scholarly journals Knowledge About Obstetric Hazard Signs and Associated Factors Among Reproductive Age Women in South Eastern Zone of Tigray 2021. Cross Sectional Study

Author(s):  
Berhane Teklay Asfaha ◽  
Shewit Hailu Gebremariam ◽  
Gebremedhin Kinfe Gebremariam ◽  
Ataklti Gebretsadik Weldemariam

Abstract Background: Pregnancy complications are the biggest health problem for women in developing countries. Around 295,000 women worldwide die each year from pregnancy-related causes, and 86% of this maternal mortality occurs in developing countries.Objective: To assess knowledge about obstetric hazard signs among women of reproductive age living in the southeastern zone of the Tigray region, Ethiopia, 2021.Methods: A community-based quantitative cross-sectional survey was conducted in the southeastern zone of Tigray. A multi-level random sampling technique was implemented to select the total participants from 410 women of reproductive age. Two districts were selected at random and from these districts 12 Kebels were selected at random and the calculated sample size (410) was proportionally assigned to each Kebele selected. The data was collected through face-to-face / interview with a structured questionnaire from January 20 to February 20, 2021, after it had been ensured that all ethical requirements were met. The collected data was entered into Epidata version 4.2 and then exported to SPSS version 20 for analysis. Descriptive statistics with frequency, percentage, table and graph as well as crosstabs were used to present the results. Bivariate and multivariable analyses were used to examine the relationship. Odds ratios with 95% confidence intervals and P-values ​​<0.05 were used to determine the statistical association.Result: Four hundred and ten women of childbearing age participated in the study, which resulted in a response rate of 100%. Leakage of fluid per vagina was the most frequently cited obstetric hazard sign (61%). Overall, one hundred and seventy-two (42%) had a good knowledge of obstetric hazard signs. Educational status of the mother [AOR (95% CI = 2.7 (1.189–6.24)], place of birth [AOR (95% CI = 2.2 (1.6–3.432)] and with a history of ANC follow-up [AOR (95% CI = 2.4 (1.13–5.6)] were found to be independent predictors of women's knowledge of the obstetric hazard sign.Conclusion and recommendation: The mother's educational status, birth site and the history of ANC follow-up were independently related to the women's knowledge of obstetric hazard signs. Therefore, the provision of information, education and communication to women, families and the general community about obstetric hazard signs and related factors has been recommended.

2018 ◽  
Vol 25 (02) ◽  
pp. 237-241
Author(s):  
Shabana Rafiq ◽  
Razia Bibi ◽  
Samina Ashraf

Objectives: To determine the frequency of ovarian malignancy in women ofreproductive age presenting with ovarian mass and to determine frequency of factors leadingto ovarian malignancy. Study Design: Cross sectional study. Setting: Department of Obstetrics& Gynaecology, Lady Wallington Hospital, Lahore. Period with Dates: From 05.11.11 to26.06.12. Results: The result of our study reveals majority of the patients between 21-30 yearsi.e. 45.88%(n=39), common age was 24.21+3.76 years, 43.53%(n=37) were nulliparous (inmajority), while frequency of ovarian malignancy in women of reproductive age presenting withovarian mass was recorded in 14.11%(n=12) while frequency of factors leading to ovarianmalignancy was 91.67%(n=11) patients were nulliparous while family history of ovarianmalignancy was in 8.33%(n=1) patients. Conclusions: The frequency of ovarian malignancy ishigher among reproductive age females with increased risk of nulliparity.


2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Tariku Tesfaye Bekuma ◽  
Belaynesh Firrisa ◽  
Melese Girmaye Negero ◽  
Gemechu Kejela ◽  
Haile Bikila

Background. Access to proper medical attention and hygienic conditions during delivery can reduce the risk of complications and infections that may lead to serious illness or death or for the mother, baby, or both. In Ethiopia, the high maternal mortality rate with delivery by unskilled birth attendants shows low utilization of maternal health services. Objective. This study was aimed at assessing factors determining the choice of childbirth place among women of childbearing age in Jimma Arjo District. Method. A cross-sectional design was conducted in Jimma Arjo District, East Wollega Zone, Ethiopia, from March 20 to April 20, 2018. Multistage sampling technique was used to select a total sample of 506 participants. Data were collected using structured questionnaires to interview women of childbearing age with two trained data collectors. Data was entered into Epi Info and exported to SPSS software version 20 for analysis. Data was checked for its completeness, cleaned, entered, and analyzed accordingly. Bivariate and multivariable data analyses were used to examine factors affecting choice of childbirth place. Results. A total of 506 women participated in this study, giving a response rate of 97.8%. The study investigated that home delivery was found to be 200 (39.5%)in the study area. Factors found to be statistically associated with choice of institutional delivery at p<0.05 were history of obstetric difficulties (AOR=6, 95%CI=2.08,17.60), woman educational status (AOR=4.4, 95%CI=1.47,13.42), husband educational status (AOR=4, 95%CI=1.43,11.60), two or more ANC visits (AOR=4, 95%CI=1.95,8.52), and accessibility to vehicle transportation (AOR=2.8, 95%CI=1.23,6.46). Conclusion. Preferring health facility as the birthplace in this study seems relatively better compared to other studies. It is shown that both mothers and their husbands attending secondary and greater educational level, history of obstetric difficulties, two or more ANC visits, and physical accessibility to health care facility have influenced mothers to prefer a health institution as the childbirth place. Therefore, any programs aimed at increasing the choice of institutional delivery should work on increasing ANC attendance and transportation facilities in the study area.


2019 ◽  
Vol 2019 ◽  
pp. 1-17
Author(s):  
Martin Amogre Ayanore ◽  
John Tetteh ◽  
Asiwome Ameko ◽  
Wisdom Kudzo Axame ◽  
Robert Kaba Alhassan ◽  
...  

Introduction. Malaria is a major cause of morbidity and mortality worldwide, requiring individual and environmental level controls to prevent its adverse morbidity effects. This study examined reproductive-aged women’s knowledge and care-seeking practices for malaria prevention and control in Ghana. Methods. The 2016 Ghana Malaria Indicator Survey data for reproductive-age women was analysed (n=5,150). Multilevel mixed-effects logistic regression model was used to determine factors associated with reproductive-aged women’s knowledge and care-seeking practices for malaria. Results. 62.3%, 81.3%, and 64.6% knowledge levels on causes, signs/symptoms, and prevention of malaria were found, respectively, among respondents. Age, wealth and educational status, religion, region, and place of residence (rural) were found to significantly influence respondents’ knowledge of causes, signs/symptoms, and care-seeking practices for malaria. A 15% differential among Insecticide Treated Nets (ITNs) awareness and use was found. Increasing age (≥35 years) was associated with increasing knowledge of malaria. Regional variations were observed to significantly influence knowledge of malaria treatment. Conclusion. Though ownership of ITNs and knowledge of malaria prevention were high, it did not necessarily translate into use of ITNs. Thus, there is a need to intensify education on the importance and the role of ITNs use in the prevention of malaria.


2021 ◽  
Author(s):  
Asteray Ayenew ◽  
Mastewal Yechale ◽  
Azezu Nigussie ◽  
Nigusu Ayalew

Abstract Background: Menopause is the physical, hormonal, psychological, biological events in women menstruation ceases as their age turns to 50’s. It is an inevitable part of life in the reproductive life of every women. an appropriate understanding of women about menopause that certain physical, social, mental, and psychological changes occur during menopause and helps them with greater readiness to cope with these changes, to seek medical attention, and other healthy behaviors like exercise, taking vitamins and mineral as supplement. Therefore, the aim of this study was to assess rural women’s knowledge of concept of menopause, severity, and climacteric stage among women aged 40-65 years in Northwest, Ethiopia Methods: Community-based cross-sectional study design was employed from March 6 to 30/ 2020 in Motta district. Simple random sampling was used for the required sample size. The Data was collected by using structured, pre-tested, and interviewer-administered questionnaires and entered in to Epi data version 3.1 then exported to Statistical Package for Social Science version 25 for analysis. Bivariable and multivariable logistic regression was employed and variables with p-value < 0.05 with 95% confidence interval were identified as significant factors to the outcome variable. Results: the women’s knowledge of concept of menopause only 23.3%. The mean age of study participants were 50.98 ±7.89 years with the majority have no formal education and poor wealth index. The most prevalent types of menopausal symptoms reported were muscular weakness (79%) while hot flash (76.9%) and decrease sexual desire (52%) were also prevalent. Moreover, each of the menopausal symptoms were higher among postmenopausal women compared to perimenopause and premonopuse women. Women self-reported differing severity levels of symptoms with high severity reported in 19.1% of total MRS and 9.1% had a moderate score of menopausal symptoms. Urban dwellers [AOR =2.07, 95%CI=(1.12, 3.81)], college and above educational status [AOR=4.01,95%CI =(1.39, 11.54)], Women with rich wealth index [AOR= 5.98, 95%CI= (3.01, 11.87)], women had information about menopausal symptoms [AOR=3.76, 95%CI= (1.86, 7.59)], history of contraceptive use [AOR=3.26, 95%CI= (1.94, 5.48)], and severe score of menopausal symptoms [AOR=2.22, 95%CI=(1.17, 4.19)] were factors significantly associated with knowledge of menopausal symptoms among women aged 40 – 65 years.Conclusion: The knowledge of women regarding menopausal was low. Residency, educational status, wealth index, received information about menopausal symptoms, history of contraceptive use, and menopausal severity score was significantly associated with knowledge of menopause. Thus, to increase knowledge of women on menopause, health education programs need to be integrated in to menopausal health within the health care system. Additionally, it is better to focus on postreproductive health of the women as during reproductive period to ensure the well beings of the women in postreproductive life. Moreover, community based education regardless of the severity of menopause including rural women is recommended. Integrating the menopausal health services with other maternal health services, and empowering women on education is essential for better improving women’s health.


2020 ◽  
Author(s):  
Abebe Sorsa Badacho ◽  
Mengistu Auro Lelu ◽  
Zegeye Gelan

Abstract Background: Uterine Prolapse is an important but one of the most neglected public health problems causing maternal morbidity and mortality among women of reproductive age in developing countries including Ethiopia. However, yet few data are available with respect to uterine prolapse. The objective of this study was to assess the prevalence of, and factors associated with uterine prolapse among women of reproductive age.Methods: A community based cross-sectional study was conducted in Loma Woreda, Dawro southwest Ethiopia, from November to December 2019. A total of 422 randomly selected women of reproductive age were participated in the study. Data were collected by face-to-face interview with pre-structured questionnaire and clinical diagnoses were carried out. Epi data 3.2.1 and SPSS version 24 were used for data entry, processing and analysis. Binary Logistic regression was used to find out the association between dependent and independent variables. Variables with P-value less than 0.25 in bivariate logistic regression were further examined using multivariate logistic regression to investigate an association between dependent variable and independent variables. Results: The mean age of the respondents was 35.4 years (±7.994 SD). This study identified that the prevalence of symptomatic and anatomical uterine prolapse was 6.6 %(28) and 5.9%(25) respectively. The prevalence of anatomical prolapse was used as a reference when determining the associated factors. Age at first marriage (AOR: 0.25, 95%CI (0.07, 0.89), place of delivery (AOR: 3.33, 95%CI (1.21, 9.13), birth attendant assisted delivery (AOR 0.21; 95%CI (0.06, 0.71) and history of abortion (AOR: 2.94, 95%CI (1.08, 7.97) were found to have significantly and independently associated with prevalence of uterine prolapse. Conclusion: Uterine prolapse is common among women of reproductive age group age at first marriage, place of delivery, birth attendant assisted delivery, and history of abortion were found to be independent predictors of prevalence of uterine prolapse.


2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Xianling Zeng ◽  
Yafei Zhang ◽  
Taohong Zhang ◽  
Yan Xue ◽  
Huiqiu Xu ◽  
...  

Purpose. To explore risk factors of vulvovaginal candidiasis (VVC) among women of reproductive age in Xi’an district and then to offer reference for clinical prevention and treatment of VVC. Methods. Patients from the outpatient department of gynecology and obstetrics in the First Affiliated Hospital of Xi’an Jiaotong University from June 2016 to May 2017 were recruited strictly according to the inclusion and exclusion criteria. Participants diagnosed as simple VVC were assigned to the case group, while women who underwent routine gynecological examination and had normal vaginal microflora were assigned to the control group. Then we conducted a questionnaire survey of the two groups and used the logistic regression model to explore the related risk factors of VVC. Results. In the present study, ninety-seven cases were sample VVC patients and eighty-seven cases were healthy women. This cross-sectional study showed that occasionally or never drinking sweet drinks (odds ratio [OR] =0.161, 95% confidence interval [CI] =0.056-0.462, P=0.001), occasionally or never eating sweet foods (OR=0.158, 95%CI=0.054-0.460, P=0.001), and the use of condom (OR=0.265, 95%CI=0.243-0.526, P=0.001) were regarded as protective factors for VVC. In addition, sedentary life style (OR=7.876, 95%CI=1.818-34.109, P=0.006), frequently wearing tights (OR=6.613, 95%CI=1.369-27.751, P=0.018), frequent intravaginal douching (OR=3.493, 95%CI=1.379-8.847, P=0.008), having the first sexual encounter when under 20 years old (OR=2.364, 95%CI=1.181-7.758, P=0.006), the number of sexual partners being over two (OR=3.222, 95%CI=1.042-9.960, P=0.042), history of curettage (OR=3.471, 95%CI=1.317-9.148, P=0.012), history of vaginitis (OR=8.999, 95%CI=2.816-28.760, P<0.001), and not cleaning the vulva before or after sexual encounters (OR=13.684, 95%CI=2.843-65.874, P=0.001) were considered to be risk factors of VVC. Conclusion. In conclusion, risk factors of VVC are various, involving ages, hygienic habits, disease history, and other aspects.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Misganaw Fikrie Melesse ◽  
Yibelu Bazezew Bitewa ◽  
Kumneger Nigussie Dessie ◽  
Demeke Binalf Wondim ◽  
Tefera Marie Bereka

Abstract Background Every day, at least 810 women die worldwide from the complications of pregnancy and childbirth, 86% of which occurring in Southern Asia and Sub-Saharan Africa. One of the contributing factors for these problems is cultural malpractices during pregnancy and childbirth. The actual incidence of cultural malpractices in developing countries accounts for about 5–15% of maternal deaths. Thus, understanding the link between cultural affairs and maternal health is critical to saving the lives of women and their babies. Therefore, this research was aimed to assess cultural malpractices during labor and delivery and associated factors among women who had at least one history of delivery in selected Zones of the Amhara region, North West Ethiopia. Method Community based cross-sectional study was conducted on women who had at least one delivery history in Awi, West, and East Gojjam Zones from January 1 to May 30, 2020. The multistage cluster sampling technique was used to select 845 study participants. Data was collected through a pre-tested and structured interview questionnaire, entered and cleaned using EPI info version 7.2, and exported to SPSS version 23 for analysis. Bivariable and multivariable logistic regression was employed to assess the association of the variables and a P-value less than 0.05 was declared as statistically significant. Result Out of 845 women 162(19.2%) practiced nutritional taboo, 77(9.1%) women practiced abdominal massage and 273(32.3%) delivered their babies at home. Educational status of the respondents being un able to read and write (AOR = 14.35,95% CI: 3.12,65.96), husband's educational status (AOR = 3.80,95% CI: 1.24,11.64), residence (AOR = 2.93,95% CI: 1.41: 6.06), ethnicity (AOR = 2.20,95% CI:1.32, 3.67), pregnancy complications (AOR = 1.61,95% CI:1.02, 2.53), gravidity (AOR = 3.54,95% CI:1.38,9.08) and antenatal care follow up (AOR = 2.24, 95% CI:1.18,4.25) had statistically significant association with cultural malpractices during labor and delivery. Conclusion This study showed that cultural malpractices during childbirth were high in Awi, West, and East Gojjam Zones relative to the country's maternal health service utilization plan. Working on antenatal care follow-up and women and husband education in a culturally acceptable manner may reduce cultural malpractices during labor and delivery.


2016 ◽  
Vol 9 (3) ◽  
pp. 633-638 ◽  
Author(s):  
Nishat Fatema ◽  
Neeru Vinod Arora ◽  
Fatma Majid Al Abri ◽  
Yaseer Muhammad Tareq Khan

Haemoperitoneum in women of reproductive age usually suggests either ruptured ectopic pregnancy or ruptured ovarian cysts. Metastatic choriocarcinoma is considered the least common cause of haemoperitoneum in women of childbearing age. We report a rare case of pancreatic and hepatic metastasis of choriocarcinoma in a young, 30-year-old female who had delivered 10 months prior at term gestation with no previous history of gestational trophoblastic disease or molar pregnancy. She had a short history of fever and pain in the right hypochondrium, with findings of hypovolaemic shock due to intraperitoneal haemorrhage. Unfortunately, the patient expired with massive uncontrolled bleeding from liver metastasis despite 2 emergency laparotomies within 12 h. This case report is an apt reminder to clinicians to include metastatic choriocarcinoma on the list of differential diagnoses for haemoperitoneum with a positive pregnancy test in women of reproductive age to diagnose early and to avoid life-threatening consequences.


2019 ◽  
Author(s):  
Tariku Tesfaye Bekuma ◽  
Belaynesh Firrisa ◽  
Melese Girmaye ◽  
Haile Bikila ◽  
Gemechu Kejela

Abstract Background: Maternal death is the most extreme consequence of poor maternal health. More than 30 million women in developing regions suffer from serious diseases and disabilities due to inadequate care during pregnancy and delivery. Access to proper medical attention and hygienic conditions during delivery can reduce the risk of complications and infections that may lead to death or serious illness for the mother, baby, or both. In Ethiopia, the high maternal mortality rate with delivery by unskilled birth attendants shows low utilization of maternal health services.Objective: This study was aimed to assess factors determining the choice of childbirth place among women of childbearing age in Jimma Arjo District.Method A cross-sectional study design was conducted in Jimma Arjo District East Wollega Zone, Ethiopia, from March 20 to April 20, 2018. Multistage sampling technique was used to select a total sample of 506 participants. Data were collected using structured questionnaires to interview women of childbearing age. It was entered into Epi-Info and was exported to SPSS software version 20 for analysis. Data was checked for its completeness, cleaned, entered and analyzed accordingly. Bivariate and Multivariable data analysis was used to examine the association between dependent and independent variables. Result: A total of 506 women participated in this study, giving a response rate of 97.8%. This study has investigated that home delivery was found to be 200(39.5%) whereas institutional delivery was 306(60.5%) in the study area. Factors found to be statistically associated with choice of institutional delivery at p<0.05 were; history of obstetric difficulties (AOR=6, 95% CI= (2.08, 17.60)), women educational status(AOR = 4.4, 95% CI= (1.47, 13.42)), husband educational status (AOR=4, 95% CI= (1.43, 11.60)), having 2-3 ANC Visits (AOR=4, 95%CI= (1.95, 8.52)), and accessing vehicle transportation (AOR = 2.8, 95% CI= (1.23, 6.46)).Conclusion: Preferring health facility as birth place in this study seems relatively better compared to other studies. It’s shown that attending secondary and more educational level in both mothers’ and their husbands’, history of obstetric difficulties, history of ANC attendance, having 2-3 ANC visits, and accessing facilty nearby have influenced mothers to prefer health institution as childbirth place. Therefore, any programs aimed at increasing choice of institutional delivery should first work on education, ANC follow up and transportation facilities in the study area.


2020 ◽  
Author(s):  
Savera Savera ◽  
Sumera Aziz Ali

Abstract Background The burden of anemia among women of reproductive age (WRA) is significantly higher in developing countries. Studies have been conducted to estimate the prevalence and magnitude of anemia among women of reproductive age and its associated factors mainly in African and Asian countries. However, findings from the existing literature are not synthesized in a systematic way to make evidence-based decisions. Given the high burden of anemia in Asian and African countries and an enormous amount of literature on the prevalence and determinants of anemia, there is a need to undertake a systematic review on prevalence and determinants of anemia among WRA in developing countries of Asia and Africa. Hence, the objective of this study is to conduct a systematic review on the prevalence and determinants of anemia among WRA in developing countries of Asia and Africa. This synthesis of literature will help to understand the determinants of anemia to design targeted and context-based interventions primarily for WRA. In addition, this systematic review will also assist policymakers, stakeholders and managers to make informed and evidence-based decisions mainly in developing countries of Asia and Africa.Methods The review will focus on assessing the burden of anemia and its determinants in the developing countries of Asia and Africa. PubMed, CINAHL Plus, Science Direct, Medline and Cochrane will be explored using a detailed search strategy. A study will be considered eligible, if it will be a primary epidemiological research conducted through quantitative observational study designs (cross-sectional, case-control or cohort studies) on prevalence and determinants or only determinants of anemia among WRA (15-49 years) in the developing country of Africa or Asia and published in the English language in a peer-reviewed local or international journal from 2000 to 2020.Discussion This systematic review will provide an opportunity to critically appraise and synthesize the findings from individual studies on the prevalence and determinants of anemia to finally generate a summary. These aggregated findings, in turn, can guide practice and inform policymakers to make evidence-based decisions to address the problem of anemia among women of reproductive age. The results of the review will be disseminated through presentations and peer-reviewed publications.


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