Jadelle避孕植入在尼日利亚东南部肥胖和超重妇女中的经验

Q4 Medicine
B. Chigbu, S. Onwere, A. Nwokoro, O. Ezenobi
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引用次数: 0

摘要

背景:随着全球肥胖流行的持续,妇产科医生必须与想要推迟怀孕的肥胖妇女讨论避孕。肥胖可能通过改变激素避孕药的吸收、分布、代谢或消除方式来影响其功效。关于Jadelle和其他激素避孕药在我们地区超重和肥胖妇女中的适用性和有效性的数据缺乏。目的:研究超重和肥胖女性与BMI正常女性相比,Jadelle避孕植入物的停药、并发症和妊娠率。设计:观察性研究。地点:尼日利亚阿比亚州奥西奥马·恩格瓦地方政府区的一家私立医院的计划生育科,隶属于家庭保健协会的妇女保健项目。研究对象:接受Jadelle避孕植入物的102名高BMI女性(超重64名,肥胖38名)和153名正常BMI女性。结果:高BMI组与正常BMI组的继续治疗率(p = 0.78)和停药率(p = 0.71)差异无统计学意义。所有BMI组在5年到期前停用Jadelle的原因相似,包括阴道出血延长和不规则,以及再次怀孕的愿望。所有BMI组的副作用相似且最小,主要是阴道出血延长或不规则。两名体重正常的妇女证实怀孕,这发生在使用的前两个月内。显然,这些女性在植入时已经怀孕了。结论:Jadelle避孕植入物在尼日利亚东南部希望有效预防怀孕5年的肥胖和超重妇女中具有良好的耐受性和有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Experience with Jadelle Contraceptive Implant in obese and overweight women in south-eastern Nigeria
Objective: High mortality is attributed to Lassa fever in Nigeria, making it a disease of great public health importance. In the last 3 years (2015- 2018), the disease has continued to be on the increase. This study examined the retrospective view of Lassa fever outbreak in the last six years (2012-2017) in order to ascertain the spread of the disease. Methodology: Data on Lassa fever from 2012 – 2017 was used for this study. The data was collected, collated and SPSS was used to analyze the data in line with the set objectives.Results: The findings confirmed increase in the spread of Lassa fever in many states of Nigeria. Young people are more affected by the disease and more males than females are also more affected in the ratio of 3:2. The disease is spread throughout the year; and the attack rate and case fatality rate remain high especially in Edo, Ondo and Ebonyi states. Timeliness and completeness report data were barely 80% indicating poor data reporting system as all cases ought to be completely and timely reported in order to detect early and follow up on an unusual trend of disease occurrence. Conclusion: From the findings in this study, Lassa fever is still on the increase in Nigeria. Continuous surveillance and vibrant case management should be employed by all tiers of health care. The government should ask for assistance from other countries to fight Lassa fever to a halt.
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来源期刊
East African medical journal
East African medical journal Medicine-Medicine (all)
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期刊介绍: The East African Medical Journal is published every month. It is intended for publication of papers on original work and reviews of all aspects of medicine. Communications bearing on clinical and basic research on problems relevant to East Africa and other African countries will receive special attention. Papers submitted for publication are accepted only on the understanding they will not be published elsewhere without the permission of the Editor-in-Chief
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