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The role of antenatal care in pregnancy outcome: a comparative study in South Western Nigeria

机译:产前护理在妊娠结局的作用:尼日利亚西南部的比较研究

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Background: Pregnant women need a continuum of care to ensure the best possible health outcome forthem and their newborns. Antenatal care (ANC) remains one of the interventions that have the potential tosignificantly improve maternal and newborn survival. However the use of ANC in developing countriesincluding Nigeria still continues to be low.Methods:A review of the records of the 144 mothers who had delivered their babies at a private health facility insouth western Nigeria from January 2009 to December 2009 was conducted. Skilled birth attendant were presentduring all the deliveries.ResultIn all, 35% of mothers had received no ANC, compared to ANC users, non-users were younger in age(27.5± 5.6 vs. 29.4 ± 4.9; p<0.05) and had a higher proportion with lower educational status (P> 0.05).Unbooked mothers were less likely to have received malaria prophylaxis, tetanus toxoid or haematinics duringpregnancy (p<0.001). Over all 24% of unbooked mothers had stillborn babies against 4.3% of those who hadANC (P<0.001). Un-booked mothers also had more caesarean sections (P<0.05).Conclusion:Presence of a skilled attendant at delivery may not be sufficient to improve pregnancy outcomes. Thereis some indication of better pregnancy outcomes among women who have maintained a continuum of care.Efforts to encourage the use of ANC facilities are pertinent to promote maternal and new born health andsurvival.
机译:背景:孕妇需要连续的护理,以确保尽可能享受最佳的健康结果,而他们的新生儿。产前护理(ANC)仍然是具有潜在令人痛苦的改善孕产妇和新生儿生存的干预措施之一。然而,ANC在发展中国家的尼日利亚的使用仍然仍然是低低。方法:从2009年1月到2009年1月从2009年1月到2009年12月,在私人医疗机构向私人卫生设施送给婴儿的144名母亲的记录进行了审查。熟练的出生伴侣正在举行所有的交付。所有,35%的母亲都没有收到ANC,与ANC用户相比,年龄年轻(27.5±5.6与29.4±4.9; P <0.05)并有一个较低教育状态的比例较高(P> 0.05).Kunbooked母亲的可能性不太可能接受疟疾预防,破伤风毒素或血液酸性期间(P <0.001)。超过所有24%的未预订的母亲有头发的婴儿,占4.3%的人(P <0.001)。未预订的母亲也有更多的剖腹产(P <0.05)。结论:在交付时的存在可能不足以改善妊娠结果。其中有一些迹象表明,在维护连续性的女性中,妇女的更好的怀孕结果。鼓励使用ANC设施的使用是促进孕产妇和新生健康的侵害。

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