scholarly journals Factors and outcomes associated with the induction of labor in referral hospitals of Amhara regional state, Ethiopia: a multicenter study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tibeb Zena Debele ◽  
Endeshaw Admassu Cherkos ◽  
Marta Berta Badi ◽  
Kiber Temesgen Anteneh ◽  
Fitsum Wolde Demssie ◽  
...  
Keyword(s):  
Sampling Technique ◽  
Labor Induction ◽  
Induction Of Labor ◽  
Hypertensive Disorder ◽  
Binary Logistic Regression Model ◽  
Subsequent Increase ◽  
Cross Sectional ◽  
Regional State ◽  
Referral Hospitals ◽  
Failed Induction

Abstract Background Induction of labor is an artificial initiation of uterine contractions after fetal viability with the aim of vaginal delivery prior to the onset of spontaneous labor. Prevalence of induction of labor is increasing worldwide with subsequent increase in failure rate. However, there is limited evidence on labor induction in Ethiopia. Therefore, this study was aimed at assessing the prevalence and associated factors of failed induction of labor among women undergoing induction of labor at referral hospitals of Amhara national regional state, Ethiopia, 2016. Method A multicenter cross-sectional study was conducted at referral hospitals found in Amhara national regional state from February 01 to September 30, 2016. Multistage sampling technique was employed to select a total of 484 women who underwent labor induction. Pre-tested structured questionnaires and checklists were used to collect the data. Data were entered into EPI info version 7 and analyzed using SPSS version 20 software. Stepwise Binary Logistic regression model was fitted to identify factors associated with failed induction of labor. The level of significance was determined based on the adjusted odds ratio with 95% confidence interval at the p-value of ≤0.05. Result The prevalence of failed induction of labor among women undergoing induction of labor was 31.4% (95% CI: 27.0, 36.0). Failed induction of labor was independently predicted by a Bishop score of ≤5 (AOR = 2.1; 95% CI: 1.3, 3.6), prolonged latent first stage of labor (AOR = 2.0; 95% CI: 1.2, 3.5), induction with oxytocin alone (AOR = 4.2; 95% CI: 2.2, 8.1), nulliparity (ARO = 1.9; 95% CI: 1.2, 2.9), post term pregnancy (AOR = 4.1; 95% CI: 1.8, 9.3) and hypertensive disorder of pregnancy (AOR = 2.4; 95% CI: 1.5, 5.1). Conclusion Failed induction of labor was high in the study area compared to the reports of previous studies done in Ethiopia. The majority of the determinants of failed induction of labor were connected with unjustifiable and inconsistent indication of induction of labor. Thus, preparing standardized practical guidelines and preventing unjustifiable case selection may help reduce the current high failure rates.

scholarly journals Predicting factors of failed induction of labor in three hospitals of Southwest Ethiopia: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Amare Genetu Ejigu ◽  
Shewangizaw H/mariam Lambyo
Keyword(s):  
Cross Sectional Study ◽  
Normal Weight ◽  
Labor Induction ◽  
Induction Of Labor ◽  
Reproductive Age ◽  
Sectional Study ◽  
Cross Sectional ◽  
Southwest Ethiopia ◽  
Resource Setting ◽  
Failed Induction

Abstract Introduction Failed induction of labor affects maternal and neonatal outcomes as well as the cost of healthcare, especially in low-resource setting regions in which the prevalence of failed induction is higher despite the incidence of labor induction is low. This study aimed to assess the prevalence of failed induction of labor in southwest Ethiopia. Method A hospital-based cross-sectional study was conducted among 441 induced women from March 1 to August 30, 2018. A systematic random sampling technique was used to select study participants. Data were collected using a pretested and structured questionnaire. Bivariable and multivariable logistic regression models were done and fitted to identify predictors of failed induction. An adjusted odds ratio with 95% confidence interval (CI) was calculated to determine the level of significance. Result Premature rupture of membrane was the most common cause of labor induction and the commonly used method of labor induction were oxytocin infusion. Cesarean section was done for 28.1% of induced women. Failed induction of labor was found to be 21%. Primiparous [AOR = 2.35 (1.35–4.09)], analgesia/anesthesia [AOR = 4.37 (1.31–14.59)], poor Bishop Score [AOR = 2.37 (1.16–4.84)], Birth weight ≥ 4 k grams [AOR = 2.12 (1.05–4.28)] and body mass index [AOR = 5.71 (3.26–10.01)] were found to be significantly associated with failed induction of labor. Conclusion The prevalence of failed induction of labour was found to be high. Preparation of the cervix before induction in primi-parity women is suggested to improve the success of induction. To achieve the normal weight of women and newborns, proper nutritional interventions should be given for women of reproductive age. It is better to use analgesia/anesthesia for labor induction when it becomes mandatory and there are no other optional methods of no- pharmacologic pain management.

Medication Administration Error and Associated Factors among Nurses in Referral Hospitals, Amhara region, Ethiopia, 2019

2020 ◽  
Author(s):  
Wubet Alebachew ◽  
Dejene Tsegaye ◽  
Girma Alem ◽  
Zenaw Tesema
Keyword(s):  
Statistical Significance ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Medication Administration ◽  
Binary Logistic Regression Model ◽  
Cross Sectional ◽  
Medication Administration Error ◽  
Medication Administration Errors ◽  
Referral Hospitals ◽  
Administration Error

Abstract Background: Medication administration error is a failure in the treatment process resulting in potential harm to the patient. Medication errors are the leading causes of mistrust in the healthcare system, inducing corrective therapy and prolonged hospitalization thereby producing extra costs and even death. These errors are most common and can occur through failures in any of the ten rights of medication administration. About 10% of the overall preventable harm to hospitalized patients is attributed to the wrong use of medications. However, there is limited data regarding the magnitude and determinants of medication administration errors both nationally and in the study area in particular. Methods: A multicenter hospital based, cross-sectional study design was employed on a sample of 422 nurses selected by simple random sampling technique. Pre-tested structured questionnaire and observational checklist were used for data collection from March 1-30/2019. The collected data were cleaned, coded and entered into Epi-data version 4.2 and exported to STATA version 14. Binary logistic regression model was considered and those variables with P<0.25 in the bivariable analysis were included in to final model after which statistical significance was declared at P< 0.05 using adjusted odds ratio at 95% confidence interval. The study findings were presented using tables and figures. Multicollinerity was diagnosed using standard error and correlation matrix. Result: From the overall nurses, 239 (57.7%) of them made medication administration error in the last 12 months. Lack of training [AOR=2.20; 95% CI (1.09, 4.46)], unavailability of guideline [AOR=1.65; 95% CI (1.03, 2.79)], poor communication while facing problems [AOR=3.31; 95% CI (2.04, 5.37)], interruption [AOR = 3.37, 95 % CI (2.15, 5.28)] and failure to follow medication administration rights [AOR=1.647; 95% CI (1.00, 2.49)] were significantly associated with medication administration errors. Conclusion and recommendation: Medication administration error was high in Amhara referral hospitals. Therefore, interventions like developing guideline, providing training and developing strategies to minimize distracters should be given much emphasis by different stakeholders to decrease the burden of medication error.

scholarly journals Burnout experience of secondary and preparatory school teachers in West Gojjam and Awi zone in Amhara regional state

2020 ◽  
Vol 10 (2) ◽  
pp. 133-148
Author(s):  
Anteneh Wulolign ◽  
Solomon Adane ◽  
Solomon Kassie
Keyword(s):  
Survey Design ◽  
Sampling Technique ◽  
Three Dimensions ◽  
Primary Data ◽  
School Teachers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Preparatory School ◽  
Regional State ◽  
West Gojjam

The purpose of the study was to assess Burnout experience of secondary and preparatory school teachers in West Gojjam and Awi Zones in Amhara regional state. Participants of the study were selected by simple random sampling technique. The study employed cross-sectional survey design method to answer the proposed research objectives regarding burnout experience by secondary school and preparatory school teachers. The primary data collection tool for the study was questionnaire. The level of burnout was assessed using standardized questionnaire, and these standardized questionnaires were adopted from the original English version Maslch burnout inventory Human service Survey to assess the level of burnout. The descriptive statistics on the mean scores of the three dimensions of burnout indicated that teachers were experiencing high levels of burnout in all the three dimensions of burnout. The independent samples t-test result showed that there were no statistically significant differences between the two groups (male and female) in EE and PA burnout levels (t= 1.35, df = 286, p =.176 >.05) and (t= -1.007, df = 286, p =.315 >.05).

Diabetic Distress Among Diabetic Patients in the Referral Hospital of Amhara Regional State, Ethiopia

2019 ◽  
Vol 40 (2) ◽  
pp. 105-114
Author(s):  
Abraham K. Wolde ◽  
Mebrat G. Wondim
Keyword(s):  
Occupational Status ◽  
Educational Status ◽  
Psychological Problem ◽  
Diabetic Patients ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Regional State ◽  
Significant Difference ◽  
Referral Hospitals ◽  
High Distress

The main purpose of this study was to assess the status of diabetic distress among diabetic patients of referral hospitals in Amhara Regional State. Hospital-based cross-sectional survey was conducted on 346 participants. The participants of the study were selected using both probability and nonprobability sampling techniques. The instrument of the study was adapted and contextualized to the Ethiopian context to avoid cultural conflicts, and then it was rated and piloted. Both descriptive and inferential techniques were used to analyze the data. The cut-off for low, moderate, and high distress level was <2, 2–2.9, and ≥3, respectively. From a total of 346 sample patients, 54 (15.6%) had experienced no or little distress (1.54 ± .28), 162 (46.8%) had moderate distress (2.78 ± .82), and 130 (37.6%) had experienced high distress (3.94 ± .62). Statistically significant difference was observed in the level of diabetic distress with respect to age, F(2, 343) = 4.336, p < .05; marital status, F(2, 343) = 4.590, p < .05; educational status, F(5, 340) = 2.831, p < .05; and having habits of planned physical exercise, F(3, 245) = 2.911, p < .05. Statistically significant difference was not observed for sex, smoking habits, an experience of living with diabetics, and occupational status. The result of regression analysis shows that the independent variable altogether accounted for only 4.2% of the variance of diabetic distress. Diabetic distress was a serious psychological problem among diabetic patients in the referral hospitals of Amhara Region.

scholarly journals Proportion and Outcome of Induction of Labor Among Mothers Who Delivered in Teaching Hospital, Southwest Ethiopia

2021 ◽  
Vol 9 ◽  
Author(s):  
Tewodros Yosef ◽  
Dawit Getachew
Keyword(s):  
Teaching Hospital ◽  
Perinatal Outcomes ◽  
Cross Sectional Study ◽  
Induction Of Labor ◽  
Binary Logistic Regression Analysis ◽  
Maternal Complications ◽  
Cross Sectional ◽  
Southwest Ethiopia ◽  
Factors Associated ◽  
Failed Induction

Background: Despite the induction of labor (IOL) having had some undesired consequences, it also has several benefits for maternal and perinatal outcomes. This study aimed to assess the proportion and outcome of IOL among mothers who delivered in Teaching Hospital, southwest Ethiopia.Methods: A retrospective cross-sectional study was conducted from June 10 to June 20, 2019, among 294 mothers who gave birth between November 30, 2018, and May 30, 2019, by reviewing their cards using a structured checklist to assess the prevalence, outcome, and consequences of induction of labor. A binary logistic regression analysis was computed to look for the association between outcome variables and independent variables.Results: The prevalence of labor induction was 20.4%. The most commonly reported cause of induction was preeclampsia (41.6%). The factors associated with IOL were mothers aged 25–34 years [AOR = 2.55, 95% CI (1.18–5.50)] and ≥35 years [AOR = 10.6, 95% CI (4.20–26.9)], having no history of antenatal care [AOR = 2.12, 95% CI (1.10–4.07)], and being Primipara AOR = 2.33, 95% CI (1.18–3.24)]. Of the 60 induced mothers, 23.3% had failed induction. The proportion of mothers with dead fetal outcomes and maternal complications was 5 and 41.7%, respectively. The unfavorable Bishop Score before induction [AOR = 1.85, 95% CI (1.32–4.87)] and induction using misoprostol [AOR = 1.48, 95% CI (1.24–5.23)] were the factors associated with failed induction of labor.Conclusion: The prevalence of induced labor was considerably higher than rates in other Ethiopian studies; however, the prevalence of induction failure was comparable to other studies done in Ethiopia. The study found that Bishop's unfavorable score before induction and induction using misoprostol was the factor associated with unsuccessful induction. Therefore, the health professionals should confirm the favorability of the cervical status before the IOL to increase the success rate of induction of labor.

scholarly journals Dietary diversity practice and associated factors among adolescent girls in Dembia district, northwest Ethiopia, 2017

2020 ◽  
Vol 41 (1) ◽  
Author(s):  
Kedir Abdela Gonete ◽  
Amare Tariku ◽  
Sintayehu Daba Wami ◽  
Temesgen Yihunie Akalu
Keyword(s):  
Adolescent Girls ◽  
Technical Assistance ◽  
Dietary Diversity ◽  
Public Health Problem ◽  
Sampling Technique ◽  
Northwest Ethiopia ◽  
Major Public Health Problem ◽  
Food Groups ◽  
Binary Logistic Regression Model ◽  
Cross Sectional

Abstract Background Dietary diversity is defined as the number of food groups or items consumed over a reference period, and usually, it is a problem in developing countries including Ethiopia. Inadequate dietary diversity is one of a major public health problem and can result in physical, emotional, and psychological changes among adolescents. However, studies on dietary diversity among school children were very limited. Hence, this study aimed at determining dietary diversity practices and factors among adolescents in Dembia district. Methods A school-based cross-sectional study was conducted from March 1 to April 15, 2017, at Dembia district, northwest Ethiopia. A total of 474 study subjects were selected using the multi-stage sampling technique. A structured and pre-tested questionnaire was used to collect the data. Dietary diversity was measured through standard tool adopted from Food and Nutrition Technical Assistance (FANTA) 2016 using the 24-h recall method. A multivariable binary logistic regression model was employed to identify factors associated with a diversified diet. Result This study illustrated that 32.3% (95% CI 27.9–36.8) of the adolescents had adequate dietary diversity. Inadequate dietary diversity was significantly associated with being Muslim (AOR = 0.3; 95% CI 0.1–0.7), self-employment (AOR = 0.3; 95% CI 0.1–0.9), middle (AOR = 0.5; 95% CI 0.3–0.8) and high wealth category (AOR = 0.3; 95% CI 0.2–0.6), and underweight (AOR = 3.5; 95% CI 1.3–9.5). Conclusion The findings of this study showed that only one-third of adolescent girls have adequate dietary diversity. Low level of dietary diversification suggested points to the need for strengthening efforts targeting to improve the healthy dietary practice of adolescents by giving due attention to poor households and undernourished adolescents.

Manajemen Sumber Daya Perawat Gawat Darurat pada Masa Pandemi COVID-19 di Ruang Instalasi Gawat Darurat Rumah Sakit Tipe C Medan

2021 ◽  
Vol 6 (1) ◽  
pp. 44
Author(s):  
Reni Asmara Ariga ◽  
Ritha F. Dalimunthe
Keyword(s):  
Resource Management ◽  
Human Resources ◽  
Sampling Technique ◽  
Computer Applications ◽  
Emergency Nurses ◽  
Cross Sectional ◽  
Referral Hospitals ◽  
Type C ◽  
Quantitative Descriptive

The increase of COVID-19 patients led to an increase in the referral hospitals needed. The referral hospital must have eligibility. The quality of a hospital was determined by the services provided and human resources, there are nurse resources. Effective management was needed in dealing with COVID-19 patients. The purpose of this research to identify the implementation of emergency nurse resource management during a pandemic. The design of this research was quantitative descriptive with a cross-sectional approach which was implemented at Type C Hospital Medan City in March 2021. This research using a total sampling technique, there are 24 respondents. This research used a nurse resource management questionnaire which consists of seven aspects in google form which contains closed and open questions. Data was carried out by descriptive statistical analysis using computer applications. The majority of emergency nurses' resource management aspects in the Emergency Room of Type C Hospital in Medan are not good. Of the seven aspects of assessment, 35% of nurses said it was good, the remaining 65% of nurses said it was not good. Based on the range of satisfaction, the results showed that the management of emergency nurse resources at the Type C Hospital in Medan was not satisfactory. The conclusion is the management of emergency nurse resources was needed because it's effective in handling patients during the COVID-19 pandemic and improving the quality of nurses as a human resource owned by the hospital. Good and quality human resources can increase the competitive value of the hospital.

scholarly journals Magnitude and Associated Factors of Awareness with Recall under General Anesthesia in Amhara Regional State Referral Hospitals, 2018

2019 ◽  
Vol 2019 ◽  
pp. 1-6
Author(s):  
Tadese Tamire ◽  
Habtamu Demelash ◽  
Tikuneh Yetneberk ◽  
Simegnew Kibret
Keyword(s):  
General Anesthesia ◽  
Associated Factors ◽  
Statistical Significance ◽  
Multivariable Analysis ◽  
Complete Information ◽  
Cross Sectional ◽  
Associated Factor ◽  
Regional State ◽  
Referral Hospitals ◽  
Risk Patients

Introduction. Awareness with recall of intraoperative events is an infrequent but potentially devastating complication of general anesthesia, with a reported incidence of 0.1-0.2% in low-risk patients. Higher incidence is expected in resource-limited operation room setups and in high-risk patients. Awareness can result in significant distress to patients and long-term psychological consequences, including symptoms associated with posttraumatic stress disorder, anxiety, night mares, night terror, dissatisfaction with surgical service, and sometimes even suicide. Objective. To assess the magnitude and associated factors of awareness with recall under general anesthesia in Amhara regional state referral hospitals. Method. An institution-based cross-sectional study was conducted on 1065 patients who underwent surgery under general anesthesia from January 1 to June 30, 2018. The study participants were selected by systematic random sampling from 4 referral hospitals. The modified Brice questionnaire was used to detect awareness under general anesthesia. Interviewer-administered structured questionnaire and chart review were employed. Data with complete information were entered in to SPSS version 20 computer software. Descriptive statics and bivariate and multivariable analysis were computed. A P-value less than 0.2 was used to select candidate variables for multivariable logistic regression. A P-value less than 0.05 was used to declare statistical significance. Result. 1065 patients were included in the study which makes the response rate of 90.7%. The magnitude of awareness with recall under general anesthesia was found to be 8.2% of which 4.9%, 2.6%, and 0.7% of patients reported hearing voice, pain, and sensation of breathing tube, respectively. Lack of premedication was the only significantly associated factor for awareness with recall under general anesthesia (AOR = 3.014, 95% CI (1.201 to 7.565)). Conclusion and Recommendation. Our study showed higher magnitude of awareness with recall under general anesthesia. Lack of premedication was the only associated factor with awareness with recall under general anesthesia. Anesthetists should give emphasis to prevent the possibility of awareness under general anesthesia by providing premedication. Cohort studies should be done including the consequences of awareness with recall under general anesthesia.

scholarly journals Incidence of cesarean delivery after induction of labor with intravenous oxytocin drip among women undergoing induction of labor at Dessie referral hospital, Northeast Ethiopia, 2017

2020 ◽  
Vol 6 (6) ◽  
pp. 211
Author(s):  
Tenagnework D. Mulualem ◽  
Kibir T. Assefa
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Fetal Distress ◽  
Induction Of Labor ◽  
Referral Hospital ◽  
Systematic Sampling ◽  
Hypertensive Disorder ◽  
Oxytocin Infusion ◽  
Failed Induction ◽  
Dessie Referral Hospital

<p class="abstract"><strong>Background:</strong> The number of delivering women undergoing an induction of labor is greater than 20% and continues to rise. Simultaneously, the cesarean delivery rate continues to increase as well. This increase has resulted from evidence-based recommendations on how to handle certain conditions. Labor induction has been associated with increased likelihood of cesarean birth for some groups of women.</p><p class="abstract"><strong>Methods:</strong> Institutional based retrospective cross sectional study was conducted on 319 women medical chard who undergone induction of labor with oxytocin infusion at Dessie referral hospital. Systematic sampling techniques was used to select the samples. The data was cleaned, edited, coded, and entered in to EPI INFO version 3.5 and exported and analyzed by SPSS with windows version 20.0.  </p><p class="abstract"><strong>Results:</strong> A total of 319 delivery records were reviewed. Out of this 256 (80.3%) was successful induction of labor. Incidence of cesarean section after induction of labor with oxytocin infusion among women at Dessie referral hospital was 136 (42.6%). The most frequent cause of induction of labor was due to hypertensive disorder 133 (41.7%) followed by pre labor rupture of membrane 111 (34.8%). Cesarean section was done due to failed induction of labor 63 (19.7%) followed by fetal distress 40 (12.5%).</p><p class="abstract"><strong>Conclusions:</strong> In present study incidence of cesarean delivery after induction of labor was 42.6%. Most frequent cause of induction of labor was due to hypertensive disorder followed by pre-labor rupture of membrane. Cesarean section was done due to failed induction of labor followed by fetal distress.</p>

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