scholarly journals One in ten Women who visited Health Facilities for various Reason have Pelvic Organ Prolapse in Harari Regional State, Eastern Ethiopia

2022 ◽  
Author(s):  
Dawit Abebe ◽  
Mohammed Abdurke Kure ◽  
Enku Afework Demssie ◽  
Sinetibeb Mesfin ◽  
Melake Demena ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Statistical Significance ◽  
Public Health Problem ◽  
Pelvic Organ ◽  
Married Women ◽  
Public Hospitals ◽  
P Value ◽  
Negative Consequences ◽  
Eastern Ethiopia ◽  
History Of

Abstract Background: Pelvic organ prolapse remains neglected a public health problem in developing countries. The burden of pelvic organ prolapse varies by region and ranges from 9% to 20%. It poses an impact on women’s quality of life, and affect their role at community and family level. Although it has negative consequences and extensive burden, the true feature of pelvic organ prolapse is not well known among ever-married women attending health facility for various reason in the study area. Therefore, this study was aimed to assess the magnitude of pelvic organ prolapse and associated factors among ever-married women attending healthcare services in public Hospitals, Eastern Ethiopia.Methods: A facility based cross-sectional study design was conducted from March 4th to April 5th, 2020 among 458 ever-married women attending public Hospitals in Ethiopia. The study participants were approached through face-to-face interview using standardized questionnaire. Data were analyzed using SPSS version 22 (IBM SPSS Statistics, 2013). The prevalence was reported by proportion and summary measures. Predictors were assessed using multivariable logistic regression analysis model and reported using adjusted odds ratio with 95% CI. Statistical significance was declared at p-value <0.05.Result: Of 458 women enrolled in the study, 10.5% [95%CI (7.6, 13.5)] of them had pelvic organ prolapse based on women’s reporting of symptoms. History of lifting heavy objects [AOR=3.22, 95%CI (1.56, 6.67)], history of chronic cough [AOR=2.51, 95%CI (1.18, 5.31)], maternal age of greater than and equal to 55 years [AOR=3.51, 95% CI(1.04, 11.76)], history chronic constipation (AOR=3.77, 95%CI(1.54, 9.22) and no history of contraceptive utilization [AOR= 2.41, 95%CI (1.13, 5.05)] were significantly associated with pelvic organ prolapse.Conclusion: In this study, one in ten women suffer from pelvic organ prolapse. Modifiable and non-modifiable risk factor were identified as a predictor. This result provides a cue to give due consideration on primary and secondary prevention through various techniques.

scholarly journals Predictors of stunting among pediatric children living with HIV/AIDS, Eastern Ethiopia

2020 ◽  
Vol 9 (2) ◽  
pp. 82
Author(s):  
Dawit Gezahegn ◽  
Gudina Egata ◽  
Tesfaye Gobena ◽  
Berhanu Abebaw
Keyword(s):  
Low Income ◽  
Statistical Significance ◽  
Multivariable Analysis ◽  
Public Hospitals ◽  
Sub Saharan Africa ◽  
Low Income Countries ◽  
P Value ◽  
Eastern Ethiopia ◽  
Living With Hiv ◽  
Hiv Aids

Globally, there were about 3.4 million pediatric children (&lt;15 years of age) who were living with HIV/AIDS. Ethiopia has one of the highest rates of malnutrition in Sub-Saharan Africa. As of 2013, there were about 160,000 pediatric children living with HIV/AIDS in Ethiopia. Even though undernutrition makes it difficult to combat HIV/AIDS, there is paucity of information on the magnitude of stunting and its predictors among seropositive pediatric children in low-income countries like Ethiopia. Institution based quantitative cross sectional study design was employed on 414 randomly selected pediatric (5-15 years) children living with HIV/AIDS in Harari Region and Dire Dawa City Administration Public Hospitals, Eastern Ethiopia. Pretested interviewer administered questionnaire and patient card review was held to collect data. Data were entered through Epi-data and exported to SPSS for analysis. The WHO Anthros plus software was used to calculate the anthropometric indices. Bivariate and Multivariable analysis along with 95%CI were done to identify predictors of stunting. Level of statistical significance was declared at P-value &lt;0.05. The prevalence of stunting was found to be 30.9% (95%CI: 26.0-36.0%). Rural residence [AOR=4.0, (95%CI: 2.22, 7.17)], family monthly income of ≤500 ETB [AOR=5.79, (95%CI: 2.82, 11.60)], being anemic [AOR=3.17, (95% CI: 2.13, 4.93)] and the presence of diarrhea [AOR=6.21, 95% (CI: 3.39, 9.24)] were predictors of stunting. Thus, collaborative measures should be undertaken (to decrease frequent infections and to improve the economic status) to combat chronic malnutrition during HIV/AIDS treatment.

Comparative assessment of overweight/obesity among rural and urban reproductive-age women in Ethiopia: Evidence from a cross-sectional 2016 national survey

2021 ◽  
pp. 026010602098234
Author(s):  
Gizachew Worku Dagnew ◽  
Melash Belachew Asresie
Keyword(s):  
Family Size ◽  
Health Problem ◽  
Rural Women ◽  
Alcohol Intake ◽  
Statistical Significance ◽  
Public Health Problem ◽  
Reproductive Age ◽  
P Value ◽  
Cross Sectional ◽  
Reproductive Age Women

Background: Overweight/obesity has become a global health problem for both developed and developing regions. Nowadays, overweight/obesity among childrearing-age women has become rapidly increasing in both urban and rural areas. Aim: This study aimed to assess the variation of overweight/obesity among urban and rural reproductive-age women in Ethiopia. Methods: For this study, the 2016 Ethiopia Demographic and Health Survey data were used. The survey was a community-based cross-sectional study, which used a two-stage stratified cluster sampling technique to select the participants. A total of 13,451 reproductive-age women were included in the analysis. Both descriptive and analytical analysis was performed. A p-value of less than 0.05 was used as the measure of statistical significance. Results: The prevalence of overweight/obesity among urban reproductive-age women was statistically higher ( p = 21.5%; 95% confidence interval (CI): 18.2–25.1) than the rural women ( p = 3.5%; 95% CI: 2.9%–4.2%). Women who attend secondary or above education, women in the age groups 25–34 and ≥ 35 years, and high wealth index (rich) had higher odds of overweight/obesity in both urban and rural women. Moreover, women who were married, who had a large family size, and who have a history of alcohol intake had higher odds of overweight/obesity among urban women. Conclusions: Overweight/obesity among reproductive-age women is a public health problem in Ethiopia, especially for women who are living in urban settings. Therefore, it is important to establish targeted overweight reduction programs with particular emphasis on urban, older aged, educated, and married women. Additionally, encouraging the limitation of the number of family size and alcohol intake can reduce women’s overweight/obesity.

FRII-07 THE HISTORY OF PELVIC ORGAN PROLAPSE FROM ANTIQUITY TO PRESENT DAY

2015 ◽  
Vol 193 (4S) ◽  
Author(s):  
John Mattimore ◽  
Philippa Cheetham ◽  
Aaron Katz
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
History Of

scholarly journals Substance Use: Prevalence, Pattern and Risk Factors among Undergraduate Students in a Tertiary Institution in Southwest Nigeria

2021 ◽  
Vol 33 (2) ◽  
pp. 83-99
Author(s):  
K.A. Durowade ◽  
O.E. Elegbede ◽  
G.B. Pius-Imue ◽  
A. Omeiza ◽  
M. Bello ◽  
...  
Keyword(s):  
Risk Factors ◽  
Substance Use ◽  
Secondary Education ◽  
Undergraduate Students ◽  
Statistical Significance ◽  
Public Health Problem ◽  
Peer Pressure ◽  
Civil Servant ◽  
P Value ◽  
Global Public Health

Background: Substance use is a global public health problem with increasing burden among university students. This study assessed the prevalence, pattern and risk factors of substance use among undergraduate students of Afe Babalola University, Ado-Ekiti, Nigeria.Methods: This was a cross-sectional study of undergraduate students of Afe Babalola University, Ado-Ekiti. A multi-stage sampling technique was used to select respondents. Data collection tool was a structured self-administered questionnaire. Data analysis was done using Statistical Package for the Social Sciences (SPSS) version 23. Statistical significance was set at p value <0.05Results: The respondents’ mean age was 19.5 ± 2.0 years and all 416 (100.0%) were aware of substance abuse. The prevalence of substance use was 299 (71.9%). Alcohol 133 (32.0%) and over-the-counter drugs (29.9%) were the two most commonly used substance. Being male (p=0.017) and in 400 level (p=0.047) were associated with substance use while curiosity 112 (37.5%), peer pressure 95 (31.8%) and school stress 85 (28.4%) were reasons given. Predictors of substance use were being a female (aOR: 2.54; 95% CI=1.89-3.66; p=0.011), civil servant mother (aOR: 5.75; 95% CI=1.90-17.4; p=0.002) and mother with secondary education (aOR: 5.27; 95% CI= 2.20- 12.65; p<0.001).Conclusion: There was high prevalence of substance use with curiosity, peer pressure and school stress being influencers of substance use among the study population. Predictors of substance use were being a female, civil servant mother and mother with secondary education. The University authority should institute measures to prevent access to alcohol and other substances by the students.

scholarly journals Infertility and associated factors in three hospitals in Douala, Cameroon: a cross-sectional study

2020 ◽  
Vol 20 (4) ◽  
pp. 1985-95
Author(s):  
Thomas Obinchemti Egbe ◽  
Charmaine Ngo Mbaki ◽  
Nicholas Tendongfor ◽  
Elvis Temfack ◽  
Eugene Belley-Priso
Keyword(s):  
Associated Factors ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Multivariate Logistic Regression Model ◽  
Toxic Substances ◽  
Sectional Study ◽  
Cross Sectional ◽  
Reproductive Tract Infection ◽  
History Of

Aim: We determined the prevalence and factors associated with couple infertility in three hospitals in Douala, Cameroon. Methods: We conducted a cross-sectional study from December 18th 2015 to March 18th 2016 in three public hospitals in Douala. Three hundred and sixty participants were studied prospectively for associated fac- tors using a multivariate logistic regression model and 4732 files were studied retrospectively for the prevalence of infertility. Statistical significance was set at p < 0.05. Results: The prevalence of couple infertility was 19.2%. In logistic models, the factors which independently increased the risk of couple infertility were a history of reproductive tract infection/STI, a history of uterine fibroids, a history of dys- menorrhea and abortion for the females while for males it was a history of mumps, erectile dysfunction and exposure to chemicals/toxic substances/pesticides. Conclusion: One in every five couples in this study was infertile. Several factors affect the risks associated with couple in- fertility. The identification of these factors could help detect subgroups of couples at high risk of infertility. Reproductive health education, screening programmes for STI’s that may lead to infertility should be offered to couples. Keywords: Couple infertility; prevalence; associated factors; Douala; Cameroon.

scholarly journals Predictors of success of trial of labor after cesarean section: A nested case–control study at public hospitals in Eastern Ethiopia

2021 ◽  
Vol 17 ◽  
pp. 174550652110619
Author(s):  
Maleda Tefera ◽  
Nega Assefa ◽  
Kedir Teji Roba ◽  
Letta Gedefa
Keyword(s):  
Cesarean Section ◽  
Cesarean Delivery ◽  
Vaginal Birth ◽  
Public Hospitals ◽  
Vaginal Birth After Cesarean ◽  
Eastern Ethiopia ◽  
Trial Of Labor ◽  
History Of ◽  
Nested Case Control

Background: One of the primary reasons for an increase in cesarean sections is obstetricians’ uncertainty about labor trial safety following a previous cesarean section. The success rate of vaginal birth after cesarean section with a single cesarean scar is greater than 50%. However, to the best of our knowledge, there is a scarcity of information on the determinants of vaginal birth after cesarean delivery in the study area. As a result, the purpose of this study was to identify predictors of successful vaginal birth after cesarean delivery in public hospitals in Eastern Ethiopia. Methods: A nested case–control study design was used within a prospective follow-up study conducted from June to October 2020. A total of 220 women who tried vaginal birth after cesarean delivery was included, 110 cases and 110 controls. Cases were women with one previous cesarean section scar and successfully proceed with vaginal delivery. The controls were those with an earlier cesarean section scar and delivered by emergency cesarean section after trial of labor. A pre-tested structured questionnaire was used to gather the information. Multiple logistic regression is used to identify the determinants for the success of vaginal birth after cesarean section; odds ratio with its 95% CI are used to report the findings. Results: We found that living in rural areas (AOR = 2.28; 95% CI (1.85, 12.41)), having a current antenatal care follow-up (AOR = 3.20; 95% CI (1.15, 8.87)) and partograph monitoring of labor (AOR = 4.26; 95% CI (1.90, 9.57)) had a positive association with successful vaginal birth after cesarean section. In contrast, the presence of meconium-stained amniotic liquor (AOR = 0.10; 95% CI (0.01, 0.75)) and history of stillbirth (AOR = 0.07; 95% CI (0.02, 0.53)) reducing the chance of success of the trial. Conclusion: Past obstetric history, such as stillbirth, history of labor trial after primary cesarean section, and prior vaginal birth, were significant predictors for achieving vaginal birth after cesarean section. Antenatal care visit, and partograph follow-up were the current obstetric characteristics positively associated with the trial of labor.

History of cervical insufficiency increases the risk of pelvic organ prolapse and stress urinary incontinence in parous women

Maturitas ◽  
2018 ◽  
Vol 107 ◽  
pp. 63-67 ◽  
Author(s):  
David Sheyn ◽  
Kateena L. Addae-Konaedu ◽  
Alison M. Bauer ◽  
Konyinsola I. Dawodu ◽  
David N. Hackney ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Pelvic Organ Prolapse ◽  
Stress Urinary Incontinence ◽  
Pelvic Organ ◽  
Cervical Insufficiency ◽  
History Of

Outcomes of observation as therapy for pelvic organ prolapse: A study in the natural history of pelvic organ prolapse

2012 ◽  
Vol 32 (4) ◽  
pp. 383-386 ◽  
Author(s):  
Alienor S. Gilchrist ◽  
William Campbell ◽  
Hannah Steele ◽  
Hema Brazell ◽  
Jonathon Foote ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Natural History ◽  
Pelvic Organ ◽  
History Of

Recurrent Pelvic Organ Prolapse in a Patient With History of Bladder Exstrophy

2012 ◽  
Vol 18 (1) ◽  
pp. 61-63 ◽  
Author(s):  
Yuen-Ting Diana Kwong ◽  
Leise R. Knoepp ◽  
Edward James Wright ◽  
Chi Chiung Grace Chen
Keyword(s):  
Pelvic Organ Prolapse ◽  
Bladder Exstrophy ◽  
Pelvic Organ ◽  
Recurrent Pelvic Organ Prolapse ◽  
History Of

scholarly journals Prevalence and clinical predictors for early post-operative urinary retention in patients undergoing pelvic reconstructive surgeries: a prospective cohort study

2018 ◽  
Vol 7 (4) ◽  
pp. 1452
Author(s):  
Annie P. Vijjeswarapu ◽  
Vaibhav Londhe ◽  
Mahasampath Gowri ◽  
Aruna Kekre ◽  
Nitin Kekre
Keyword(s):  
Cohort Study ◽  
Pelvic Organ Prolapse ◽  
Urinary Retention ◽  
Prospective Cohort Study ◽  
Reconstructive Surgery ◽  
Prospective Cohort ◽  
Pelvic Organ ◽  
P Value ◽  
Pelvic Reconstructive Surgery ◽  
Clinical Predictors

Background: Pelvic organ prolapse (POP) has a significant impact on quality of life. Post-operative voiding dysfunction is seen in 2.5 to 24% of patients following pelvic reconstructive surgery. Risk factors like age of the patient, size of the genital hiatus and stage of prolapse are known to be associated with early post-operative voiding disorders.Methods: This is a prospective cohort study done in Christian Medical College, Vellore over one year. Patients with stage II to IV pelvic organ prolapse who underwent pelvic reconstructive surgery were observed post operatively for covert and overt urinary retention. Inability to void accompanied by pain and discomfort is defined as overt retention. Early post-operative urinary retention (POUR) is retention of urine in the first 72 hours postoperatively. Covert retention is defined as a non-painful bladder with chronic high post void residue. Chi- square test or Fisher’s exact test was used to assess the association between the clinical predictors and early post-operative urinary retention in univariate analysis.Results: In this study, 75 patients were recruited. Nine patients had POUR. Among the patients who had post-operative urinary retention, 77.78% had stage III pelvic organ prolapse (n=7). P value was 0.042. The prevalence of early POUR after pelvic reconstructive surgery was 12.85 % (n=9). A 55.55% had covert retention (n=5) and 44.44% patients had overt retention (n=4).Conclusions: The prevalence of early POUR after pelvic reconstructive surgery was 12.85%. Stage of the prolapse was an independent predictor for early postoperative urinary retention.

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