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66 A comparative study of knowledge, attitudes and perceptions of women and men around pre-eclampsia and eclampsia in Nigeria
Abstracts / Pregnancy Hypertension: An International Journal of Women’s Cardiovascular Health 6 (2016) 137–177
Statistical analysis of covariance with age were performed with the SPSS software package. Results: There were 87 patients who had severe preeclampsia, 51 patients with mild preeclampsia and 18 normal pregnant women. In these groups, there were no differences in pre-pregnancy BMI. In late stage of pregnancy, whereas only IVST was significantly dilated between the normal pregnant and mild preeclampsia, some parameters were significantly decayed in the patients with severe preeclampsia. All parameters excluded LVIDs and EF were dilated between the normal and severe preeclampsia. IVST, LVIDd and LAD were significantly different between the mild and severe preeclampsia. In early postpartum, there were no differences between the normal and mild preeclampsia. LVIDs was significantly dilated in severe preeclampsia compared with normal pregnant women. LVIDd, LVIDs and LAD were significantly different in the mild and severe preeclampsia. In one-month postpartum, LVIDd and LVIDs were significantly different between the preeclampsia patients. Concerned about EF, there was no significantly difference in three groups through these periods. The table shows these detailed results. Conclusion: Mild preeclampsia had influences on maternal cardiac functions and, after delivery, the changes recovered within a few days. However, severe preeclampsia patients got cardiac remodeling and these changes did not recover completely even one-month postpartum. Not only anatomical changes but also left ventricular diastolic function deteriorated in severe preeclampsia compared with mild preeclampsia patients and normal pregnant women. Therefore, the severity of preeclampsia should be considered when examining maternal cardiac function and the risk of future cardiovascular disease in patients with preeclampsia.
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had at least one child. Data were obtained by tape-recording supplemented by hand-written notes. The recorded data were transcribed verbatim and content analysis was done using QSR NVivo 10 software. Results: Both men and women showed negative perceptions, attitudes and low knowledge on issues associated with PE/E, although men’s and women’s perceptions regarding PE/E did not differ much. Men perceived attacks from enemies, spiritual attacks or evil curses, attacks suffered in polygamous homes, financial constraints, physical and emotional stress on the woman, anxiety, fear of the delivery process or fear of multiple births as possible causes of PE/E. Women reported early marriage, unpleasant surprises, emotional shock, witchcraft, and attack from the family and/or familial conflict, and martial issues as causes of PE/E. Traditional or spiritual healing, such as the use of herbs and fruits, or religious leaders are often sought before seeking medical care. Both men and women and many pregnant women do not access health facilities for fear of death and their husbands’ anger on constant complaints of ill health. Conclusions: Misconceptions, myths and mistrust among community members negatively influence their care-seeking behaviors. There is need to educate men and their spouses on the biological signs, symptoms, and dangers of PE/E and their amenability to medical interventions. This may improve health-seeking behaviors including the antenatal period and improve prevention, early case detection and effective management of PE/E in Nigeria. doi:10.1016/j.preghy.2016.08.067
Clinical science doi:10.1016/j.preghy.2016.08.066
Clinical science 66 A comparative study of knowledge, attitudes and perceptions of women and men around pre-eclampsia and eclampsia in Nigeria Prevention of preeclampsia Gloria Adoyi, Salisu Mohammed Ishaku, Oginni Ayodeji Babatunde, Karen R. Kirk (Population Council, Abuja, Nigeria, Population Council, Washington DC, United States) Introduction: Pre-eclampsia and eclampsia (PE/E) are lifethreatening complications accounting for nearly 40% maternal deaths in northern Nigeria. Maternal deaths due to PE/E could be averted, if pregnant women develop healthy care-seeking behaviors and attend antenatal care early in their pregnancies. Objectives: This study compared gender differences in the knowledge, attitudes and perceptions around PE/E in Nigeria in order to gauge women’s health care-seeking behaviors during pregnancy. Methods: The study design was cross-sectional involving qualitative methods: focus group discussion (FGD). The study was conducted in seven states in Nigeria between June–August, 2015 following an Institutional Review Board (IRB) approval from the National Health Research Ethics Committee (NHREC) of the Federal Ministry of Health (FMoH) and the ethics committees of all the participating states. Overall, data was collected through twenty-eight (28) focus group discussions, four (4) per state, and two in urban and rural communities respectively. Each group was made up of eight (8) discussants. The discussants were identified and purposively selected with the assistance of the officer in charge of the public health facility in each community. The FGDs were held with married women (n = 112) and men (n = 112) aged 18 and 49, who
67 The effect of hypertensive disorders of pregnancy on the risk of attention-deficit/hyperactivity disorder in the offspring Long term consequences for mother and child Stefanie Böhm a, Eileen C. Curran b, Louise C. Kenny b, Gerard W. O’keeffe c, Deirdre Murray d, Ali S. Khashan e (a Institute for Medical Biostatistics, Epidemiology and Informatics, Johannes Gutenberg University, Mainz, Germany, b The Irish Centre for Fetal and Neonatal Translational Research (INFANT), University c College Cork, Cork, Ireland, Department of Anatomy and Neuroscience, University College Cork, Cork, Ireland, d Department of Paediatrics, University College Cork, Cork, e Ireland, Department of Epidemiology and Public Health, University College Cork, Cork, Ireland) Introduction: Attention-deficit/hyperactivity disorder (ADHD) is a frequent neurodevelopmental disorder. Inadequate placentation as a result of hypertensive disorders of pregnancy has been proposed to be a central mechanism of fetal neurodevelopmental comprise. Recently it has been shown that pre-eclampsia increases the risk of ADHD [Mann and McDermott, 2011]. Objectives: We examined the association between hypertensive disorders of pregnancy and ADHD and behavioural difficulties among 7-year old children. We also examined whether circulating factors in serum from women with a HDP alter early patterns of fetal neural growth. Methods: The study cohort consisted of 13,192 children (weighted = 13,500) who participated in the 7-year old wave of the Millennium Cohort Study (MCS); a representative cohort of British children born in 2000–2001. Hypertensive disorders of pregnancy (raised blood pressure, pre-eclampsia, eclampsia and toxaemia) were reported by mothers nine months post-delivery. ADHD was based on a doctor or health care professional diagnosis at age seven. Weighted logistic regression was performed, adjusting for several variables (e.g.
Statistical analysis of covariance with age were performed with the SPSS software package. Results: There were 87 patients who had severe preeclampsia, 51 patients with mild preeclampsia and 18 normal pregnant women. In these groups, there were no differences in pre-pregnancy BMI. In late stage of pregnancy, whereas only IVST was significantly dilated between the normal pregnant and mild preeclampsia, some parameters were significantly decayed in the patients with severe preeclampsia. All parameters excluded LVIDs and EF were dilated between the normal and severe preeclampsia. IVST, LVIDd and LAD were significantly different between the mild and severe preeclampsia. In early postpartum, there were no differences between the normal and mild preeclampsia. LVIDs was significantly dilated in severe preeclampsia compared with normal pregnant women. LVIDd, LVIDs and LAD were significantly different in the mild and severe preeclampsia. In one-month postpartum, LVIDd and LVIDs were significantly different between the preeclampsia patients. Concerned about EF, there was no significantly difference in three groups through these periods. The table shows these detailed results. Conclusion: Mild preeclampsia had influences on maternal cardiac functions and, after delivery, the changes recovered within a few days. However, severe preeclampsia patients got cardiac remodeling and these changes did not recover completely even one-month postpartum. Not only anatomical changes but also left ventricular diastolic function deteriorated in severe preeclampsia compared with mild preeclampsia patients and normal pregnant women. Therefore, the severity of preeclampsia should be considered when examining maternal cardiac function and the risk of future cardiovascular disease in patients with preeclampsia.
169
had at least one child. Data were obtained by tape-recording supplemented by hand-written notes. The recorded data were transcribed verbatim and content analysis was done using QSR NVivo 10 software. Results: Both men and women showed negative perceptions, attitudes and low knowledge on issues associated with PE/E, although men’s and women’s perceptions regarding PE/E did not differ much. Men perceived attacks from enemies, spiritual attacks or evil curses, attacks suffered in polygamous homes, financial constraints, physical and emotional stress on the woman, anxiety, fear of the delivery process or fear of multiple births as possible causes of PE/E. Women reported early marriage, unpleasant surprises, emotional shock, witchcraft, and attack from the family and/or familial conflict, and martial issues as causes of PE/E. Traditional or spiritual healing, such as the use of herbs and fruits, or religious leaders are often sought before seeking medical care. Both men and women and many pregnant women do not access health facilities for fear of death and their husbands’ anger on constant complaints of ill health. Conclusions: Misconceptions, myths and mistrust among community members negatively influence their care-seeking behaviors. There is need to educate men and their spouses on the biological signs, symptoms, and dangers of PE/E and their amenability to medical interventions. This may improve health-seeking behaviors including the antenatal period and improve prevention, early case detection and effective management of PE/E in Nigeria. doi:10.1016/j.preghy.2016.08.067
Clinical science doi:10.1016/j.preghy.2016.08.066
Clinical science 66 A comparative study of knowledge, attitudes and perceptions of women and men around pre-eclampsia and eclampsia in Nigeria Prevention of preeclampsia Gloria Adoyi, Salisu Mohammed Ishaku, Oginni Ayodeji Babatunde, Karen R. Kirk (Population Council, Abuja, Nigeria, Population Council, Washington DC, United States) Introduction: Pre-eclampsia and eclampsia (PE/E) are lifethreatening complications accounting for nearly 40% maternal deaths in northern Nigeria. Maternal deaths due to PE/E could be averted, if pregnant women develop healthy care-seeking behaviors and attend antenatal care early in their pregnancies. Objectives: This study compared gender differences in the knowledge, attitudes and perceptions around PE/E in Nigeria in order to gauge women’s health care-seeking behaviors during pregnancy. Methods: The study design was cross-sectional involving qualitative methods: focus group discussion (FGD). The study was conducted in seven states in Nigeria between June–August, 2015 following an Institutional Review Board (IRB) approval from the National Health Research Ethics Committee (NHREC) of the Federal Ministry of Health (FMoH) and the ethics committees of all the participating states. Overall, data was collected through twenty-eight (28) focus group discussions, four (4) per state, and two in urban and rural communities respectively. Each group was made up of eight (8) discussants. The discussants were identified and purposively selected with the assistance of the officer in charge of the public health facility in each community. The FGDs were held with married women (n = 112) and men (n = 112) aged 18 and 49, who
67 The effect of hypertensive disorders of pregnancy on the risk of attention-deficit/hyperactivity disorder in the offspring Long term consequences for mother and child Stefanie Böhm a, Eileen C. Curran b, Louise C. Kenny b, Gerard W. O’keeffe c, Deirdre Murray d, Ali S. Khashan e (a Institute for Medical Biostatistics, Epidemiology and Informatics, Johannes Gutenberg University, Mainz, Germany, b The Irish Centre for Fetal and Neonatal Translational Research (INFANT), University c College Cork, Cork, Ireland, Department of Anatomy and Neuroscience, University College Cork, Cork, Ireland, d Department of Paediatrics, University College Cork, Cork, e Ireland, Department of Epidemiology and Public Health, University College Cork, Cork, Ireland) Introduction: Attention-deficit/hyperactivity disorder (ADHD) is a frequent neurodevelopmental disorder. Inadequate placentation as a result of hypertensive disorders of pregnancy has been proposed to be a central mechanism of fetal neurodevelopmental comprise. Recently it has been shown that pre-eclampsia increases the risk of ADHD [Mann and McDermott, 2011]. Objectives: We examined the association between hypertensive disorders of pregnancy and ADHD and behavioural difficulties among 7-year old children. We also examined whether circulating factors in serum from women with a HDP alter early patterns of fetal neural growth. Methods: The study cohort consisted of 13,192 children (weighted = 13,500) who participated in the 7-year old wave of the Millennium Cohort Study (MCS); a representative cohort of British children born in 2000–2001. Hypertensive disorders of pregnancy (raised blood pressure, pre-eclampsia, eclampsia and toxaemia) were reported by mothers nine months post-delivery. ADHD was based on a doctor or health care professional diagnosis at age seven. Weighted logistic regression was performed, adjusting for several variables (e.g.