Pregnancy Outcome among Nulliparous Women at the University of Maiduguri Teaching Hospital, North Eastern Nigeria: A Retrospective Cohort Study.
Date
2014-07-21
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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 (1st January 2007 to 31st 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 (P<0.001), educated (P=0.01) and booked early (P=0.001) when compared with
multiparae. Also nulliparous women were more likely to have pregnancy induced
hypertension (P=0.001) and episiotomy at delivery (P<0.001) but less likely to have
anaemia (P=0.002) when compared with multiparae. Multivariate logistic regression
showed that Nulliparae were more likely to be of younger age group (OR 7.22, P<0.001)
and have malaria (OR 2.22, P=0.02), malpresentation (OR 5.68, P=0.02), abruptio
placentae (OR 6.41, P=0.02), preterm delivery (OR 7.04, P=0.01), episiotomy (OR 7.74,
P<0.001) and pregnancy induced hypertension (OR 3.53, P=0.01) but less likely to have
anaemia at booking and fetal macrosomia.
Conclusion: Nulliparous women are at increased risk of certain adverse pregnancy
outcome including malaria, preterm delivery and pregnancy induced hypertension. These
adverse factors should be looked out for and excluded in order to improve maternal and
fetal health in these women.
Description
Keywords
Nullipara, multipara, pregnancy outcome, North-East Nigeria
Citation
Geidam A D, lbrahim S M, Oummate Z, Audu B M. Pregnancy Outcome among Nulliparous Women at the University of Maiduguri Teaching Hospital, North Eastern Nigeria: A Retrospective Cohort Study. British Journal of Medicine and Medical Research. 2014 July; 4(21): 3893-3901.