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Trop Doct 2008;38:135-137
doi:10.1258/td.2007.070039
© 2008 Royal Society of Medicine Press

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Articles

A risk assessment for pregnancy using the World Health Organization classifying form in primary health-care facilities in Enugu, Nigeria

U U Aniebue MBBS FWACS   *    P N Aniebue MBBS FWACP   {dagger}

* Department of Obstetrics and Gynaecology; {dagger} Department of Community Medicine, University of Nigeria Teaching Hospital, Enugu 40001, Nigeria

Correspondence to: Dr U U Aniebue, Department of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital, Enugu 40001, Nigeria Email: uzoaniebue{at}yahoo.com

We present a cross-sectional survey of the pattern of high-risk pregnancies in randomly selected primary health-care facilities in Enugu, Nigeria, using the World Health Organization's classifying form. None of the 10 maternity homes studied had a standard risk screening tool. The age of the 299 women studied ranged from 16 to 42 years with a mean of 27.8 ± 6.7 years. Eighty-eight (29.4%) of them were nulliparous, 160 (53.5%) were multiparous and 51 (17.1%) grandmultiparous. One hundred and twenty (40.1%) respondents were in the high-risk category. Rhesus D-negative blood group parturients (42, 35.0%), previous perinatal deaths (29.2%) and multiple pregnancies (9.2%) were the most common risk factors. The prevalence of high-risk pregnancies significantly increased with maternal age and parity and was not influenced by an improved maternal educational attainment. The institution of screening for high-risk pregnancies is vital at the primary health-care level and must be emphasized and must be regularly audited.


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