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Volume 14 Issue 5

S.No. Title & Authors Page No View
1

Title : Changes in Serum Calcium and Phosphate in Pregnant Women with Prolonged Labour in Enugu State University Teaching Hospital, Enugu, Nigeria

Authors : Ugwuene Francis O, Ayogu Martins O, Aniagolu Miriam O

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Abstract :

Changes in serum total calcium, ionized calcium and inorganic phosphate were studied in 210 pregnant women in Enugu State University Teaching Hospital, Enugu, Nigeria. 

Among the subjects, 70 were at term, 70 in early normal labour and 70 in prolonged labour (More than 12 hours of labour for primigravida and 8 hours for multigravida) and they were grouped into three for study in the order stated respectively. The pregnant women were within the age group of  20 and 39 years. Group 1( 70 at third trimester without labour ) was used as control to group 2 ( 70 in early normal labour that ended in normal delivery), group 2 was used as control to group 3 ( 70 in prolonged labour that ended in normal delivery ). Serum calcium, ionized calcium and inorganic phosphate were analysed using Ion-Selective  Electrode (ISE) technique. There was no significant decreases in the total calcium, ionized calcium and inorganic phosphate levels for pregnant women at active labour that ended normal delivery (p>0.05) when compared with pregnant women at term without labour. There were significant decreases in the serum levels of total calcium, ionized calcium and inorganic phosphate  of pregnant women with prolonged labour that ended in normal delivery (p>0.05), when compared with pregnant women in active labour that ended in normal delivery. There were progressive decreases in the serum levels of total calcium, ionized calcium and inorganic phosphate of pregnant women at term without labour, pregnant women in active labour that ended in normal delivery and pregnant women with prolonged labour that ended in normal delivery. However, the significant decreases were only observed in pregnant women with prolonged labour (p<0.05). This work also agrees that there is an inverse relationship between total calcium and calcium ion levels and labour duration.

01-04
2

Title : The Tripartite Link between Knowledge Sharing of Birth Companions on Maternal Health, Indigenous Knowledge and Climate Change

Authors : Ben Wekalao Namande, Ashah Owano, Ronald Tombe, Alice M. Mwanza

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Abstract :

Knowledge is considered as justified true belief.  It is a condition of knowing fact or something through a combination of skills, experience and understanding values, relative information and expertise. Indigenous knowledge held by Birth Companions and expectant mothers enables them to share knowledge on maternal health care and climate change thereby learn to accommodate any changes likely to be realized during referrals. This paper discusses the tripartite link between knowledge sharing of birth companions on maternal health, indigenous knowledge and climate change. The study used mixed method approach based on a survey design. Data was collected from 782 sampled from a population of 5768 comprising of birth companions, community health volunteers, public health officers, district health officers, matrons and director health services using questionnaires, interview and observation checklists. Qualitative data was analysed using statistical software package (SPSS) to generate descriptive and inferential statistics while the qualitative data was analysed thematically. The study found out that Birth companions use indigenous knowledge to help in massaging expectant mothers and herbal medicinal care to ease the pains during labour. Indigenous knowledge was used to share with expectant mothers on preparation of birth plans and danger signs.  The study recommends that birth companions need to be conversant with climate changes in their environments and should make use of the indigenous knowledge while residing in a place for a longer time.

05-10