Pregnancy Outcome among Nulliparous Women at the University of Maiduguri Teaching Hospital, North Eastern Nigeria: A Retrospective Cohort Study

Abstract

Aim: To compare the pregnancy outcomes among nulliparae, with multiparae as the control. Study Design: Retrospective cohort study. Place and Duration of Study: University of Maiduguri Teaching Hospital over a period of one year (1 st January 2007 to 31 st December 2007). Methodology: This retrospective cohort study reviewed the pregnancy outcome of nulliparae over one year, using multiparae as control. The data were analysed using SPSS. The χ 2 -test was used to compare the sociodemographic characteristics and pregnancy outcomes of the nulliparae and the multiparae. Multivariate logistic regression analysis was used to create a model for the factors that were independently associated with nullipara. A P-value of<0.05 was considered significant. Results: Nulliparae contributed 259 (13.7%) of the 1,865 babies delivered during the period of study. The age ranged from 15 years to 42 years with mean age of 27.1 years ±5.3 years. Nulliparous women were more likely to be of younger age less than 20 years

Labor at Term; Comparison of Obstetric Outcome Between Primigravida and Multigravida Presenting in Laboartery

“…9,10 Nulliparity may impart such risks through higher rates of abdominal deliveries and greater probability of obstructed labor. 1 Also, because of the fact that nulliparous women have no obstetrical history, their risk assessment is deficient thereby increasing their likelihood of complications.…”

“…Therefore, there is a huge need to identify women whose pregnancy is at increased risk of complications which is a pivotal part of antenatal screening. 1,2 It is a real obligation to provide them necessary health care services to rescue and save their lives. 3 Factors contributing to pregnancy complications are diverse including young age, lack of cognizance regarding provision of antenatal care, health education deficiency, negligence, monetary limitations, ecological & traditional biases, involvement of male members in maternal health care, deprived nutritional status of young pregnant women like high prevalence of anaemia , conveyance issues, lesser focus on patient counselling before decision of mode of delivery particularly in primiparous are the important explanations behind high frequency of these complications.…”