Pregnancy outcome among parturients living in and outside Sagamu: A cement factory town

Abstract

Cement Dust and Pregnancy Outcome: Cement factory poses major health challenge to human health especially those living around the vicinity. The inhaled particulate matters are deposited in most organs in the body. Some of the pollutants migrate through the placenta which could adversely affect the growing fetus. Aims: To compare the fetal and maternal outcomes of pregnant women living within to those living outside Sagamu. Settings and Design: A retrospective study conducted among booked deliveries in Olabisi Onabanjo university teaching hospital in Sagamu from 1st of January 2017 and 31st December 2018. Subjects and Methods: Case notes were retrieved from central medical records. A total of 848 women were living within Sagamu, whereas 236 women were those living outside Sagamu. Statistical Analysis Used: Information retrieved was entered into SPSS version 21 and analyzed. Results: The mean age in years for the study and control group respectively were 29.1 ± 4.9 years and 30.2 ± 5.0 years and the difference was statistically significant (t = 2.723; P < 0.007). The rate of preterm delivery among the study group was significantly higher than the control (x2 = 5.29; P = 0.021). The mean gestational age at delivery for preterm babies was 29.6 ± 7.5 weeks (study) and 31.2 ± 6.0 weeks (control) and there was no significant difference (t-0.843; P < 0.401). The mean packed cell volume of the study and control at booking was 31.7 ± 8.1% and 31.4 ± 4.1% and the difference did not achieve significant level (t-0.538; P < 0.591). The mean birth weight was 3.2 ± 1.6 kg and 3.3 ± 2.1 kg for the study and control groups respectively and there was no significant difference between the two populations (t-0.885; P < 0.376). Conclusions: Pregnant women residing within Sagamu had significant increase risk of preterm deliveries than those living outside Sagamu.