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Effect of Antenatal Depression on Fetal Growth Outcomes at the Jos University Teaching Hospital Jos, Plateau State, Nigeria

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Open Journal of Psychiatry 2022年第4期12卷 336-344页

作者： bwatyum annah gyang Umar Musa Agbir Terkura Michael gyang Mark Davou Obindo James Taiwo Department of Psychiatry Jos University Teaching Hospital Jos Nigeria Department of Psychiatry Aminu Kano University Teaching Hospital Kano Nigeria Department of Psychiatry College of Health Sciences Benue State University Makurdi Nigeria Department of Family Medicine Jos University Teaching Hospital Jos Nigeria

Background: Depression is the most prevalent psychiatric disorder in pregnancy and it is associated with psychosocial and obstetric factors. Studies have shown that pregnancy does not prevent women from becoming depressed;rather, it may be a time when depression occurs for the first time in some women. Antenatal depression has been identified as a risk factor for post natal depression, adverse obstetric outcomes, poorer neonatal outcomes and higher growth retardation in infants. Purpose: This study aimed to determine the fetal growth outcomes among depressed pregnant women in their third trimester attending antenatal clinic at the Jos University Teaching Hospital (JUTH), Jos, Plateau State, Nigeria. Method: A prospective cohort study design was used to assess 514 women who consented to the study (256 cases and 258 controls). A socio-demographic questionnaire was given to the women to fill out the study entry. Edinburgh Post Natal Depression Scale (EPDS) was used to screen for depression and MINI neuropsychiatric interviews were used to diagnose depression in those women found to be at risk of depression using the EPDS. Ultrasonography was used to determine the fetal weight in the third trimester of pregnancy. The birth weight of the babies born to the women was obtained from the birth register in the labor ward and the fetal growth rate was calculated from the estimated fetal weight on ultrasound scan in late pregnancy and the birth weight of babies. Result: The mean fetal weight in the third trimester for non-depressed women was slightly higher than in depressed women though the difference was not statistically significant (P = 0.431). The difference in the mean calculated fetal growth rate for fetuses of non-depressed women in the third trimester was statistically significantly higher than in depressed women (p = 0.000). Depressed women also had babies with lower birth weight than non-depressed women and the difference was statistically significant (p = 0.00).

关键词： Depression Antenatal Depression Fetal Weight Fetal Growth Rate Birth Weight

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Delirium and Length of Hospital Stay among Medical Inpatients in Jos University Teaching Hospital, North-Central Nigeria

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Open Journal of Psychiatry 2018年第3期8卷 297-314页

作者： Maigari Yusufu Taru Lubuola Issa Bamidele Akinyemi Opeyemi Faith gyang bwatyum annah Okonoda Kingsley Mayowa Aishatu Armiya’u Yushau Department of Psychiatry University of Jos Jos Nigeria Department of Psychiatry Jos University Teaching Hospital Jos Nigeria

Delirium is a complex neuropsychiatric syndrome that is often associated with adverse outcomes including prolonged hospitalization. This study aims to determine the length of hospital stay among medically-ill patients with and without delirium who were admitted through the Accident and Emergency unit of the Jos University Teaching Hospital, in North-Central Nigeria. It was a cross-sectional study that employed a consecutive sampling technique to select 290 eligible subjects in a face-to-face interview, using a confusion assessment method to assess for delirium within 24 hours of admission. All the respondents were followed-up from the Accident and Emergency unit until discharge or death. The results showed that respondents with delirium rather than those without, were significantly more likely to stay longer in the hospital (P < 0.001). The significant factors associated with prolonged hospitalization among those with delirium include, current medications use, duration of illness before presentation and type of medical diagnosis (P < 0.001), (P < 0.001) and (P < 0.001) respectively. The results point to the importance of screening for delirium in medically-ill patients, with particular attention to patients with infectious and cerebrovascular diseases.

关键词： Delirium Medical Inpatients Accident and Emergency Length of Stay

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