Obstetrics and Gynaecology- Conference Papers
Permanent URI for this collection
Browse
Browsing Obstetrics and Gynaecology- Conference Papers by Author "Aigere, EOS"
Now showing 1 - 2 of 2
Results Per Page
Sort Options
- ItemOpen AccessClinico-epidemiological correlates of Hepatitis B infection in suburban population of pregnant women in Niger Delta region of Nigeria(2013) Aigere, EOS; Okusanya, BO; Isabu, PA; Eifediyi, RA; Eruzegbua, SBackground: Most paediatric Hepatitis B vrus Infectionsoccur by vertical transmission from mothers who, often times, are asymptomatic. Objectives: To determine the prevalence and clinicoepidemiological correlates of hepatitis B surface antigen (HBsAg) positivity in pregnancy. Methods: This was a prospective cross-sectional study in pregnant women attending the booking antenatal clinic of Irrua Specialist Teaching Hospital. The clinical and epidemiological correlates for hepatitis B in pregnancy were also identified Results: Two hundred and five (205) consenting pregnant women were recruited, out of whom 14 (6.8%) had a positive HBsAg result. The significant risk factors for HBsAg seropositivity were previous multiple sexual partners (P=0.01) and tattoo/scarification marks (P=0.00). Conclusion: The high prevalence of Hepatitis B infection of the study suggests that a multimodal approach is pivotal to curb the prevalence of hepatitis B infection in Irrua. This will include immunization of young people, whether sexually active or not, advocacy to practitioners of traditional tattoos to use sterilized instruments and immunoprophylaxis of HBV exposed infant
- ItemOpen AccessEnhanced urinalysis in the detection of asymptomatic bacteriuria in pregnancy(2013) Aigere, EOS; Okusanya, BO; Eigbefoh, JO; Okome, GBOBackground: Detection and treatment of asymptomatic bacteriuria (ASB) in pregnancy is important to avert the attendant maternal and fetal morbidity. Other than urine culture, no other screening test is unequivocal. Objective: The use of enhanced urinalysis test to detect ASB in pregnancy was investigated. Methods: This was a prospective observational study which compared enhanced urinalysis with dipstick tests and urine culture. Clean catch midstream urine specimen was collected from 150 consecutive asymptomatic pregnant women. Tests of validity were used for comparison. Results: Enhanced urinalysis detected bacteriuria as much as urine culture (4% vs. 4.7%). It was 57.1% sensitive and 98.6% specific. It had a false negative rate of 42.9% and was 96.7% accurate when compared to urine culture. Enhanced urinalysis took 1-2 hours to be done and required skills to use the microscope and was more expensive than dipstick urinalysis. Conclusion: The accuracy of enhanced urinalysis and its ability to detect ASB as much as urine culture connotes that it can be used to detect asymptomatic bacteriuria in pregnancy albeit only in secondary and tertiary health centres because of the cost and technicality involved.