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Cross-sectional study on the obstetric performance of primigravidae in a teaching hospital in Lagos, Nigeria

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ABSTRACT

Background:: A woman carrying her first pregnancy is starting a new life, and this is a crucial time in her obstetric career. This study was aimed to compare the obstetric performance of primigravidae to that of the multigravidae with a view to suggesting ways of preventing the associated complications.

Patients and methods:: The study was a cross-sectional case-control study carried out among women who delivered in the study center over a year period. Relevant data of primigravid parturients who delivered in the hospital were retrieved from the labor ward register, and an equal number of multigravidae who delivered during the same study were selected by simple random sampling as the control group.

Results:: Primigravidae constituted 15.3% of the total number of parturients seen during the study period. The age range of the primigravidae was 20–48 years and with a mean age of 28.24 ± 4.28 years. The obstetric complications seen in statistically significant proportion among the primigravidae case group include hypertensive disorder (P = 0.048), prolonged pregnancy (P = 0.039), prolonged labor (P = 0.006), oxytocin augmentation (P = 0.022), cephalopelvic disproportion (P = 0.001), obstructed labor (P = 0.008), instrumental delivery (P = 0.035), cesarean delivery rates (P = 0.011), and increased neonatal unit admission rate (P = 0.002).

Conclusion:: Primigravidity is a high-risk pregnancy with several associated obstetric complications. Primigravidae should, therefore, be managed by specialists in well-equipped hospitals that will provide comprehensive antenatal and intrapartum care which will eventually result in a satisfactory obstetric outcome.

No MeSH data available.


Distribution of parturients seen during the study period
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Figure 1: Distribution of parturients seen during the study period

Mentions: There was a total of 253 primigravidae among the 1659 parturients that delivered during the study constituting 15.3% of the total number of parturients [Figure 1]. However, only 242 case notes were successfully retrieved with the age range of the primigravidae being 20–48 years. As shown in Table 1, the mean age of the primigravidae was 28.24 ± 4.28 years whereas that of the multigravidae was 32.79 ± 4.07 years (P = 0.025). There were fewer booked parturients among the primigravidae compared to the control multigravidae, although this was not statistically significant (76.9% vs. 83.5%; P = 0.097).


Cross-sectional study on the obstetric performance of primigravidae in a teaching hospital in Lagos, Nigeria
Distribution of parturients seen during the study period
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5036303&req=5

Figure 1: Distribution of parturients seen during the study period
Mentions: There was a total of 253 primigravidae among the 1659 parturients that delivered during the study constituting 15.3% of the total number of parturients [Figure 1]. However, only 242 case notes were successfully retrieved with the age range of the primigravidae being 20–48 years. As shown in Table 1, the mean age of the primigravidae was 28.24 ± 4.28 years whereas that of the multigravidae was 32.79 ± 4.07 years (P = 0.025). There were fewer booked parturients among the primigravidae compared to the control multigravidae, although this was not statistically significant (76.9% vs. 83.5%; P = 0.097).

View Article: PubMed Central - PubMed

ABSTRACT

Background:: A woman carrying her first pregnancy is starting a new life, and this is a crucial time in her obstetric career. This study was aimed to compare the obstetric performance of primigravidae to that of the multigravidae with a view to suggesting ways of preventing the associated complications.

Patients and methods:: The study was a cross-sectional case-control study carried out among women who delivered in the study center over a year period. Relevant data of primigravid parturients who delivered in the hospital were retrieved from the labor ward register, and an equal number of multigravidae who delivered during the same study were selected by simple random sampling as the control group.

Results:: Primigravidae constituted 15.3% of the total number of parturients seen during the study period. The age range of the primigravidae was 20–48 years and with a mean age of 28.24 ± 4.28 years. The obstetric complications seen in statistically significant proportion among the primigravidae case group include hypertensive disorder (P = 0.048), prolonged pregnancy (P = 0.039), prolonged labor (P = 0.006), oxytocin augmentation (P = 0.022), cephalopelvic disproportion (P = 0.001), obstructed labor (P = 0.008), instrumental delivery (P = 0.035), cesarean delivery rates (P = 0.011), and increased neonatal unit admission rate (P = 0.002).

Conclusion:: Primigravidity is a high-risk pregnancy with several associated obstetric complications. Primigravidae should, therefore, be managed by specialists in well-equipped hospitals that will provide comprehensive antenatal and intrapartum care which will eventually result in a satisfactory obstetric outcome.

No MeSH data available.