scholarly journals Prevalence and factors associated with severe anaemia post-caesarean section at a tertiary Hospital in Southwestern Uganda

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sylvie Atosa Sivahikyako ◽  
Asiphas Owaraganise ◽  
Leevan Tibaijuka ◽  
David Collins Agaba ◽  
Musa Kayondo ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Severe Anaemia ◽  
Cross Sectional ◽  
Regional Referral Hospital ◽  
Factors Associated ◽  
Hb Concentration ◽  
Southwestern Uganda ◽  
Moderate Anaemia

Abstract Background Severe anaemia after caesarean section adversely affects the woman and the new-born. While prenatal anaemia is extensively studied, the literature on post-caesarean section anaemia is limited and characteristics of women at the highest risk of developing severe anaemia after caesarean section are unknown. This study aimed to determine the prevalence and factors associated with severe anaemia on day three post caesarean section. Methods On the third day after caesarean section, women were consecutively enrolled in a cross-sectional study at Mbarara Regional Referral Hospital (MRRH). Women who got transfused peripartum were excluded. For every woman, we measured haemoglobin (Hb) concentration and collected data on sociodemographic, obstetric, and medical characteristics. The primary outcome was severe anaemia after caesarean section, defined as Hb < 7 g/dl. We used logistic regression analysis to determine factors associated with severe anaemia after caesarean section. P-value < 0.05 was considered statistically significant. Results From December 2019 to March 2020, 427 of 431 screened women were enrolled in the study. Their mean age was 26.05 (SD ± 5.84) years. Three hundred thirteen (73.3%) had attended at least four antenatal care visits. The prevalence of severe anaemia post-caesarean section was 6.79%. Foetus with macrosomia (aOR 7.9 95%CI: 2.18–28.85, p <  0.01) and having mild or moderate anaemia pre-caesarean section (aOR:9.6, 95%CI: 3.91–23.77, p <  0.01) were the factors associated with severe anaemia after caesarean section. Conclusion Severe anaemia in women post-caesarean section is relatively uncommon at our institution. It is associated with preoperative anaemia and macrosomic birth. Women with a low preoperative Hb concentration and those whose foetus have macrosomia could be targeted for haemoglobin optimisation before and during caesarean section.

scholarly journals Prevalence and Factors Associated with Severe Anaemia Post-Caesarean Section at a Tertiary Hospital in Southwestern Uganda

2021 ◽  
Author(s):  
Sylvie Atosa Sivahikyako ◽  
Asiphas Owaraganise ◽  
Leevan Tibaijuka ◽  
David Collins Agaba ◽  
Musa Kayondo ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Severe Anaemia ◽  
P Value ◽  
Cross Sectional ◽  
Regional Referral Hospital ◽  
Factors Associated ◽  
Hb Concentration ◽  
Southwestern Uganda

Abstract Background: Severe anaemia post-caesarean section adversely affects the woman and the new-born. While prenatal anaemia is extensively studied, the literature on post-caesarean section anaemia is limited and characteristics of women more likely to develop severe anaemia after caesarean section are unknown. This study aimed to determine the prevalence and factors associated with severe anaemia on day three post caesarean section.Methods: Women at day three post-caesarean section were consecutively enrolled in a cross-sectional study at Mbarara Regional Referral Hospital. We measured their haemoglobin (Hb) concentration and defined severe anaemia as Hb<7.0 g/dL. We excluded women diagnosed with severe pre-caesarean section anaemia and those who got blood transfusion without pre-transfusion Hb record. We interviewed the women and collected data on sociodemographic, obstetric, and medical characteristics. The primary outcome was severe anaemia post-caesarean section. We used logistic regression analysis to determine independent factors associated with severe anaemia after caesarean section. P-value <0.05 was considered statistically significant.Results: From December 2019 to March 2020, 427 of 431 screened women were enrolled in the study. Their mean age was 26.05 (SD ± 5.84) years. Three hundred thirteen (73.3%) had attended at least four antenatal care visits. The prevalence of severe post-caesarean section anaemia was 6.79 per cent. Fetal macrosomia (aOR 7.9 95%CI: 2.18-28.85, p<0.01) and having mild or moderate anaemia pre-caesarean section (aOR:9.6, 95%CI: 3.91- 23.77, p<0.01) were the factors associated with severe anaemia post-caesarean section.Conclusion: Severe anaemia post-caesarean section commonly occurs and is associated with anaemia preoperatively and delivering a foetus with macrosomia. Preoperative haemoglobin optimization and intraoperative blood conserving measures are imperative among such women to prevent postoperative anaemia—as well as post-caesarean section haemoglobin estimation before discharge from the hospital to detect anaemia early and optimise remedies.

scholarly journals Factors Associated with Systemic Bleeding in Bothrops Envenomation in a Tertiary Hospital in the Brazilian Amazon

Toxins ◽  
2019 ◽  
Vol 11 (1) ◽  
pp. 22 ◽  
Author(s):  
Sâmella S. Oliveira ◽  
Eliane C. Alves ◽  
Alessandra S. Santos ◽  
João Pedro T. Pereira ◽  
Lybia Kássia S. Sarraff ◽  
...  
Keyword(s):  
Rural Areas ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Control Group ◽  
Cross Sectional ◽  
Factors Associated ◽  
Amazonas State ◽  
Hemostatic Disorders ◽  
To Receive ◽  
De Medicina

Bothrops snakebites usually present systemic bleeding, and the clinical–epidemiological and laboratorial factors associated with the development of this manifestation are not well established. In this study, we assessed the prevalence of Bothrops snakebites with systemic bleeding reported at the Fundação de Medicina Tropical Dr. Heitor Vieira Dourado, in Manaus, Amazonas State, Brazil, and the clinical–epidemiological and laboratorial factors associated with systemic bleeding. This is an observational, cross-sectional study carried out between August, 2013 and July, 2016. Patients who developed systemic bleeding on admission or during hospitalization were considered cases, and those with non-systemic bleeding were included in the control group. Systemic bleeding was observed in 63 (15.3%) of the 442 Bothrops snakebites evaluated. Bothrops snakebites mostly occurred in males (78.2%), in rural areas (89.0%) and in the age group of 11 to 30 years old (40.4%). It took most of the patients (59.8%) less than 3 h to receive medical assistance. Unclottable blood (AOR = 3.11 (95% CI = 1.53 to 6.31; p = 0.002)) and thrombocytopenia (AOR = 4.52 (95% CI = 2.03 to 10.09; p < 0.001)) on admission were independently associated with systemic bleeding during hospitalization. These hemostatic disorders on admission increase the chances of systemic bleeding during hospitalization. Prospective studies are needed to clarify the pathophysiology of systemic bleeding in Bothrops snakebites in the Amazon region.

scholarly journals Prevalence, Factors and Cost Comparison due to Potentially Inappropriate Medications (PIMs) of Elderly Outpatients in a State Hospital in Malaysia.

2021 ◽  
Vol 1 (1) ◽  
pp. 27-33
Author(s):  
Wei Chern Ang ◽  
Nur Syafiqah Zulkepli ◽  
Nur Safinaz Mukhtar ◽  
Nur Atikah Zulkefli
Keyword(s):  
The Elderly ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Cost Comparison ◽  
Potentially Inappropriate Medications ◽  
Cross Sectional ◽  
Prescription Cost ◽  
Factors Associated ◽  
Elderly Outpatients ◽  
Inappropriate Medications

Introduction: Malaysia will be a full aging nation by 2030. The elderly (aged >65 years old) population often has multiple comorbidities, which increases the risk of polypharmacy and potentially inappropriate medications (PIMs). This study aims to investigate the prevalence, factors associated with PIMs among elderly outpatients, and its burden of direct pharmacotherapy cost to the Ministry of Health Malaysia. Materials and method:  A cross-sectional study involving clinic prescriptions among the elderly with more than one-month prescribing duration received from a tertiary hospital specialist clinic pharmacy from March to April 2017. Patient identifiers were screened using the Pharmacy Information System (PhIS) by including prescriptions from other clinics while excluding multiple visits and duplicate prescriptions. Patients were categorised as PIM group and non-PIM groups using Beers Criteria 2015. Logistic regression analysis was conducted to examine the factors associated with PIMs. The median monthly prescription cost was compared between PIM and non-PIM groups by Mann-Whitney test. Results: Among 472 patients, 39.4% of patients had at least one PIM while 60.6% of patients did not receive any PIM. The number of medications prescribed was an independent risk factor contributing to PIMs (OR:2.04; 95% CI:1.40, 2.97). The median monthly prescription cost for the PIM group was MYR 29.50 (?USD 7.53) which was not statistically significant (p=0.735) compared with the non-PIM group which was MYR 28.50 (USD 7.28).  Conclusion: PIM was frequently prescribed in our setting with the number of medications as the only factor. However, the prescribing of PIM did not add nor reduce the direct cost of pharmacotherapy.

scholarly journals Multilevel modelling of factors associated with Caesarean Section in Ethiopia: Community Based Cross Sectional Study

2019 ◽  
Author(s):  
Abebaw Gedef Azene ◽  
Abiba Mihret Aragaw ◽  
Mihretie Gedefaw
Keyword(s):  
Caesarean Section ◽  
Addis Ababa ◽  
Multiple Pregnancy ◽  
Multilevel Modelling ◽  
Cross Sectional Study ◽  
Home Delivery ◽  
Related Factors ◽  
Cross Sectional ◽  
Factors Associated ◽  
Health Related

Abstract Objective: The aim of this study was to identify socio-demographic and health related factors associated with caesarean section in Ethiopia. Results: A total of 256 mothers undergoing to CS among 7193 delivery. Average maternal age of a participant was 29.26 years and 80% of mothers having two and more children. A woman delivered in private institution was 30% (AOR=1.29; 95% CI: 1.25, 1.32) more likely undergoing CS as compared to home delivery. Factors associated with CS were higher education level (AOR= 1.09, 95% CI: 1.07, 1.12), preceding birth interval (AOR= 1.01; 95% CI: 1.00. 1.03), multiple pregnancy (AOR=1.11; 95% CI 1.08, 1.15), multiple parity (AOR=0.98; 95% CI:0.97, 0.99), large size the child (AOR=1.01; 95% CI: 1.001, 1.02), richest households (AOR = 0.98; 95% CI: 0.97, 0.99), rural residence (AOR = 0.98 95% CI:0.96, 0.99) and Addis Ababa (AOR=1.06; 95% CI: 1.04,1.09). As a conclusion and recommendation, the prevalence of CS higher in private institutions and Addis Ababa, so professionals should apply CS alone medical indication.

Re-Laparotomy after Caesarean Section at a Tertiary Hospital in Egypt: Cross Sectional Study

2017 ◽  
Vol 07 (03) ◽  
Author(s):  
Reham Elkhateeb ◽  
Ahmad Ezz El Din Mahran ◽  
Ahmad Samir Sanad ◽  
Haitham Ahmad Bahaa ◽  
Mahmoud Hosni Ibrahim
Keyword(s):  
Caesarean Section ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Group B Streptococcus Colonization among Pregnant Women Attending Antenatal Care at Tertiary Hospital in Rural Southwestern Uganda

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Abdul Namugongo ◽  
Joel Bazira ◽  
Yarine Fajardot ◽  
Ngonzi Joseph
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Univariate Analysis ◽  
Group B Streptococcus ◽  
Antenatal Clinic ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Group B ◽  
Southwestern Uganda

Objectives.This study sought to determine the prevalence and factors associated with group B streptococcal anogenital colonization among pregnant women attending antenatal care at Mbarara Regional Referral Hospital, a tertiary hospital.Methods.Cross-sectional study where 309 pregnant women ≥ thirty-five weeks of gestation attending antenatal clinic were consecutively recruited between January and March 2015. Anovaginal swabs were collected and tested qualitatively using rapid visual immunoassay GBS test kits for presence of GBS antigens. Data was analyzed using STATA version 12. In univariate analysis, GBS colonized mothers were presented as percentages and numbers, and in multivariate analysis logistic regression analysis was applied to determine the associations of exposure variable and GBS colonization; a value of less than 0.05 was considered significant.Results.Mothers’ median age was 25 years, 14.6% mothers being obese. GBS prevalence was 28.8%, 95% CI: 23.7–33.9. Obesity was the only significant factor associated with anogenital GBS colonization with odds ratio of 3.78, 95% CI: 1.78–8.35, apvalue of 0.001. Maternal ages, educational level, residence, and gravidity were not associated with GBS anogenital colonization.Conclusion.Group B streptococcal anogenital colonization among pregnant women attending antenatal care at tertiary hospital, in Southwestern Uganda, is high.

scholarly journals Magnitude and associated factors of caesarean section deliveries among women who gave birth in Southwest Ethiopia: institutional-based cross-sectional study

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Ayenew Mose ◽  
Haimanot Abebe
Keyword(s):  
Caesarean Section ◽  
Urban Area ◽  
Previous History ◽  
Cross Sectional Study ◽  
Multiple Pregnancies ◽  
Sectional Study ◽  
Cross Sectional ◽  
Southwest Ethiopia ◽  
Factors Associated ◽  
History Of

Abstract Background Caesarean section is a life-saving comprehensive obstetric procedure of women and newborn performed during childbirth-related complications and should be universally accessible for all pregnant mothers globally. Appropriate use of caesarean section can reduce maternal and perinatal mortality. However, inappropriate use of caesarean section can negatively affect infant health, women health, and future pregnancies. The magnitude and factors associated with caesarean section delivery were not consistent and will vary between different hospitals of Ethiopia. Hence, this study aimed at assessing the magnitude and factors associated with caesarean section deliveries in Southwest Ethiopia. Methods and Materials An institutional-based cross-sectional study was conducted from January 1 to February 29, 2020. A systematic random sampling technique was used to select 551 study participants. A pretested, structured, and face-to-face interview was used to collect data. Data were entered into Epi-data version 4.2.0 and exported to SPSS version 23 for analysis. Bivariate and multivariate analyses were used to identify factors associated with caesarean section deliveries. P values < 0.05 result were considered as a statistically significant association. Results The magnitude of caesarean section deliveries was found to be 32.5 % (95 % CI; 28.6%-36.7 %). Mothers resided in an urban area [AOR = 2.58, (95% CI; 1.66–4.01)], multiple pregnancies [AOR = 3.15, (95% CI; 1.89–5.23), malpresentation [AOR = 3.05, (95% CI; 1.77–5.24)], and previous history of caesarean section [AOR = 3.55, (95% CI; 2.23–5.64) were factors associated with caesarean section deliveries. Conclusions Caesarean section deliveries were found high in the study area. Mothers resided in an urban area, multiple pregnancies, malpresentation, and previous history of caesarean section were factors associated with caesarean section deliveries. Therefore, counselling of mothers on the risk of giving birth through elective caesarean section without absolute and relative medical indications and giving enough time for the trial of vaginal birth after caesarean section are recommended.

scholarly journals Pattern of primary caesarean deliveries in a Nigerian tertiary hospital

2021 ◽  
Author(s):  
Abimbola T. Ottun ◽  
Chinonye H. Okoye ◽  
Adeniyi A. Adewunmi ◽  
Faosat O. Jinadu ◽  
Ayokunle M. Olumodeji
Keyword(s):  
Caesarean Section ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
University Teaching ◽  
State University ◽  
Foetal Distress ◽  
Hypertensive Disease ◽  
Cross Sectional ◽  
Cephalopelvic Disproportion ◽  
Primiparous Women

Background: Primary caesarean section (CS) has become a major driver of the steadily rising total caesarean rate. This study determined the primary CS rate, pattern and associated factors.Methods: It was a retrospective, hospital-based cross-sectional study of 645 pregnant women who had primary caesarean section over a 3-year period in Lagos state university teaching hospital, Lagos, Nigeria. Data obtained were expressed in frequency and percentages.Results: Primary CS accounted for more than 50% of all the CS done during the study period with a primary CS rate of 16.7% and total CS rate was 30.6%. Primary CS was commonest among women of age group 30-39years (50.1%) and women with no prior parous experience (58.6%). The commonest indication for primary CS was poor progress in labour due to cephalopelvic disproportion, which occurred in 170 women (26.4%), followed by suspected foetal distress in 94 women (14.6%) and hypertensive disease in pregnancy in 91 women (14.1%). Post-operative wound infection and/or dehiscence was the most prevalent post-operative complication occurring in 12.1% of women who had primary CS.Conclusions: Primary CS rate is increasing and relatively more common among primiparous women. Cephalopelvic disproportion, suspected foetal distress and hypertensive disorders of pregnancy are the leading indications for primary CS. 

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