Purpose: To determine the
practice of obstetric care providers regarding routine screening for hepatitis
B virus infection, and to assess their knowledge of the management of the
positive pregnant women. Methods: A cross sectional descriptive study of
obstetric care providers in southwestern Nigeria. Mean and standard deviation
was used to summarize continuous variables while frequency and percentage was
used for categorical variables. Categorical variables were compared with
chi-square test and Fisher’s exact tests as appropriate; while continuous
variables were compared using the t-test. The level of statistical significance
was set at P ≤ 0.05. Scoring of the outcome variables for knowledge was done,
and the score categorized into good and poor knowledge, depending on if the
respondent scored above or below the mean score. Results: Three hundred and
eighty-one (67.4%) of the care givers routinely screen pregnant women for the
serum marker (HBSAg) of HBV infection. Two hundred and seventy-four (48.5%) of
the respondents had good knowledge score of the management of HBV infection in
pregnancy. Routine screening for HBV infection was significantly associated
with age (p = 0.002), years of practice (p < 0.001), specialty (p = 0.001)
and professional cadre (p < 0.001), while knowledge was significantly
associated with age (p = 0.012), years of practice (p = 0.003), specialty (p =
0.047) and types of practice (p = 0.014). Conclusion: Screening for HBV
infection in pregnant women is not universal in southwestern Nigeria, and the
care providers have poor knowledge of the management of the positive mothers.
Cite this paper
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, 621-627. doi: 10.4236/ojog.2014.410086
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