D. Boulos, R. Hussein, Samya Ismail El Damaty, Sawsan AlGhazaly
{"title":"Ain Shams University Residents' Knowledge , Attitudes , and Barriers to Practice Evidence Based Medicine","authors":"D. Boulos, R. Hussein, Samya Ismail El Damaty, Sawsan AlGhazaly","doi":"10.12816/0011932","DOIUrl":"https://doi.org/10.12816/0011932","url":null,"abstract":"","PeriodicalId":92921,"journal":{"name":"Journal of community medicine (Reno, Nev.)","volume":"31 1","pages":"37-49"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66240163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Socio - Demographic and Work - Related Characteristics of Male Addicts Attending Addiction Cessation Clinic at Ain Shams University , Egypt","authors":"D. Boulos, Mona A. Abdel-hamid, N. Nagy","doi":"10.12816/0011933","DOIUrl":"https://doi.org/10.12816/0011933","url":null,"abstract":"","PeriodicalId":92921,"journal":{"name":"Journal of community medicine (Reno, Nev.)","volume":"31 1","pages":"51-65"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66240198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Medical students need to learn considerable new information during their studies and they must develop skills for lifelong learning, keeping their knowledge updated. Lifelong learning, particularly in medicine, requires motivation and problem identification and solving skills relevant to the clinical situation. Aim of the work: The aim of the current study was to determine the effect of mobile phone use on academic progress among female medical students at college of medicine, King Faisal University, KSA. Methods: A cross-sectional study design was conducted in the present study at College of Medicine, King Faisal University in Saudi Arabia among female medical students. Participants are female medical students of pre clinical and clinical phases of medical study. All participants were provided a self administered questionnaire. Results: The total number of participants was 174 female medical students, College of Medicine, King Faisal University. The mean age of the students was 20.7±1.9 years old with a range of 7 (18-25) years. Among the female medical students 53% were using smart phones, compared with 47% using other types of mobiles such as old versions of mobiles and other brands of mobiles. The academic progress due to mobile phone use was reported among 43% of the users of smart phones. Using mobiles for long hours during learning showed highly statistical significant difference regarding academic progress among medical students, with a p value of 0.008. Conclusion: The usage of mobile phones and IPADs showed an impact on academic progress and overall performance of the medical students.
{"title":"Does Mobile Phone Affect Academic Progress among Medical Students","authors":"Amira Rahman","doi":"10.12816/0011934","DOIUrl":"https://doi.org/10.12816/0011934","url":null,"abstract":"Background: Medical students need to learn considerable new information during their studies and they must develop skills for lifelong learning, keeping their knowledge updated. Lifelong learning, particularly in medicine, requires motivation and problem identification and solving skills relevant to the clinical situation. Aim of the work: The aim of the current study was to determine the effect of mobile phone use on academic progress among female medical students at college of medicine, King Faisal University, KSA. Methods: A cross-sectional study design was conducted in the present study at College of Medicine, King Faisal University in Saudi Arabia among female medical students. Participants are female medical students of pre clinical and clinical phases of medical study. All participants were provided a self administered questionnaire. Results: The total number of participants was 174 female medical students, College of Medicine, King Faisal University. The mean age of the students was 20.7±1.9 years old with a range of 7 (18-25) years. Among the female medical students 53% were using smart phones, compared with 47% using other types of mobiles such as old versions of mobiles and other brands of mobiles. The academic progress due to mobile phone use was reported among 43% of the users of smart phones. Using mobiles for long hours during learning showed highly statistical significant difference regarding academic progress among medical students, with a p value of 0.008. Conclusion: The usage of mobile phones and IPADs showed an impact on academic progress and overall performance of the medical students.","PeriodicalId":92921,"journal":{"name":"Journal of community medicine (Reno, Nev.)","volume":"210 1","pages":"67-76"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66240200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Self - Medicating Children by Their Mothers : A Study among Mothers Attending the Primary Health Care Facilities in Benha City","authors":"R. Eldesouky","doi":"10.12816/0011930","DOIUrl":"https://doi.org/10.12816/0011930","url":null,"abstract":"","PeriodicalId":92921,"journal":{"name":"Journal of community medicine (Reno, Nev.)","volume":"31 1","pages":"1-13"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66240134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-11-18DOI: 10.4314/GJCM.V2I1-2.47925
M. Umoh, M. Asuquo, A. Otu, E. Imaobong
Male breast cancer is rare worldwide. The highest incidence of 2.1 per 100,000 is recorded in Louisiana USA. The record for Africa varies from 0.2 per 100,000 in Gambia to 0.8 per 100,000 in Mali Breast cancer has been erroneously thought to be entirely a female disease in the tropics. This ignorance makes late presentation almost the rule in Nigeria as reported by authors in various part of the country. Breast cancer is the commonest malignancy in Calabar. From the Calabar cancer registry record, 105 cases of breast cancer were seen in 1995 through 1998. Of these 5 patients (4.7%) were male. A review of 30 cases of male breast cancer seen in UCTH between Jan 1983 to Dec 2002 is being studied to look at the clinical presentation, histological pattern and management. They were aged 19 to 85yrs with mean of 53.1yrs. We observed two peaks at 3rd and 6th decades of life. More than 80% (25 cases) presented with painless lump and palpable axillary lymph nodes. Over 50% were on the right. Three patients also had nipples changes. Gross weight loss was associated with very advanced cases. The interval before presentation ranged from 3 to 84 months. All had mastectomy and axillary nodes dissection. Adjuvant chemotherapy was also used. Diagnosis was confirmed by histopathological examination of removed specimen. The follow up was generally poor. However one patient survived beyond ten years. KEYWORDS: Male Breast Cancer, Calabar, Nigeria
{"title":"Male Breast Cancer In Calabar Nigeria: A Twenty Year Experience (1983-2002)","authors":"M. Umoh, M. Asuquo, A. Otu, E. Imaobong","doi":"10.4314/GJCM.V2I1-2.47925","DOIUrl":"https://doi.org/10.4314/GJCM.V2I1-2.47925","url":null,"abstract":"Male breast cancer is rare worldwide. The highest incidence of 2.1 per 100,000 is recorded in Louisiana USA. The record for Africa varies from 0.2 per 100,000 in Gambia to 0.8 per 100,000 in Mali Breast cancer has been erroneously thought to be entirely a female disease in the tropics. This ignorance makes late presentation almost the rule in Nigeria as reported by authors in various part of the country. Breast cancer is the commonest malignancy in Calabar. From the Calabar cancer registry record, 105 cases of breast cancer were seen in 1995 through 1998. Of these 5 patients (4.7%) were male. A review of 30 cases of male breast cancer seen in UCTH between Jan 1983 to Dec 2002 is being studied to look at the clinical presentation, histological pattern and management. They were aged 19 to 85yrs with mean of 53.1yrs. We observed two peaks at 3rd and 6th decades of life. More than 80% (25 cases) presented with painless lump and palpable axillary lymph nodes. Over 50% were on the right. Three patients also had nipples changes. Gross weight loss was associated with very advanced cases. The interval before presentation ranged from 3 to 84 months. All had mastectomy and axillary nodes dissection. Adjuvant chemotherapy was also used. Diagnosis was confirmed by histopathological examination of removed specimen. The follow up was generally poor. However one patient survived beyond ten years. \u0000KEYWORDS: Male Breast Cancer, Calabar, Nigeria","PeriodicalId":92921,"journal":{"name":"Journal of community medicine (Reno, Nev.)","volume":"2 1","pages":"21-25"},"PeriodicalIF":0.0,"publicationDate":"2009-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4314/GJCM.V2I1-2.47925","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70537109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-11-18DOI: 10.4314/GJCM.V2I1-2.47928
F. Abasiubong, J. Ekott, E. Bassey, E. Nyong
The poor knowledge of epilepsy among traditional healers is due to cultural prejudices and environment. The resultant deep-rooted misconceptions and myths negatively affect the attitudes and encourage traditional care with high morbidity and mortality. The objectives of the study were to assess knowledge of epilepsy among traditional healers and to determine the modalities used in the care. One hundred and seventy three traditional healers from villages/communities in Uyo were assessed for knowledge; attitude and perception of epilepsy, using an interviewer assisted Attitude Questionnaire. Data from 166 (95.9%) healers, consisting of 123 (71.1%) males and 43 (24.8%) females were analyzed. Many of the healers, 139 (83.7%) had little or no formal education. Knowledge about causes, diagnosis and treatment of epilepsy was poor; 74 (44.6%) attributed the cause of epilepsy to witchcraft, 53 (31.9%) to spiritual attacks, 23 (13.9%) punishment for sins. A total of 121 (72%) of them diagnosed epilepsy through oracles/gods. Majority, 161 (97.0%) of the healers preferred native treatment; 54 (32.5%) appeased gods/ancestors, 47 (28.3%) used herbs, roots/animal residues as cure, 10 (6.0%) preferred spiritual/prayers; while 48 (28.9%) used a combination of the rituals. There were prevalent negative attitudes and perception about epilepsy among the healers, as 146 (88.0%) of them viewed it as contagious; 149 (89.8%) would decline either marrying or eating with epileptic persons. Although traditional healers are frequently involved in the care of epilepsy in our environment, they have little or no scientific knowledge about the condition. Adequate knowledge about epilepsy is essential for diagnosis and treatment. Therefore, there is need to improve the knowledge about epilepsy in order to encourage positive attitudes and care. KEY WORDS: Knowledge; Attitude; Perception; Epilepsy; Traditional healer.
{"title":"Knowledge, Attitude And Perception Of Epilepsy Among Traditional Healers In Uyo, Nigeria","authors":"F. Abasiubong, J. Ekott, E. Bassey, E. Nyong","doi":"10.4314/GJCM.V2I1-2.47928","DOIUrl":"https://doi.org/10.4314/GJCM.V2I1-2.47928","url":null,"abstract":"The poor knowledge of epilepsy among traditional healers is due to cultural prejudices and environment. The resultant deep-rooted misconceptions and myths negatively affect the attitudes and encourage traditional care with high morbidity and mortality. The objectives of the study were to assess knowledge of epilepsy among traditional healers and to determine the modalities used in the care. One hundred and seventy three traditional healers from villages/communities in Uyo were assessed for knowledge; attitude and perception of epilepsy, using an interviewer assisted Attitude Questionnaire. Data from 166 (95.9%) healers, consisting of 123 (71.1%) males and 43 (24.8%) females were analyzed. Many of the healers, 139 (83.7%) had little or no formal education. Knowledge about causes, diagnosis and treatment of epilepsy was poor; 74 (44.6%) attributed the cause of epilepsy to witchcraft, 53 (31.9%) to spiritual attacks, 23 (13.9%) punishment for sins. A total of 121 (72%) of them diagnosed epilepsy through oracles/gods. Majority, 161 (97.0%) of the healers preferred native treatment; 54 (32.5%) appeased gods/ancestors, 47 (28.3%) used herbs, roots/animal residues as cure, 10 (6.0%) preferred spiritual/prayers; while 48 (28.9%) used a combination of the rituals. There were prevalent negative attitudes and perception about epilepsy among the healers, as 146 (88.0%) of them viewed it as contagious; 149 (89.8%) would decline either marrying or eating with epileptic persons. Although traditional healers are frequently involved in the care of epilepsy in our environment, they have little or no scientific knowledge about the condition. Adequate knowledge about epilepsy is essential for diagnosis and treatment. Therefore, there is need to improve the knowledge about epilepsy in order to encourage positive attitudes and care. \u0000 \u0000 KEY WORDS: Knowledge; Attitude; Perception; Epilepsy; Traditional healer.","PeriodicalId":92921,"journal":{"name":"Journal of community medicine (Reno, Nev.)","volume":"2 1","pages":"39-46"},"PeriodicalIF":0.0,"publicationDate":"2009-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4314/GJCM.V2I1-2.47928","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70537207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-11-18DOI: 10.4314/GJCM.V2I1-2.47931
A. Abasiattai, E. Udoma
This retrospective study was carried out to determine the obstetric outcome of unbooked pregnant women who presented at the University of Uyo Teaching Hospital over a five year period. Five thousand nine hundred and sixty two women presented at the labour ward out of which 617 (10.3%) were unbooked. Majority of the patients were multiparous (61.2%) and the most common clinical presentations were obstructed labour (28.8%) and eclampsia (19.8%). There were 255 still births and 5 early neonatal deaths resulting in a perinatal mortality rate of 420/1000. Maternal mortality ratio was 7,800/100,000 live births and this was mostly from eclampsia (28.8%) and obstetric haemorrhage (19.8%). Grass-root education in our various communities highlighting the importance and advantages of formal antenatal care and the inclusion of this in the health education curriculum of primary and secondary schools is advocated. KEY WORDS: Unbooked pregnant women, Uyo, obstetric outcome
{"title":"The Unbooked Pregnant Woman: Experience From A Rural Tertiary Hospital South-South Nigeria","authors":"A. Abasiattai, E. Udoma","doi":"10.4314/GJCM.V2I1-2.47931","DOIUrl":"https://doi.org/10.4314/GJCM.V2I1-2.47931","url":null,"abstract":"This retrospective study was carried out to determine the obstetric outcome of unbooked pregnant women who presented at the University of Uyo Teaching Hospital over a five year period. Five thousand nine hundred and sixty two women presented at the labour ward out of which 617 (10.3%) were unbooked. Majority of the patients were multiparous (61.2%) and the most common clinical presentations were obstructed labour (28.8%) and eclampsia (19.8%). There were 255 still births and 5 early neonatal deaths resulting in a perinatal mortality rate of 420/1000. Maternal mortality ratio was 7,800/100,000 live births and this was mostly from eclampsia (28.8%) and obstetric haemorrhage (19.8%). Grass-root education in our various communities highlighting the importance and advantages of formal antenatal care and the inclusion of this in the health education curriculum of primary and secondary schools is advocated. KEY WORDS: Unbooked pregnant women, Uyo, obstetric outcome","PeriodicalId":92921,"journal":{"name":"Journal of community medicine (Reno, Nev.)","volume":"2 1","pages":"61-64"},"PeriodicalIF":0.0,"publicationDate":"2009-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4314/GJCM.V2I1-2.47931","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70536763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-11-18DOI: 10.4314/GJCM.V2I1-2.47932
M. Asuquo, W. Ndifon, G. Ugare, J. Mwankon
This retrospective study was undertaken to assess the prevalence of dog bites in Comprehensive Health Centre, Okoyong south-south Nigeria. Eleven cases of dog bite were recorded out of a total of 25,000 patients seen during a fifteen- year period (1990-2004). This gives a prevalence of 44 per 100,000 population. The age of the patients ranged from 16 to 43 years, with a mean of 27.1+ 8.3. Male to female ratio was 1:0.8. The treatment of patients consisted of analgesics, antibiotics, tetanus toxoid and antitetanus serum. We did not have any recorded case of rabies, in spite of the fact that none of the patients had rabies vaccination nor antirabies immunoglobulin. All the patients reported late to hospital, the mean duration before presentation being 10.23 days. The follow up was extremely poor as most patients never reported for follow up after the initial treatment as outpatient or discharge following admission. We conclude that the prevalence of dog bites in this health centre is low (0.04%).We recommend more comprehensive community-based studies to adequately assess the burden of this problem. Current regulations on the management of dog bites should be strictly followed by the attending medical personnel. KEY WORDS: Okoyong, Dog bites, Prevalence.
{"title":"Prevalence Of Dog Bites In A Rural Community: A 15 Year Review Of Cases In Okoyong, Cross River State, Nigeria","authors":"M. Asuquo, W. Ndifon, G. Ugare, J. Mwankon","doi":"10.4314/GJCM.V2I1-2.47932","DOIUrl":"https://doi.org/10.4314/GJCM.V2I1-2.47932","url":null,"abstract":"This retrospective study was undertaken to assess the prevalence of dog bites in Comprehensive Health Centre, Okoyong south-south Nigeria. Eleven cases of dog bite were recorded out of a total of 25,000 patients seen during a fifteen- year period (1990-2004). This gives a prevalence of 44 per 100,000 population. The age of the patients ranged from 16 to 43 years, with a mean of 27.1+ 8.3. Male to female ratio was 1:0.8. The treatment of patients consisted of analgesics, antibiotics, tetanus toxoid and antitetanus serum. We did not have any recorded case of rabies, in spite of the fact that none of the patients had rabies vaccination nor antirabies immunoglobulin. All the patients reported late to hospital, the mean duration before presentation being 10.23 days. The follow up was extremely poor as most patients never reported for follow up after the initial treatment as outpatient or discharge following admission. We conclude that the prevalence of dog bites in this health centre is low (0.04%).We recommend more comprehensive community-based studies to adequately assess the burden of this problem. Current regulations on the management of dog bites should be strictly followed by the attending medical personnel. \u0000 \u0000 KEY WORDS: Okoyong, Dog bites, Prevalence.","PeriodicalId":92921,"journal":{"name":"Journal of community medicine (Reno, Nev.)","volume":"2 1","pages":"65-69"},"PeriodicalIF":0.0,"publicationDate":"2009-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4314/GJCM.V2I1-2.47932","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70536775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-11-18DOI: 10.4314/GJCM.V2I1-2.47922
A. Udo, M. Ekott, Ee Efiok, E. Ekanem, E. Udoma
Reports of a rising incidence of breast cancer and the consistent finding of a significantly younger population of breast cancer patients in the country than in the west led to this study to determine the proportion of women who have a clinical breast examination at the booking visit for antenatal care in the University of Calabar Teaching Hospital (UCTH).The booking information on the antenatal cards of patients who registered within a one-month period was examined. Clinical breast examination (CBE) was performed on 41.6% of the women. Women who were reviewed by consultants recorded a rate of 78.2% while the rates for women attended to by resident doctors and interns were 41.2% and 19.6% respectively (P=0.00). The CBE rate was 57.6% among women who were reviewed by female physicians and 38.3% among those reviewed by male physicians (P = 0.00). The practice of CBE in UCTH is low and is significantly related to the cadre and gender of the attending physician. Obstetricians must embrace the practice fully and utilize measures such as increased supervision and departmental seminars to sensitize doctors they train to emulate them. KEYWORDS: Antenatal, Practice and Breast Examination
{"title":"Practice Of Antenatal Clinical Breast Examination In Calabar","authors":"A. Udo, M. Ekott, Ee Efiok, E. Ekanem, E. Udoma","doi":"10.4314/GJCM.V2I1-2.47922","DOIUrl":"https://doi.org/10.4314/GJCM.V2I1-2.47922","url":null,"abstract":"Reports of a rising incidence of breast cancer and the consistent finding of a significantly younger population of breast cancer patients in the country than in the west led to this study to determine the proportion of women who have a clinical breast examination at the booking visit for antenatal care in the University of Calabar Teaching Hospital (UCTH).The booking information on the antenatal cards of patients who registered within a one-month period was examined. Clinical breast examination (CBE) was performed on 41.6% of the women. Women who were reviewed by consultants recorded a rate of 78.2% while the rates for women attended to by resident doctors and interns were 41.2% and 19.6% respectively (P=0.00). The CBE rate was 57.6% among women who were reviewed by female physicians and 38.3% among those reviewed by male physicians (P = 0.00). The practice of CBE in UCTH is low and is significantly related to the cadre and gender of the attending physician. Obstetricians must embrace the practice fully and utilize measures such as increased supervision and departmental seminars to sensitize doctors they train to emulate them. \u0000 \u0000 KEYWORDS: Antenatal, Practice and Breast Examination","PeriodicalId":92921,"journal":{"name":"Journal of community medicine (Reno, Nev.)","volume":"2 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2009-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4314/GJCM.V2I1-2.47922","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70537033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-11-18DOI: 10.4314/GJCM.V2I1-2.47930
E. Udoma, A. Udo, A. Abasiattai, E. Bassey, A. Igwebe, J. Ekabua
Focus group discussions involving 100 rural women in five communities of Akwa Ibom State, Nigeria were carried out over a six-month period. The aim was to determine if the beliefs and practices of our rural dwellers are such that contribute to maternal morbidity. The discussions revealed that the participants had a shallow knowledge of the causes of complications in pregnancy. Complications were largely attributed to spirits and other harmless events. Reducing physically demanding activities in pregnancy was ascribed to laziness and sexual intercourse was largely to be avoided. There was no food taboos specific to pregnancy, but food restrictions were described. Antenatal and intrapartum care by spiritual and traditional midwives was considered superior to orthodox care. Practices by the midwives include turning a baby in an abnormal lie, massaging the vagina with oil in labour; conducting delivery without gloves, pulling on the cord, manually removing or squeezing out the placenta if delivery is not spontaneous. Management of complications involves divinations, use of herbs and other concoctions, anointing oil, prayers and fasting. Puerperal seclusion practiced to varying degrees and maybe beneficial. Most beliefs and practices of our rural women are potential contributors to maternal morbidity. A few are harmless or even beneficial. Public enlightenment and education of our rural dwellers while incorporating the harmless/beneficial practices into modern obstetric care services will help reduce maternal morbidity. KEYWORDS: Pregnancy, Beliefs and Practices
{"title":"Beliefs And Practice Concerning Pregnancy Delivery And Puerperium In Rural Akwa Ibom State","authors":"E. Udoma, A. Udo, A. Abasiattai, E. Bassey, A. Igwebe, J. Ekabua","doi":"10.4314/GJCM.V2I1-2.47930","DOIUrl":"https://doi.org/10.4314/GJCM.V2I1-2.47930","url":null,"abstract":"Focus group discussions involving 100 rural women in five communities of Akwa Ibom State, Nigeria were carried out over a six-month period. The aim was to determine if the beliefs and practices of our rural dwellers are such that contribute to maternal morbidity. The discussions revealed that the participants had a shallow knowledge of the causes of complications in pregnancy. Complications were largely attributed to spirits and other harmless events. Reducing physically demanding activities in pregnancy was ascribed to laziness and sexual intercourse was largely to be avoided. There was no food taboos specific to pregnancy, but food restrictions were described. Antenatal and intrapartum care by spiritual and traditional midwives was considered superior to orthodox care. Practices by the midwives include turning a baby in an abnormal lie, massaging the vagina with oil in labour; conducting delivery without gloves, pulling on the cord, manually removing or squeezing out the placenta if delivery is not spontaneous. Management of complications involves divinations, use of herbs and other concoctions, anointing oil, prayers and fasting. Puerperal seclusion practiced to varying degrees and maybe beneficial. Most beliefs and practices of our rural women are potential contributors to maternal morbidity. A few are harmless or even beneficial. Public enlightenment and education of our rural dwellers while incorporating the harmless/beneficial practices into modern obstetric care services will help reduce maternal morbidity. \u0000 \u0000 KEYWORDS: Pregnancy, Beliefs and Practices","PeriodicalId":92921,"journal":{"name":"Journal of community medicine (Reno, Nev.)","volume":"2 1","pages":"53-59"},"PeriodicalIF":0.0,"publicationDate":"2009-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4314/GJCM.V2I1-2.47930","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70536758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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