Induction to delivery interval using transcervical foley catheter plus. A 5 year retrospective study of women presenting with. In recent decades adolescent pregnancy has become an important health issue in a great number of countries, both developed and developing. Factors associated with ectopic pregnancy in the study frequency percentage previous induced abortions 95 63. Haemostatic changes in pregnancy are significant and essential, and have the potential to cause adverse pregnancy outcome. When undetected or poorly managed, it may progress to eclampsia which further worsens the prognosis. The rate of iol among multiparous pregnant women, who were. Prothrombin time and activated partial thromboplastin time in. Department of health and physical education university of nigeria, nsukka, enugu state, nigeria email. The safety of induction of labour in the niger delta region. Prevalence, clinical features and outcome of neonatal malaria. This includes gestational hypertension, preeclampsia and eclampsia.
This study is an analytical comparative crosssectional study. Chapter 4 page 2 management of labour and obstructed labour use of the partograph in labour why the partograph. The aim of this study is to determine the rate of abortion and contraceptive use among women seeking repeat induced abortion in western nigeria. The median parasite density was 255 72, 385 parasitesl. Prolonged pregnancy is defined as a pregnancy lasting more than 294 days i. Induced abortion contributes significantly to maternal mortality in developing countries yet women still seek repeat induced abortion in spite of availability of contraceptive services. This study was therefore designed to determine the recent prevalence and identify factors associated with teenage pregnancy in a rural town in nigeria. Knowledge and attitude of pregnant women toardsw antenatal services in nsukka local government area of enugu state, nigeria igbokwe, c. Post term pregnancy is associated with an increased risk of fetal and neonatal mortality and. Teenage, pregnancy, childbearing, premarital introduction teenage pregnancy, the pregnancy that occurs to a young person between thirteen to nineteen years has become a major social and health problem in nigeria in the recent times jatau, 2011. Original article surgicalsite infection following cesarean. Prolonged pregnancy, ppg, perinatal practice guideline, clinical guideline.
May 03, 2016 postterm pregnancy prolonged pregnancy is defined as. Pregnancy induced hypertension and associated factors among. Preeclampsia is a complication of pregnancy responsible for high rates of morbidity and mortality, particularly in subsaharan africa. The vast majority of maternal disabilities stem from health complications that are a direct result of pregnancy or childbirth. Prolonged pregnancy also known as postterm or postdates pregnancy is used to refer to the 510% of pregnancies which persist up to and beyond 42 weeks gestation in this article, we shall look at the risk factors, management and complications of a prolonged pregnancy. It is not well understood why some women become postterm although in obesity, hormonal and genetic factors have been implicated. International maternal mortality in the low and middle income countries, direct causes account for 7580% of maternal mortality and include in approximate order of importance, haemorrhage, sepsis, hypertensive disorders of pregnancy. Womens perception of accuracy of ultrasound dating in late pregnancy. Near misses occur in larger numbers than maternal deaths hence they allow for a more comprehensive analysis of risk factors and determinants as well as outcomes of lifethreatening complications in pregnancy. Outcome of prolonged pregnancy revisited in a nigerian. Multiple changes occur to the coagulation system as pregnancy progresses, with the largest changes being seen at term gestation.
However, it has been shown that accurate dating in. Full text womens perception of accuracy of ultrasound. Outcome of prolonged pregnancy revisited in a nigerian tertiary centre. Postterm pregnancy is a pregnancy that extends to 42 weeks of gestation or beyond.
Community perceptions of preeclampsia and eclampsia in ogun. The aim of this study is to determine the effect of pregnancy on the fibrinogen fibc levels of 100 consecutivelyrecruited pregnant women of african descent in sokoto north western nigeria aged 1834 with a mean age. Worldwide about 10% of pregnant women and % of women who have just given birth experience a mental disorder, primarily depression. However, there have been very few researches on pih in nigeria and the few researches have focused more on the reduction. Formative research on assessing barriers to fistula care and. Abuja, nigeria nigeria has the highest prevalence of vesico vaginal fistula vvf in the world, with between 400,000 and 800,000 women living with the problem and about 20,000 new cases occurring annually. The timely onset of labor and birth is an important determinant of perinatal outcome. Womens perception of accuracy of ultrasound dating in late. Request pdf outcome of prolonged pregnancy revisited in a nigerian tertiary centre the study was conducted to evaluate whether routine induction of labour. Postmature births carry risks for both the mother and the baby, including fetal malnutrition, meconium aspiration syndrome, and stillbirths. Ectopic pregnancy revisited in benin city, nigeria 1141 tableii.
A comparative study at aminu kano teaching hospital, kano, nigeria. This doughnut shows 98% had no history of preeclampsia figure 6. Induction of labour at or beyond term world health organization. Mar 02, 2012 in them prolonged pregnancy or post dated pregnancy means pregnancy that has exceeded a duration considered to be the upper limit of normal pregnancy that is above 40 completed weeks or 280 days from the first day of the last menstrual period.
Olalekan o adetoro5,6, olukayode a dada6 and the clip nigeria feasibility working group abstract background. Measurement of the crownrump length during a first trimester ultrasound is a reliable method of estimating gestation and is relied upon to define prolonged pregnancy. In nigeria, the incidence of prolonged pregnancy is quoted as 8%10% of all pregnancies. Induction of labor in prolonged pregnancy with unfavorable. Knowledge and attitude of pregnant women towards management.
Prolonged postterm pregnancy defined as delivery at or beyond 42 weeks gestationcomplicates 10% of all. Phi is an emerging clinical and public health problem in nigeria. Fetomaternal outcome of induced versus spontaneous labour in a. The incidence of induction of labour in this study was 6. Womens perception of accuracy of ultrasound dating in. Background to the study one of the salient responsibilities of women is procreation as ordained by god. Oct 20, 2011 a prospective matched case control study among parturient with prolonged pregnancy and unfavorable cervix at a tertiary hospital in nigeria. However, the current policies for prolonged pregnancy management are concordant among countries. Postterm pregnancy prolonged pregnancy is defined as. Fibrinogen levels among pregnant women of african descent. Prevalence of abortion and contraceptive practice among women. In severe cases mothers suffering might be so severe that they.
Pregnancy induced hypertension pih is a global problem 1 which hypertension in pregnancy affects about 522% of pregnancies worldwide 2. Jan 07, 2020 a person can choose from a wide range of methods to avoid pregnancy. The identified predisposing factors were early marriage and pregnancy, which were rampant in northern nigeria, while unskilled birth. Effectiveness of sweeping of membranes in reducing the incidence. Fibrinogen levels among pregnant women of african descent in. Six percent pregnant women had history of both pregnancy induced hypertension and gestational diabetes figure 5. Induction of labour in prolonged pregnancy and its outcome. Maternal mortality ratio in nigeria is one of the highest in the world. Management of pregnancy at and beyond 41 completed weeks of. Fetal, neonatal and maternal complications associated with this condition have always been underestimated.
The study determined the incidence, characteristics, determinants and perinatal outcomes of near misses in a. Request pdf induction of labour in prolonged pregnancy and its outcome a prospective. Classification of anemia in pregnancy 3, 5 grossly classified into two types. A comparative analysis of predictors of teenage pregnancy and. Postterm pregnancy is when a woman has not yet delivered her baby after 42 weeks of gestation, two weeks beyond the typical 40 week duration of pregnancy. A simple tool called a partograph has been shown to reduce prolonged labour, the need for.
The study was conducted to evaluate whether routine induction of labour at 4142 weeks of gestation has an increased risk for operative delivery. To determine the teenage pregnancy rate, associated epidemiological factors, outcome and complications in a nigerian tertiary hospital. Fifteen of the 16 neonates had clinical and parasitological cure on treatment with amodiaquine. The delivery of a healthy baby and maintenance of a safe delivery for the mother are two goals of all maternity health care providers. Iol is specifically recommended to prevent complications of prolonged pregnancy, such as increased perinatal mortality, stillbirth, fetal growth. Outcome of prolonged pregnancy revisited in a nigerian tertiary.
However there are conditions to be met before a woman could start procreating. Pregnancy induced hypertension is a condition specific to pregnancy, is a syndrome of hypertension with or without proteinuria, with the clinical manifestation usually occurring during the 20 th week of gestation or late in pregnancy and regressing after delivery. The terms prolonged pregnancy, postdates and postdatism are. Significantly decreased fibrinogen activity may be due to decreased or dysfunctional fibrinogen. Original article ectopic pregnancy revisited in benin city.
The study population was 100 with a mean age of 29. Delivery on or after 41 weeks plus three days of gestation, 10 days beyond the estimated date of delivery. Guideline is to assist clinicians in the management of prolonged. Nonhormonal methods include condoms and natural family planning, where a person tracks their cycle of fertility.
1292 311 136 1102 548 1301 1018 1319 656 727 1489 479 236 1429 1161 992 907 1221 849 114 1420 708 735 358 770 203 703 910 32 1414 973 868 160 1415 954 984 517 1426 322 1446 4 359 1176 94 457