Magnitude and Factors Influencing Unintended Pregnancy among Pregnant Women Attending Antenatal Care at Felege Hiwot Referral Hospital, Northwest Ethiopia: A Cross-Sectional Study

Globally, unintended pregnancy represents an important public health challenge with significant social, economic and clinical repercussions which are worse in low-income and middle-income countries. Appropriate use of modern contraceptives averts significant proportions of unintended pregnancies and pregnancy complications. The objective of this study was to determine the prevalence and determinants of unintended pregnancy and explore modern contraceptive use among pregnant women A cross-sectional study was conducted among pregnant women receiving antenatal care at Korle-Bu Teaching hospital in Ghana using a face-to-face structured interview. Descriptive analysis was performed and multivariable logistic regression was used to assess the determinants of unintended pregnancy. Among the included 450 pregnant women receiving antenatal care, 155 (34.4%) had unintended pregnancy out of which 33 (21.3%) were using contraceptives prior to conception. In all, 14.2% (64/450) were using modern contraceptives. There was a significant difference between women and their partners regarding the perception of their index pregnancy as unintended (34.4% versus 31.6%, p-value <0.001). Significant determinants of unintended pregnancy include younger maternal age [aOR:5.706, 95%CI (1.860, 19.732)], unmarried status [aOR:5.238, 95%CI (2.882, 9.735)], previous childbirth [(aOR:2.376, 95%CI (1.460, 4.758], number of pregnancies ≥6 [aOR:2.640, 95%CI (1.210, 5.854)], number pregnancies ≤2 [aOR:0.417, 95%CI (0.252, 0.682)], previous caesarean birth [aOR:2.034, 95%CI (1.154, 3.306)] and contraceptive use prior to index pregnancy [aOR:2.305 95%CI (1.283-4.162)]. The prevalence of unintended pregnancy remains markedly high while prior contraceptive use was relatively low among women receiving antenatal care. Evidence-based interventions including specialized client education are vital in improving optimal use of contraceptive services. We recommend further research including community-based qualitative studies to better understand the factors associated with contraceptive uptake and outcomes of unintended pregnancy.

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Magnitude of Unintended Pregnancy and Associated Factors Among Pregnant Women in Debre Markos Town, East Gojjam Zone, Northwest Ethiopia: A Cross-Sectional Study

International Journal of Women s Health ◽

10.2147/ijwh.s275346 ◽

2021 ◽

Vol Volume 13 ◽

pp. 129-139

Author(s):

Kumneger Nigussie ◽

Genet Degu ◽

Habtamu Chanie ◽

Hayimro Edemealem

Keyword(s):

Pregnant Women ◽

Unintended Pregnancy ◽

Associated Factors ◽

Cross Sectional Study ◽

Northwest Ethiopia ◽

Sectional Study ◽

Cross Sectional ◽

Debre Markos

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Seroprevalence of hepatitis B virus among pregnant women attending Antenatal care in Dilla University Referral Hospital Gedio Zone, Ethiopia; health facility based cross-sectional study

PLoS ONE ◽

10.1371/journal.pone.0249216 ◽

2021 ◽

Vol 16 (3) ◽

pp. e0249216

Author(s):

Adugnaw Atnafu Atalay ◽

Reta Kassa Abebe ◽

Aberash Eifa Dadhi ◽

Worku Ketema Bededa

Keyword(s):

Hepatitis B Virus ◽

Hepatitis B ◽

Antenatal Care ◽

Pregnant Women ◽

Cross Sectional Study ◽

Referral Hospital ◽

Sectional Study ◽

Cross Sectional ◽

B Virus ◽

Study Participants

Introduction A pregnancy that has been complicated with Hepatitis B virus (HBV) infection results in typical management problems for both the mother and the newborn. One of the universal efforts in tackling the impact of chronic HBV is the prevention of mother-to-child transmission during Antenatal care via prompt screening as the majority of chronic infections globally harbored during this period. Rewarding result have been achieved in reducing this problem at this period of life through maternal screening programs and universal vaccination of infants. This study was aimed at assessing the seroprevalence and associated risk factor of HBV among pregnant women attending Antenatal Care (ANC) in Dilla University Referral Hospital (DURH), Southern Ethiopia. Method A facility- based cross- sectional study was conducted from December 01 to May 30, 2017 among pregnant women attending ANC. A total of 236 pregnant women were included in this study. All Pregnant women who were attending antenatal clinic and were volunteer during the study period were included, whereas those women who were unable to communicate due to any problem, and not volunteer to give informed consent were excluded. Volunteer participants were asked to complete a questionnaire and had offered to test for HBsAg infection. The data was analyzed using SPSS version 20 software. Logistic regression was used to determine the association between dependent and independent variables. Results From 215 pregnant women attending ANC, the prevalence of HBsAg by the rapid test was found to be 11 (5.1%). Among the study participants, 91.1% (215) were tested for HIV antibody during the ANC visit, with the positivity rate of 4.5%. The result showed 1.86% of the study participants who were tested for HIV were also positive for HBsAg. Among those factors affecting the transmission of HBV infection, multiple partners and HIV confection have significant association at P-value less than 0.05. Conclusion The Seropositivity of Hepatitis B Virus among Pregnant Women was found to be significant and hence, routine screening of pregnant mother at Antenatal care for this virus, and subsequent management according to the guideline for both the mother and child is recommended.

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Institutional Based Quantitative Cross-Sectional Study on Toxoplasmosis Sero-Prevalence, Awareness and Risk Behavior Among Pregnant Women Following Antenatal Care in Asella Teaching and Referral Hospital, Asella, Ethiopia 2018/19.

10.21203/rs.3.rs-60139/v1 ◽

2020 ◽

Author(s):

Shimeles Adugna Elemo

Keyword(s):

Toxoplasma Gondii ◽

Antenatal Care ◽

Pregnant Women ◽

Risk Behavior ◽

Cross Sectional Study ◽

Referral Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Raw Meat ◽

Unpasteurized Milk

Abstract Background: Toxoplasmosis is caused by infection with the protozoan Toxoplasma gondii (T. gondii), an obligate intracellular parasite. The infections produced a wide range of clinical syndromes in humans, land and sea mammals, and various bird species. Toxoplasmosis is especially important among Immune-compromised patients and pregnant women. Infection of mothers during pregnancy by Toxoplasma gondii may have serious consequences for fetus ranging from miscarriage, central nervous system involvement, retinochoroditis, or at birth subclinical infection.Objective: To determine Toxoplasmosis sero-prevalence, awareness and risk behavior among pregnant women following antenatal care in Asella Teaching and Referral Hospital, Asella, Ethiopia.Methods: An institutional based quantitative cross sectional study design was conducted on sample size of 384 from December 1, 2018 to June 30, 2019. Structured, a pre-tested questionnaire was used to collect the demographic and risk factor related data. Serum sample, collected was tested for Toxoplasma Immunoglobulin G (IgG) and Toxoplasma Immunoglobulin M (IgM) antibodies using anti- IgG and IgM antibodies by Toxoplasma immune-chromatographic test (ICT) IgG-IgM test. A bivariable and multivariable logistic regression model was applied to show association between the dependent and independent variables considering P < 0.05 and the 95% confidence interval. Result: The overall sero prevalence of T. gondii in the study area was 81.8 %. Three hundred and fourteen (81.8 %) of the pregnant women were IgG seropositive, fifty women (13 %) were IgM seropositive. fifty women were positive for both IgG and IgM. None of the pregnant women were positive exclusively for IgG and IgM ani-bodies. eating raw meat (COR=3.480, 95%CI: 1.450-8.352; P= 0.005, AOR=3.798, 95%CI: 1.249-11.550, P=0.19), using unpasteurized milk(COR=3.860, 95%CI: 2.118-7.037; P= 0.000, AOR=3.907, 95%CI:1.744-8.751, P=0.001), having three or more children(COR=2.194, 95%CI: 1.065-4.518; P= 0.033) and Consumption of raw egg(COR=2.042, 95%CI: 1.049-3.974; P= 0.036)Conclusion: The sero-prevalence of T. gondii antibodies was high among the pregnant women. Those who consumed raw meat and egg, unpasteurized milk and those who have three or more children were at higher risk of T. gondii infection. Hence, blood screening for Toxoplasmosis, health education and awareness creation among pregnant women should be done during antenatal follow up.

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