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Obstetric end antenatal history: parity Number of antenatal clinic attendances Gestation at first attendance Risk factors r e Lati ed to pr esent pregnancy Labour ou t come : Duration of labol.lr * Type of delivery Perl -partum complications and blood loss Infant details a nd outcomes .Pr e p a r t u m haemoglobin l e v e l : This was obtained from blood sample co llected at admission. These baseline data were collected by the research assistant during enrolment and recorded o n StUdy Form A, (APPENDIX C) . 11' The recorded durations of labour are calculated from t he r e por t ed onset of labour by patients, often corroborated wi t h time stated by relatives. "'.7 : FOLLOW-UP MORBIDITY ASSESSMENT 85 The cohort of recruited SUbj ects , was directed to report back in 7 to 1 4 days to a specially organised postpartum clinic at t he well-known Mat e r na l and Child Health ce nter
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A PROSPECTIVE STUDY OF EARLY PUERPE
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dysuria (26%). Nearly 60% of the st
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on l y greatl y enri ch ed the s ub
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5.4 De t e r mi na nt s o f morbidi
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Ta ble 2 .1 1 Di ag nos es in t rea
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CHAPTER 1 IN T RODU CTI ON As mor e
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impair mater nal health [ 13 ] . Th
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Many African countries l ike Ghan a
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Sex ratio (M/F) (1 989) 0 . 98 Rura
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growt h r ate of 2 .5% [ 21] . I t
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Sex ratio (M as a % o f F) Crude bi
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hours in t he h o s p i t ll;l. Nor
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irths ( 19 ) . Although no communit
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It i s ob vious froID. the above in
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The need for adequate puerperal car
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for )0% and 20% respectivel y (33]
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The Za r i a s t ud y ( a}, also re
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embolism coul d be classified a s a
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serious h e alth consequences becau
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o ne known pat hoge n [54] _ Candid
Page 49 and 50: a de qua t e trr ea tinerrc fo r th
Page 51 and 52: 3 6 Three of the 31 bacteriuric cas
Page 53 and 54: sinc e direct bladd er s ampling h
Page 56 and 57: developing world countries have i n
Page 58 and 59: Unlike t he developed world, breast
Page 60 and 61: i n t h e puerper ium will occur i
Page 62 and 63: ED; siotomy wou nd inf ection: I n
Page 64 and 65: 4' The incidence o f deep vein thro
Page 66 and 67: percent in Bali, Indonesia [37]. Th
Page 68 and 69: Pos t p a r t um Anaemia: Anaemia i
Page 70 and 71: study situat ions and ma y be up t
Page 72 and 73: wome n with caesarean deliveries (-
Page 74: deficien t , 50% f o l a t e defici
Page 77 and 78: days {178, 179] . In a study of pre
Page 79 and 80: 22,774 births s t udied were 6 .1%,
Page 81 and 82: ca r d i a c failure, a ssoc iated
Page 84 and 85: of the disease in zaria has been at
Page 86 and 87: Africa. and the incidence is still
Page 88 and 89: i ncreased occu rrenC:2 of psychiat
Page 90 and 91: African studies respectively h a d
Page 92 and 93: about the i r mari t a l s tat us,
Page 94 and 95: CHAP TE R 4 M!ill!Q.!2S 4 .1 : THE
Page 97 and 98: Bearing in mind t he fact t ha t th
Page 99: - Fre e medical consultation for ..
Page 103: pressur e r e ad i ngs were f o und
Page 107 and 108: fol low-up ( a community health nu
Page 109 and 110: .. When the results 0 :£ haemoglob
Page 111 and 112: .. df sccdez-s , s ec ondary postpa
Page 114: " estimates for any model which has
Page 117: 102 Twenty four (5 .1%) sUbj ects w
Page 120 and 121: TABLE 1.2 THE EDUCATIONAL LEVELS OF
Page 123 and 124: FIG. 1.3 PARITY DISTRIBUTION OF SUB
Page 128 and 129: FIG.1.5 THE DISTRIBUTION OF PRE-DEL
Page 130 and 131: 11 5 with a mean of 2 52.7 mI . (SO
Page 132 and 133: Summa ry o f the baseline character
Page 135 and 136: 1 2 0 S ixty i ndividuals were neve
Page 138: eg r e s s i o n o f non-attenders
Page 141 and 142: FIG. 2.2:The occurence of fever and
Page 143: 128 ABDOMINAL PAIN : Si x t y f our
Page 147 and 148: 132 PAINFUL MICTURITION AND PERI NE
Page 149: ". fatigue PO), 1011 bac k pain (24
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139 In all, 58 women had a septic p
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142 Pos tpartum haemoglobin l ev el
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'45 Of t h e s e 239 sUbjects, 128
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Wel 31'l Flg.3.1 Postpartum health
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151 than 11.0 g/dl. An additional e
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l5J PERIPARTUM CARDIAC FAILURE: In
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15 . a mong t h os e with UGTI , wh
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158 A Bonf e rroni correction t e s
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160 was 1.64 eel 1.21 to 2 .21) . N
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162 1.5 g / d l) a nd 11.9 g/dl (
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1 6 4 pos t pa r tum a na emi a fro
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166 ( e l 1. 4 0 to S.14) with a si
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'68 The only fa ctor i de nt i fied
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170 Lower abdominal pain and perine
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174 The s t ud y s a lllp l e . was
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176 East Africa . There , 95% of pr
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179 an estimated early neonatal mor
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181 t hat thes e health complaints
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185 a t hird (33 .9%) of a l l sUbj
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ss frequently by sexually tranmitte
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191 ra tes raises serious doubts ab
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'93 find ing s a loe even Glo r e w
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195 Comparing results of this study
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Postpa r tWll hypertensionl Postpar
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Other factors such as ag e , pa r i
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202 consider the high r ates o f th
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20 ' marked d i s t res s and admit
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208 influe,lced the decision of the
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2 11 These time biases were l ikely
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213 Kaltrleder at a1. [1 77 1 obser
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". complications and hi g hl i g h
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REFERENCES 1. pr eve nt i ng the Tr
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224 73. s t r ay-Pederson B, Blaks
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226 97 . Mar shall SR, He pper J K,
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2 29 13 5 . Skillman J J , Ke nt KC
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2 33 18 4 . Van Don g en PWJ ( 1977
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23 5 209. Oe rr.di:is J G, Ra himto
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238 2 48. Marija Norusis. SPSS-X Ad
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APPENDIXC EARLY PUER PERAL MORBI DI
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APPENDIX 0 EARLY PUERPERAL MORBI DI
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STUDY FORM B: Page 4 Nipp le cracks
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Ceni tal I n f ecti o ns 249 It is
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Post p a r tum Hypertensio n 25 1 I
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h P PE NDI Z 0 SOCIO- DEMOGRAPHIC,
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APPENDI X K II THE PREDICTORS OF PO
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AP PENDI X H i THE PREDICTORS OF PO
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