Objective To assess the effectiveness of hyoscine‐N‐butylbromide on the duration of the first stage of labor among nulliparous women. Methods A randomized double‐blind placebo‐controlled study among 126 nulliparous women admitted in the active phase of labor to a teaching hospital in Sagamu, Nigeria, from January to August 2018. Based on the inclusion criteria, women were recruited and randomized to the study or control group, and given intravenous hyoscine‐N‐butylbromide 20 mg (1 mL) or sterile water (1 mL), respectively, during the active phase. Labor progress and outcomes were compared between the groups. Results The mean ± SD duration of active phase of first stage of labor was significantly shorter in the hyoscine‐N‐butylbromide group (324.9 ± 134.6 min) than in the control group (392.7 ± 119.6 min) (P = 0.004). The rate of cervical dilatation was 1.4 ± 0.8 cm/h in the hyoscine‐N‐butylbromide group and 1.0 ± 0.5 cm/h in the control group (P = 0.004). There were no significant differences in fetal heart rate, maternal vital signs, or Apgar scores between the two groups. Conclusion Hyoscine‐N‐butylbromide was found to be effective in shortening the duration of the first stage of labor without adverse outcomes for mother or neonate. The trial was registered with the Pan African Clinical trials Registry (PACTR), protocol number: PACTR201808146688942 (https://pactr.samrc.ac.za/TrialDisplay.aspx?TrialID=3532).
Introduction: The age-long practice of late booking is gradually changing towards early pregnancy booking because of the benefits. Implementation of new medical guidelines is however often delayed in developing countries. Aim: The study proposes to observe the trend in antenatal booking in respect of booking gestational age, and the relationship with maternal socio-demographic and obstetric characteristics. Methodology: A retrospective study of antenatal bookings between 2016 and 2020 in Olabisi Onabanjo University Teaching Hospital, Sagamu Ogun State, Nigeria was carried out. Data were collected from pregnant women that had a minimum of 4 clinic attendances and delivered in the hospital. Data analysis was by descriptive statistics and presented in simple frequency tables. Results: Six thousand, eight hundred and ninety-nine pregnancies were booked, with early bookings (< 13 weeks) in 23.9% and late bookings in 64.6% (14-26 weeks) and 11.5% (27-36 weeks). The proportion of early bookings (23.9%) was higher compared with 18.8% reported in 2014 in same centre. Every year, the number of early bookings was initially stable at 20.4%, but rose to 26.7 - 30.8 in the last 2 years of study. Maternal age < 30 years, secondary or tertiary educational level and previous caesarean delivery were the predominant variables among women that booked in early pregnancy. Previous or on-going medical disorders and/or delivery complications were not strongly associated with early booking. Conclusions: The practice of late pregnancy booking is still a major issue, though the proportion of early bookings has continued to increase compared with previous study. Improvement in education, economic empowerment and health education that emphasizes preventive rather than curative role of ANC is advised.
Introduction: The age-long practice of late booking is gradually changing towards early pregnancy booking because of the benefits. Implementation of new medical guidelines is however often delayed in developing countries. Aim: The study proposes to observe the trend in antenatal booking in respect of booking gestational age, and the relationship with maternal socio-demographic and obstetric characteristics. Methodology: A retrospective study of antenatal bookings between 2016 and 2020 in Olabisi Onabanjo University Teaching Hospital, Sagamu Ogun State, Nigeria was carried out. Data were collected from pregnant women that had a minimum of 4 clinic attendances and delivered in the hospital. Data analysis was by descriptive statistics and presented in simple frequency tables. Results: Six thousand, eight hundred and ninety-nine pregnancies were booked, with early bookings (< 13 weeks) in 23.9% and late bookings in 64.6% (14-26 weeks) and 11.5% (27-36 weeks). The proportion of early bookings (23.9%) was higher compared with 18.8% reported in 2014 in same centre. Every year, the number of early bookings was initially stable at 20.4%, but rose to 26.7 - 30.8 in the last 2 years of study. Maternal age < 30 years, secondary or tertiary educational level and previous caesarean delivery were the predominant variables among women that booked in early pregnancy. Previous or on-going medical disorders and/or delivery complications were not strongly associated with early booking. Conclusions: The practice of late pregnancy booking is still a major issue, though the proportion of early bookings has continued to increase compared with previous study. Improvement in education, economic empowerment and health education that emphasizes preventive rather than curative role of ANC is advised.
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