scholarly journals Prevalence and Associated Risk Factors of Dehydration among Pregnant Women in Southern Nigeria

2020 ◽  
pp. 10-23
Author(s):  
Christopher E. Ekpenyong ◽  
Nsikak E. Udokang ◽  
Comfort A. Inyang
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Water Intake ◽  
Multiple Logistic Regression Analysis ◽  
Hydration Status ◽  
Factors Associated ◽  
Adequate Hydration ◽  
High Prevalence ◽  
Southern Nigeria ◽  
Associated Risk Factors

Background: Despite available evidences that pregnant women are specific vulnerable target population for dehydration and the importance of adequate hydration to both the mother and the developing fetus, studies assessing the prevalence and associated risk factors of dehydration among pregnant women are limited. Aim: The aim of the present study was to determine the prevalence and associated risk factors of dehydration among pregnant women in Uyo metropolis, Southern Nigeria. Methods: A total of 316 pregnant women from selected obstetric centers in Uyo Metropolis met the inclusion criteria and were evaluated for socio-demographics, lifestyle-related behaviors and urinary specific gravity using standard instruments. Mean values were calculated and used for the determination of the hydration status of the participants. Univariate analysis was used to assess the relationship between socio-demographic variables and lifestyle related behaviours and prevalence of dehydration. Multiple logistic regression analysis was used to determine odds ratios (ORs) and 95% confidence interval for factors associated with dehydration in pregnancy. Results: About 14.6% of the pregnant women were dehydrated, and factors associated with high prevalence of dehydration were age between 26 and 35 years, being married, urban residence, acquiring a tertiary education and income between 20,000 and 50,000 naira. Others were, null-parity, third trimester of pregnancy, physically active, poor dietary habits, alcohol consumption, inadequate water intake and short sleep duration. Inadequate water intake (1-2 cups of water) (OR=6.10,C.I=2.029-18.360) or 5-7cups of water (OR=4.04,C.I=1.385-11.785), consumption of mostly high carbohydrate diets (OR=3.55,C.I=1.003-12577), consumption of mostly high protein diets (OR=3.25,C.I=1.893-11.844) and craving for strange foods(OR=3.71, C.I=1.563-8.81) significantly increased the odds for dehydration among the participants. Conclusion: Demographic, obstetric and lifestyle-related factors drive the high prevalence of dehydration among pregnant women and should be considered in designing intervention programs to prevent dehydration among pregnant women in our communities.     

scholarly journals High prevalence and associated risk factors of dehydration among college students: implications for health and academic performance

2017 ◽  
Vol 4 (4) ◽  
pp. 1043 ◽  
Author(s):  
Christopher E. Ekpenyong ◽  
Itoro-Abasi M. Akpan
Keyword(s):  
Risk Factors ◽  
College Students ◽  
Academic Performance ◽  
Hydration Status ◽  
Coffee Intake ◽  
Mean Values ◽  
Factors Associated ◽  
Drinking Habits ◽  
High Prevalence ◽  
Associated Risk Factors

Background: Existing data indicate that poor hydration status adversely affects academic performance and health status of college students, but hydration studies among students have not received sufficient research and educational attention. The aim of this study was to determine the prevalence and associated risk factors of dehydration among college students in Southern Nigeria.Methods: A total of 500 students (190 males and 310 females), ages between 18 and 35 years filled out a supervised questionnaire which included questions pertaining to socio-demographics, lifestyle habits, perceived symptoms, academic performance, urinary characteristics and water/fluid intake. Hydration status was determined using urinary specific gravity during the month of October 2016. Mean values were calculated and used to determine the hydration status of participants. Multivariable regression analysis was used to determine odds ratios (ORs) and 95% confidence interval for factors associated with poor hydration status of participants.Results: About 46.4% of participants were dehydrated. Insufficient water intake (OR=6.41, 95% CI:2.121-19.385, P=0.001), alcohol drinking habits (OR=4.17, 95% CI: 1.313-13.258, P=0.015), night clubbing habits (OR=2.51, 95% CI:1.261-3.822, P=0.034) and being exposed to hot environment (OR=2.16, 95% CI:1.998-4.656, P=0.041) were factors associated with increased odds of dehydration among participants. Other factors associated with higher odds of dehydration include regular coffee intake (OR=2.93, 95% CI:1.788-5.622, P=0.017), experiencing academic stress (OR=1.53, 95% CI:1.041-2.251, P=0.031) and having parents or guardians of middle or low SES (OR=2.21, 95% CI:1.70-4.267, P=0.42) and (OR=3.42, 95% CI:1.655-7.82, P=0.015) respectively.Conclusions: Indeed, there is a high prevalence of dehydration and associated risk factors among college students. Intervention programs to reduce dehydration among students should include these factors among others for improved quality of life and academic performance.

scholarly journals Prevalence and associated risk factors of abnormal Pap smear in pregnant women

2020 ◽  
Vol 9 (6) ◽  
pp. 2673
Author(s):  
Meenakshi Venkatesh ◽  
Ushadevi .
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Pap Smear ◽  
Hpv Infection ◽  
Indian Women ◽  
Multiple Sexual Partners ◽  
Factors Associated ◽  
Increasing Trend ◽  
Associated Risk Factors ◽  
A Prospective Study

Mohindroo N et al, conducted a prospective study  about the prevalence and risk factors associated with abnormal pap smear in pregnant women.1 This study is in need of the hour because carcinoma cervix is on increasing trend due to multiple sexual partners, HPV infection, and use of OCP in young women lead in increase in adenocarcinoma of cervix.2 Indian women face a 2.5% cumulative lifetime risk and 1.4% cumulative death risk from cervical cancer.1

Global prevalence of intestinal parasitic infections and associated risk factors in pregnant women: a systematic review and meta-analysis

2020 ◽  
Author(s):  
Ali Taghipour ◽  
Sahar Ghodsian ◽  
Mahdi Jabbari ◽  
Meysam Olfatifar ◽  
Amir Abdoli ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Pregnant Women ◽  
Meta Analysis ◽  
Parasitic Infections ◽  
Intestinal Parasitic Infections ◽  
Global Prevalence ◽  
Increased Risk ◽  
High Prevalence ◽  
Associated Risk Factors

Abstract Background Intestinal parasitic infections (IPIs) during pregnancy, if left untreated, can cause adverse effects for the mothers, foetuses and newborns. However, limited information is available about the global status of IPIs in pregnant women. Here we undertook a meta-analysis to estimate the global prevalence of IPIs and associated risk factors in pregnant women. Methods We searched the PubMed, Science Direct, Scopus, Web of Science and Google Scholar databases for relevant studies that were published between 1 January 1987 and 30 December 2019. A random effects meta-analysis model was used to estimate the pooled prevalence, odds ratios (ORs) and 95% confidence intervals (CIs). Results A total of 114 studies comprising 98 342 pregnant women across 35 countries were included in the systematic review and meta-analysis. Among IPIs identified from pregnant women, three helminth infections (hookworm 19% [95% CI 15 to 23], Ascaris lumbricoides 17% [95% CI 13 to 21] and Trichuris trichiura 11% [95% CI 7 to 16]) and three protozoan infections (Blastocystis sp. 21% [95% CI 4 to 46], Entamoeba histolytica/dispar 9% [95% CI 3 to 19] and Giardia sp. 8% [95% CI 4 to 13]) were identified as the most prevalent intestinal parasites. Moreover, we found that there was a significant association between IPIs with increased risk of anaemia in pregnant women (OR 2.65 [95% CI 2.08 to 3.37]). The prevalence of IPIs was slightly higher in geophagic pregnant women compared with controls, but this was not significant (OR 1.22 [95% CI 0.87 to 1.71]). According to species, the pooled OR of A. lumbricoides infection had a significantly higher risk in geophagic pregnant women compared with controls (OR 2.66 [95% CI 1.37 to 5.16]). There was a positive relationship between the high prevalence of IPIs in pregnant women living in rural areas compared with urban residents (OR 3.36 [95% CI 1.57 to 7.19]). Conclusions The current review revealed a relatively high prevalence of IPIs in pregnant women, especially in some low- and middle-income countries. These results suggest a need for improved prevention and control efforts to reduce the health risks to pregnant women.

scholarly journals Predisposing Factors to HBV Among Pregnant Women Attending Some Hospitals in Suburbs of Kano, Nigeria

2019 ◽  
pp. 1-8
Author(s):  
Olatunji Ayodeji Abulude ◽  
Farouk Umar Sadisu ◽  
Ismai’la Ahmed ◽  
Olatunji Ayodeji Abulude
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Unprotected Sex ◽  
Predisposing Factors ◽  
Hbv Infection ◽  
Hbv Markers ◽  
High Prevalence ◽  
Life Threatening ◽  
History Of ◽  
Associated Risk Factors

Hepatitis B virus (HBV) when transmitted vertically can be severe on neonates and life threatening. Among others, risk factors for HBV include unprotected sex, needle-stick injuries and blood transfusion. The study was conducted to determine the seroprevalence of HBV markers and associated risk factors among one hundred and sixty consenting pregnant women attending some hospitals in Kano, Nigeria. Using enzymelinked immunoassay, sera were screened for HBV sero-markers and structured questionnaires were administered to obtain sociodemographic data and possible predisposing factors to HBV infection. Of the five HBV markers known, participants tested positive for four, which include HBsAg, HBsAb, HBeAb and HBcAb. All were seronegative for HBeAg. Ninety three percent (93.1%) tested positive for at least one HBV marker and 6.9% were seronegative for all markers. Among those that tested positive for HBsAg, 54.5% (p=0.33) were housewives, 36.4% (p=0.53) had only primary school education, 72.7% (p=0.14) were middle-class, none had previous knowledge of HBV infection and its mode of transmission, 54.5% (p=0.14) regularly shares sharp objects, 45.5% (p=0.37) had ear or nose piercing, and 9.1% (p=0.01) regularly shares towel and underwear. A large percentage of the study group had history of the infection while only 1.3% of the subjects were vaccinated. Sociodemographic background of the participants, low vaccination coverage and certain risk factors like the sharing of unsterilized sharp objects seem to aid the moderately high prevalence of HBV in this study. The study also revealed that the risk of mother-to-child HBV transmission is low in the study area and that incomplete vaccination may not confer artificial immunity against HBV infection.

scholarly journals Co-infection and Risk Factors Associated with STIs among Pregnant Women in Rural Health Facilities in Nigeria: A Retrospective Study

2021 ◽  
Vol 58 ◽  
pp. 004695802199291
Author(s):  
MaryJoy Umoke ◽  
Peter Sage ◽  
Tor Bjoernsen ◽  
Prince Christian Ifeanachor Umoke ◽  
Christian Ezeugworie ◽  
...  
Keyword(s):  
Risk Factors ◽  
Retrospective Study ◽  
Pregnant Women ◽  
Rural Health ◽  
Health Workers ◽  
Health Facilities ◽  
Healthcare Facilities ◽  
Sexually Transmitted ◽  
Factors Associated ◽  
High Prevalence

Globally, sexually transmitted infections are recognized as a public and reproductive health challenge. The study determined the prevalence, co-infection, and risk factors associated with HBV, HCV, HIV, and Syphilis infections among pregnant women receiving antenatal care in rural health facilities in Ebonyi State, Nigeria. A retrospective study was conducted from January to December 2018 in 8 primary healthcare facilities using antenatal records of all the 4657 pregnant women who attended ANC within the period. Data were analyzed using descriptive and inferential statistics with IBM SPSS statistics version 20 and hypotheses tested at P < .05. The findings indicated a medium prevalence of HBV (4.1%), a high prevalence of HCV (4.1%) and syphilis (1.8%), and a low prevalence of HIV (0.9%). An overall co-infection rate of 0.623% that was not significant ( P > .05) was observed. Also, prevalence was more among the younger mothers (<20 years), those with secondary education. And the history of blood transfusion was significantly associated with HBV and HCV prevalence (χ2 = 7.865; P = .05*), 11.8%. conclusively, due to medium HBV prevalence and a high prevalence of HCV and syphilis observed, attention should be paid to blood screening before transfusion by health workers. Relevant stakeholders should provide intensive health education and appropriate free treatment services particularly for younger mothers and the less educated.

Knowledge, awareness and perceptions of diabetes mellitus among the Saudi population

2020 ◽  
Vol 9 (6) ◽  
pp. 413-422
Author(s):  
Muhammad H Mujammami ◽  
Abdulaziz A Alodhayani ◽  
Mohammad Ibrahim AlJabri ◽  
Ahmad Alhumaidi Alanazi ◽  
Sultan Sayyaf Alanazi ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Social Media ◽  
Risk Factor ◽  
Healthcare Workers ◽  
Health Workers ◽  
Saudi Population ◽  
Limited Data ◽  
High Prevalence ◽  
Associated Risk Factors

Background: High prevalence of undiagnosed cases of diabetes mellitus (DM) has increased over the last two decades, most patients with DM only become aware of their condition once they develop a complication. Limited data are available regarding the knowledge and awareness about DM and the associated risk factors, complications and management in Saudi society. Aim: This study aimed to assess knowledge of DM in general Saudi society and among Saudi healthcare workers. Results: Only 37.3% of the participants were aware of the current DM prevalence. Obesity was the most frequently identified risk factor for DM. Most comparisons indicated better awareness among health workers. Conclusion: A significant lack of knowledge about DM in Saudi society was identified. Social media and educational curriculum can improve knowledge and awareness of DM.

scholarly journals Low Maternal Immunoglobulin G Avidity and Single Parity as Adverse Implications of Human Cytomegalovirus Vertical Transmission in Pregnant Women with Immunoglobulin M Positivity

Viruses ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 866
Author(s):  
Masatoki Kaneko ◽  
Junsuke Muraoka ◽  
Kazumi Kusumoto ◽  
Toshio Minematsu
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Vertical Transmission ◽  
Human Cytomegalovirus ◽  
Multiple Logistic Regression Analysis ◽  
Clinical Signs ◽  
Immunoglobulin M ◽  
Igg Antibody ◽  
Neurological Sequelae ◽  
Previous Pregnancy

Human cytomegalovirus (CMV) is the leading cause of neurological sequelae in infants. Understanding the risk factors of primary CMV infection is crucial in establishing preventive strategies. Thus, we conducted a retrospective cohort study to identify risk factors of vertical transmission among pregnant women with immunoglobulin (Ig) M positivity. The study included 456 pregnant women with IgM positivity. Information on age, parity, occupation, clinical signs, IgM levels, and IgG avidity index (AI) was collected. The women were divided into infected and non-infected groups. The two groups showed significant differences in IgM level, IgG AI, number of women with low IgG AI, clinical signs, and number of pregnant women with single parity. In the multiple logistic regression analysis, pregnant women with single parity and low IgG AI were independent predictors. Among 40 women who tested negative for IgG antibody in their previous pregnancy, 20 showed low IgG AI in their current pregnancy. Among the 20 women, 4 had vertical transmission. These results provide better understanding of the risk factors of vertical transmission in pregnant women with IgM positivity.

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