scholarly journals Magnitude and Predictors of Antenatal Depression among Pregnant Women Attending Antenatal Care in Sodo Town, Southern Ethiopia: Facility-Based Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Bekalu Thomas Chuma ◽  
Getu Gamo Sagaro ◽  
Feleke Hailemichael Astawesegn

Background. Depression affects approximately 10 to 20% of pregnant women globally, and one in ten and two in five women in developed and developing countries develop depression during pregnancy, respectively. However, evidence regarding its magnitude and predictors in Southern Ethiopia is limited. The present study is aimed at assessing the magnitude and predictors of antenatal depression among pregnant women attending antenatal care in Sodo town. Methods. A facility-based cross-sectional study was conducted among 403 antenatal care attendants in Sodo town from November 2 to January 30, 2017. Systematic random sampling was used to select the study population, and data were collected by using a pretested and structured questionnaire. Data were entered using Epi-data 4.2 and then exported and analyzed using SPSS version 20. Bivariate and multivariable logistic regression analyses were used to assess the association between the dependent variable and independent variables. Variables with P value less than 0.05 were considered as statistically significant. Results. A total of 400 pregnant women were interviewed. The magnitude of antenatal depression was 16.3% (95% CI (12.8%, 19.9%)). Husband’s educational status, at the college and above (AOR: 0.09; 95% CI (0.03, 0.34), regular exercise (AOR: 0.16; 95% CI (0.07, 0.36)), planned pregnancy (AOR: 0.16; 95% CI (0.06, 0.44)), use of family planning (AOR: 0.31; 95% CI (0.14, 0.66)), previous history of anxiety (AOR: 2.96; 95% CI (1.30, 6.74)), previous history of obstetric complications (AOR: 19.03; 95% CI (5.89, 61.47)), and current obstetric complications (AOR: 30.38; 95% CI (3.14, 294.19)) were significant predictors of antenatal depression. Conclusion. Nearly one in six pregnant women had antenatal depression. The husband’s educational status, regular exercise, planned pregnancy, use of family planning, previous history of anxiety, previous history of obstetric complications, and current history of obstetric complications were significant predictors of antenatal depression. Screening for depression during routine antenatal care could be essential and recommended to identify early and prevent further morbidities and mortalities due to antenatal depression.

2020 ◽  
Vol 2020 ◽  
pp. 1-12
Author(s):  
Faisel Dula Sema ◽  
Deres Gezahegn Addis ◽  
Eshetie Azezew Melese ◽  
Demeke Dana Nassa ◽  
Zemene Demelash Kifle

Background. Self-medication is being prevalent throughout the globe. Although pregnant women are among the most vulnerable group of the population for drug-induced adverse effects on their fetus and themselves, many pregnant women use self-medication without adequate safety precautions. Objective. This study was aimed at assessing the prevalence and associated factors of self-medication among pregnant women on antenatal care follow-up at University of Gondar Comprehensive Specialized Hospital. Methods. A cross-sectional study was employed among 400 pregnant women attending antenatal care clinic at the University of Gondar Comprehensive Specialized Hospital between February 01 and May 30, 2019. A structured interviewer-administered questionnaire was used for data collection. Data were analyzed using SPSS® (IBM Corporation) version 22. Descriptive statistics were presented using frequency and proportion. Binary logistic regression was used to identify factors associated with self-medication with a 95% confidence level and p value of 0.05. Results. Among 400 respondents, the prevalence of self-medication during the current pregnancy was 44.8% (95% CI=40.5-50). Among all respondents (400), 38.0% (95% CI=33.3-42.8) and 12.5% (95% CI=9.5-15) used herbal and conventional medicine, respectively. Self-medication showed a significant association with a previous history of self-medication and monthly income. Conclusions. The prevalence of self-medication among pregnant women is considerably high. The previous history of self-medication and monthly income showed a significant association with self-medication. Awareness creation should be done for reproductive-age women on the potential risks of self-medication.


2020 ◽  
Author(s):  
Moges Gashaw Getnet ◽  
Solomon Gedlu ◽  
Balamurugan Janakiraman

Abstract Background: Pelvic girdle pain (PGP) is a commonly reported maternal morbidity that negatively impacts the well-being of women during pregnancy and extends long term into the post-partum period. The burden of maternal morbidity; including pregnancy-related PGP; has been overlooked in Ethiopia to date. This study aimed to determine the prevalence and identify factors associated with pelvic girdle pain during pregnancy in North West Ethiopia.Methods: A hospital-based cross-sectional study was conducted among pregnant women visiting the antenatal care clinic in Obstetrics ‘outpatient department at the University of Gondar comprehensive specialized hospital in Gondar. Data were collected by interview method using structured questionnaires, patient medical record reviews, and physical measurements. Univariate and multivariable logistic regression model analyses were used to identify factors associated with PGP. Results: A total of 424 participants with gestational ages ranging from 6 to 39 weeks participated in this study. The age of the study participants ranged from 18 to 44 years with a mean age of (27 ±4.6 years). The overall cumulative prevalence of pelvic girdle pain among pregnant women was 103 (24.3%), 95% CI (20.3, 28.8). The major associated factors with pelvic girdle pain were previous history of pelvic girdle pain (AOR 16.08; 95% CI, 8.47-30.51), previous history of back pain (AOR 1.66; 95% CI, 1.5-4.24) and having children (AOR 1.42; 95% CI, 1.29-3.76).Conclusion: One-quarter of pregnant Ethiopian women reported pelvic girdle pain. Many respondents endured pain on multiple occasions and association with the previous history of PGP might be an episode of relapse. PGP must be considered a major pregnancy-related morbidity, and progress in the intervention of PGP is vital to enhance the quality of life in this population.


2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Ana-María Vásquez ◽  
Lina Zuluaga-Idárraga ◽  
Margarita Arboleda ◽  
Luz-Yáned Usuga ◽  
Carolina Gallego-Marin ◽  
...  

Background. Malaria in pregnancy (MiP) has been associated with adverse pregnancy outcomes. There is limited information on MiP in low transmission regions as Colombia. This study aimed to describe the epidemiology of MiP through active surveillance of infections by microscopy and polymerase chain reaction (PCR). Methods. A cross-sectional study was conducted between May 2016 and January 2017 in five municipalities (Apartadó, Turbo, El Bagre, Quibdó, and Tumaco) in Colombia. Pregnant women self-presenting at health centers for antenatal care visits, seeking medical care for suspected malaria, or delivery, were enrolled. Diagnosis of Plasmodium spp was made in peripheral and placental blood samples by microscopy and PCR. Results. A total of 787 pregnant women were enrolled; plasmodial infection was diagnosed by microscopy in 4.2% (95% CI 2.8-5.6; 33/787) or by nPCR in 5.3% (95% CI 3.8-6.9; 42/787) in peripheral blood. Most of the infections were caused by P. falciparum (78.5%), and 46% were afebrile (asymptomatic). Women in the first and second trimester of pregnancy were more likely to be infected (aOR=3.06, 95%CI=1.6−5.8). To live in the urban/peri-urban area (aOR=3.04, 95%CI=1.4−6.56), to have a history of malaria during last year (aOR=5.45, 95%IC=2.16−13.75), and the infrequent bed net usage (aOR=2.8, 95%CI=1.31−5.97) were associated with the infection. Pregnant infected women had a higher risk of anaemia (aOR=2.18, 95%CI=1.15−4.12) and fever (aOR=14.2, 95%CI=6.89−29.8). Conclusion. The screening for malaria during antenatal care in endemic areas of Colombia is highly recommended due to the potential adverse effects of Plasmodium spp. infection in pregnancy and as an important activity for the surveillance of asymptomatic infections in the control of malaria.


2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Birhanie Mekuriaw ◽  
Zelalem Belayneh ◽  
Tinsae Shemelise ◽  
Robel Hussen

Abstract Objectives The aim of this study was to assess the prevalence and associated factors of alcohol use among women attending Antenatal Care in Gedeo zone rural health centers (Southern Ethiopia). This was a cross-sectional study conducted among randomly selected 718 pregnant women attending Antenatal Care. Alcohol Use Disorder Identification Test-C was used to assess alcohol consumption. Variables with p-values of < 0.05 in the multivariable logistic regression were considered as having a statistically significant association with alcohol use. Results The prevalence of alcohol use among pregnant women attending antenatal care service was 8.1% with 95% CI (6.3–10.0). Unplanned pregnancy [AOR = 2.12, 95% CI (1.20, 3.73)], abortion history [AOR = 2.40, 95% CI (1.16, 4.96)], pre pregnancy alcohol use [AOR 2.17, 95% CI (1.18, 4.00)] and mental distress [AOR = 3.50, 95% CI (1.99, 6.15)] were variables found to have a statistically significant association with alcohol use. This calls a holistic and multi modal approach for the prevention, early identification and intervention of alcohol use during pregnancy. More emphasis should also be given for pregnant women with unplanned pregnancy, history of abortion, pre pregnancy alcohol use and mental distress.


2020 ◽  
Author(s):  
Tiruset Gelaw ◽  
Teklemariam Gultie Ketema ◽  
Kassaw Beyene ◽  
Mekdes Kondale Gurara ◽  
Gebresilasea Gendisha Ukke

Abstract Background: Fear of childbirth is one of the life challenges the women encounter during pregnancy. It is an important source of distress for the women and their families and also increases the odds of obstetric complications during childbirth. The aim of this study was to assess the magnitude of fear of childbirth and associated factors among pregnant women attending antenatal care at public health facilities in Arba Minch town, southern Ethiopia.Methods: Institution-based cross-sectional study was carried out among pregnant women who attended antenatal care at public health facilities in Arba Minch from November 1st –30th 2019. A systematic random sampling technique was employed to include the participants. Data were collected through a face-to-face interview by using a structured and pretested questionnaire. Wijma Delivery Expectancy Questionnaire was used to score fear of childbirth. Epi Data version 3.1 and Statistical Package for the Social Sciences version 25.0 software were used for data management. Descriptive and analytic analyses were done and statistical significance was declared at a p-value <0.05 and 95% confidence level in multivariable analysis. Results: A total of 387 pregnant women have participated in this study. Forty (10.3%) of the pregnant women had a low degree fear, 154(39.8%) had a moderate degree fear, 98(25.3%) had a high degree fear, and 95(24.5%) had severe degree fear of childbirth. Unplanned pregnancy (AOR=2.30, 95% CI: 1.12, 4.74), current pregnancy-related complications (AOR=6.24, 95% CI: 2.72, 14.29), and poor social support (AOR=1.93, 95%CI: 1.01, 3.68) were factors significantly associated with severe degree fear of childbirth. Conclusion: Almost three-fourth of the pregnant women in this study area had moderate to severe degree fear of childbirth. Tailoring counseling during antenatal care visits is needed to address those women who are at a high risk of considerable childbirth fear and its health consequences.


Author(s):  
Shikha Thakur ◽  
Komal Lata Nagpal

Aims: Urinary tract infection (UTI) occurs in all age groups, more common in women due to short urethra and its close proximity to anus and vagina. UTI is defined as “microscopic finding of >10 pus cells/high power field (40x) in urine”. The purpose of the study is to find the risk factor associated with pregnancy and the different non-communicable diseases (Anemia, Diabetes and hypertension) of UTI. Study Design: A cross-sectional comparative study. Place and Duration of Study: The study was carried out under the supervision of OPJS University and field study was carried out in Kathmandu, Nepal from March 2019 to October 2019. Methodology: An analytical cross-sectional study was done among UTI pregnant 510 women aged 18 years to 45 years. A convenient sampling technique was used. A structured questionnaire was designed to collect the data. Descriptive statistics along with unadjusted Odds Ratio (95% CI) and a P < 0.05 was considered significant for data analysis. Results: Anemia, diabetes and hypertension among UTI infected pregnant women was 62.7, 32.9 and 30.2 respectively. There were significant associations between educational status, ethnicity, age and occupation of UTI infected pregnant women with anemia, diabetes and hypertension. Similarly, there was a significant association between gestational period, gestational age at the beginning of prenatal care, the gender of the infant, history of delivery and Anemia, diabetes and hypertension. Conclusions: Based on the findings the study concluded that, anemia, diabetes and hypertension remain a prevalent problem of UTI infected pregnant women.


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