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Objective:To evaluate the utilization of antenatal services by mothers of babies delivered with severe birth asphyxia at the University of Port Harcourt Teaching Hospital(UPTH) Port Harcourt,Nigeria.Methods: A case control study of the utilization of antenatal services by 97 mothers of newborns with severe birth asphyxia delivered at UPTH from 1st February to 31st October 2009 compared with mothers of newborns with normal Apgar scores was done.Relevant pregnancy,birth,family and social history was obtained by personal interviews and referral to case notes.Results: Significantly more of the mothers of babies with normal Apgar score booked early(4 months or less) and had up to 8 or more antenatal visits prior to delivery than mothers of asphyxiated babies 86(88.6%) vs 68(70.2%),P=0.002;93(95.7%) vs 68(70.2%),P=0.001 respectively.Significantly more subjects 56(57.7%) than the controls 45(46.4%) were primiparous,P= 0.04.Also,significantly more subjects 19(19.5%) suffered delay prior to intervention in labour than the controls 5(5.1%),P=0.004.Conclusion: Primiparity,delayed booking,inadequate antenatal visits and late intervention in labour have been identified as significant contributors to severe birth asphyxia.
Abstract：Objective:To evaluate the utilization of antenatal services by mothers of babies delivered with severe birth asphyxia at the University of Port Harcourt Teaching Hospital(UPTH) Port Harcourt,Nigeria.Methods: A case control study of the utilization of antenatal services by 97 mothers of newborns with severe birth asphyxia delivered at UPTH from 1st February to 31st October 2009 compared with mothers of newborns with normal Apgar scores was done.Relevant pregnancy,birth,family and social history was obtained by personal interviews and referral to case notes.Results: Significantly more of the mothers of babies with normal Apgar score booked early(4 months or less) and had up to 8 or more antenatal visits prior to delivery than mothers of asphyxiated babies 86(88.6%) vs 68(70.2%),P=0.002;93(95.7%) vs 68(70.2%),P=0.001 respectively.Significantly more subjects 56(57.7%) than the controls 45(46.4%) were primiparous,P= 0.04.Also,significantly more subjects 19(19.5%) suffered delay prior to intervention in labour than the controls 5(5.1%),P=0.004.Conclusion: Primiparity,delayed booking,inadequate antenatal visits and late intervention in labour have been identified as significant contributors to severe birth asphyxia.
1 Sule AA,Onayade J.Community based antenatal andperinatal interventions and newborn survival.NigerianMed,2006,15:108-118.
2 Ade-Ojo IP,Loto OM.Outcome of eclampsia at Ile-Ife,Nigeria.Nigerian Journal of Clinical Practice,2008,11(3):279-284.
3 UdoJJ,Anah MU,Ochigbo SO,et al.Neonatal mortal-ity and morbidity in Calabar,Nigeria:A hospital-basedstudy.NigerianJournal of Clinical Practice,2008,11(3):285-289.
4 Onyiriuka NA,Okolo AA.Perinatal outcome in pa-tients with preeclampsiain Benin City,Nigeria.Trop JObstet Gynaecol,2004,21(2):148-152.
5 Hyder AA,Wali SA,McGuckin J.The burden of dis-ease from neonatal mortality:a review of South Asia/sub-Saharan Africa.Brit J Obstet Gynae.An Interna-tional Journal of Obstetrics and Gynaecology,2003,110:894-901.
6 Daga AS,Daga SR.Antecedent riskfactors of neonatalasphyxiain trem newborns.Semin Perinatol,2001,23:226-33.
7 Badawn N,Kurinkzuk JJ,Keogh J M.Intrapartumriskfactors for newborn encephalopathy.Br Med J,2002,317:1549-53.
8 Manandhar MS,Wyatt P.Stillbirth and Neonatal en-cephalopathyin Kathmandu Nepal.An esti mate of thecontribution of birth asphyxia to perinatal mortalityin alow-income urban population.Pediatr Perinat Epidemiol2000,14:39-42.
9 Ezechukwu CC,Ugochukwu EF,EgbuonuI,et al.Riskfactors for neonatal mortalityina regional tertiary hospi-tal in Nigeria.Nig J Clin Pract,2004,7:50-52.
10 Oluwatosin MT,Adekanmbi A.Findings on the use ofantenatal facilities in Ogun State.Nig Med Pract,2004,45:68-71.
11 Obi SN,Onyire BN.Pattern of neonatal admission andoutcome at a Nigerian Tertiary Health Institution.Ori-ent J Med,2004,16:31-37.
12 Welbeck J,Biritwum RB,Mensah G.Factors affectingthe survival of the“at risk”newborn at Korle Bu Teach-ing Hospital Accra,Ghana.WAfr J Med,2003,22:55-8.
13 Lamina MA,Sule-odu AO,Jagun EO.Factors milita-ting against delivery among patients booked in OlabisiOnabanjo University Teaching Hospital Sagamu,Niger-ia.Nigerian Journal of Medicine,2004,13(1):52-55.
14 Ayaya SO,Esamai FO,Rotich J,et al.Perinatal mor-tality in the special care nursery of Moi Teaching andReferral Hospital,Eldoret,Kenya.E Afr Med J,2004,8:555-561.
15 Etuk SJ,EtukIS.Relative risk of birth asphyxiain ba-bies of booked women who deliver in unorthodox healthfacilities in Calabar,Nigeria.Acta Tropica,2001,79:143-47.
16 Olowu WA,Olomu SC.Birth Asphyxia:Risk factorsfor Mortality.Nig Med Pract,2006,31:69-72.
基本信息:
DOI：10.13210/j.cnki.jhmu.2011.02.036
中图分类号:R722.12
引用信息:
[1]H.A.A.Ugboma,C.N.Onyearugha.Evaluation of utilization of antenatal services by mothers of babies with severe birth asphyxia[J].海南医学院学报,2011,17(02):169-172.DOI:10.13210/j.cnki.jhmu.2011.02.036.
2010-11-09
2010-11-09
2010-11-09