR=1.6, CI: 0.8-3.2; P = .15) respectively]. The resistance of group B streptococcus isolates to penicillin and ampicillin was 39.2% and 37.3% respectively.                           Conclusion: The group B streptococcus colonization rate in this study is high. Factors such as low parity, young maternal age and term pregnancies are associated with increased odds of colonization. The emergence of resistance to the commonly prescribed antibiotics calls for re-evaluation of the current recommendations regarding the antibiotics prophylaxis.

scholarly journals Level of awareness and treatment of anxiety and depression during pregnancy in southeast Nigeria

2018 ◽  
Vol 24 ◽  
Author(s):  
Ezeme M. Sunday ◽  
Paul C. Okoli ◽  
Vincent O. Dinwoke
Keyword(s):  
Pregnant Women ◽  
Depressive Disorders ◽  
Depression Scale ◽  
Descriptive Study ◽  
Antenatal Clinic ◽  
University Teaching ◽  
Anxiety And Depression ◽  
State University ◽  
Hospital Anxiety ◽  
Cross Sectional

Background: Anxiety and depressive disorders are somewhat masked by features of pregnancy; hence many women are ignorant of them and are untreated.Aim: To determine the level of awareness and treatment of anxiety and depression in pregnancy.Setting: The study was carried out at the antenatal clinic of Enugu State University Teaching Hospital, Enugu, Nigeria.Method: This was a cross-sectional and descriptive study of 200 pregnant women in consecutive attendance of the antenatal clinic using the Hospital Anxiety and Depression Scale (HADS) and a sociodemographic questionnaire.Results: Of the participants, 23.5% had anxiety and/or depression, 7.5% of them were aware of their condition and only 0.5% of all the participants or 6.7% of those who were aware of their problem received treatment.Conclusion: Anxiety and depression are prevalent among pregnant women. Because of overlap of symptoms of anxiety and depression with those of pregnancy, the awareness is very low; hence many of them suffer immensely without treatment.

scholarly journals PREVALENCE OF SYPHILIS AMONG PREGNANT WOMEN ATTENDING ANTENATAL CLINIC OF BULCHANA HEALTH CENTER, SHASHEMENE, WEST ARSI ZONE, ETHIOPIA

2019 ◽  
Vol 3 (2) ◽  
Author(s):  
Menberu Wubete ◽  
Musa Mohammed ◽  
Mulugeta Mengistu ◽  
Robel Mekonnen
Keyword(s):  
Pregnant Women ◽  
Health Center ◽  
Multiple Pregnancy ◽  
Sampling Technique ◽  
Antenatal Clinic ◽  
P Value ◽  
Syphilis Infection ◽  
Transmitted Infection ◽  
Cross Sectional ◽  
Arsi Zone

Background: Syphilis is an important cause of morbidity and mortality in pregnancy and it is one of the greatest public health challenges. It is responsible for up to 30% of perinatal mortality. Ethiopia is one of the countries in which sexually transmitted infection (STIs) are highly prevalent. However, the data needed to present a realistic picture of the prevalence of syphilis are limited. Objective: To determine the prevalence of syphilis among pregnant mothers attending Antenatal Clinic of Bulchana health center, Shashemene, West Arsi Zone, Ethiopia, 2017. Materials and Methods: Health institution based retrospective cross sectional study was conducted from April 01 to June 01, 2017 among women attended Antenatal Clinic of Bulchana health center during the period of 2014 to 2016. Non probability sampling technique was used to recruit study participants.  A total of 4346 pregnant women were included in  this study. Data was captured by reviewing and observation of a recorded data at the ANC registration book using pre-tested structured check list. Data were entered and cleaned using EpiData version 3.0. and analyzed by SPSS version 21. Binary logistic regression was used and significant variables were further adjusted using multivariate analysis. A p-value <0.05 was considered as level of significance. Result: In this study the prevalence of syphilis among pregnant women found to be 1.1% 95%CI [0.8-1.3]. Relatively high prevalence of syphilis 15(1.5%) was observed among age group of 15-19 years. The prevalence of syphilis was high among pregnant women living in rural area 35(1.1%). Being rural dwellers and those with multiple pregnancy, 2-4 and more than 5 pregnancies showed significant association with prevalence of syphilis infection. [(OR=0.68, 95%CI (5.33, 17.32), P=0.04)], [(OR=10, 95% CI(1.36, 74.42), p= 0.02] and  [(OR=2.18, 95%CI(1.20, 3.95), p= 0.01],  respectively. Conclusion: The observed seroprevalence of syphilis among women attending ANC still mandates effective health education campaigns to elucidate the risk factors and prevention of syphilis not only to pregnant women but also the public at large. Strengthening service delivery at the provider and facility level to improve prompt access to effective syphilis diagnostic and treatment services is mandatory. Keywords: syphilis, pregnant women, ANC, Shashemene Ethiopia.

scholarly journals Impact of Twice Weekly Hematinics on Hematological Parameters in Pregnancy

2021 ◽  
pp. 44-53
Author(s):  
G. D. Musa ◽  
P. H. Daru ◽  
O. D. Damulak ◽  
I. Lucius ◽  
S. A. Anzaku
Keyword(s):  
Pregnant Women ◽  
Serum Ferritin ◽  
Iron Supplementation ◽  
Statistical Significance ◽  
Hematological Parameters ◽  
Computer Software ◽  
Hemoglobin Concentration ◽  
Simple Random Sampling ◽  
Antenatal Clinic ◽  
University Teaching

Background: Anemia is prevalent in our setting for myriads of reasons hence iron supplementation has become a routine in the antenatal clinics; other regimens are practiced in other climes. Aims: This study aimed at comparing the efficiency of the twice-weekly as against the daily iron supplementation on hematologic indices in healthy pregnant women. Study design: This was a longitudinal prospective study Place and duration of study: this study was carried out at antenatal clinic at the Jos university teaching hospital Jos plateau state of Nigeria over a period of 14 weeks. Methodology: A total of 120 pregnant women were assigned by simple random sampling to receive either daily or twice weekly iron supplementation. Their blood samples were assessed by determining hemoglobin concentration, mean corpuscular volume and serum ferritin as baseline at booking visit from 16-24 weeks of gestation and follow up at 4, 8 and 14 weeks. All data generated was analyzed using EPI info computer software version 3.5.2. The level of statistical significance was set at P<0.05. Results: The twice weekly supplementation showed similar effects with the daily regimen with regards to the trends in Hb and serum ferritin. More women (77.1%) on twice weekly regimen had Hb>10g/dl at the 14 week visit compared with daily regime and this was statistically significant P=0.031. Conclusion: These findings suggest that both regimens have about the same effect on hematological parameters during pregnancy. Therefore, in non-anemic pregnant women twice weekly iron supplementation may be used.

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