Utilization of insecticide treated nets among pregnant women in Enugu, South Eastern Nigeria

Ugwu, EO; Ezechukwu, PC; Obi, SN; Ugwu, Angela Ogechukwu; Okeke, TC

doi:10.4103/1119-3077.113449

Cited by 36 publications

(53 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The provision of non-consented care services was the most common form of disrespect and abuse reported, with a prevalence of 54.5%. The sociodemographic characteristics of the study population, including tribe, educational status, and religion, are similar to those reported in previous studies from the same area [15,16].…”

Section: Discussionsupporting

confidence: 80%

Disrespect and abuse during facility‐based childbirth in a low‐income country

Okafor

Ugwu

Samuel

2014

Intl J Gynecology & Obste

219

248

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 80%

Disrespect and abuse during facility‐based childbirth in a low‐income country

Okafor

Ugwu

Samuel

2014

Intl J Gynecology & Obste

219

248

View full text Add to dashboard Cite

show abstract

“…Although there have been several studies that examined the use of ITNs by pregnant women in Nigeria,10–13 few studies have evaluated the uptake or adherence to IPTp among pregnant women. Whereas bed nets are the best way to prevent mosquito bites at night, the fact that mosquitoes also bite during dusk/evening outdoor activities makes IPTp a very important component of the strategies to prevent malaria during pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Adherence to intermittent preventive treatment for malaria with sulphadoxine-pyrimethamine and outcome of pregnancy among parturients in South East Nigeria

Onyebuchi¹,

Lawani²,

Iyoke³

et al. 2014

PPA

View full text Add to dashboard Cite

BackgroundIntermittent preventive treatment of malaria for pregnant women (IPTp) is a very important strategy for the control of malaria in pregnancy in malaria-endemic tropical countries, where mosquito bites easily occur during evening outdoor activities. Issues related to provision, cost, and acceptability may affect the use of IPTp in some developing countries. The aim of the study was to assess the uptake and adherence to sulphadoxine-pyrimethamine-based intermittent preventive treatment of malaria during pregnancy and the relationship of IPTp use to pregnancy outcomes in two major obstetric centers in South East Nigeria.MethodsThis was a prospective descriptive study involving women who received antenatal and delivery services. All recruited women were followed-up from booking until delivery, and statistical analysis was done with Epi Info version 7.ResultsA total of 516 parturients were studied. The mean gestational age at booking was 21.8±6.9 weeks while the mean number of antenatal visits throughout the pregnancy was 5.5±3.1. The rate of uptake of at least one dose of prescribed IPTp was 72.1% (367/516). Of the 367 who took prescribed IPTp, adherence to second doses of IPTp was 59.7% (219/367), and only 4.9% (18/367) took a third dose. Clinical malaria occurred in 85% (127/149) of women who did not receive IPTp at all compared to 20.5% of those who received at least one dose of IPTp. All those who had clinical malaria despite IPTp had only one dose of IPTp despite booking in the second trimester. Malaria in pregnancy occurred significantly more in women who failed to adhere to subsequent doses of IPTp than in those who adhered (24.6% versus 14.3%, respectively; risk ratio =2.5; 95% confidence interval 2.1, 3.0; P<0.001). Similarly, neonatal malaria occurred significantly more in neonates whose mothers did not receive IPTp compared to those whose mothers received at least one dose of IPTp (7.4% versus 3.4%; risk ratio =1.4; 95% confidence interval 0.9, 2.1; P=0.003).ConclusionMore than one half of parturients failed to adhere to prescribed intermittent preventive treatment for malaria in pregnancy in the major obstetric centers in Abakaliki, South East Nigeria. The very high prevalence of malaria among women who failed to adhere to IPTp and the associated adverse neonatal outcomes demands more pragmatic ways of improving access to, and acceptability of, malaria preventive measures in this area.

show abstract

“…This may be explained by the expected impact of education on uptake of maternal and neonatal health services, as observed by previous authors 10. It is expected that the well-educated are more likely to appreciate the limits of any technologic advancements, ultrasound inclusive, unlike the poorly educated who may see ultrasound as an inviolable machine and thus view its results sacrosanct.…”

Section: Discussionmentioning

confidence: 67%

“…Both centers provide antenatal and postnatal care services to pregnant women in Enugu State. Further details of the study area/centers are described in a recent study published elsewhere 10. The protocols of both these tertiary health centers recommend routine induction of labor at a gestational age of 40 weeks plus 10 days for eligible postdate pregnancies to minimize the risks of prolonged pregnancy, which include placental insufficiency, fetal oligohydramnios, intrauterine fetal death, macrosomia, increased cesarean and instrumental deliveries, and birth injuries, as well as birth asphyxia, neonatal jaundice, and perinatal death.…”

Section: Methodsmentioning

confidence: 99%

Women’s perception of accuracy of ultrasound dating in late pregnancy: a challenge to prevention of prolonged pregnancy in a resource-poor Nigerian setting

Ugwu¹,

Odoh²,

Dim³

et al. 2014

IJWH

View full text Add to dashboard Cite

BackgroundExpected date of delivery (EDD) is estimated from the last menstrual period (LMP) or ultrasound scan. Conflicts between these estimates especially on the part of the physician and his/her patient could pose a challenge to prevention of prolonged pregnancy. The objective of this study was to determine the perception and acceptability of menstrual dating (EDD derived from LMP) with regard to timing of labor induction for postdatism by pregnant women who have a late pregnancy (≥23 weeks’ gestation) ultrasound scan.MethodsThis cross-sectional study included 443 consecutive pregnant women receiving antenatal care at two tertiary health institutions in Enugu, Nigeria, from January 1, 2013 to March 31, 2013.ResultsThe mean age of the women was 27.9±2.41 (range 17–45) years. Most ultrasound scans (90.8%, 357/389) were carried out in late pregnancy, and 41.9% (167/389) were self-referred. The majority of the respondents (51.7%, 229/443) did not accept induction of labor for postdatism at a certain menstrual dating-derived gestational age of 40 weeks plus 10 days if the late pregnancy ultrasound scan dating was less. Predictors of this poor attitude to timing of induction of labor for postdatism included low educational level, low social class, and poor knowledge of the limitations of ultrasound scan dating in late pregnancy (P<0.05).ConclusionThe worrisome confidence in ultrasound scan dating is a challenge to the prevention of prolonged pregnancy and its complications in our environment. Antenatal health education should discourage self-referral for ultrasound scan dating and emphasize its limitations in late pregnancy as well as the perinatal effects of prolonged pregnancy.

show abstract

Utilization of insecticide treated nets among pregnant women in Enugu, South Eastern Nigeria

Abstract: The use of ITNs is poor among pregnant women in Enugu, but associated with favorable maternal and feto-neonatal outcome. Future measures to increase its use should consider improvement in educational level and social class of our women.

Cited by 36 publications

References 13 publications

Disrespect and abuse during facility‐based childbirth in a low‐income country

Disrespect and abuse during facility‐based childbirth in a low‐income country

Adherence to intermittent preventive treatment for malaria with sulphadoxine-pyrimethamine and outcome of pregnancy among parturients in South East Nigeria

Women’s perception of accuracy of ultrasound dating in late pregnancy: a challenge to prevention of prolonged pregnancy in a resource-poor Nigerian setting

Contact Info

Product

Resources

About

Utilization of insecticide treated nets among pregnant women in Enugu, South Eastern Nigeria

Abstract: The use of ITNs is poor among pregnant women in Enugu, but associated with favorable maternal and feto-neonatal outcome. Future measures to increase its use should consider improvement in educational level and social class of our women.

Cited by 36 publications

References 13 publications

Disrespect and abuse during facility‐based childbirth in a low‐income country

Disrespect and abuse during facility‐based childbirth in a low‐income country

Adherence to intermittent preventive treatment for malaria with sulphadoxine-pyrimethamine and outcome of pregnancy among parturients in South East Nigeria

Women&rsquo;s perception of accuracy of ultrasound dating in late pregnancy: a challenge to prevention of prolonged pregnancy in a resource-poor Nigerian setting

Contact Info

Product

Resources

About

Women’s perception of accuracy of ultrasound dating in late pregnancy: a challenge to prevention of prolonged pregnancy in a resource-poor Nigerian setting