Pub Date : 2017-04-28DOI: 10.4172/2167-0420.1000363
Tesfaye Dt, Mekonnen Ah, Negesa Bl
Introduction: Pregnancy and childbirth are natural and often eventful processes many women are at risk for developing complications during pregnancy and childbirth. Complications of pregnancy and childbirth are the leading causes of disability and death among women in the reproductive age (15-49) years in developing countries. Some studies have estimated that ANC alone can reduce maternal mortality by 20% given good quality and regular attendance. Measuring the components of ANC is essential for assessing the assessing maternal ANC service satisfaction. Pregnancy complications are a primary source of maternal and child morbidity and mortality. Objectives: The study was aimed at assessing maternal antenatal care service satisfaction and factors associated with, in rural health centers, Bursa District, Southern Ethiopia. Method: Facility based cross-sectional study was conducted in rural health centers in Bursa District from March to April 2014. Four rural health centers were selected purposively and systematic random sampling technique was used to select the study subjects. SPSS for windows (version 20) was used for statistical analysis. The magnitude of association between independent variables and dependent was measured using odds ratios and 95% confidence interval and P-values below 0.05 was used to declare statistical association. Results: Two hundred ninety participants responded the questionnaire making 100% response rate. The mean age was 27.3 years with ± 5.4 SD. Overall Antenatal Care (ANC) satisfaction was 33%. The likelihood of maternal ANC service satisfaction was lower among women secondary and above educational level [AOR=0.14, 95% CI=(0.03-0.78)], Pregnant women who had unplanned current pregnancy [AOR=0.56, (95% CI)=(0.33-0.97)] and those women who had started first visits of ANC after 4 months of pregnancy [AOR= 0.29, 95% CI, 0.11-0.79]. Conclusions: The overall maternal ANC service satisfaction in this study is found to be suboptimal. The study strongly suggests that more could be done to assure that services provided are more standard. This study also revealed several constraints in the provision of ANC services which can be implied as areas of possible improvement, including laboratory investigation, longer waiting time, and poor consultation.
妊娠和分娩是自然的，往往是多事的过程，许多妇女在妊娠和分娩期间有发生并发症的危险。妊娠和分娩并发症是发展中国家育龄(15-49岁)妇女致残和死亡的主要原因。一些研究估计，如果有良好的质量和定期的护理，单是产前护理就可以将孕产妇死亡率降低20%。测量ANC的组成部分对评估孕产妇ANC服务满意度至关重要。妊娠并发症是孕产妇和儿童发病率和死亡率的主要来源。目的:本研究旨在评估埃塞俄比亚南部布尔萨地区农村保健中心孕产妇产前保健服务满意度及其相关因素。方法:2014年3 - 4月在布尔萨区农村卫生院进行基于设施的横断面研究。有目的地选择4个农村卫生院，采用系统随机抽样方法选择研究对象。采用SPSS for windows (version 20)进行统计分析。自变量和因变量之间的关联程度采用比值比和95%置信区间，p值小于0.05表示有统计学关联。结果:共有290名参与者参与问卷调查，问卷回复率为100%。平均年龄27.3岁，标准差±5.4。总体产前护理(ANC)满意度为33%。中等及以上学历妇女对ANC服务满意度的可能性较低[AOR=0.14, 95% CI=(0.03-0.78)]，非计划妊娠孕妇[AOR=0.56， (95% CI)=(0.33-0.97)]和妊娠4个月后首次就诊ANC的妇女[AOR= 0.29, 95% CI, 0.11-0.79]。结论:本研究发现产妇ANC服务总体满意度为次优。这项研究强烈表明，要确保提供的服务更加标准，还需要做更多的工作。这项研究还揭示了在提供ANC服务方面的一些限制，这些限制可以暗示为可能改进的领域，包括实验室调查、较长的等待时间和较差的咨询。
{"title":"Maternal Antenatal Care Service Satisfaction and Factors Associated with RuralHealth Centers, Bursa District, Sidama Zone, Southern Ethiopia: A CrosssectionalStudy","authors":"Tesfaye Dt, Mekonnen Ah, Negesa Bl","doi":"10.4172/2167-0420.1000363","DOIUrl":"https://doi.org/10.4172/2167-0420.1000363","url":null,"abstract":"Introduction: Pregnancy and childbirth are natural and often eventful processes many women are at risk for developing complications during pregnancy and childbirth. Complications of pregnancy and childbirth are the leading causes of disability and death among women in the reproductive age (15-49) years in developing countries. Some studies have estimated that ANC alone can reduce maternal mortality by 20% given good quality and regular attendance. Measuring the components of ANC is essential for assessing the assessing maternal ANC service satisfaction. Pregnancy complications are a primary source of maternal and child morbidity and mortality. \u0000Objectives: The study was aimed at assessing maternal antenatal care service satisfaction and factors associated with, in rural health centers, Bursa District, Southern Ethiopia. \u0000Method: Facility based cross-sectional study was conducted in rural health centers in Bursa District from March to April 2014. Four rural health centers were selected purposively and systematic random sampling technique was used to select the study subjects. SPSS for windows (version 20) was used for statistical analysis. The magnitude of association between independent variables and dependent was measured using odds ratios and 95% confidence interval and P-values below 0.05 was used to declare statistical association. \u0000Results: Two hundred ninety participants responded the questionnaire making 100% response rate. The mean age was 27.3 years with ± 5.4 SD. Overall Antenatal Care (ANC) satisfaction was 33%. The likelihood of maternal ANC service satisfaction was lower among women secondary and above educational level [AOR=0.14, 95% CI=(0.03-0.78)], Pregnant women who had unplanned current pregnancy [AOR=0.56, (95% CI)=(0.33-0.97)] and those women who had started first visits of ANC after 4 months of pregnancy [AOR= 0.29, 95% CI, 0.11-0.79]. \u0000Conclusions: The overall maternal ANC service satisfaction in this study is found to be suboptimal. The study strongly suggests that more could be done to assure that services provided are more standard. This study also revealed several constraints in the provision of ANC services which can be implied as areas of possible improvement, including laboratory investigation, longer waiting time, and poor consultation.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80699501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-04-28DOI: 10.4172/2167-0420.1000366
C. AndradeMartin, Fern, R. esAlvares, T. ReisNascimento, Waldemar Paranaiba Ss, T. KarendaSilvaMorais, D. CarvalhoSantos
Pregnancy is a specific stage in women’s life, a time when they face physiological and biomechanical changes that, without proper monitoring, lead to the emergence of musculoskeletal discomforts. Most of these issues are associated with postural changes, balance, ligament laxity, body weight increase and cardiorespiratory disorders. The Pilates method provides several benefits such as increased respiratory capacity, improved muscle strength and the strengthening of torso-stabilizing muscles, flexibility, spine mobility, postural alignment, coordination, proprioception, balance and motor control. Given the specific condition of pregnant women and the variations derived from such condition, Pilates may positively contribute to these women's health within their physical and psychological limitations. The aim of the current study is to address the importance of Pilates, clinical guidelines and physical activities practiced in the main pregnancy periods (trimesters) through a bibliographical analysis. Pregnant women are known for the several physiological changes they go through; thus, Pilates can make important contributions to their health, such as the promotion of quality of life and wellbeing to improve their adaptation to each gestational week.
{"title":"Pilates for Pregnant Women: A Healthy Alternative","authors":"C. AndradeMartin, Fern, R. esAlvares, T. ReisNascimento, Waldemar Paranaiba Ss, T. KarendaSilvaMorais, D. CarvalhoSantos","doi":"10.4172/2167-0420.1000366","DOIUrl":"https://doi.org/10.4172/2167-0420.1000366","url":null,"abstract":"Pregnancy is a specific stage in women’s life, a time when they face physiological and biomechanical changes \u0000 that, without proper monitoring, lead to the emergence of musculoskeletal discomforts. Most of these issues are \u0000 associated with postural changes, balance, ligament laxity, body weight increase and cardiorespiratory disorders. \u0000 The Pilates method provides several benefits such as increased respiratory capacity, improved muscle strength and \u0000 the strengthening of torso-stabilizing muscles, flexibility, spine mobility, postural alignment, coordination, \u0000 proprioception, balance and motor control. Given the specific condition of pregnant women and the variations \u0000 derived from such condition, Pilates may positively contribute to these women's health within their physical and \u0000 psychological limitations. The aim of the current study is to address the importance of Pilates, clinical guidelines and \u0000 physical activities practiced in the main pregnancy periods (trimesters) through a bibliographical analysis. Pregnant \u0000 women are known for the several physiological changes they go through; thus, Pilates can make important \u0000 contributions to their health, such as the promotion of quality of life and wellbeing to improve their adaptation to each \u0000 gestational week.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84434591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-04-18DOI: 10.4172/2167-0420.1000362
Lemma E, Husein G
Background: Only screening pregnant mother is not adequate to prevent mother to child transmission of HIV. Thus, male partners’ involvement has been considered as a first priority to focus intervention to be intensified in prevention of mother to child transmission of HIV. But it remained one of the biggest challenges in Ethiopia. Objective: Assess the extent of male partner’s involvement in prevention of mother to child transmission of HIV and identify associated factors in Fentale district, Eastern Ethiopia. Methods: Institution based cross-sectional study design was employed. Data was collected from random sample of 272 pregnant mothers at antenatal care clinic of Health facilities in Fentale district from 1st to 31st March, 2016. Data was analyzed using SPSS version 21.0. Multivariate logistic regressions were carried out, association between independent and dependent variables was measured using adjusted odds ratios and 95% confidence interval and P-value below 0.05 was considered statistically significant. Result: Male partner involvement on Antenatal care/Prevention of Mother to Child transmission (PMTCT) of HIV was 14.0%. Pregnant mothers living in urban were 3.8 times more likely to be accompanied by their partner on Antenatal care/Prevention of Mother to Child transmission of HIV compared to those from rural (AOR=3.8, 95% CI: 1.24, 7.86). On the other-hand mothers not having negative cultural belief about accompanying their partner at Antenatal care were 2.3 times more likely to involve their partner compared to those having negative beliefs (AOR=2.3, 95% CI: 1.94, 9.66). Conclusion: Male partner involvement on Antenatal care/Prevention of Mother to Child transmission of HIV was 14.0% which is very low. Residence and cultural beliefs about accompanying pregnant mother at Antenatal care were found to be the independent predictors of male partner involvement. Hence, comprehensive strategy should be put in place to improve male partner involvement giving special focuses for pastoralists.
{"title":"Male Partner Involvement on Prevention of Mother to Child Transmission of HIV and Associated Factors among Pregnant Mothers Attending Antenatal at Fantale District, Ethiopia","authors":"Lemma E, Husein G","doi":"10.4172/2167-0420.1000362","DOIUrl":"https://doi.org/10.4172/2167-0420.1000362","url":null,"abstract":"Background: Only screening pregnant mother is not adequate to prevent mother to child transmission of HIV. Thus, male partners’ involvement has been considered as a first priority to focus intervention to be intensified in prevention of mother to child transmission of HIV. But it remained one of the biggest challenges in Ethiopia. Objective: Assess the extent of male partner’s involvement in prevention of mother to child transmission of HIV and identify associated factors in Fentale district, Eastern Ethiopia. Methods: Institution based cross-sectional study design was employed. Data was collected from random sample of 272 pregnant mothers at antenatal care clinic of Health facilities in Fentale district from 1st to 31st March, 2016. Data was analyzed using SPSS version 21.0. Multivariate logistic regressions were carried out, association between independent and dependent variables was measured using adjusted odds ratios and 95% confidence interval and P-value below 0.05 was considered statistically significant. Result: Male partner involvement on Antenatal care/Prevention of Mother to Child transmission (PMTCT) of HIV was 14.0%. Pregnant mothers living in urban were 3.8 times more likely to be accompanied by their partner on Antenatal care/Prevention of Mother to Child transmission of HIV compared to those from rural (AOR=3.8, 95% CI: 1.24, 7.86). On the other-hand mothers not having negative cultural belief about accompanying their partner at Antenatal care were 2.3 times more likely to involve their partner compared to those having negative beliefs (AOR=2.3, 95% CI: 1.94, 9.66). Conclusion: Male partner involvement on Antenatal care/Prevention of Mother to Child transmission of HIV was 14.0% which is very low. Residence and cultural beliefs about accompanying pregnant mother at Antenatal care were found to be the independent predictors of male partner involvement. Hence, comprehensive strategy should be put in place to improve male partner involvement giving special focuses for pastoralists.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89169008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-04-03DOI: 10.4172/2167-0420.1000361
D. Bt, Afessa N, Temesgen M, Semayat Yw, Kassaye M, Sieru S, Gizachew S, Ketsela K
Introduction: Dysmenorrhea is a painful menstrual cramp of uterine origin. It is the most common gynecologic complaints in adolescence and young women among university female students. Major symptoms including pain, adverse effect on daily life and school performance, causing recurrent short-term school absenteeism among female adolescents. Therefore, this study aimed to estimate the prevalence of dysmenorrhea and its effect on school performance. Methodology: Cross-sectional study was conducted in Debre Berhan University, which is one of public higher institutions in Ethiopia. Cluster sampling technique was used to enroll 307 students. Data were collected using a self-administered questionnaire which was designed for this research. The questionnaire was anonymously completed by each participant who were consented to participate in the study. Data was cleaned, coded and entered into statistical product for service solution (SPSS V.16) for analysis. Pearson’s Chi-square test was used to determine linear relationship between dependent and independent categorical variables. Bivariabe and multivariable logistic regression was executed to determine the effect of dysmenorrhea on school performance. Results: The age of the respondent ranges from 18-29 with a mean and standard deviation of 20.35 ± 1.55. Most of the participants 249 (84.4%) were in the age category of 18 to 21. Concerning the age of menarche, the average was 15.1 ± 1.79 years. Regarding painful menses, 197 (66.8%) of students were suffering from dysmenorrhea. Out of dysmenorric students, 119 (60.4%) of them reported that their school performance was affected attributed to the pain and this was explained by loss of concentration and class absenteeism. Pearson Chi-square test revealed that severity of pain among dysmenorric students had effect on their academic performances (X2df=2=25.1, p<0.001). The result also showed that statistical significance evidence was found among severity of pain and class absentees (X2df=2=15, p<0.001); loss of concentration in class (X2df=2=12.85, p<0.05) and lack of focus on exam (X2df=2=7.4, p<0.05). Moreover, students who are suffering from dysmenorrhea were 8 times more likely their educational performance had been affected than those students who had no dysmenorrhea (AOR=8.013, 95%CI: 3.41, 17.305). It also had psychological effect on students (AOR=2.52, 95%CI: 1.135, 5.595). Conclusion and Recommendation: Primary dysmenorrhea is a common problem among female students of Debre Berhan University and brought a number of physical and emotional symptoms. As a result the condition affected their school performance and limited their daily class activities. Therefore, to combat these effect students most probably expected to change their lifestyle particularly regular physical exercise. Moreover, awareness should be brought to school authority and teachers about dysmenorrhea to provide psychological and academic support to affected students.
{"title":"Prevalence of Dysmenorrhea and its Effects on School Performance: A Crosssectional Study","authors":"D. Bt, Afessa N, Temesgen M, Semayat Yw, Kassaye M, Sieru S, Gizachew S, Ketsela K","doi":"10.4172/2167-0420.1000361","DOIUrl":"https://doi.org/10.4172/2167-0420.1000361","url":null,"abstract":"Introduction: Dysmenorrhea is a painful menstrual cramp of uterine origin. It is the most common gynecologic complaints in adolescence and young women among university female students. Major symptoms including pain, adverse effect on daily life and school performance, causing recurrent short-term school absenteeism among female adolescents. Therefore, this study aimed to estimate the prevalence of dysmenorrhea and its effect on school performance. Methodology: Cross-sectional study was conducted in Debre Berhan University, which is one of public higher institutions in Ethiopia. Cluster sampling technique was used to enroll 307 students. Data were collected using a self-administered questionnaire which was designed for this research. The questionnaire was anonymously completed by each participant who were consented to participate in the study. Data was cleaned, coded and entered into statistical product for service solution (SPSS V.16) for analysis. Pearson’s Chi-square test was used to determine linear relationship between dependent and independent categorical variables. Bivariabe and multivariable logistic regression was executed to determine the effect of dysmenorrhea on school performance. Results: The age of the respondent ranges from 18-29 with a mean and standard deviation of 20.35 ± 1.55. Most of the participants 249 (84.4%) were in the age category of 18 to 21. Concerning the age of menarche, the average was 15.1 ± 1.79 years. Regarding painful menses, 197 (66.8%) of students were suffering from dysmenorrhea. Out of dysmenorric students, 119 (60.4%) of them reported that their school performance was affected attributed to the pain and this was explained by loss of concentration and class absenteeism. Pearson Chi-square test revealed that severity of pain among dysmenorric students had effect on their academic performances (X2df=2=25.1, p<0.001). The result also showed that statistical significance evidence was found among severity of pain and class absentees (X2df=2=15, p<0.001); loss of concentration in class (X2df=2=12.85, p<0.05) and lack of focus on exam (X2df=2=7.4, p<0.05). Moreover, students who are suffering from dysmenorrhea were 8 times more likely their educational performance had been affected than those students who had no dysmenorrhea (AOR=8.013, 95%CI: 3.41, 17.305). It also had psychological effect on students (AOR=2.52, 95%CI: 1.135, 5.595). Conclusion and Recommendation: Primary dysmenorrhea is a common problem among female students of Debre Berhan University and brought a number of physical and emotional symptoms. As a result the condition affected their school performance and limited their daily class activities. Therefore, to combat these effect students most probably expected to change their lifestyle particularly regular physical exercise. Moreover, awareness should be brought to school authority and teachers about dysmenorrhea to provide psychological and academic support to affected students.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83422777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-01DOI: 10.4172/2167-0420.1000405
Khan Nm, S. Rampat, L. Sannassee
The idea of thinness in today’s society is omnipresent and is leading to body dissatisfaction thereby encouraging unhealthy eating and exercise practices in not only women, but also in men who are increasingly focusing on their appearance. This study aimed at identifying the risk factors for weight concerns and physical appearance displeasure among 300 students, aged 18 to 25 years, at the University of Mauritius. Factor analysis was used to identify the following common weight loss behaviors which the participants adopt: “Concern about dieting and weight”, “Physical Activities” and “Controlling the amount of food intake”. Binary logistic regression analyses revealed that age, gender and region had an impact on one’s willingness to maintain the ideal body weight and shape. There was also an interaction between age and region on body dissatisfaction.
{"title":"A Quantitative Analysis Explaining the Aetiology of Body Weight Concerns and Physical Appearance Dissatisfaction among Undergraduates at The University of Mauritius","authors":"Khan Nm, S. Rampat, L. Sannassee","doi":"10.4172/2167-0420.1000405","DOIUrl":"https://doi.org/10.4172/2167-0420.1000405","url":null,"abstract":"The idea of thinness in today’s society is omnipresent and is leading to body dissatisfaction thereby encouraging unhealthy eating and exercise practices in not only women, but also in men who are increasingly focusing on their appearance. This study aimed at identifying the risk factors for weight concerns and physical appearance displeasure among 300 students, aged 18 to 25 years, at the University of Mauritius. Factor analysis was used to identify the following common weight loss behaviors which the participants adopt: “Concern about dieting and weight”, “Physical Activities” and “Controlling the amount of food intake”. Binary logistic regression analyses revealed that age, gender and region had an impact on one’s willingness to maintain the ideal body weight and shape. There was also an interaction between age and region on body dissatisfaction.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88800196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-01DOI: 10.4172/2167-0420.1000408
M. Ayele, N. Hamba, B. Gudeta
Introduction: Unplanned pregnancy has been a distressing reality among females in the reproductive age group particularly in developing countries. The repercussions of such events range from illegal abortions to various health related problems associated with pregnancy in mothers. This study aimed to determine the prevalence of unplanned pregnancy and associated factors among pregnant women following ANC at Hambiso Health Center, Hambiso town, North Showa, Oromia region, Ethiopia. Methodology: Cross sectional study design was conducted at Hambiso Health Center from June 10, 2017 to July 24, 2017. The sample size was calculated as 165 and convenience sampling technique was used. The study populations were pregnant women following ANC at Hambiso Health Center, Hambisoo town. Data was collected by pretested structured questionnaire, by face to face interview. Chi square test was used to test the association between the dependent and independent variables. Result: Prevalence of unplanned pregnancy was high 35.2% among the study sample, majority of the unplanned pregnancies were miss timed followed by husband influence.
{"title":"Assessment of the Prevalence of Unplanned Pregnancy and Associated Factors among Pregnant Women Attending Antenatal Care Unit at Hambiso Health Center Hambiso, North Shewa, Ethiopia","authors":"M. Ayele, N. Hamba, B. Gudeta","doi":"10.4172/2167-0420.1000408","DOIUrl":"https://doi.org/10.4172/2167-0420.1000408","url":null,"abstract":"Introduction: Unplanned pregnancy has been a distressing reality among females in the reproductive age group particularly in developing countries. The repercussions of such events range from illegal abortions to various health related problems associated with pregnancy in mothers. This study aimed to determine the prevalence of unplanned pregnancy and associated factors among pregnant women following ANC at Hambiso Health Center, Hambiso town, North Showa, Oromia region, Ethiopia. Methodology: Cross sectional study design was conducted at Hambiso Health Center from June 10, 2017 to July 24, 2017. The sample size was calculated as 165 and convenience sampling technique was used. The study populations were pregnant women following ANC at Hambiso Health Center, Hambisoo town. Data was collected by pretested structured questionnaire, by face to face interview. Chi square test was used to test the association between the dependent and independent variables. Result: Prevalence of unplanned pregnancy was high 35.2% among the study sample, majority of the unplanned pregnancies were miss timed followed by husband influence.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76084387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-01DOI: 10.4172/2167-0420.1000410
S. Gebre, Ataklti Negasi, A. Hailu
Improving the quality of obstetric care is an urgent priority in low income countries, where maternal and perinatal morbidity and mortality remain high. Clinical audit is a tool to improve quality of care. Specifically clinical audit in MNCH is a tool to reduce maternal and perinatal morbidity and mortality. Cesarean section is among “five auditable’’ MNCH scenarios according 2012 women lung foundation. This study is a one year retrospective cross-sectional study among 99 women who delivered by cesarean section from July 2016-June 2017 in Mearg general hospital in West Tigray, Ethiopia. The aim of this survey was to investigate cesarean section rate (CSR) and indications of cesarean section to improve quality of obstetric care by reducing unnecessary cesarean sections. In the study period 99 women delivered by cesarean section among 749 institutional deliveries which gives an institutional cesarean section rate of 13.2%. Medical records were retrieved for 81 mothers. The most common indications for cesarean section were cephalopelvic disproportion (CPD) in 19 women (23.5%), antepartum hemorrhage in 11 (13.6%) and obstructed labor in 10 (12.3%). Majority of the cesarean sections 75(88.9%) were done under spinal anesthesia. Seven (8.6%) mothers had no justified indication for cesarean section according to criteria based audit. From the total 99 cesarean sections there was one (1.0%) maternal death. There was significant number of cesarean sections done with medically unjustified indications but comparatively low with the country and global figure. The three common indications for CS in this study were CPD, APH, and obstructed labor. A huge percentage of lost medical files was observed. Keeping medical records is the safest, simplest and cheapest way to analyze cesarean section indications, to reduce unjustified/unnecessary cesarean sections.
{"title":"Criteria Based Clinical Audit of Cesarean Section in a General Hospital in West Tigray, Ethiopia","authors":"S. Gebre, Ataklti Negasi, A. Hailu","doi":"10.4172/2167-0420.1000410","DOIUrl":"https://doi.org/10.4172/2167-0420.1000410","url":null,"abstract":"Improving the quality of obstetric care is an urgent priority in low income countries, where maternal and perinatal morbidity and mortality remain high. Clinical audit is a tool to improve quality of care. Specifically clinical audit in MNCH is a tool to reduce maternal and perinatal morbidity and mortality. Cesarean section is among “five auditable’’ MNCH scenarios according 2012 women lung foundation. This study is a one year retrospective cross-sectional study among 99 women who delivered by cesarean section from July 2016-June 2017 in Mearg general hospital in West Tigray, Ethiopia. The aim of this survey was to investigate cesarean section rate (CSR) and indications of cesarean section to improve quality of obstetric care by reducing unnecessary cesarean sections. In the study period 99 women delivered by cesarean section among 749 institutional deliveries which gives an institutional cesarean section rate of 13.2%. Medical records were retrieved for 81 mothers. The most common indications for cesarean section were cephalopelvic disproportion (CPD) in 19 women (23.5%), antepartum hemorrhage in 11 (13.6%) and obstructed labor in 10 (12.3%). Majority of the cesarean sections 75(88.9%) were done under spinal anesthesia. Seven (8.6%) mothers had no justified indication for cesarean section according to criteria based audit. From the total 99 cesarean sections there was one (1.0%) maternal death. There was significant number of cesarean sections done with medically unjustified indications but comparatively low with the country and global figure. The three common indications for CS in this study were CPD, APH, and obstructed labor. A huge percentage of lost medical files was observed. Keeping medical records is the safest, simplest and cheapest way to analyze cesarean section indications, to reduce unjustified/unnecessary cesarean sections.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82816210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-01-01DOI: 10.4172/2167-0420.1000407
Wondimu Bekele, G. Dejene, Tesfahun Hailemariam
Background: Changes in the total fertility rate-lifetime births per woman have dramatic effects on population size. More than 100 million women in developing countries, or about 17 present of all married women would prefer to avoid a pregnancy but are not using any form of family planning. Method: Cross-sectional study including both quantitative and qualitative surveys. Multistage stratified sampling was employed considering all governmental and private non health post-secondary institutions. Result: Mothers level of education has a significant gross effect on awareness of emergency contraception (OR=0.848, P<0.01). Respondents who had no experience of communicating with their respective mother was lower by 62.6% as compared with those who had experience of discussion about reproductive health issues with their mothers (OR=0.374, P<0.001). Those who had no experience of communicating with their respective partner was less by 71.2 (OR=0.288, P<0.01) as compared to those who had no experience. Female students who never had sexual intercourse was less by 71.4% as compared with their counter parts (OR=0.286, P<0.05). Those who had no experience of discussion with their respective mothers and who had no experience of discussion with sexual partner were found less by 59.1% (OR=0.409, P<0.01) and 64.8% (OR=0.352, P<0.001) respectively. Respondents who have no intention to use modern contraceptives and who had poor knowledge of EC was less by (OR=0.272, P<0.05) and OR=0.194, P<0.01) respectively. Conclusion: Building providers’ capacity through in-service and pre- service trainings with emphasis on methods regimen available for different products and method of teaching and counseling of clients according to the method guideline became very vital.
{"title":"Assessment of the Attitude of Female Post-Secondary Students and Service Providers’ Towards Emergency Contraception in Hawassa, Ethiopia","authors":"Wondimu Bekele, G. Dejene, Tesfahun Hailemariam","doi":"10.4172/2167-0420.1000407","DOIUrl":"https://doi.org/10.4172/2167-0420.1000407","url":null,"abstract":"Background: Changes in the total fertility rate-lifetime births per woman have dramatic effects on population size. More than 100 million women in developing countries, or about 17 present of all married women would prefer to avoid a pregnancy but are not using any form of family planning. Method: Cross-sectional study including both quantitative and qualitative surveys. Multistage stratified sampling was employed considering all governmental and private non health post-secondary institutions. Result: Mothers level of education has a significant gross effect on awareness of emergency contraception (OR=0.848, P<0.01). Respondents who had no experience of communicating with their respective mother was lower by 62.6% as compared with those who had experience of discussion about reproductive health issues with their mothers (OR=0.374, P<0.001). Those who had no experience of communicating with their respective partner was less by 71.2 (OR=0.288, P<0.01) as compared to those who had no experience. Female students who never had sexual intercourse was less by 71.4% as compared with their counter parts (OR=0.286, P<0.05). Those who had no experience of discussion with their respective mothers and who had no experience of discussion with sexual partner were found less by 59.1% (OR=0.409, P<0.01) and 64.8% (OR=0.352, P<0.001) respectively. Respondents who have no intention to use modern contraceptives and who had poor knowledge of EC was less by (OR=0.272, P<0.05) and OR=0.194, P<0.01) respectively. Conclusion: Building providers’ capacity through in-service and pre- service trainings with emphasis on methods regimen available for different products and method of teaching and counseling of clients according to the method guideline became very vital.","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84879904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Who Cares for Midlife Women","authors":"W. Fugate, Johnson-MallardVersie, TaylorDiana","doi":"10.1089/JWH.2016.6168","DOIUrl":"https://doi.org/10.1089/JWH.2016.6168","url":null,"abstract":"","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82707244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Body Mass Index As a Measure of Obesity: Racial Differences in Predictive Value for Health Parameters During Pregnancy.","authors":"R. ChamblissLinda","doi":"10.1089/JWH.2016.6184","DOIUrl":"https://doi.org/10.1089/JWH.2016.6184","url":null,"abstract":"","PeriodicalId":17626,"journal":{"name":"Journal of Womens Health Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87577146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：