Prevalence and Pattern of Pigmentary Changes among Primigravidae Attending a Tertiary Health Facility in South-Western Nigeria
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2017, Vol 21, Issue 5
Abstract
Background: Pigmentary skin changes are common presentation among pregnant women. The impact of which is very worrisome. Most of these pigmentary changes were due to increase hormonal influence such as melanocyte stimulating hormone, adrenocorticotrophic hormone, cortisol, progesterone and increased sensitivity of melanocyte at normally pigmented areas. Objective: The study was aimed at documenting the prevalence and pattern of pigmentary changes as well as providing baseline data among pregnant women in Nigeria. Materials and Methods: This study was a descriptive cross-sectional study of 240 primigravidae who attended antenatal clinic of Obafemi Awolowo University Teaching Hospitals’ Complex (OAUTHC), Ile-Ife, Nigeria and 240 controls who were never pregnant. The study was carried out between March, 2013 and March, 2014. Data was analyzed using Statistical Package for the Social Sciences (SPSS) version 16.0. Data were presented in tables and statistical significance (measured as P<0.05) were determined using Chi square and Friedman’s tests as appropriate. Results: The general prevalence of pigmentary changes in pregnancy among the subjects in this study was 77.5% in first trimester, 95.8% in second and 95.4% in third trimesters while it was 17.1% in the controls. Nipple, areola, generalized hyperpimentations and linea nigra were much higher than controls. These pigmentary changes also increased in prevalence as pregnancy advanced. There was statistically significant association between gestational age (trimester) and pigmentary changes (P=0.000). The prevalence of melasma increases as the pregnancy progresses from 5.0% in first trimester to 8.8% in third trimester. The relationship was found to be statistically significant (P=0.000). Conclusion: The prevalence of pigmentary changes among pregnant women in Nigeria was found to be very high. Healthcare workers involved in obstetric care need to be well informed to enable accurate diagnosis and education of patients. The effects of pigmentary changes on quality of life may further be elucidated with further studies.
Authors and Affiliations
Fatai Olatunde Olanrewaju, Olaniyi Onayemi, Olayinka Abimbola Olasode, Adebanjo Babalola Adeyemi, Abimbola Olumayowa Oninla, Mufutau Muphy Oripelaye, Ogochukwu Ifeanyi Ezejiofor, Olaide Olutoyin Oke
Keywords
Related Articles
- EP ID EP311707
- DOI 10.9734/BJMMR/2017/33382
- Views 72
- Downloads 0
Mucoepidermoid Carcinoma of Hard Palate in a Pediatric Case
Salivary gland neoplasms are rare in childhood. Only 1 to5.5% of minor salivary gland tumours occur in children and adolescents. The most common malignant minor salivary gland tumours are mucoepidermoid carcinomas (MECs)...
Could be Phytotherapy Implemented to Vaginal Discharge Treatment?
Background: Vaginal device NaturGyn Scarlett® (Shaanxi Zhongbang Pharma - tech. Co. Ltd) was developed thousands of years ago for treatment of vaginal discharge and discomfort. It contains 8 herbal substances at standard...
Triple and Quadruple Eradication Therapy for H. pylori in Iraqi Patients with Peptic Ulcer Disease a Comparative Study
The eradication of H. pylori has become an important issue; since Helicobacter pylori infection can cause chronic gastritis, peptic ulcer, gastric cancer and (MALT) lymphoma. Standard triple therapy efficacy has decrease...
HIV/AIDS Recovery Rates in Male and Female Patients, Treated with Medicinal synthetic Aluminum-magnesium silicate
Aim: Clinical trial of antiretroviral efficacy of Medicinal synthetic Aluminum-magnesium silicate (MSAMS) in male and female patients. Methodology: HIV/AIDS patients were classified as, male-patients and female-patients....
Attitude of Residents of a Rural Community in South-South, Nigeria towards Alternative Medical Therapy
Background: Up to 80 percent of Africans are reported to use some form of alternative medical therapy (AMT) to meet their health needs. There are gaps in knowledge relating to attitude towards AMT in south- south Nigeria...