Pre-Eclampsia among Pregnant Women

Incidence of Pre-Eclampsia among Pregnant Women Attending Antenatal Clinic in Mile Four Hospital Abakaliki between 2010 – 2013

ABSTRACT

The study assessed the incidence of pre-eclampsia among pregnant women attending antenatal clinic in Mile Four Hospital Abakaliki between 2010 – 2013. Five objectives guided the study which includes: to determine the number of pregnant women who presented with preeclampsia in Mile 4 Hospital, Abakaliki between 2011 to 2013; to determine the gestational age at presentation; to ascertain parity as a risk factor for preeclampsia among these women; to determine maternal age as a risk factor for preeclampsia among these women and; to ascertain whether stress is a risk factor for preeclampsia among pregnant women that booked in Mile 4 Hospital, Abakaliki between 2011 to 2013. Related literatures were reviewed and summarized. Retrospective research design was adopted for the study. The sample size of 280 pregnant women that had preeclampsia from 2011 – 2013 were selected from the entire population of one thousand two hundred (10,440) folders of pregnant women that deliver in Mile 4 Hospital, Abakaliki from 2011 – 2013. Purposive sampling technique was used. Checklist is the only instrument used for data collection. Data collected were analyzed with the use of frequency distributions tables. The result of the study revealed that: 3% of the pregnant women, who attended antenatal clinic at Mile 4 Hospital, Abakaliki between 2011 – 2013 had preeclampsia; majority of the pregnant women (36%) suffered it in their second trimester; a good number of these women that suffered preeclampsia during the study period are para 0(35%); majority of the women below 18 years (36%) and 36 years and above (25%) were mostly affected with preeclampsia and; majority of them that engage in work stress like farming and trading were mostly affected with preeclampsia (42%) and (26%) respectively), and those in civil service and house wife were least affected (18%) and (14%) respectively). Based on the findings, it was recommended that nurses are expected to intensify health education to the pregnant women on risk factors for preeclampsia (e.g. stress, extreme maternal age, familial tendency etc), the need for early booking in antenatal clinic so as to enable early detection of at risk women and prompt treatment given to them; nurses should also ensure that the blood pressure of all pregnant women is measured and maintained below 140/90mmHg in every antenatal visit, and that the amount of protein in urine within the normal range and monitoring of fluid balance using Intake and Output (IO) chart to reduce risk of preeclampsia etc. Read More »

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Postpartum Haemorrhage among Women

Incidence of Postpartum Haemorrhage among Women that Delivered at Mile 4 Hospital, Abakaliki, Ebonyi State Between 2008- 2012

Abstract

The study assessed the incidence of postpartum haemorrhage among women that delivered at Mile 4 Hospital, Abakaliki, Ebonyi State between 2008- 2012. Five research questions guided the study. The objectives are  to: determine the number of women who had postpartum haemorrhage Mile 4 Hospital, Abakaliki between 2008 to 2012; identify the age groups of women that are prone to postpartum haemorrhage in Mile 4 Hospital, Abakaliki between 2008 – 2012; identify the parity that postpartum haemorrhage affects mostly in Mile 4 Hospital, Abakaliki between 2008 – 2012; find out the relationship between severity of postpartum haemorrhage and the type of delivery; find out the mortality rate among mothers who have PPH in Mile 4 Hospital between 2008 – 2012 etc. Related literatures were reviewed and summarized. Retrospective research design was adopted for the study. The study population comprised of folders of all women of reproductive age that delivered at Mile 4 Hospital, Abakaliki between 2008 – 2012 and had haemorrhage after delivery with the total population of three hundred (300). Random sampling technique was used. Checklist is the main instrument used for data collection. Data collected were analyzed with the use of frequency distributions tables, percentages and chart. The result of the study revealed that: the incidence of postpartum haemorrhage was low in the recent year (11.25%) (2012) compared to the former years (25.51%) (2008) (Table 1); the women within the age range of 31-35 years were mainly affected than those below and above it (Table 2) etc. Based on the findings, it was recommended that health care provider particularly the midwives should educate the pregnant women on the importance of booking early and regular antenatal care with the aim that it will help in early detection of at risk mothers and their proper management thus reduces maternal mortality rate due to postpartum hemorrhage etc Read More »

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Home Management of Food Poisoning in Children

Home Management of Food Poisoning in Children among Mothers Attending Infant Welfare Clinic in Federal Teaching Hospital, Abakaliki

Abstract

The study assessed the home management of food poisoning in children among mothers attending infant welfare clinic in Federal Teaching Hospital, Abakaliki (FETHA). Five objectives guided the study which includes to: ascertain the knowledge of mothers attending Infant Welfare Clinic in FETHA about food poisoning, assess the mother’s knowledge of recommended home management measures of food poisoning in children, determine the various types of over the counter drugs used in the home management of food poisoning in children by mothers attending Infant welfare clinic in FETHA, ascertain the various types of herbs use in the home management of food poisoning in children by the mothers and to determine the measures taken by mothers to prevent food poisoning.  Related literature was reviewed and summarized. Descriptive research design was adopted for the study. The sample size consisted of one hundred  (100) mothers who attended infant welfare clinic in Federal Teaching Hospital Abakaliki (FETHA). Convenience sampling technique was used. Questionnaire is the only instrument used for data collection. Data collected were analyzed with the use of frequency distributions tables and percentage. The result of the study revealed that majority of mothers who attended Child Welfare Clinic at FETHA have a good knowledge about food poisoning and its appropriate home management, majority are aware of the recommended home management measures of food poisoning, majority of these mothers manage food poisoning in children using over-the-counter drugs (such as paracetamol, tetracycline and flagyl), herbs (e.g. nchawu leaves, boiled water from mango leaves, paw-paw leaves and guava leaves). Based on the findings, it was recommended that health care provider should further organize health education, workshops, and seminars from time to time such as to maintain and update the mothers’ knowledge on food poisoning, recommended home management measures and the preventive measures of food poisoning etc. Read More »

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Utilization of Antenatal Care Services among Pregnant Mothers

Factors Influencing the Utilization of Antenatal Care Services among Pregnant Mothers in Ishiophumini Health Centre in Ebonyi LGA of Ebonyi State

ABSTRACT

This study is on factors influencing the utilization of antenatal care services among pregnant women in Ishiophumini Health Centre in Ebonyi LGA of Ebonyi State. The objectives of the study is to determine the socio demographic characteristics, percentage of pregnant mothers that utilize antenatal care services and factors influencing utilization of antenatal care services. It was a descriptive non-experimental research study in which 100 questionnaires were distributed and all were recovered. The principal findings were that majority of the women have knowledge of antenatal care and utilizes it. The most significant factor that influences utilization of antenatal care is socioeconomic factors. From the findings, it was concluded that factors such as socioeconomic factors, decision of higher orders, waiting time are still constraining factors to adequate utilization of antenatal care service in Ishiophumini Health Centre in Ebonyi LGA of Ebonyi State. Read More »

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Weaning Practices of Breastfeeding Mothers

Evaluation of Weaning Practices of Breastfeeding Mothers in Abakaliki Urban Area of Ebonyi State

Abstract

 The study examined the evaluation of weaning practices of breastfeeding mothers in Abakaliki Urban Area of Ebonyi State. Four research questions guided the study. Related literature were reviewed and summarized. The objective of the study was to explain the age-range at which mothers attending Child Welfare Clinic at Mile 4 Hospital in Abakaliki LGA of Ebonyi State commence their weaning diets; determine the methods of weaning adopted by these breastfeeding mothers, identify the type of food used by these mothers to wean their infants, discuss the various factors affecting their choice of weaning food. Descriptive survey research design was used in order to elicit base-line information in the respondents’ natural settings. The sample of the study consisted of 204 mothers who attended child welfare clinic in Mile 4 Hospital Abakaliki during the period of the study. Structured questionnaire was the main instrument used for data collection. The instrument was validated by the project supervisor. Data collected were analyzed using descriptive statistics of frequency distribution tables and percentages. The results showed among others: majority of the mothers 107(53.5%) commenced weaning diets to their babies at 4 – 6 months (table 2), and those that have previous deliveries also introduced weaning diets usually at the same 4 – 6 months 122(61.0%) (Table 3); majority of the mothers 107(53.5%) use inappropriate weaning methods which includes reduction of the number of feed per day (Table 5) and given of complementary food comprising of liquid, semi-solid and solid foods (Table 7); feeding the baby with feeding bottle [98(49.0%), Figure 1] instead of  cup and spoon etc.  In line with findings, recommendations were made, pertinent among which are: nurses should health educate the mothers on the importance of exclusive breastfeeding in the first 6 months of life and appropriate introduction of weaning food at 4 – 6 months of life; they should also educate them to maintain personal and environmental hygiene especially during weaning food preparation and handling so as to decrease the incidence of disease associated with complementary feeding practices etc. Read More »

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Utilization of Nursing Process in the Care of Patients by Nurses

Evaluation of the Utilization of Nursing Process in the Care of Patients by Nurses Working in Federal Teching Hospital, Abakaliki (FETHA I), Ebonyi State.

ABSTRACT

The study examined the evaluation of the utilization of nursing process in the care of patients by nurses working in Federal Teaching Hospital, Abakaliki (FETHA I), Ebonyi State. Three research questions guided the study. the objectives of the study are to: determine the extent to which nurses in the Federal Teaching Hospital, Abakaliki (FETHA I) utilize Nursing process; identify any factor(s) that affect the implementation of nursing process in patients’ care among nurses Federal Teaching Hospital, Abakaliki (FETHA I). Related literature were reviewed and summarized. Descriptive survey research design natural used in order to elicit0-line information in the respondents’ natural setting. The population for the study were 229 nurses various wards of FETHA I. The sample for the study was 114 nurses working in various wards of FETHA I.  Structured questionnaire was the main instrument used for data collection. The instrument was validated by the project supervisor. Reliability of the instrument was established via a test re-test measure. Data collected were analyzed using descriptive statistics of frequency distribution tables and percentages. The results showed among others that: majority of the of nurses (96.5%) in FETHA I used nursing process in the care of patients, among these nurses who used nursing process in the care of patients, majority of them (90.9%) normally applied it in every patient’s care within 24 hours of admission. majority of the respondents implemented nursing process in patients’ care inadequately (89.1%) by applying assessment, nursing diagnosis, planning, implementation and evaluation in patient care without drawing care plan while very few 3(2.7%) formulated a plan of care (written) before implementing any nursing actions and 97.3% do not. In line with findings, recommendations were made, pertinent among which are: continuous update courses, workshops and seminars on nursing process should be organized for nurses annually or twice in a year; proper supervision of nurses by nurse managers will enhance their compliance to utilization of nursing process; stationary needed for nursing process should be provided by hospital authorities etc.         Read More »

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Nutritional Intake among Pregnant Women Attending Antenatal Clinic

Evaluation of Nutritional Intake among Pregnant Women Attending Antenatal Clinic at Federal Teaching Hospital Abakaliki (FETHA I)

ABSTRACT

The study assessed the evaluation of nutritional intake among pregnant women attending antenatal clinic at Federal Teaching Hospital Abakaliki (FETHA I). Three research questions guided the study. Related literatures were reviewed and summarized. The objective of the study was to determine the nutritional intake of the pregnant women attending antenatal clinic at Federal Teaching Hospital, Abakaliki (FETHA I), to assess the adequate food intake of pregnant women, to identify effect of age on food intake. Descriptive research design was adopted for the study in order to elicit baseline information in the respondents’ natural settings. The study population comprised of six hundred and two pregnant women that is randomly selected through the use of structured self-developed questionnaire that were scrutinized and validated by the project supervisor. The questionnaire was the main instrument used for data collection. Data collected were analyzed with the use of frequency distributions. The result of the study revealed that majority of the pregnant women studied believed that foods like yam, rice taken during pregnancy do not have effect on their health, most of the pregnant women do not engage in nutritional practices like beans, moi-moi, avoiding the foods that they enjoy eating when not pregnant, eating about 5 times a day, large number of the respondents agreed that certain factors like poverty, custom, ignorance of the nutritional needs of pregnant women, availability of local food items and lack of knowledge of certain foods effect their nutritional intake. Based on the findings, the researcher recommend that nurses in the antenatal clinic should health educate mothers on the need for adequate food intake during pregnancy and the sources of food items available irrespective of their customs, the government and non-governmental organization should provide poverty alleviation programme f or pregnant women to enable them eat adequate nutrition during pregnancy. Read More »

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Medication Practices among Nurses

Evaluation of Medication Practices among Nurses in Federal Teaching Hospital, Abakaliki (FETHA II)

CHAPTER ONE

  INTRODUCTION

Background of the Study

Safe, effective and ethical medication practice is an important component of client care. As with any nursing procedure, administering, recommending and/or prescribing a medication requires knowledge, technical skills and judgment (Armitage and Knapman, 2003). According to Barnsteiner (2005), nurses need the competence to assess the appropriateness of a medication for a client, manage adverse reactions, understand issues related to consent and make ethical decisions about the use of medications. As well, client care environments need systems and structures that support and facilitate safe medication practice. The College of Nurses of Ontario’s (the College’s) practice standards apply to all nurses regardless of their role or practice area. Nursing practice standards are expectations that contribute to public protection. They inform nurses of their accountabilities and the public of what to expect of nurses (Bennett, Harper-Femson, Tone, and Rajmohamed, 2006) Read More »

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Knowledge and Practice of Hand Washing among Nurses

Evaluation of Knowledge and Practice of Hand Washing among Nurses in Prevention And Control Of Infection In Federal Teaching Hospital, Abakaliki (FETHA I) Ebonyi State

Abstract

The study examined the evaluation of knowledge and practice of hand washing among nurses in prevention and control of infection in Federal Teaching Hospital, Abakaliki (FETHA I) Ebonyi State. Three research questions guided the study. Related literature were reviewed and summarized. The objective of the study was to assess the level of awareness of hand washing practice in control of infection among nurses in Federal Teaching Hospital, Abakaliki (FETHA I); examine the practice of hand washing among nurses in Federal Teaching Hospital, Abakaliki (FETHA I); identify the factors affecting the practice of proper hand washing among nurses in Federal Teaching Hospital, Abakaliki (FETHA I). Descriptive survey research design was used in order to elicit base-line information in the respondents’ natural settings. The population for the study were 229 nurses in various wards of FETHA I. The sample for the study was 114 nurses working in various wards of FETHA I. Structured questionnaire was the main instrument used for data collection. The instrument was validated by the project supervisor. Data collected were analyzed using descriptive statistics of frequency distribution tables and percentages. The results showed among others: majority of the respondents have good knowledge of hand washing practice in control of infection as shown by all the respondents (100%) that are aware of hand washing practices, (91.2%) that correctly defined it as the act of cleansing the hands with water or other liquid, with soap or other detergent, for the purpose of removing soil or microorganisms from the hands, majority that said that good hand washing technique involves. In line with findings, recommendations were made, pertinent among which are: continuous update courses, workshops and seminars on appropriate hand washing practices should be organized for nurses annually or twice in a year; proper supervision of nurses by nurse manager will enhance their compliance to proper hand washing practices. Read More »

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Failure Rate of Contraceptives among Women of Childbearing

Evaluation of Failure Rate of Contraceptives among Women of Childbearing Attending Family Planning Clinic at Federal Teaching Hospital, Abakaliki (FETHA I)

Abstract

The study examined the failure rate of contraceptives among women of childbearing attending family planning clinic at FETHA I. Four research questions guided the study. Related literature were reviewed and summarized. Descriptive survey research design was used in order to elicit base-line information in the respondents’ natural settings. The sample of the study consisted of 190 women of childbearing age in FETHA I. Structured questionnaire was the main instrument used for data collection. The instrument was validated by four health promotion experts in Nigerian universities and the project supervisor. Reliability of the instrument was established by exposing the structured questionnaire twice to a pilot study group of 10 women of childbearing that attended family planning clinic at Mile 4 Hospital, Abakaliki. Data collected were analyzed using descriptive statistics of frequency distribution tables and percentages. The results showed among others: majority of respondents [185(100%)] accepted they have used one contraception or the other which ranges from condom 184(99.5%), combined oral contraceptive pill 130(70.3%), implant 95(51.4%) and intrauterine devices 99(53.5%) and have ever used it or currently using it. In line with these findings, recommendations were made, pertinent among which are: Health care providers must be cautioned not to attribute stereotypical religious, social and cultural characteristics to women seeking advice about contraception. They need to recognize different value systems which may influence contraception decision-making in couples of different faiths etc Read More »

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