Comparing standard primigravidae and low parity women in Tanzania.

The concept of standard primigravidae is relatively new and has only been used in the past twenty years. It is a tool to assess performance of different obstetric units taking into account the similarities. This study was conducted to determine the proportion of standard primigravid women and compar...

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Publicado en:African Journal of Midwifery & Women's Health Vol. 3; no. 1; pp. 17 - 23
Autores principales: Kidanto HL, Fadhlun MA, Projestin M
Formato: research tables/charts Journal Article
Publicado: Mark Allen Holdings Limited Jan-Mar2009
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: African Journal of Midwifery & Women's Health
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      dt: Jan-Mar2009
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      pub: Mark Allen Holdings Limited
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        2010238563
        10.12968/ajmw.2009.3.1.39411
        105491341
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        atl: Comparing standard primigravidae and low parity women in Tanzania.
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          Kidanto HL
          Fadhlun MA
          Projestin M
        affil: Obstetrician and Gynaecologist, Department of Obstetrics and Gynecology, Muhimbill Nationanl Hospital, Tanzania
      sug:
        subj:
          Multiparas
          Pregnancy Complications
          Pregnancy Outcomes
          Primiparas
          Primiparas Standards
          Academic Medical Centers
          Adult
          Cesarean Section
          Chi Square Test
          Coding
          Comparative Studies
          Cross Sectional Studies
          Data Analysis Software
          Descriptive Statistics
          Female
          Gestational Age
          Incidence
          Infant, Newborn
          Interviews
          Pregnancy
          Structured Questionnaires
          Tanzania
          Vaginal Birth
          Human
          Adult: 19-44 years
          Infant, Newborn: birth-1 month
          Female
      ab: The concept of standard primigravidae is relatively new and has only been used in the past twenty years. It is a tool to assess performance of different obstetric units taking into account the similarities. This study was conducted to determine the proportion of standard primigravid women and compare their pregnancy outcome with women of low parity delivering at Muhimbili National Hospital, Dar es salaam, Tanzania. This is a cross-sectional study carried out from July to December 2007. A total of 775 women were analysed; 296 were standard primigravidae and 479 were women of low parity. The standard primigravid group had a higher emergency caesarean section rate compared to women of low parity. Augmentation of labour and episiotomies were more often given to standard primigravid compared to the low parity group. There were higher rates of prolonged labour and fetal distress than the low parity women. There were lower Apgar scores (LAS) in the primigravid group than in the low parity group. Neonatal unit admissions were more compared to low parity women and the proportion of birth asphyxiated neonates was higher in the standard primigravidae. This study found that standard primigravidae have a slightly higher risk of poor pregnancy outcome compared to low parity women. There is a need for a more aggressive intrapartum monitoring system in this group.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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