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PRIVATE DATING SCAN IN ENUGU NIGERIA

second and third trimesters in a private hospital in Enugu, southeast Nigeria
ultrasound in the determination of fetal gender in women who wished to know.


PRIVATE DATING SCAN IN ENUGU NIGERIA

Contents:

Desire for prenatal gender disclosure among primigravidae in Enugu, Nigeria
Background Health Providers that work with Us



They will seek for a scan if it is not requested for because they expect that it
should be done [3]. Although it is good to do intrauterine assessment of fetal
wellbeing especially in early pregnancy to detect the presence of fetal problems
that may require prompt treatment, some clinicians are compelled by their
clients to being addicted to USS. These clients have the assumption that
ultrasound machine can detect all problems or diseases in the human body.

In fact, outside of Obstetric practice this procedure has replaced clinical
skill of most clinicians today. These clinicians scan before taking history and
doing physical examination! This happens mostly with private practitioners and
medical officers in secondary public health institutions. This is a bad attitude
for young clinicians who at times work in such environments because their
clinical skill becomes blunted as they later seek to grow in their professional
career.


DESIRE FOR PRENATAL GENDER DISCLOSURE AMONG PRIMIGRAVIDAE IN ENUGU, NIGERIA

Desire for prenatal gender disclosure among primigravidae in Enugu prenatal
ultrasonography, pregnant women, Enugu, Nigeria. This center is a private
specialist ultrasound service located at Agbani Road, Enugu. the University of
Nigeria, Teaching Hospital (UNTH), Enugu Scan Centre (ESC), In the early days of
ultrasound there were at least two dozen.

Thus, the act of clinical clerksmanship is unfortunately lost. This study like
other similar studies have shown as demonstrated in table 2 that education of
the women significantly influences the use of Obstetrics ultrasound scan
[1,5,6]. The more educated a woman is the more likely she is to get a referral
from a physician to do an Obstetric scan. This clearly demonstrates the
importance of a girl child education. There is also need for public health
enlightenment at preferably antenatal care clinics for ultrasound scan focusing
on availability, recommended period, referral system and dispelling myths and
misconception about the procedure.

The finding of as much as A clearly stated indication will help the sonographer
to be more focus during the procedure so as to come out with a more useful
report for the managing clinician. Secondly, the myth of over estimating the
diagnostic power of the ultrasound machine will be aborted. The commonest
indications as seen in table 3 were fetal wellbeing, fetal viability, pregnancy
diagnosis, dating, gender determination, vaginal bleeding e. This is similar to
findings in other studies [2,4,8,9].


BACKGROUND

Especially the young women married or unmarried who are not on contraceptives,
at times conception happen without a prior plan hence the need to confirm with
USS. Again, the possibility of a diagnostic dilemma or lack of access or
confidence in other methods of testing for pregnancy in which case USS is
required to settle the matter [10].

For those who have a desirable pregnancy it is normal for the woman to want to
have assurance of normal fetal development. Again, it is possible that some
women especially the primigravidae, those who were on contraceptives,
breastfeeding mothers etc not to remember the ages or dates of their pregnancies
hence the need for dating with an early USS.

Gender determination is most at times premised on preference for a particular
sex [2,11]. In our settings in Africa, most families prefer the male sex due to
issues of inheritance and continuity of family lineage. Ekele et al reported
that women who had a prior female baby are more likely to scan for fetal gender
than those who had a prior male baby [11]. In some communities such as in India,
sex selective scans are even used for the purpose of selective abortions [10].

Suboptimal care during the antenatal period in resource constrained environments
like ours also make USS for biophysical profiling necessary in pregnancies
complicated with hypertension, diabetes mellitus, sickle cell disease, cardiac
disorders, asthma etc.

Interestingly, Nigerian women on a general note as reflected in this study have
demonstrated a high level of awareness, belief and acceptability in ultrasound
unlike in other environments where there are cultural, social and psychological
barriers to acceptability and utilization of ultrasound services where they
exist [10,12]. Self-referral and non-stated indications for Obstetric scan
especially amongst the self-referrals and lower cadre of health personnel was
significantly high. In some countries, there are strict laws barring assurance
of confidentiality, informed consent was taken from gender disclosure to combat
gender selection and feticide.

In some countries, gender disclosure is regarded as a human rights issue that
should not be denied upon request. In Nigeria, Ultrasound scan for prenatal
gender there are no laws guiding prenatal gender disclosure. The male
China,18,19 Pakistan,20 and Nepal. The female fetus was recognized by the two
labial of female children through deliberate neglect. The questionnaire was
administered to the respondents This was a descriptive cross-sectional study of
randomly after obtaining permission and consent from the management selected
primigravidae seen at the Enugu Scan Centre for of the Enugu Scan Centre to
carry out the study.

The informa- routine prenatal ultrasonography between January 1, tion obtained
from the respondents were sociodemographic and June 30, The women were randomly
selected using characteristics age, ethnic group, occupation, educational table
of random numbers. This center is a private specialist level, and religion ,
indications for the scan, past obstetric ultrasound service located at Agbani
Road, Enugu. Descriptive and inferential statistics were cated pregnancy and who
voluntarily refused to participate in calculated for all the variables in the
study. Chi-square test the study after counseling.

Those that fulfilled the inclusion was applied for quantitative variables.

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Those that wanted to know fetal gender received disclosure Results if
determined, while those that declined had their wishes A total of primigravidae
fulfilled the criteria for inclu- respected upheld and their reasons documented.
The age range was 16—45 years with a submit your manuscript www. Ibo women were
the majority, with Table 2 Preference for prenatal disclosure, gender
preference, These data are shown in Table 1.

Total The most common reason Tertiary education 30 These details are shown in
for protection of marriage, for propagation of the family Tables 2 and 3. This
finding is compa- Women who sought antenatal care in Enugu were literate rable
to the results of Maaji et al2 in and the Boston study and that might have
influenced the results observed in this by Nze22 in This finding is higher than
that reported in study. However, the findings may not be truly representative
earlier studies by Ekele et al,5 Adekanle et al,9 Okonta et al,10 of Igbo women
and calls for caution while interpreting the and Enakpene et al17 all in
Nigeria.

The reasons for such a findings with these limitations in mind. The women were
because of plans for the new baby, personal curiosity, partner enlightened and
curiosity was high to know the fetal gender. In view of these, gender disclosure
could be Ten percent of women in this study declined to know beneficial in this
environment.

This finding is similar to the study reported by Maaji et al2 5. Reasons offered
for the refusal to know the their center for data collection in this study. This
finding is lower than the report of References 1. Ethical analysis of
non-medical fetal ultrasound. Accra Graphics Packaging; J Pak Med Assoc ; Indian
J Med Res ; Hum Reprod ; Afr J Med Health Sci ; Lim CP, Hasafa Z, Bhattacharya
S, Maheshwari A Should a hysterosalpingogram be a first-line investigation to
diagnose female tubal subfertility in the modern subfertility workup? Afr Health
Sci ; The role of hysterosalpingography in cases of subfertility.

Kathmandu Univ Med J ; Trop Doct ; Popul Sci ; Modern myoma treatment in the
last 20 years: A review of the literature. Biomed Res Int ; Fertil Res Pract ;
Pak J Med Sci ; Mgbor SO Pattern of hysterosalpingographic findings in
gynaecological patients in Enugu. Nigeria faces a health financing cliff edge
Nigeria remains heavily reliant on foreign funding for programs tackling polio,
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HEALTH PROVIDERS THAT WORK WITH US

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Department of Obstetrics and Gynaecology, Anambra State study of randomly
selected primigravidae seen at Enugu Scan Centre. This center is a private
specialist ultrasound service located at Agbani Road, Enugu.