Prevalence, Risk Factors and Outcomes of Post Date Pregnancies Among Women Delivering at Bugando Medical Centre, Mwanza Tanzania. (Record no. 28867)
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| fixed length control field | 04151nam a22003137a 4500 |
| 001 - CONTROL NUMBER | |
| control field | 20240924094619.0 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | 20240924094619.0 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20240924095426.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 240924b |||||||| |||| 00| 0 eng d |
| 028 ## - PUBLISHER OR DISTRIBUTOR NUMBER | |
| Source | Wurzburg Road 35, Premises, Post Code: 33102 | |
| Source | P. O. Box 1464 Mwanza, Tanzania | |
| Source | Phone: (255) 28-298-3384 | |
| Source | Fax: (255) 28-298-3386 | |
| Source | Email: vc@bugando.ac.tz | |
| Source | Website: www.bugando.ac.tz |
| 040 ## - CATALOGING SOURCE | |
| Transcribing agency | ddc |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | English |
| Language code of text/sound track or separate title | Kiswahili |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Relator term | CUHAS/MD/4003957/T/19 |
| Fuller form of name | Amina Mohamed Aljabri |
| 245 ## - TITLE STATEMENT | |
| Title | Prevalence, Risk Factors and Outcomes of Post Date Pregnancies Among Women Delivering at Bugando Medical Centre, Mwanza Tanzania. |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Place of publication, distribution, etc. | Mwanza, Tanzania | |
| Name of publisher, distributor, etc. | Catholic University of Health and Allied Sciences [CUHAS-Bugando] | |
| Date of publication, distribution, etc. | 2024. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Background information:<br/><br/>A pregnancy that continues to 40 full weeks of gestation or more is referred to as post-date; this type of pregnancy happens with an approximate frequency of 3-12% (1). Studies have claimed to global incidence to be 5-10% which may vary among countries (2). Studies have shown that Previous history of post-term pregnancy, family history of post-term pregnancy, and having a male fetus were significantly increased the risk of post-term pregnancy (3). It has also been revealed that among mothers who have postdated pregnancies, (53.7%) of mothers have babies with neonatal complications. Majority (24.1%) of women revealed to have meconium aspiration while the least (5.2%) have Low birth weight complications, factors associated with early neonatal adverse outcomes among women with postdated pregnancies include age, no educational background, smoking, gravity of 4 and above, ANC between 1 to 2 times, and previous postdated pregnancy (4) <br/><br/>A multifactorial etiology is thought to be responsible for postdate pregnancy such as, low maternal vaginal fetal fibronectin levels at 39 weeks, racial/hereditary/genetic variables, and differences in the corticotrophin-releasing hormone all having an impact (5). Delivery barriers include insecurity, lack of resources and lack of skilled health staff (6) have also been seen to contribute. Post-date pregnancy might lead to protracted pregnancy lasting 42 full weeks or longer, increased obstetric interventions, and maternal and fetal morbidities (7).<br/><br/>It has also been revealed that among mothers who have postdated pregnancies, (53.7%) of mothers have babies with neonatal complications, such as Shoulder Dystocia 2.9%, asphyxia (6.5%), and meconium aspiration (5.1%). Maternal complications included post-partum hemorrhage (PPH) (7.2%), perineal tears (7%), cervical tears (1.4%), and postpartum infections (1.4%). Fetal complications were 14.5%, (8)<br/><br/> Studies have shown that 79.7% of women with postdated pregnancy deliver vaginally,5.8% deliver by instrumental delivery whereas 14.5% women require caesarean section, the most common indication being meconium-stained liquor (25%) followed by cervical dystocia (14.4%, cephalopelvic disproportion (9.5%), meconium-stained liquor with fetal distress (33.3%), pathological cardiotocography(CTC) (19%), and failure to progress (23.8%) and 12.7% babies get NICU admission with respiratory distress (28.6%) being the most common reason.(8) .<br/><br/> Studies have shown the prevalence of post-dated pregnancy to be (2.3%), with average age of these patients being 31.3 years (10). There are no published studies on prevalence of post-dated pregnancy conducted in Mwanza Tanzania. The aim of this study is to determine factors related to postdate pregnancy, its prevalence and outcomes among women who delivered at Bugando Medical Centre in Mwanza.<br/> |
| 600 ## - SUBJECT ADDED ENTRY--PERSONAL NAME | |
| General subdivision | Obstetrics & Gynaecology |
| General subdivision | Pathology |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Fuller form of name | Fridolin Felix Mujuni |
| Fuller form of name | Oscar Ottoman Muhini |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| Public note | Research Report Submitted for Partial Fulfillment of The Requirements for The Award of Bachelor of Doctor of Medicine at The Catholic University of Health and Allied Sciences. |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | ddc |
| Koha item type | UNDERGRADUATE DISSERTATIONS |
| Suppress in OPAC | |
| Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Home library | Current library | Date acquired | Total checkouts | Barcode | Date last seen | Price effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | 09/24/2024 | 20240924094619.0 | 09/24/2024 | 09/24/2024 | UNDERGRADUATE DISSERTATIONS |