Open Access Short Communication

COVID-19 and the Impacts on Maternal Mortality in the State of Pará-Brazil: Brazilian Amazon

Julia Rachel Alves Rodrigues Monteiro, Brena Suelen Gama Macias, Alyne Talita Martires Cabral, Rita do Socorro Rodrigues e Silva, Daniele Melo Sardinha

Asian Journal of Pregnancy and Childbirth, Page 34-38

The maternal mortality rate is an indicator that analyses the quality of care provided to women from prenatal care to delivery and puerperium. The aim is to make a brief communication based on the Epidemiological Bulletin of Maternal Mortality of Pará dated 08/06/2020, describing the rate of maternal mortality in general and by COVID19, to show the impact of the pandemic in pregnant women and puerperal in the state of Pará. It was concluded in this study that the causes of maternal deaths by other obstetric diseases (indirect causes) represented (44), being (20) by COVID-19 in Pará, presenting a worrying number in this category. These occurred mostly in the puerperium in the 30 to 39 age group. However, it was evident that the situation in Brazil was serious, and represents the majority of cases in the world, showing the impacts of the pandemic on pregnant women and puerperal was intense.

Open Access Original Research Article

Prevalence of Falciparum Malaria in Relation to Age, Gravidity, Trimester, Blood Group and Genotype among Pregnant Women

J. C. Ozougwu, C. A. Imakwu, J. E. Ekeleme, O. P. Okeke, G. U. Amana, S. C. Eziuzor, J. C. Ogbodo

Asian Journal of Pregnancy and Childbirth, Page 1-7

Aim: This study was undertaken to ascertain the prevalence of falciparum malaria in relation to age, gravidity, trimester, blood group and genotype among pregnant women attending antenatal in Model Primary Health Centre, Omoku, Rivers State.

Methodology: The study was carried out from January to December, 2019, venous blood samples were collected from six hundred and ten pregnant women selected by simple random sampling, thick and thin blood films were made, stained with giemsa stain and viewed under the light microscope. ABO Blood group and haemoglobin genotype were determined using standard methods. Statistical result was performed using statistical package for social sciences version 20.

Results: The overall prevalence of malaria in relation to age showed that out of the 610 pregnant women tested, 320 were positive for malaria giving an overall prevalence of 52.5℅. The age group between 46 – 50 yrs had the highest prevalence of malaria 100%, while the age group 36-40 yrs recorded the least prevalence of malaria 11.1℅. The prevalence of malaria in relation to gravidity showed that the multigravida had higher prevalence (96.3%) than primigravida which had 45.5℅. The overall prevalence of malaria in relation to gravidity is 54.9%.  With regards to trimester, it showed that pregnant women in their second and third trimester both had the highest prevalence of malaria 57.0℅, while those in the first trimester had the lowest prevalence of 50℅. For blood group it showed that the blood group with the highest prevalence was AB (76.1%), while blood group A had the least prevalence (24.7℅). The overall prevalence of malaria in relation to blood group is 55.6%. In relation to genotype, it showed that genotype AA had the highest prevalence of 85.2℅, while the least prevalence was seen among AS genotype (35.4℅). Prevalence values were statistically significant at P < 0.05. 

Conclusion: This study showed that malaria in pregnancy is still endemic in Omoko, Rivers State, Nigeria. The high prevalence observed in most groups could be because rainy season lasts longer yearly which favours the breeding of Anopheles Mosquito, the malaria vector. There is need for adequate enlightenment on the malaria preventive and control measures to reduce the prevalence of malaria in pregnancy.

Open Access Original Research Article

Outcome of Management of Pregnant Women with Decreased Fetal Movements in a Resource Constrained Setting in Southwest Nigeria

Olusola Peter Aduloju, Babatunde Ajayi Olofinbiyi, Olabisi Deji- Dada, Tolulope Aduloju

Asian Journal of Pregnancy and Childbirth, Page 8-16

Aims: To evaluate pregnant women with decreased fetal movements (DFM) identifying the risk factors and perinatal outcomes of such pregnancies.

Study Design: A case-control study.

Place and Duration of Study: Department of Obstetrics and Gynecology, Ekiti State University Teaching Hospital, Ado-Ekiti, between April 1 2017 and March 31 2018.

Methodology: Women with singleton pregnancy presenting to the Department with complaint of DFM (cases) after 28 weeks of gestation were recruited and compared with women with no complaint of DFM that delivered in the facility during the study period. Sociodemographic data, obstetric characteristics. Antenatal risk factors, mode of delivery and perinatal outcomes were obtained using a semi-structured questionnaire. Data collected were analyzed with SPSS and variables were compared using student t test and chi square or Fisher exact test while p value was <0.05.

Results: Out of 1439 women in the third trimester during the study period, 117 women had complaint of DFM with a prevalence of 12.3%. There was no statistical difference in the socio-demographic characteristics between the two groups; P>0.05. The mean gestational age at presentation and delivery were significantly lower among women with DFM (31.95 ± 1.81 weeks versus 37.46 ± 2.98 weeks; P=0.001 and 35.05 ± 1.47 weeks versus 37.46 ± 2.98 weeks; P=0.001 respectively). More women with DFM significantly had preeclampsia and intrauterine growth restrictions (P=0.002), oligohydramnios (p=0.016), caesarean delivery (P=0.005) and SCBU admission (P=0.009). The mean birth weight and Apgar scores at 1 minute were significantly lower in women with DFM (2.64 ± 0.54 kg versus 3.25 ± 0.57 kg; P=0.001 and 7.13 ± 0.68 versus 7.42 ± 0.82; P=0.003 respectively).

Conclusion: This study showed that women with DFM are a higher risk of operative delivery and poor perinatal outcome such birth weight and Apgar score. Maternal perception of fetal movements should form part of risk assessment during routine visits.

Open Access Original Research Article

Prevalent Factors Influencing Women’s Intention to Limit Childbearing: Empirical Evidence Based on Bangladesh Demography and Health Surveys

Mithun Kumar Acharjee, Md. Nuruzzaman Forhad, Kumer Pial Das

Asian Journal of Pregnancy and Childbirth, Page 17-33

Aims: Bangladesh, as one of the most densely populated countries in the world, is facing an overpopulation crisis. Understanding the factors that influence a women's intention to limit her ability and desire to bear children is important for family planning program purposes and population policies. This paper has focuses on identifying the prevalent factors that influences a woman’s intention to limit pregnancy, by measuring the impact of those factors on her intentions. The paper also provides a few recommendations toward addressing issues regarding childbearing.

Methodology: This study is a retrospective analysis of data from the 2004, 2007, 2011 and 2014 Bangladesh Demography and Health Survey (BDHS). Cases in the study are childbearing-aged married women. The dependent variable is the women’s intention to limit her childbearing, in the forms of desiring more children or not. To measure the impact, a logistic regression model is considered.

Results: Results show that the women studied tended to limit their desire to bear a child is highly associated with older age, the number of children alive, living area concerns, whether a child has already died in the family, family planning and religion. Moreover, a surprising relationship was found among the people of differing economic and education statuses in relation to their tendency to limit a desire for children.

Conclusions: This study identifies different factors, such as access to media, age at first marriage, respondents working status, region, previous child death, religion and the total number of children as the most concurrent features for influencing a woman’s intention to limit pregnancy in Bangladesh. The study intends to initiate a discussion of the impact of these covariates on intentions which limit childbearing desires, which should be helpful to concerned authorities, policymakers and researchers in formulating policies.

Open Access Original Research Article

Exploring Women’s Experiences, Maternal Practices and Problems in the Utilization of Maternal Health Services in Kwara State, Nigeria: A Qualitative Study

Salami Abdulganiyu, Adofu Ilemona

Asian Journal of Pregnancy and Childbirth, Page 39-46

Aim: To examine the women’s experiences, maternal practices and problems faced in the utilization of maternal health services in Kwara State, Nigeria.

Methodology: An inductive and thematic analytical approach was adopted in analyzing the qualitative responses obtained from the respondents.

Results: The study found that women indulge in medical pluralism and that the optimal utilization of maternal health services was hindered by unfriendly attitudes of some healthcare providers and inadequacy of drugs in many of the clinics.

Conclusions:    The study concluded that the utilization of maternal health services is influenced by the attitudes of healthcare providers and the availability of affordable drugs and that medical pluralism is a common healthcare practice of some of the respondents.