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1 2 0 S ixty i ndividuals were never found because o f poor o r incor rect ad d resses g i ve n . ...no ther t e n s Ub j e ct s were n ot traced becaus e they were the only s Ubj ects liv i ng in villages JIlor e tha n 25 miles outside Kumas i , a nd lO
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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
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a de qua t e trr ea tinerrc fo r th
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3 6 Three of the 31 bacteriuric cas
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sinc e direct bladd er s ampling h
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developing world countries have i n
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Unlike t he developed world, breast
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i n t h e puerper ium will occur i
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ED; siotomy wou nd inf ection: I n
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4' The incidence o f deep vein thro
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percent in Bali, Indonesia [37]. Th
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Pos t p a r t um Anaemia: Anaemia i
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study situat ions and ma y be up t
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wome n with caesarean deliveries (-
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deficien t , 50% f o l a t e defici
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days {178, 179] . In a study of pre
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22,774 births s t udied were 6 .1%,
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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 and 132: n . OTHER IMMEDI ATE COMPL.ICATIONS
Page 133: 5 .2 : FOLLOW-UP AND MORBIDI'I'Y FI
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
Page 154: 139 In all, 58 women had a septic p
Page 157: 142 Pos tpartum haemoglobin l ev el
Page 160 and 161: '45 Of t h e s e 239 sUbjects, 128
Page 163: Wel 31'l Flg.3.1 Postpartum health
Page 166 and 167: 151 than 11.0 g/dl. An additional e
Page 168 and 169: l5J PERIPARTUM CARDIAC FAILURE: In
Page 171 and 172: 15 . a mong t h os e with UGTI , wh
Page 173 and 174: 158 A Bonf e rroni correction t e s
Page 175 and 176: 160 was 1.64 eel 1.21 to 2 .21) . N
Page 177 and 178: 162 1.5 g / d l) a nd 11.9 g/dl (
Page 179 and 180: 1 6 4 pos t pa r tum a na emi a fro
Page 181 and 182: 166 ( e l 1. 4 0 to S.14) with a si
Page 183 and 184: '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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