scholarly journals Refractive error and its associated factors among pregnant women attending antenatal care unit at the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246174
Author(s):  
Mengistie Diress ◽  
Yigizie Yeshaw ◽  
Minychil Bantihun ◽  
Baye Dagnew ◽  
Adugnaw Ambelu ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Refractive Error ◽  
Maternal Age ◽  
Associated Factors ◽  
Northwest Ethiopia ◽  
Specialized Hospital ◽  
The University ◽  
Study Participants

Background Refractive error is one of the commonly encountered problems during pregnancy and being the cause of deleterious effects on health. Despite its impacts, there is no evidence on the magnitude and associated factors of refractive error among pregnant women in Ethiopia. This study aimed to determine the prevalence of refractive error and its associated factors among pregnant women attending antenatal care unit at the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia, 2020. Methods An institution-based cross-sectional study was employed. An ocular examination was performed using Retinoscope and Snellen’s illiterate “E” chart. The required data were collected using an interviewer-administered questionnaire which comprised socio-demographic, clinical and pregnancy-related variables. EpiData 3.02 and STATA 14 were used for data entry and analysis respectively. Both bivariable and multivariable binary logistic regression analyses were executed to identify factors associated with refractive error. Variables with a p-value ≤ 0.05 in the multivariable logistic regression analysis were declared as significantly associated factors with refractive error. Results A total of 401 pregnant women with a median age of 27 (IQR = 24–31) years participated in this study. The overall prevalence of refractive error among the study participants was 35.66% (95% CI: 30.95–40.37). Of the total study participants, ninety-two (22.90%) of them were myopic, forty-five (11.22%) were hyperopic and the rest were antimetropic. Increased maternal age (AOR = 1.31; 95% CI: 1.16–1.48)), increased parity (AOR = 3.17, 95% CI: 1.92–5.25), increased gestational age (AOR = 1.15, 95% CI: 1.08–1.22), and regular use of computers/ watching television (AOR = 6.19, 95% CI: 2.46–15.59) were significantly associated with refractive error. Conclusion The prevalence of refractive error among pregnant women was high where myopia was the most common variety. Advanced maternal age, increased gestational age, increased parity and regular use of computer or watching television were significantly associated with refractive error among pregnant women. Therefore, apart from providing other maternal health services, routine screening and evaluation of pregnant women for refractive error during antenatal care visit is recommended to avoid its negative impacts.

scholarly journals Visual impairment and associated factors among pregnant women attending antenatal care units at health institutions in Gondar City Administration, Northwest Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mengistie Diress ◽  
Yitayeh Belsti ◽  
Mihret Getnet ◽  
Sofonias Addis Fekadu ◽  
Baye Dagnew ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Antenatal Care ◽  
Visual Impairment ◽  
Pregnant Women ◽  
Associated Factors ◽  
Northwest Ethiopia ◽  
Health Concern ◽  
City Administration ◽  
Health Institutions ◽  
Study Participants

Abstract Background Visual impairment is a major public health concern among women of reproductive age groups in Ethiopia, which is getting worse during pregnancy. Though visual impairment has lots of serious consequences across the life course of pregnant women, there is no previous study on this topic in Ethiopia. Thus, this study determined the prevalence of visual impairment and identified associated factors among pregnant women attending antenatal care units at the governmental health institutions in Gondar City Administration, Northwest Ethiopia. Methods An institution-based cross-sectional study was conducted. A systematic random sampling technique was used to recruit the study participants. We used an interviewer-administered questionnaire comprising of socio-demographic, clinical and pregnancy-related variables to collect the required data. Snellen’s illiterate “E” chart was used to determine visual impairment. EpiData 3 and Stata 14 were used for data entry and statistical analysis, respectively. Both bivariable and multivariable binary logistic regression analyses were executed to identify associated factors of visual impairment. Variables with a p-value ≤0.05 in the multivariable logistic regression analysis were declared as statistically significant with visual impairment. Results A total of 417 (response rate = 98.6%) participants were involved in this study, with a median age of 27 years. The overall prevalence of visual impairment was 22.5% (95% CI: 18.5–26.6). Thirty (7.2%) and thirty-two (7.7%) of the study participants had moderate to severe visual impairments in their right and left eyes, respectively. Participants aged from 31 to 49 years (AOR = 2.1; 95% CI: 1.1–4.0), being 3rd trimester (AOR = 2.4; 95% CI: 1.3–4.5), multi & grand multipara (AOR = 2.3; 95% CI: 1.2–4.6), and history of contraceptive use (AOR = 2.7; 95% CI: 1.2–6.3) had higher chance of visual impairment. Conclusion The magnitude of visual impairment among pregnant women was high in the study area. Therefore, routine screening and evaluation of pregnant women for visual condition during antenatal care visits is recommended. Further investigations of visual changes, particularly as a result of pregnancy, are warranted.

scholarly journals Prevalence of husband antenatal care attendance and associated factors among husbands whose wives gave birth in the last twelve months in Enebsiesarmider District, Northwest Ethiopia, 2018.

2019 ◽  
Author(s):  
Haimanot Abebe
Keyword(s):  
Antenatal Care ◽  
Health System ◽  
Associated Factors ◽  
Health Department ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Safe Motherhood ◽  
Cross Sectional ◽  
Multi Stage ◽  
Study Participants

Abstract Background Globally, husband attendance of skilled maternal ANC care remains a challenge to safe motherhood. Even though husband attendance in antenatal care is one of the strategies for enhancing reproductive and sexual health in Ethiopia, the magnitude of husband attendance in ANC is not well investigated in the study area. Therefore, this study aimed to assess husband antenatal care attendance and associated factors among husbands whose wives gave birth in the last twelve months prior to the study in Enebsiesarmider district, Northwest Ethiopia.Methods A Community-based cross-sectional study was employed to assess husband antenatal care attendance and associated factors among husbands whose wives gave birth in the last twelve months in Enebsiesarmider district, Northwest Ethiopia. The study was conducted from February 10-March 10, 2018. A total of 402 participants were involved in the study. Multi stage sampling method was used to recruit study participants. Data were collected using structured interviewer administered questionnaire. Data were entered using epi Data software and exported to SPPS for analysis. Descriptive statistics including mean, proportion were used to describe study variables. Binary and multivariable logistic regression was employed to describe variables in relation to the outcome variable.Result: The prevalence of husband antenatal care attendance was found to be 31.8% [95%CI, 27.4-36.3]. Attending secondary education and above [AOR 1.93, 95%CI, 1.14-3.26], good antenatal care knowledge [AOR 3.30, 95%CI, 2.02-5.39] and hadn’t health system barriers [AOR 2.32, 95%CI, 1.35-4.00] were statistically associated with husband antenatal care attendance.Conclusion Husband ANC attendance was found to be low in the study area. Regional health department shall design behavioral change interventions to reducing health system pitfalls towards ANC in the study area, furthermore, enabling all pregnant women to be booked for ANC and providing invitation letter to their husbands in the subsequent ANC visits seems essential to initiate husband ANC attendance.

scholarly journals LEVEL OF FOOD CONSUMPTION SCORE AND ASSOCIATED FACTORS AMONG PREGNANT WOMEN AT SHEGAW MOTTA HOSPITAL, NORTHWEST ETHIOPIA

2020 ◽  
Author(s):  
Mehariw Birhan ◽  
Tsegahun Worku ◽  
Mekuanint Taddele ◽  
Zewdie Aderaw
Keyword(s):  
Pregnant Women ◽  
Nutrition Education ◽  
Food Consumption ◽  
Associated Factors ◽  
Care Service ◽  
Northwest Ethiopia ◽  
Vulnerable Groups ◽  
Factors Associated ◽  
Food Consumption Score ◽  
Study Participants

ABSTRACTBackgroundAll populations are at risk for poor food consumption, but pregnant women are the most vulnerable groups for poor food consumption particularly for those in resource limiting settings like Ethiopia. However, there is a lack of literature for food consumption score in these population groups and study area. Therefore, the results of this study may give information for local decision makers.ObjectiveTo assess level of food consumption score and associated factors among pregnant women attending antenatal service at Shegaw Motta Hospital, Northwest Ethiopia, 2018.MethodInstitution based cross-sectional study design was conducted among 422 pregnant women attending antenatal care service at Shegaw Motta Hospital from February 23, 2018-April 3, 2018. A systematic random sampling technique was used to select study participants. Data were collected using interviewer administered structured questionnaire and coded and entered to Epi-Data version 3.1 then exported to SPSS version 23 for analysis. Binary Logistic Regression was used for analysis.ResultA total of 422 pregnant women with response a rate of 100% participated in the study. The overall food consumption score among pregnant women was found to be eight of study participants [1.9% (95% CI: 0.7, 3.3)] reported that their food consumption score were poor, seventy of them [16.6% (95% CI: 13.0, 20.4)] were borderline and the remaining 81.5 % (95% CI: 77.5, 85.1) of them had acceptable food consumption score. Residence, being rural or urban [AOR=4.594(95% CI: 1.871, 11.283)], religion status, being an Orthodox or others [AOR= 0.073(95% CI: 0.021, 0.254)], were factors associated with food consumption score.Conclusion and recommendationFood consumption scores among pregnant women was found to be highly unacceptable. Residence and religion were factors associated with food consumption score. Therefore, appropriate nutrition education should be given.

scholarly journals Maternal minimum dietary diversity and associated factors among pregnant women, Southwest Ethiopia, 2021

BMC Nutrition ◽  
2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Abel Girma Tilahun ◽  
Abebaw Molla Kebede
Keyword(s):  
Logistic Regression ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Nutrition Education ◽  
Associated Factors ◽  
Dietary Diversity ◽  
Systematic Sampling ◽  
Age Group ◽  
Food Groups ◽  
Minimum Dietary Diversity

Abstract Background Inadequate dietary diversity intake during pregnancy increases risks of intrauterine growth restriction, abortion, low birth weight, preterm birth, prenatal and infant mortality,and morbidity and has long-lasting health impacts. Dietary diversity during pregnancy promotes the health status of the mother and her fetus. This study aimed to assess the magnitude of minimum dietary diversity and associated factors among pregnant women attending antenatal care. Methods A facility-based cross-sectional study was conducted among 274 pregnant women who attended antenatal care at Wacha primary hospital from January to February 2021. A systematic sampling method was used to select the study participants. The data were collected through face-to-face interviews using a structured and semi-structured questionnaire. Bivariate logistic regression was done to identify factors associated with maternal dietary diversity. Finally, multivariate logistic regression was done, and variables that showed P values of < 0.05 were considered statistically significant. Result The magnitude of minimum dietary diversity was 51% (95% CI: 44.5, 56.7). The mean (±SD) minimum dietary diversity score was 4.5 (± 1.268) with a minimum of 1 anda maximum of 8 food groups consumed out of ten food groups. Age fewer than 25 years (AOR 4.649; 95% CI; 1.404, 15.396), and the age group between 25 to 34 years (AOR 3.624; 95% CI: 1.315, 10.269), husband age group of 26 to 34 years (AOR 2.238; 95% CI; 1.028,4.873), and 35 to 44 years (AOR 3.555; 95% CI; 1.228,10.292) and nutrition awareness of women (AOR 2.182; 95% CI; 1.243, 3.829) were significantly associated with minimum dietary diversity. Conclusion The consumption of minimum dietary diversity of the pregnant mothers was found to be low. Women aged less than 25 and age between 25 to 34 years, husband’s age between 26 to 34 and 35 to 44 years, and nutrition awareness were the factors significantly associated with minimum dietary diversity. Therefore, providing nutrition education and counseling service warranted to promote maternal dietary diversity.

scholarly journals Proportion of Immediate Postpartum Anaemia and Associated Factors among Postnatal Mothers in Northwest Ethiopia: A Cross-Sectional Study

Anemia ◽  
2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Asenake Abebaw ◽  
Temesgen Worku Gudayu ◽  
Bayew Kelkay
Keyword(s):  
Logistic Regression ◽  
Associated Factors ◽  
Mode Of Delivery ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Health Concern ◽  
Sectional Study ◽  
Cross Sectional ◽  
Study Participants

Background. Anaemia is a major global health problem, especially in developing countries. Postpartum anaemia hurts both maternal and newborn baby health. Anaemia in pregnancy is sufficiently emphasized; however, very little attention has been paid to postpartum anaemia in Ethiopia. Therefore, this study aimed to investigate the proportion of immediate postpartum anaemia and associated factors among postpartum mothers in Debre Markos Referral Hospital. Methods. Institutional-based cross-sectional study was conducted among 424 study participants from August 1st to October 30th, 2019. A systematic random sampling technique was employed to select the study participants. Data were collected through both face-to-face interview and maternal chart review by using a pretested questionnaire. Data were cleaned, coded, and entered using Epi Data version 4.6.0.0 and then exported to SPSS version 24 for analysis. First, binary logistic regression was applied to identify candidate variables for multivariable regression. Then, variables at p value <0.2 were entered into a multivariable logistic regression to control possible confounders. Finally, variables at p value <0.05 were considered as statistically significant. Results. The proportion of immediate postpartum anaemia was 24.3%. Frequency of antenatal care (ANC) visits <4 times [AOR = 2.40; 95% CI (1.29, 4.43)], antepartum haemorrhage (APH) [AOR = 5.08; 95% CI (1.91, 13.55)], postpartum haemorrhage (PPH) [AOR = 4.47; 95% CI (2.25, 8.88)], giving birth assisted by instruments (vacuum or forceps) [AOR = 3.99; 95% CI (1.42, 11.23)], poor adherence to iron and folic acid (IFA) [AOR = 2.52; 95% CI (1.06, 6.04)], and midupper arm circumference (MUAC) <23 cm [AOR = 3.25; 95% CI (1.87, 5.65)] were the predictors. Conclusion. The proportion of immediate postpartum anaemia was a moderate public health concern. ANC, APH, PPH, mode of delivery, adherence to IFA supplementation, and MUAC measurement were the factors affecting the magnitude of anaemia. Therefore, interventions that would address the above mentioned factors need to be implemented.

scholarly journals Assessment of Patient’s Satisfaction and Associated Factors regarding Postoperative Pain Management at the University of Gondar Compressive Specialized Hospital, Northwest Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Yosef Belay Bizuneh ◽  
Girmay Fitiwi Lema ◽  
Demeke Yilkal Fentie ◽  
Yophtahe Woldegerima Berhe ◽  
Henos Enyew Ashagrie
Keyword(s):  
Logistic Regression ◽  
Pain Management ◽  
Postoperative Pain ◽  
Associated Factors ◽  
Peripheral Nerve Block ◽  
Postoperative Pain Management ◽  
Patient’S Satisfaction ◽  
Level Of Satisfaction ◽  
Specialized Hospital ◽  
The University

Objective. We aimed to assess the level of patient’s satisfaction and associated factors regarding postoperative pain management. Methods. An institution-based cross-sectional study was conducted from April to May 2018 at the University of Gondar, and comprehensive specialized hospital data were collected through semistructured questionnaire and chart review. Level of satisfaction was measured using five-point Likert scale. Statistical analysis was done using SPSS software version 23. Both bivariable and multivariable logistic regression analyses were done. Variables of P value ≤0.2 in the bivariable analysis were a candidate for multivariable logistic regression. A P value ≤0.05 was considered as significantly associated with patient’s level of satisfaction at 95% CI. Results. A total of 418 patients were included in this study with a response rate of 98.58%. The overall proportion of patients who were satisfied with pain management services was 72.2% (95% CI: 67.7–76.6). ASA1 (AOR = 3.55: 95% CI = 1.20–10.55) and ASA2 patients (AOR = 3.72: 95% CI = 1.04–13.28), absence of postoperative pain (AOR = 1.86: 95% CI = 1.02–3.39), peripheral nerve block done (AOR = 9.14: 95% CI = 3.93 20.86), received analgesic before request (AOR = 6.90: 95% CI = 3.72–12.83), and received systemic analgesics (AOR = 6.10: 95% CI = 1.17–33.91) were significantly associated with the level of satisfaction. Conclusion. The level of patient satisfaction with postoperative pain management was considerably low. Hence, it is vital to implement time-interval pain assessment method during the first 24 hours of postoperative period and treat accordingly based on the WHO pain ladder. Moreover, we suggested that all patients who underwent major surgery should receive peripheral nerve block as part of multimodal analgesia to decrease the incidence and severity of post op pain.

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