scholarly journals Prevalence of stillbirth and associated Factors among immediate post-partum mothers at Felegehiwot comprehensive specialized hospital, northwest Ethiopia: An institution based cross-sectional study

2019 ◽  
Author(s):  
Agerie Mengistie ◽  
Mulusew Andualem ◽  
koku Tamirat

Abstract Background Stillbirth rates are important indicators of the quality of antenatal and obstetric care in the community. In Ethiopia many neonatal deaths and almost all stillbirths are underreported. Therefore, this study aimed to determine prevalence of still birth and associated factors among immediate post-partum mothers. Methods An institution based cross-sectional study was employed at Felegehiwot comprehensive specialized hospital from March to May 2016 (n=310). A pretested structured interviewer administered questionnaire and medical chart reviews were used to collect data from immediate post-partum mothers. Data were entered using Epi Info version 3.5.4 and analyzed using SPSS version 20. Bivariate and multivariable logistic regression model was fitted to identify predictors of stillbirth. Adjusted Odds Ratio (AOR) with a 95% confidence interval (CI) was computed to assess the strength of association. Variables with p-value less than 0.05 in the multivariable considered as significant predictors of stillbirth. Result The prevalence of stillbirth was 8.7% with (95%CI: 5.8, 12.4). Previous history of stillbirth; [AOR=4.7, 95%CI (1.90-24.76)], labor complications [AOR=4.9, 95%CI (1.30-18.58)], Parthogragh use [AOR=0.25, 95%CI (0.10-0.80)], and twin delivery [AOR=6.7, 95%CI (1.40-32.74)] were significant predictors of stillbirth. Conclusion The magnitude of stillbirth in this study was higher. Multiple pregnancies, previous stillbirth, and complicated labor positively associated with stillbirth. Whereas use of partograph during labor significantly reduced stillbirth. This finding suggests that proper management of labor is mandatory to reduce stillbirth.

BMJ Open ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. e056009
Author(s):  
Shimeles Biru Zewude ◽  
Tewodros Magegnet Ajebe

ObjectivesThis study aims to identify levels of adherence to antiretroviral therapy (ART) drugs and factors associated with them in Northwest Ethiopia. We hypothesise that in the era of COVID-19, there would be suboptimal adherence to ART drugs.DesignAn observational cross-sectional study was conducted. Factors associated with the level of adherence were selected for multiple logistic regressions at a p value of less than 0.2 in the analysis. Statistically significant associated factors were identified at a p value less than 0.05 and adjusted OR with a 95% CI.SettingThe study was conducted in one specialised hospital and three district hospitals found in the South Gondar zone, Northwest Ethiopia.ParticipantsAbout 432 people living with HIV/AIDS receiving highly active ART in South Gondar zone public hospitals and who have been on treatment for more than a 3-month period participated in the study.Primary and secondary outcome measuresLevels of adherence to ART drugs and their associated factors.ResultsAmong 432 study participants, 81.5% (95% CI: 78% to 85.2%) of participants were optimally adherent to ART drugs. Determinants of a low level of adherence: stigma or discrimination (OR=0.4, p=0.016), missed scheduled clinical visit (OR=0.45, p=0.034), being on tuberculosis treatment (OR=0.45, p=0.01), recent CD4 cell count less than 500 cells/mm3 (OR=0.3, p=0.023) and patients who had been on WHO clinical stage III at the time of ART initiation (OR=0.24, p=0.027) were factors significantly associated with adherence to ART drugs.ConclusionsLevel of adherence was relatively low compared with some local studies. The intervention targeted to reduce discrimination, counselling before initiation of treatment and awareness regarding compliance is advised to improve adherence to antiretroviral regimens.


2020 ◽  
Author(s):  
Tsegaye Adane Birhan ◽  
Walelegn Worku ◽  
Jember Azanaw ◽  
Lamrot Yohannes

Abstract Background: Globally, khat chewing practice becoming an alarming and common among the youth generation especially in higher educational institutions. It may also leads to frequent misbehavior, poor academic performance and memory impairment among students. This study aimed to determine the prevalence of khat chewing and associated factors among medical students in University of Gondar, Northwest Ethiopia, 2019.Method: An institution-based cross-sectional study was employed on 422 medical students. Data were collected using a self-administered questionnaire and analyzed using SPSS 20 software. Stratified followed by random sampling was employed to select the samples. Multivariable logistic regression model was fitted to identify the predictors. P ≤ 0.05 was used to select statistically significant factors.Result: The current prevalence of khat chewing among medical students was 21.5%. The odds of khat chewing was higher among males [AOR=3.353; 95%CI (1.460-7.701)], Muslims [AOR=6.390; 95%CI (1.903-21.460)], fifth and six year students [AOR= 3.391; 95%CI (1.354-8.488)], smokers [AOR=5.081; 95%CI (1.898-13.601)], alcohol users [AOR=4.872; 95%CI (2.094-11.332)], students who had khat chewer close friends [AOR=30.645; 95%CI (12.261-76.589)].Conclusion: Since a significant proportion of students chew khat, continuous awareness creation on the impact of khat chewing and counseling services are recommended.


2019 ◽  
Author(s):  
shimeles biru zewudie ◽  
Dagne Addisu sewyew ◽  
Simachew kassa limenh ◽  
Simachew animen bante

Abstract Abstract Objective: the aim of the study was to assess the proportion of maternal complication related to instrumental vaginal delivery and its associated factors among mothers who gave birth in Felege Hiwot comprehensive specialized hospital, northwest Ethiopia. Results: Records of 406 mothers managed with instrumental vaginal delivery were reviewed and 97% of reviewed card had complete documentation. The proportion of maternal complications due instrumental vaginal delivery was found to be 12.1%. A mother who had an episiotomy [AOR=0.14, 95%CI=0.07-0.3], Forceps assisted vaginal delivery [AOR=3.4, 95%CI=1.08-10.67] and primiparity [AOR=3.5, 95%CI=1.26-9.98] were found to be associated with maternal complications related to instrumental vaginal delivery. Keywords: maternal complication, instrumental delivery, Felege hiwot, Bahir Dar


2021 ◽  
Author(s):  
Dejen Feleke ◽  
Abebu Yasin Tadesse ◽  
Ermias Sisay Chanie ◽  
Amare Kassaw Wolie ◽  
Sheganew Fetene Tassew ◽  
...  

Abstract Introduction: improving the infant and young child feeding practices in children aged 0-23months is critical. It is necessary to improved infant and young child health, nutrition, and development. Infant and under five mortality rate in Ethiopia are 43/1,000 and 55/1,000 live births respectively. Objective: To assess Initiation of CF practice and associated factors among mothers with children aged 6−23months.Methods: a multicenter Community based cross sectional study was conducted among 416 mother-infant pairs of 6-23 months in Meket Woreda, Northwest Ethiopia from March 20-June 30, 2020. Bivariate and multivariable logistic regeration model was fitted to identify factors associated CF Practice. P-value less than 0.05 considered as significance.Result: Among 416 mothers with children aged 6–23 months, 76.4% mothers started giving CF timely at recommended age of 6 month of child age. Advised About CF during ANC follow up [AOR=0.03; 95%CI: 0.003-0.356], Child delivered place at a health facility [AOR=0.07; 95%CI: 0.0-0.619], mothers take family planning [AOR= 0.049; 95%CI: 0.011-0.23], give additional diet the 1st 6month [AOR = 0.035; 95% CI: 0.009-0.137] and BF makes appearance [AOR = 0.064; 95% CI: 0.003-0.687] were found to be independent predictors of CF practice.Conclusion and Recommendation: About 23.6% of mothers were not initiated CF practice their children at recommended age of 6month. This would have negative implication on the health of infants and young children. Health professionals should focus on advising and counseling mothers on appropriate CF during prenatal, delivery, post natal, and immunization services.


2021 ◽  
Author(s):  
Habtam ayenew Teshome ◽  
Walelegn Worku Yallew ◽  
Jember Azanaw ◽  
Gardew ayanew Tadege ◽  
Agerie Mengistie zeleke

Abstract IntroductionThe hygienic practices of mothers during complementary feeding are crucial in the protection of vulnerable infants and children aged 6–24 months from childhood communicable diseases like diarrhea and malnutrition. However, sufficient evidence on the hygienic practices of mothers during complementary feeding and their associated factors is limited.ObjectiveTo determine the levels of complementary feeding hygiene practice and its associated factors among mothers of children aged 6–24 months in the Tegedie district, northwest Ethiopia.MethodsA community-based cross-sectional study was conducted from March 17 to April 17, 2021, among 576 mothers with children aged 6–24 months in the Tegedie district, northwest Ethiopia. A multistage sampling technique was used to select the study participants. Data were collected using a structured questionnaire administered by an interviewer and entered into Epi-data version 4.6 before being exported to SPSS version 20.0 for data cleaning and further analysis. Bivariate and multivariable binary logistic regression analyses were employed to identify predictors of complementary feeding hygiene practice with p-value < 0.25 that entered into the multivariable logistic regression model. Then variables with a p-value of 0.05 in multivariable logistic regressions were considered statistically significant.ResultsThe prevalence of hygienic practice during complementary feeding of their children aged 6–24 months was 33.6%, with 95% CI 29.7–37.6%) of them had good practice. Living in an urban area [AOR=7.02, 95% CI: (4.14, 11.88)], the presence of a handwashing facility near the latrine [AOR = 3.02, 95% CI: (1.18, 7.70)], the presence of a separate area to store raw and cooked foods [AOR = 5.87, 95% CI: (2.84, 12.13)], and the presence of a three-compartment dish washing system [AOR = 5.70,Conclusion and recommendationThe prevalence of good hygienic practices during complementary feeding among mothers is still low; the district health office and health extension workers should work to improve maternal hygienic practices during complementary feeding.


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