scholarly journals Prevalence of preterm premature rupture of membrane and its associated factors among pregnant women admitted in Debre tabor general hospital, North West Ethiopia: A facility based cross-sectional study

2019 ◽  
Author(s):  
Dagne sewyew Addisu ◽  
Abenezer Melkie ◽  
shimels Biru
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Pregnant Women ◽  
General Hospital ◽  
Low Income ◽  
Low Income Countries ◽  
Premature Rupture ◽  
Preterm Premature Rupture ◽  
Debre Tabor

Abstract Abstract Background: Premature rupture of membrane is a significant cause of maternal and neonatal morbidity and mortality both in high and low income countries which accounts 5-10 % of all deliveries. Due to different factors associated with the quality of health care given and socio-economic factors, the effect of preterm premature rupture of membrane is worsen in low-income countries. However, very little evidence is known about the problem in Ethiopian particularly in the study area. Therefore, this study was aimed to determine the prevalence of preterm premature rupture of membrane and its associated factors among pregnant women admitted in Debre tabor general hospital. METHODS: Facility based cross-sectional study was conducted at Debre tabor general Hospital from December 14 – June 20, 2019. A total of 424 mothers were included in the study. Systematic random sampling technique was used selected the study participants. A combination of chart review and interview were used to collect the data. Data entry and analysis were made by using Epi-data version 4.2 and SPSS versions 23 respectively. Both descriptive & analytical statistics were computed. Statistical significance was considered at P<0.05 and the strength of association were assessed by using adjusted odds ratio. Result: The prevalence preterm premature rupture of membrane was found to be 13.7%. Pregnant women with abnormal vaginal discharge [AOR=5.30, 95%C1=2.07-13.52], urinary tract infection [AOR =2.62, 95%Cl =1.32-5.19], history of premature rupture of membrane [AOR =3.31, 95%Cl =1.32-8.27], vaginal bleeding [AOR =2.58, 95%Cl =1.14-5.82] and mid upper arm circumstance <23cm [AOR =6.26, 95%Cl =3.21-12.20] were found to be associated with preterm premature rupture of membrane. Conclusions: The prevalence of preterm premature rupture of membrane was high. Abnormal vaginal discharge, urinary tract infection, vaginal bleeding, previous premature rupture of membrane and mid upper arm circumstance <23cm were factors associated with an increased risk for preterm premature rupture of membrane. Thus, early screening, diagnosis and quickly treatments of urinary tract infection and abnormal vaginal discharges during pregnancy were recommended to reduce the risk of preterm premature rupture of membrane. Keywords: premature rupture of membrane, prevalence, Debre tabor general hospital, risk factors

scholarly journals Prevalence of Preterm Premature Rupture of Membrane and Its Associated Factors among Pregnant Women Admitted in Debre Tabor General Hospital, North West Ethiopia: Institutional-Based Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Dagne Addisu ◽  
Abenezer Melkie ◽  
Shimeles Biru
Keyword(s):  
Urinary Tract ◽  
Pregnant Women ◽  
Low Income ◽  
Cross Sectional Study ◽  
Low Income Countries ◽  
Premature Rupture ◽  
Cross Sectional ◽  
Preterm Premature Rupture ◽  
Debre Tabor ◽  
Mid Upper Arm Circumference

Background. In Ethiopia, preterm premature rupture of membrane is defined as loss of amniotic fluid before the onset of labor in pregnancy >28 weeks of gestation but before 37 weeks. It is a significant cause of perinatal, neonatal, and maternal morbidity and mortality both in high- and low-income countries. Due to different factors associated with the quality of health care given and socioeconomic factors, the effect of preterm premature rupture of membrane is worsen in low-income countries. Little evidence is available about the problem in the study area. Therefore, this study was aimed to determine the prevalence of preterm premature rupture of membrane and its associated factors among pregnant women admitted in Debre Tabor General Hospital. Methods. Facility-based cross-sectional study was conducted. A total of 424 mothers were included in the study. Systematic random sampling was used to select study participants. A combination of chart review and interview was used to collect the data. Both descriptive and analytical statistics were computed. Result. The prevalence of preterm premature rupture of membrane was found to be 13.7%. Pregnant women with abnormal vaginal discharge (AOR = 5.30, 95% CI  = 2.07–13.52), urinary tract infection (AOR = 2.62, 95% CI = 1.32–5.19), history of premature rupture of membrane (AOR = 3.31, 95% CI = 1.32–8.27), vaginal bleeding (AOR = 2.58, 95% CI = 1.14–5.82), and mid-upper arm circumference <23 cm (AOR = 6.26, 95% CI = 3.21–12.20) were associated with preterm premature rupture of membrane. Conclusions. The prevalence of preterm premature rupture of membrane was high. Abnormal vaginal discharge, urinary tract infection, vaginal bleeding, previous premature rupture of membrane, and mid-upper arm circumference <23 cm were associated with preterm premature rupture of membrane. Thus, early screening and treatment of urinary tract infections and abnormal vaginal discharges were recommended to reduce the risk of preterm premature rupture of membrane.

Risk Factors in Diabetes and Pregnant Women with Urinary Tract Infections Compared to Younger Aged Female.

2018 ◽  
Vol 1 (3) ◽  
pp. 26-38
Author(s):  
Abdulghani Mohamed Alsamarai ◽  
Shler Ali Khorshed
Keyword(s):  
Risk Factors ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Pregnant Women ◽  
Female Student ◽  
Mean Value ◽  
Infected Female ◽  
Significant Difference ◽  
Tract Infections

Background: Urinary tract infection is common with health impact in women and characterised by failure to treatment and recurrent episodes. Aim: This study was conducted to determine the risk factors for the development of urinary tract infection in diabetic and pregnant women in comparison to student female. Materials and methods: A prospective cross-sectional study conducted during the period from 1st of June 2015 to the end of January 2016. The population included in the study are 563 women, of them 425 were outpatients, and 138 were inpatients. Their age range between 18 and 80 years, with a mean age of 33.59±15.29 years. Urine samples collected and cultured on blood agar and MacConkey agar by spread plate technique. Bacterial colonies with different morphology were selected, purified and identified according to their biochemical characteristics using conventional standard methods. Results: In diabetic women, there were no significant difference in mean age and BMI values between culture positive and culture negative groups. However, pus cell mean scale was significantly higher [P=0.000] in women with urinary tract infection [1.76±1.25] than in those with negative culture [0.69±1.00]. In pregnant women, BMI mean value was significantly [P=0.013] lower in pregnant women with UTI [26.14] as compared to those without infection [26.99]. Pus cell scale mean value was significantly [P=0.000] higher in pregnant women with UTI [1.55] than women with negative UTI [0.85]. While there was no significant difference in mean age between UTI positive and negative pregnant women. In female student, there was a significant difference between UTI infected and non-infected in mean age [P=0.041] and pus cell scale [P=0.000]. However, BMI was not significantly different between infected and non-infected female student. Other risk factors association are variables in the 3 groups when analysed using X2, while AUC and OR show different trends of association between risk factors and UTI. Conclusion: BMI, pus cell scale, child number, delivery method, operation history and hospital setting were significantly associated with culture positivity in the 3 studied groups as determined by AUC. While OR confirmed association with pus sale scale in the 3 groups.

Effect of An Educational Intervention on Pregnant Women’s Knowledge and Self-Care Practices Regarding Urinary Tract Infection

2021 ◽  
Vol 2 (4) ◽  
pp. 11
Author(s):  
Hemmat M. El-bana ◽  
Hanan A. Ali
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Pregnant Women ◽  
Educational Intervention ◽  
Self Care ◽  
Post Intervention ◽  
Care Practices ◽  
Women's Knowledge ◽  
Women’S Knowledge

Contents: The most prevalent type of infection during pregnancy is urinary tract infections (UTIs). It affects up to ten percent of pregnant women and may cause serious adverse pregnancy outcomes for both mother and fetus. Aim:  The research aimed to evaluate the effect of an educational intervention on pregnant women’s knowledge and self-care practices regarding urinary tract infection.  Methods: A quasi-experimental (pre/post-test) design was adopted to fulfill this study's aim. The study was conducted at the Obstetrics and Gynaecological outpatient clinic in Benha university hospital on a purposive sample of 68 pregnant women among those attending the setting mentioned above. Two key instruments were used to collect data: A structured interviewing questionnaire, self-care practices checklist. Results: revealed a highly statistically significant difference in pregnant women's knowledge and self-care practices related to urinary tract infection at post-intervention compared to their pre-intervention phase (p-values < 0.001). A highly significant positive correlation was illustrated between studied women's total knowledge and total practice scores at pre (p=0.04) and post-intervention (p=0.000) phases. Conclusion: The study concluded that the research hypothesis is supported, and pregnant women exhibited better knowledge and self-care practices regarding (UTI) during pregnancy after implementing an educational intervention than before. The study recommended that knowledge and self-care concepts regarding UTI through antenatal screening programs in early pregnancy should be empowered as an essential part of all women's health care levels and strategies.

scholarly journals Isolation and diagnosis of bacteria causing urinary tract infection in pregnant and non pregnant females with diabetes mellitus type2

2019 ◽  
Vol 29 (4) ◽  
pp. 23
Author(s):  
Faraj Hatto Joni
Keyword(s):  
Diabetes Mellitus ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Pregnant Women ◽  
Diabetic Patients ◽  
Microscopical Examination ◽  
Symptomatic Infection ◽  
Pregnant Females ◽  
Esherichia Coli

Diabetic patients have more outcomes of urinary tract infection than non diabetes, mortality of urinary tract infection (UTI) is 5 times higher in patients with diabetes old age, the incidence of urinary tract infection in pregnant women is slightly higher than non pregnant women, urinary tract infection in pregnant women either as a symptomatic bacteriiuria or symptomatic infection, which is more complication during pregnancy this present study was done in March 2016 to July 2016, the patients were females, total samples of 80 patient of pregnant and non pregnant with diabetes mellitus, selected from medical and general surgical wards, the samples were sending to teaching laboratories from the same hospital, the present study show that the incidence of UTI at non pregnant diabetic women occur at age (9-11) years (45%), the most common causative agents of UTI in diabetic pregnant females is Esherichia coli 20(50%), the results of microscopical examination of urine of pregnant with diabetes mellitus of urine of pregnant with diabetes mellitus revealed that (43), pyuria and (28) had crystals, and the result of microscopical examination of urine of non pregnant females with diabetes mellitus revealed that the common causative agent is Esherichia coli 3(30%), (9) had pyuria and (4) had crystals.

scholarly journals Analysis of urine as an indicator of specific body conditions in pregnant women in rural mountainous region

2020 ◽  
Vol 6 (7) ◽  
pp. 264
Author(s):  
Nazia Tabbasum ◽  
Sumat Ul Khurshid
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Pregnant Women ◽  
Biochemical Analysis ◽  
Microscopic Analysis ◽  
False Negatives ◽  
Strong Indicator ◽  
A Minor ◽  
Primary Care Medicine

<p class="abstract"><strong>Background:</strong> Urinalysis is a procedure for examining physical properties, particulate matter, cells, casts, crystals, organisms and solutes. Urinalysis is a routine screening and diagnostic tool used to identify infections including renal, urological, liver disease, diabetes mellitus and urinary tract infection (UTI). Urinalysis can be used to screen, glucose, leucocytes, nitrite and blood. Although urinalysis is an effective screening tool it should not be used in isolation to guide treatment because false positives, for example, nitrites, and false negatives, for example, glucose, can occur if the sample is contaminated or left to stand for too long. UTI is among the leading reasons for treatment in adult primary care medicine, accounting for a considerable percentage of antibiotic prescriptions. Aim of this study is to identify the markers of urinary tract infection by urine routine microscopic analysis in pregnant women.</p><p class="abstract"><strong>Methods:</strong> This was a two months prospective study from June 1st 2019 to July 31st 2019. Urine samples of 72 pregnant women coming routinely to OPD of GMC, Doda were examined by physical and biochemical analysis by microscopy methods.  </p><p class="abstract"><strong>Results:</strong> Majority of samples were pale yellow with turbid appearance. Protein was present in most of the samples whereas glucose was present in a minor number of samples. Microscopy revealed increase in pus and epithelial cells count in most of the samples while bacteria were present in almost half of the samples.</p><p class="abstract"><strong>Conclusions:</strong> To conclude from the present study that appearance, presence of protein, pus cells, epithelial cell and bacteria, all taken together can serve as a strong indicator of UTI.</p>

scholarly journals Hygiene and Wash Practices Associated with Urinary Tract Infection among Non-Pregnant Women at Capital Hospital, Bhubaneswar, Odisha

2018 ◽  
Vol 7 (03) ◽  
pp. 1743-1753
Author(s):  
Jyoti Ranjan Mohanty ◽  
Alisha Pradhan ◽  
Sunita Jena ◽  
P.R. Misra ◽  
Bijaya Padhi ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Pregnant Women

Is Urinary Tract Infection in Pregnant Women Affect the Neonatal Sepsis?

2021 ◽  
Author(s):  
Rizqi Amalia Wulandari ◽  
◽  
Uki Retno Budihastuti ◽  
Bhisma Murti ◽  
◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Pregnant Women ◽  
Neonatal Sepsis
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