Knowledge, attitude, and perception of pregnant women toward anesthesia for cesarean section at Aminu ano Teaching hospital

Background: Anesthesia is regarded as an integral part of cesarean section due to its elimination of pain and discomfort. Pregnant women need to have awareness of anesthesia for cesarean section. Objectives: The aim of this study was to determine the knowledge, attitude, and perception of pregnant women toward anesthesia for cesarean section. Materials and Methods: This was a cross­sectional study among consenting pregnant women at Aminu Kano Teaching Hospital. A structured pretested questionnaire was used to obtain information from the participants. Ethical approval was obtained from the hospital ethics committee. Data obtained was analyzed using SPSS version 18 (SPSS Inc., Chicago, Illinois, 2012, US). Fischer's exact test was used for categorical data and P ≤ 0.05 was considered statistically significant. Results: The mean age ± standard deviation was 28.71 ± 5.635 years. Two hundred and thirty­two (68.8%) had knowledge of anesthesia for surgical procedures, and in up to 221 (65.5%), the anesthesia known to them was for cesarean section. Main sources of knowledge were from the clinic (195, 44.5%) and previous experience/exposure (180, 41.1%). The main anesthetic side effects were headache (24, 64.9%) and delayed recovery (11, 29.7%). Regional anesthesia was preferred (246, 73.0%) over general anesthesia (91, 27.0%) because of safety (258, 44.3%), fear of death (240, 41.2%), and the desire for being awake during the procedure (85, 14.5%). Knowledge of anesthesia was statistically associated with the age groups of the respondents (P = 0.027) and their occupation (P = 0.003). Conclusion: The study revealed high knowledge and awareness of anesthesia for cesarean section among pregnant women and regional anesthesia was preferred over general anesthesia

Choice of Specialization among Female Clinical Medical Students of Bayero University Kano, Nigeria

Background: The field of medicine is very wide; female medical students also have their choice of specialization which many develop in medical schools due to different factors.Methodology: It was a cross sectional study that was conducted among female clinical medical students of Bayero University Kano. Ethical approval was obtained from the hospital Ethical Committee. Questionnaire was administered to all consenting female students. Data were analysed by SPSS Electronic Software Version 18 (SPSS Inc, IL, Chicago, USA). A P value of less than 0.05 was considered statistically significant.Results: Eighty five female medical students participated in the study. Mean (SD) age was 23.09 ± 1.8 years. Seventy two (84.70%) chose clinical medicine to be their future career while 13 (15.30%) were undecided. Only 15 (22.70%) decided to specialize in their career of choice. Obstetrics and Gynaecology was the most interested speciality of choice (30.80%). Most students were interested in the reward in working in the speciality 54 (68.40%) followed by interest in the clinical work 52 (65.80%). Many of the respondents 41 (49.4%) considered their career development as a priority in future career plans in practice location, and educational environment for children 40 (51.90%). Only 15 (18.00%) were keenly motivated to work in rural areas regardless of the duration of time.Conclusion: Female medical students preferred to be clinicians in their future career with obstetrics and gynaecology as the most interested speciality of choice. Their career development and educational environment for children were the priority in future career plans in practice location

Induction to delivery interval using transcervical Foley catheter plus oxytocin and vaginal misoprostol: A comparative study at Aminu Kano Teaching Hospital, Kano, Nigeria.

BACKGROUND: Induction of labor (IOL) is an artificial initiation of labor before its spontaneous onset for the purpose of delivery of the fetoplacental unit. Many factors are associated with its success in postdatism. OBJECTIVE: To compare the induction delivery intervals using transcervical Foley catheter plus oxytocin and vaginal misoprostol, and to identify the factors associated with successful induction among postdate singleton multiparae. MATERIALS AND METHODS: The study was a prospective randomized controlled trial of singleton multiparous pregnant women. They were randomized into two groups, one group for intravaginal misoprostol and the other group for transcervical Foley catheter insertion as a method of cervical ripening and IOL. The data were analyzed using SPSS version 17 computer software (SPSS Inc., IL, Chicago, USA). Comparisons of categorical variables were done using Chi-squared test, with P < 0.05 considered as significant. Student's t-test was used for continuous variables. RESULTS: The incidence of postdatism was found to be 136 (13.1%). The mean induction delivery time interval was shorter in the misoprostol group 70 (5.54 ± 1.8 h) than in the Foley catheter oxytocin infusion group 66 (6.65 ± 1.7 h) (P = 0.035). There was, however, no statistically significant difference in the maternal and neonatal outcomes when these two agents were used for cervical ripening and IOL. Higher parity and higher Bishop's score were the factors found to be associated with high success rate of IOL (P < 0.001). CONCLUSION: Vaginal misoprostol resulted in shorter induction delivery time interval as compared to transcervical Foley catheter. High parity and high Bishop's scores were the factors found to be associated with the success of IOL.

Contraceptive choices among grand multiparous women at Murtala Mohammed Specialist Hospital, Kano.

BACKGROUND: Grand multiparity is known to be associated with pregnancy complications. Nigeria with a contraceptive prevalence of <15% and culture of early marriage in the northern part of the country, many women get to grand multiparity early in their obstetric carriers. These women contribute significantly to the bad obstetric performance indices in the country. The present study was to explore the contraceptive choices among grand multiparous women. METHODS: This study was a descriptive cross-sectional study among grand multiparous women attending an antenatal clinic. Data were collected on sociodemographic characteristics, contraceptive choices, and factors that influence such choices. The data were analyzed using Statistical Package for the Social Sciences version 18. RESULTS: There were 219 respondents. The mean age was 33.05 ± 3.17, and the mean parity was 6.48 ± 1.83. Most of the respondents (208, 95.50%) were aware of modern contraceptive methods, and oral contraceptive was the method of most of the respondents (197, 90.00%). Only 92 (42.00%) were currently using a modern contraceptive method. Being convenient for the lifestyle was the reason for the choice of a contraceptive method by many of the respondents (42, 19.10%). CONCLUSION: There was high awareness of modern contraceptive methods; however, there was low use prevalence among respondents, and the desire for more pregnancy was the reason for the nonuse.