ABSTRACT
There is no much published data on the mothers' false beliefs about signs and symptoms associated with teething in Sudan. Aim: This cross-sectional hospital-based study was conducted to assess mothers` knowledge about infant teething process and to evaluate mothers' practices used to alleviate teething disturbances in Gadarif city, eastern Sudan. Methods: Questionnaires were used to collect data. Multivariate logistics regression models were performed and adjusted odds ratios (AOR) and 95% confidence intervals (CI) were calculated. Results/Conclusion: Of a total of 384 participating mothers, 126 (32.8%) had good knowledge about infant teething. The mothers' knowledge was associated with a higher number of children in the family (adjusted odds ratio [AOR] = 1.14) and with having a job (AOR = 2.22). Mothers residing in rural areas (AOR = 0.40) and mothers with lower than secondary education (AOR = 0.43) were less likely to have good knowledge about teething. Diarrhea (88.5%), fever (86.5%), an urge to bite (76.6%), and poor appetite (71.9%) were the signs and symptoms most attributed to teething by mothers. Only the mother's knowledge about teething was associated with reporting fever as a sign. A considerable number (317; 82.6%) of mothers reported performing "Dokhan" (acacia wood smoke), 313 (81.5%) preferred to administer paracetamol or other systemic analgesics, 262 (68.2%) agreed that a child with tooth eruption should be taken to a hospital or health center, and 216 (56.3%) believed that antibiotics relieved symptoms related to teething
Subject(s)
Humans , Female , Signs and Symptoms , Tooth Eruption , Child , Surveys and Questionnaires , Knowledge , MothersABSTRACT
Background: Globally, the rate of cesarean delivery is increasing rapidly over the past years. Aim: The study was conducted to investigate the incidence and the predictors for cesarean delivery in nulliparous women at Khartoum Hospital, Sudan. Methods: A prospective cross-sectional hospital-based study was conducted where all parturient nulliparous women delivered in the period between February to April 2012 were included. Socio-demographic characteristics were gathered through structured questionnaires. Maternal anthropometric measures, birth weight, gender and mode of delivery were recorded and compared between those who delivered vaginally and by emergency cesarean delivery. Results: A total of 533 parturient women were enrolled, of these, 147(27.6%) were emergency cesarean delivery. The cesarean delivery rate in nulliparous increased significantly with increased maternal, age ˃ 30 years (OR=2.4, 95% CI= 1.1─5.2, P= 0.032), decreased maternal height < 150 cm (OR=2.4, 95% CI=1.4─4.1, P=0.002), and in increase BMI ≥ 30 Kg/m 2 (OR=2.2, 95% CI=1.1─4. 9, P=0.046) and increase in birth weight > 3750g (OR=2.7, 95% CI=1.1─6.4, P=0.026). There was no association between cesarean delivery rate, mid-upper arm circumference and fetal gender. Conclusion: There was a high incidence of cesarean delivery among nulliparous women especially among elder, obese women, short statue women and with a fetal birth weight > 3750g.