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Wel 31'l Flg.3.1 Postpartum health status of all subjects successfully followed up Admitted es Al subjects seen Mild 26'l Moderate 29'1\ Severe 46'l Severity (by time for Intervention) ' 48
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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
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of the disease in zaria has been at
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Africa. and the incidence is still
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i ncreased occu rrenC:2 of psychiat
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African studies respectively h a d
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about the i r mari t a l s tat us,
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CHAP TE R 4 M!ill!Q.!2S 4 .1 : THE
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Bearing in mind t he fact t ha t th
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- Fre e medical consultation for ..
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Examination : SUbjects wer e examin
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•• Lowe r genita l t ract i nte
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" c linica l assessment and lIlanaq
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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 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 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
Page 185: 170 Lower abdominal pain and perine
Page 189 and 190: 174 The s t ud y s a lllp l e . was
Page 191 and 192: 176 East Africa . There , 95% of pr
Page 194 and 195: 179 an estimated early neonatal mor
Page 196 and 197: 181 t hat thes e health complaints
Page 200 and 201: 185 a t hird (33 .9%) of a l l sUbj
Page 204 and 205: ss frequently by sexually tranmitte
Page 206 and 207: 191 ra tes raises serious doubts ab
Page 208 and 209: '93 find ing s a loe even Glo r e w
Page 210: 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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