Introduction: Risk-based screening has been replaced by universal screening as the recommended course of care for gestational diabetes mellitus (GDM). As of 2016, no state in Nigeria had implemented a policy of universal screening for GDM. This research aimed to assess findings from a universal screening programme and its implication for scaling up universal and early screening for GDM. Methods: This was a descriptive cross-sectional study conducted in Rivers State Nigeria between February 2017 and January 2020. Multistage sampling was used to recruit 9314 pregnant women from 30 primary, secondary, and tertiary health facilities in the state. An interviewer-administered structured questionnaire was used by trained healthcare workers to collect socio-demographic, obstetric and medical information. All study participants had a plasma glucose test on their first hospital visit and a diagnosis made using the World Health Organization (WHO) criteria. Data obtained was analysed using the IBM Statistical Package for Social Sciences (SPSS) version 23. Results: Most women [5683 (61.0%)] were aged 25-34 (mean 29.60 ± 5.64) years. The preva-
Background: Anaemia in pregnancy is an indirect cause of maternal mortality. Myriad of factors predispose pregnant women to anaemia in pregnancy in the developing countries of the world of which poverty, illiteracy and ignorance are central. The prevalence of anaemia in the developing countries of the world is between 32% and 62.2%. Objective: To determine the prevalence of anaemia amongst antenatal clinic attendees in Ogoni, South-South Nigeria and offer preventive measures. Material and Methods: This was a retrospective four months cross-sectional study of antenatal clinic attendees at booking in three (3) primary health care facilities and general hospitals Bori and Tera, in Ogoni, South-South Nigeria. Three hundred and eighty (380) pregnant women’s biodata including their packed cell volume were collected. These pieces of information were computed using a structured proforma. The data were coded and analysed using statistical package for social sciences (SPSS) software version 25. Results: The mean age of the study antenatal clinic attendees was 28 years. The mean gestational age at booking was 25weeks. The range for the packed cell volume was 25% to 36% and the mean packed cell volume at booking was 30%. Three hundred and eighteen (318) (84.0%) had anaemia (with packed cell volume less than 33%). Majority of patients 249 (65.6%) had mild anaemia There was none with severe anaemia. Majority of patients had secondary level of education represented by 275 (72.3%). Conclusion: The prevalence of anaemia amongst antenatal clinic attendees at Ogoni was 84.0%. The role of pre-pregnancy care amongst women desirous of pregnancy, familly planning and the role of education cannot be over emphasized in the prevention of anaemia in pregnancy.
Background: COVID-19, a new respiratory infection was declared a global pandemic in 2020. Pregnant women are at risk because of their physiologic and immunologic changes. Preventive measures are essential as there is no definite cure. This study was therefore carried out to determine the knowledge, attitudes and practices of pregnant women attending antenatal clinic of Rivers State University Teaching hospital, Nigeria towards the COVID-19 pandemic. Materials and Methods: This cross-sectional questionnaire-based study was conducted at the antenatal clinic of the hospital over 6weeks. Scores assessing knowledge, attitudes and practices were allocated and graded based on specific stratified demarcations. Results: Two hundred and six respondents (81.4%) were assessed to have good knowledge. Fifty-one (20.2%) had overall good attitude while 67(26.5%) had good practice of preventive measures. The commonest symptoms of COVID-19 recalled were cough 169(27.8%), shortness of breath 153(25.1%) and fever 145(23.7%). Parity, mother’s and spouse’s level of education and occupation were significantly associated with knowledge levels while age of the mothers was associated with the attitude towards COVID-19 infection. Parity, mother’s and spouse’s level of education and occupation were significantly associated with the practice levels. There was an association of good knowledge and good attitude levels with good practice level (p>0.05). Conclusion: Although pregnant women in Port Harcourt generally had good knowledge, majority of them had poor attitude and practice towards the pandemic. We therefore recommend strengthening public health education campaigns (including via antenatal clinic health talks, television and social media), providing evidence-based policies and debunking of wrong beliefs. Key words: COVID-19; Knowledge; Attitude; Practice; Pregnant women.
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