Untitled - Memorial University's Digital Archives Initiative - Memorial ...

More documents

Recommendations

Info

Summa ry o f the baseline characteristics 117 The s tudy sample can be described as cOlllprising a n indigent population o f WODle n o ve r half (55 .5\) o f whom we r e in t he ir tw enties and about a s i xth (17. 4\) o f whom we r e teenagers. The maj or i t y o f SUbjects had just had t heir first, second o r third bab y at the time o f r e c r uitment to the study. Most (95\) ha d some ant e natal care during t heir pr e gnancy _ Des p i t e the high prevalence of pregna ncy and l a bou r r i s k factor s (18 .4\), pa r ticUlarly ag e and/or parity-related risk and anaem ia , t he y had une ventful l abour wi t h f ew co mplications . Ninety-five perc ent of them were discharg ed home r outi ne l y afte r delivery.
5 .2 : FOLLOW-UP AND MORBIDI'I'Y FINDINGS 11' Twenty- fo ur per s on s were admi tted t o t he l ying-in ward postpartum . Twenty-two were for reasons o f l a bou r or early postpartum comp lications . Of these 22, t h r e e were r e- admissions after hospital discharge. Another t wo cases were admitted because of post-min ilaparotomy sterilisation complica tions. One s ub j e c t admitted with primary postpartum haemorrhage died 26 hours after delivery and also after s urge ry had been performed for uncontrollable h a e mor rhag e associated with disseminated intravascular coagulopathy. Th e maternal mortality rate was 1.8 per 1000 for t h i s study popU lation. TABLE 2 . 1 p resents t he r e as ons for hospitalisation of the 24 subjects . TABLE 2 .1 REASONS FOR ADMISSION I N THE 24 HOSPI TALI SED PATI ENTS Reason No. of SUbjects Percentc%) Postpa r t um haemorrhage '* 9 37.4 Pue r pe r a l sepsis '* 4 1 6 . 7 Severe Hype r tension 4 1 6 . 7 Puerpe r a l psych i atric d i s or de r 2 8 .3 Complications po st-ste r ili s ati on 2 8 .3 Severe anaemia I 4 .2 He patiti s 1 4 .2 Ga pe d infected episiotomy '* -l --..A......Z TOTAL li J.QQ...Q. '* Include s one su bject who was r e-admi tted a fter d i s ch arge home .
Page 5:
A PROSPECTIVE STUDY OF EARLY PUERPE
Page 8 and 9:
dysuria (26%). Nearly 60% of the st
Page 10 and 11:
on l y greatl y enri ch ed the s ub
Page 12 and 13:
5.4 De t e r mi na nt s o f morbidi
Page 14 and 15:
Ta ble 2 .1 1 Di ag nos es in t rea
Page 16 and 17:
CHAPTER 1 IN T RODU CTI ON As mor e
Page 18 and 19:
impair mater nal health [ 13 ] . Th
Page 20 and 21:
Many African countries l ike Ghan a
Page 22 and 23:
Sex ratio (M/F) (1 989) 0 . 98 Rura
Page 24 and 25:
growt h r ate of 2 .5% [ 21] . I t
Page 26 and 27:
Sex ratio (M as a % o f F) Crude bi
Page 28 and 29:
hours in t he h o s p i t ll;l. Nor
Page 30 and 31:
irths ( 19 ) . Although no communit
Page 32 and 33:
It i s ob vious froID. the above in
Page 34:
The need for adequate puerperal car
Page 37 and 38:
for )0% and 20% respectivel y (33]
Page 39 and 40:
The Za r i a s t ud y ( a}, also re
Page 41 and 42:
embolism coul d be classified a s a
Page 43:
serious h e alth consequences becau
Page 47 and 48:
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 and 100: - Fre e medical consultation for ..
Page 102 and 103: Examination : SUbjects wer e examin
Page 105: •• Lowe r genita l t ract i nte
Page 108 and 109: " c linica l assessment and lIlanaq
Page 110 and 111: sample cJ9scr ipt i on ; The charac
Page 112: Further mUltivariate logistic regre
Page 116 and 117: discharge s i n c e they were aa s
Page 119 and 120: 104 ETHNIC ORIGINS: The majority of
Page 121: 106 ap prenticeship- trained occupa
Page 124: YES 1l6'l\ FIG. 1.4 ANTENATAL CARE
Page 129 and 130: Labour e ve nts , c omplications a
Page 131: n . OTHER IMMEDI ATE COMPL.ICATIONS
Page 136: 5 .2 . 1 Comparinq clinic a t t e n
Page 140 and 141: 200 ,eo 100 FIG. 2.1 :HOW SUBJECTS
Page 142 and 143: FIG.2.3: THE DAY OF FEVER ONSET REP
Page 145: 13 . I n a l l 21 2 ( 59 . 1\> s Ub
Page 148 and 149: 133 sUbjects said they did. A wide
Page 151: 136 Diastolic blood pressure readin
Page 156 and 157: 141 OTHER PATHOLOGI CAL FI NDI NGS
Page 159 and 160: 144 FOLLOW-UP OUTCOMES: At the end
Page 161: 5. 3 : I NCI DENCE OF MORBI DITY 5
Page 165 and 166: 150 LOWER GENITAL TRACT I NFECTIO N
Page 167 and 168: 152 ACUTE URIN ARY TRACT I NFECTION
Page 169: 154 !i\!m.!!!Ari. : The occurrence
Page 172 and 173: 15 7 regr ession was performed, t o
Page 174 and 175: 15. The s tat i stically significan
Page 176 and 177: 161 s t atistically !li gnifica nt
Page 178 and 179: 16 3 t.o de t ermi ne t hose wi th
Page 180 and 181: 165 was 280 nr (SO ± 166 ml.) and
Page 182 and 183:
1 6 7 The results o f multiva riate
Page 184 and 185:
169 The s atur a t ed rnode I of th
Page 188 and 189:
CHAPTER 6 !l!SQJ.SSI ON AND RECOMME
Page 190 and 191:
175 higher ed ucation levels a nd l
Page 192:
177 a bout half of t he women who h
Page 195 and 196:
180 ranked t he i r health as satis
Page 197:
1 8 2 I nformal i nf ormat ion obta
Page 201:
1 8 6 bact eriur ia r ates often r-
Page 205 and 206:
190 lacerations or i ncisions which
Page 207 and 208:
The non-infectiolIs morbid!ties : P
Page 209 and 210:
194 About 60 % of the su b j ec t.s
Page 212 and 213:
197 for preventing postpartum infec
Page 214 and 215:
'" comparable to t h e high 57% rep
Page 216 and 217:
201 p ostpartum pe r Lcd and also f
Page 218 and 219:
203 bcv ev e r , a bou t 3 to 10 t
Page 220:
205 The ve ry small number of patie
Page 225 and 226:
210 i n f orm ation on t he ea rly
Page 227 and 228:
212 depend o n the type of mo r b i
Page 229:
one d id not fUlly escape t he l i
Page 232 and 233:
3 . What i s the ex tent o f pos t
Page 236:
2 21 38 . Kah n AR, Jahan FA ( 1 98
Page 240 and 241:
225 85 . Ph ill i p s I , ' Ba s s
Page 243 and 244:
22. 122. Thacker 58, Banta HD (1982
Page 247 and 248:
232 17 1. Hype r tensive di s o rde
Page 249 and 250:
234 191. Cox ML ( J.963) . Incidenc
Page 251:
'" 223 . Pugb TF , J erat h BK, Sch
Page 254:
APPENDIZ A MAP OF GHANA AND STUDY "
Page 257 and 258:
STUDY FORM A: Pa g e 2. PREGNANCY/l
Page 259:
STUD Y FORM B : Page 2 IF YES, Did
Page 262:
STUDY FORM B: Page 5 Bima nual Pa l
Page 265 and 266:
3) Gaped wound/Delayed wound healin
Page 267 and 268:
APPENDI X F R.ESULTS OF MUTI VARI A
Page 270:
APPENDI X r II THE PREDICTORS OF PO
Page 273 and 274:
APPENDIX L DETERMINANTS or POSTPART
show all

Untitled - Memorial University's Digital Archives Initiative - Memorial ...

Create successful ePaper yourself

Delete template?

Save as template?