Open Access Case Study

Ureteric Calculi Complicating Pregnancy

S. R. Ramya, G. Rohini, Sasirekha ., V. Kamaraj, M. Griffin, M. Sivasankar

Asian Journal of Pregnancy and Childbirth, Page 1-4

Urolithiasis is the most common cause of non-obstetrical abdominal pain that requires hospitalization among pregnant patients. We are presenting a case of symptomatic right ureteric calculi. This was diagnosed during second trimester. The patient did not respond to conservative management and had to be treated surgically with good symptomatic improvement.

Open Access Original Research Article

Evaluating the Socio-demographic Predictors of Choice of Place of Birth among Women in the Rural Community of Enugu State, Nigeria

Reuben Okechukwu Ibekwe, Elias Chikee Aniwada, Chinwe Catherine Okpoko

Asian Journal of Pregnancy and Childbirth, Page 1-8

Introduction: The aim of the study was to ascertain the socio-demographic predictors of choice of place of birth among women in the rural community of Enugu State, Nigeria.

Methods: A cross-sectional descriptive study was done. It was a community based study using cluster sampling technique. Women who had delivery at one time or the other within the past five years and gave consent were included in the study. A pre-tested, semi structured, interviewer administered questionnaire was used Chi-square test was used to determine associations of socio-demographics and number of children with a choice of place of birth and binary logistic regression used to determine predictors of choice of place of birth.

Results: A total of 142 women were studied. Most of the deliveries occurred in Maternity home (36.6%) and Traditional Birth Attendants (33.8%). About 45.1% of deliveries were by non-skilled attendants. Major reasons proffered for the choice of the place of birth includes good attention, distance to health facility and cost. Factors that were identified as predictors were; women having at least secondary education (AOR =4.3, 95% CI= 1.9-9.2), husband having at least secondary education (AOR = 2.3, 95% CI= 1.4-12.0), being a civil servant (AOR = 2.5, 95% CI= 1.5-3.9) and husband being a civil servants (AOR = 1.7, 95% CI= 0.8-4.9).                      

Conclusions: A relatively similar proportion of pregnant women were delivered by both skilled and unskilled birth attendants. Good attention, distance to facility and cost were major reason for the choice of place of delivery. Identified predictors of choice of place of delivery were education and occupation of both woman and man. A proper orientation and health education intervention on the benefits of health facility delivery by pregnant mothers as well as economic empowerment is very necessary.

Open Access Original Research Article

Study of the Factors Leading to Unintended Pregnancy in Women in Kumasi, Ghana

Evans K. Agbeno, Emmanuel S. K. Morhe, Emmanuel Kusi Achampong

Asian Journal of Pregnancy and Childbirth, Page 1-7

Background: There are high levels of unintended pregnancy in low income countries. The aim of this research was to determine the immediate factors associated with unintended pregnancies in Kumasi, Ghana.

Methodology: A facility-based cross‐sectional study was carried out on four hundred and forty-two (442) women in selected health facilities (Maternal and Child Health Hospital (MCHH) and Marie Stopes International, Ghana (MSIG)) in the Kumasi business district from January to April, 2014. Data were collected using a pre‐tested structured questionnaire. The data were analysed using SPSS version 20. The following statistical analyses were conducted: frequencies, percentages, mean, standard deviation and bivariate analysis.

Results: The mean age was 25.4 years, 67% earned income but only 1/3 earned above the national minimum wage; 60% were unmarried and 55% had below high school education. The mean gestational age at presentation was 16 weeks (±10.7). A statistical association was observed between the use of contraceptives (p-value = 0.037), marital status (p-value= 0.048) and pregnancy.

Conclusion: There are still high levels of unintended pregnancy mainly caused by the non-use of contraceptives. More education is therefore needed on the benefits of contraceptives and the dangers of unintended pregnancy. Further studies are also required to confirm the high contraceptive failure rate and thus innovative ways of improving contraceptives uptake instituted.

Open Access Original Research Article

Knowledge of Contraceptive Use among Secondary School Adolescents in Uvwie L.G.A of Delta State

Oke Neville, Bliss Mark Moore

Asian Journal of Pregnancy and Childbirth, Page 1-8

Promotion of family planning aims to help female adolescents and youths maintain a strategic distance from undesirable pregnancy. It is imperative to the World Health Organization (WHO) in dealing with the improvement in maternal health and is central to accomplishing the sustainable development goal. This study was carried out to assess the knowledge of contraception among adolescents in Uvwie L.G.A of Delta State, Nigeria. Three hundred secondary school adolescents (12-18) were selected using the multi-stage sampling technique. A semi-structured questionnaire was administered to 300 students and Chi-square was used to determine the association between identified factors and contraceptive use in the study population at a 95% confidence interval and p-value of 0.05 was considered statistically significant.The study showed that more than 50% (208) of the research participants have an existing knowledge of contraceptives, 133(63.9%) of them got the information from their friends/peers. One hundred and thirty six (45.33%) of the respondents were reported to be sexually active. However, most of them said contraceptives were used for preventing Pregnancy and STI's. The study showed that their knowledge about contraception was relatively poor. Teaching on Health care, Health Education and Reproductive health should be improved.

Open Access Review Article

Intrauterine Growth and Adult Diseases from Theory to Practices

Mariam Omar, Faiza Nouh, Manal Younis, Nesma Nabil, Naima Mohamed, Haba Mohamed

Asian Journal of Pregnancy and Childbirth, Page 1-13

Early childhood have a critical importance for brain development and for setting in place the structures that will shape future cognitive, social, emotional, and health outcomes. This review tries to shade the light on the origin of adult disease during fetal life. Searching on the internet using the Google search engine was the main source of data as well as books was the method to explore this interaction. Changing the body composition and diets of young women, more instantaneous profit may be obtained from preventing imbalances between parental and postnatal growth among children.