scholarly journals Perception of Post-partum Women Towards Birth Companions at a Tertiary Hospital and Its Catchment Health Centers in Addis Ababa, Ethiopia

2021 ◽  
Author(s):  
Kidist Gizachew ◽  
Delayehu Bekele ◽  
Tewodros Getinet
Keyword(s):  
Cultural Values ◽  
Addis Ababa ◽  
Post Partum ◽  
Negative Attitude ◽  
Tertiary Hospital ◽  
Health Centers ◽  
Postpartum Women ◽  
Cross Sectional ◽  
Child Birth ◽  
Birth Companion

Abstract Background: Birth companion refers to a person who provides support to laboring women during child birth. Various studies have shown the benefits of birth companions. The objective of this study was to assess the attitude of mothers towards the involvement of birth companions during child birth at St Paul’s Hospital Millennium Medical College (SPHMMC) and its selected catchment health centers. Methodology: The study used a cross-sectional study to determine the perception of postpartum mothers on the involvement of birth companions during child birth. Result: The study included a total of 393 postpartum women. The finding from the study showed majority of the post-partum women (98.7%) were not allowed to have companions during labor. Among postpartum women 27.3 % has negative attitude towards involvement of birth companions. The commonest reasons mentioned by post-partum women for having negative attitude to this practice included need for privacy, religious values and fear of overburdening family members with stress. Conclusion: The findings from this study showed that majority of women were denied the option of having a birth companion. The study has also shown the desire to have birth companion isn’t universal among laboring women in our setup. There is a need to understand the socio-cultural values of the community before embarking on widespread implementation of involvement of birth companions.

scholarly journals Perception of Post-Partum Women Towards Birth Companions at a Tertiary Hospital and its Catchment Health Centers in Addis Ababa, Ethiopia

2021 ◽  
Vol 5 (2) ◽  
Keyword(s):  
Cultural Values ◽  
Addis Ababa ◽  
Post Partum ◽  
Negative Attitude ◽  
Tertiary Hospital ◽  
Health Centers ◽  
Postpartum Women ◽  
Cross Sectional ◽  
Child Birth ◽  
Birth Companion

Background: Birth companion refers to a person who provides support to laboring women during child birth. Various studies have shown the benefits of birth companions. The objective of this study was to assess the attitude of mothers towards the involvement of birth companions during child birth at St Paul’s Hospital Millennium Medical College (SPHMMC) and its selected catchment health centers. Methodology: The study used a cross-sectional study to determine the perception of postpartum mothers on the involvement of birth companions during child birth. Result: The study included a total of 393 postpartum women. The finding from the study showed majority of the post-partum women (98.7%) were not allowed to have companions during labor. Among postpartum women 27.3 % has negative attitude towards involvement of birth companions. The commonest reasons mentioned by postpartum women for having negative attitude to this practice included need for privacy, religious values and fear of overburdening family members with stress. Conclusion: The findings from this study showed that majority of women were denied the option of having a birth companion. The study has also shown the desire to have birth companion isn’t universal among laboring women in our setup. There is a need to understand the socio-cultural values of the community before embarking on widespread implementation of involvement of birth companions.

scholarly journals Knowledge and Attitudes about Organ Donation among Patient Companion at a Tertiary Hopsital in Ethiopia

2021 ◽  
Vol 31 (1) ◽  
Author(s):  
Mahteme Bekele ◽  
Wubshet Jote ◽  
Tigist Workneh ◽  
Berhanu Worku
Keyword(s):  
Organ Donation ◽  
Medical Center ◽  
Negative Attitude ◽  
Organ Donor ◽  
Tertiary Hospital ◽  
Favorable Attitude ◽  
Good Knowledge ◽  
Donor Pool ◽  
Cross Sectional ◽  
Study Participants

BACKGROUND: Worldwide, the supply of organs continues to be much less than the demand. Many studies identify poor knowledge and negative attitude about organ donation for this. The purpose of this study was to assess knowledge and attitude towards organ donation and associated factors among people who accompany patient during hospital visit at tertiary hospital in Ethiopia.METHODS: A hospital-based cross-sectional study was conducted from March 1st to May 31, 2019, at a tertiary hospital and the only transplant center in Ethiopia. The patient companions were interviewed with structured questionnaires. Descriptive statistics were presented and factors associated with good knowledge and favorable attitude were assessed using Binary logistic regression.RESULTS: A total of 414 patient companion participated in the study. The mean age of the respondents was 35+13years, and 252(60.9%) were males. Forty-four (10.6%) of the study participants had good knowledge about organ donation. Male gender was significantly associated with improved knowledge (AOR=2.127 95% CI: 1.036, 4.368). A favorable attitude towards donation was found in 219(52.9%) of the study participants. Participants who had completed secondary education were more likely to have unfavorable attitude towards organ donation (AOR=0.498, 95% CI: 0.290, 0.857).CONCLUSION: Knowledge about organ donation was found to be poor, and attitudes towards organ donation were found to be unfavorable among patient companions at a major medical center in Ethiopia. Strategies focused on education of the general public and broad dissemination of information on the benefits of organ donation will be critical for improving the organ donor pool.

scholarly journals Birth Companions, Health workers perspective: Mixed Method Study in St. Paul’s Hospital and Millennium Medical College and its Catchment Centers in Addis Ababa, Ethiopia

2021 ◽  
Author(s):  
Kidist Gizachew ◽  
Tewodros Getinet ◽  
Delayehu Bekele
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Health Care Providers ◽  
Health Workers ◽  
Addis Ababa ◽  
Post Partum ◽  
Care Providers ◽  
Child Birth ◽  
Medical College

Abstract Background: Birth companions have been shown to improve quality of care provided to laboring women. Various studies have shown the benefits of companion during child birth. The objective of this study was to assess the knowledge, attitude and practice of health care providers towards the involvement of birth companions during child birth in St Paul’s Hospital Millennium Medical College (SPHMMC) and its selected catchment health centers. Methods: The study used a cross-sectional study which was supplemented by qualitative study design which employed phenomenological design was conducted using in depth interview of health care providers who were on practice during the study period in SPHMMC. Result: The study included a total 58 health care providers. The finding from the study showed that great proportion of health care providers involved in the study (90 %) have positive attitude towards involvement of birth companions but majority 82.4 % didn’t allow birth companions. The commonest reasons mentioned for not involving companions include fear of breach of privacy, interference with routine medical care and risk of litigation/complaints.Conclusion and Recommendation: The findings from this study showed that majority of the health care providers are against the practice of involving birth companions. Since involvement of birth companions is one way to ensure the quality of care provided there should be an effort to increase the knowledge of health professionals on benefits of birth companions. There is also a need for improvement of the work setup. Simple measures like providing screens, providing separate rooms for laboring and post-partum women will have a significant impact on the quality of care provided.

scholarly journals DIASTASIS RECTI AMONG PREGNANT AND POSTPARTUM WOMEN IN KANO, NIGERIA: A CROSS-SECTIONAL STUDY

2017 ◽  
Vol 6 (1) ◽  
pp. 15-20
Author(s):  
Fatima Bichi ◽  
Dr. Shumaila Hanif
Keyword(s):  
Post Partum ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Postpartum Women ◽  
Chi Square ◽  
Cross Sectional ◽  
Common Location ◽  
Diastasis Recti ◽  
Significant Difference ◽  
The Difference

Diastasis Recti (DR) is a common muscular condition often present during and after pregnancy. This cross-sectional correlational study investigated the prevalence of DR among pregnant and postpartum women. A total of 250 pregnant and postpartum women were recruited using convenience sampling technique from obstetrics and gynaecology department, Aminu Kano Teaching Hospital, Kano, Nigeria. Age, body mass, height, BMI, parity, trimester, duration of DR postpartum, location of DR and DR status was recorded for each participant. Presence of DR was confirmed using the finger width method. Descriptive statistics of mean, SD, percentage were used to describe the data and determine the prevalence. Inferential statistics of Pearson’s and Spearman’s correlation were used to analyse the relationship between prevalence of DR and age, parity and duration of DR postpartum. Chi square was computed to determine the difference in prevalence of DR across trimesters. The result of this study indicated high prevalence of DR in post-partum and pregnant women (84% and 64.7% respectively); the most common location of DR was at the umbilicus in both pregnant and postpartum women. Prevalence of DR was high among the multigravida; and a significant relationship was found between prevalence of DR and age and parity of participants. There was a significant difference in prevalence of DR across the trimesters. It can be concluded that prevalence of DR among pregnant and postpartum women is high; age and parity are determinants of DR prevalence. Evaluation of DR should be considered as routine assessment in both pregnant and postpartum women.

scholarly journals Participants' Opinion about Conduct of Morbidity and Mortality Conferences in Surgical Practice in a Tertiary Hospital, Ethiopia

2020 ◽  
Vol 30 (3) ◽  
Author(s):  
Berhanetsehay Teklewold ◽  
Tilahun Deresse ◽  
Goytom Kinfe ◽  
Henok Teshome
Keyword(s):  
Patient Safety ◽  
Multidisciplinary Team ◽  
Addis Ababa ◽  
Univariate Analysis ◽  
Tertiary Hospital ◽  
Morbidity And Mortality ◽  
Cross Sectional ◽  
Mortality And Morbidity ◽  
Morbidity And Mortality Conferences

BACKGROUND: Morbidity and mortality conference has both educational and quality improvement purposes. However clear evidences for the effectiveness of the morbidity and mortality conferences in improving patient safety is lacking.METHODS: A facility based cross sectional study was conducted at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia, to assess participants’ opinion on benefits and functioning of morbidity and mortality conferences. Univariate analysis was used to determine the influence of professional type on participants’ opinion about the morbidity and mortality conferences.RESULT: A total of 98 participants completed the survey. The majority of the participants agreed that there was a structured system of case identification (67.3%), meeting format (72.4%), the conferences were conducted every month (79.6%), it is blame free (71.4%) and system of care was focus of discussion (70%). Most (88.8%) participants agreed that the conferences were important for improvement of patient safety and quality of care, whereas 67.3% of the participants believed that there is no written term of reference and prior dissemination of agendas. Only 40% agreed that there is multidisciplinary team involvement. Fifty one percent of them disagreed that there is a follow up on the implementation of the forwarded recommendations.CONCLUSION: Even though the majority of the participants were satisfied with the mortality and morbidity conferences, most disagreed on the presence of written term of reference, earlier dissemination of agendas, multidisciplinary team involvement and follow up on the implementation of the forwarded recommendations.

scholarly journals Knowledge and Practices of Perineal Wound Care among Post Partum Women during COVID19 Pandemic

2021 ◽  
Vol 1 (3) ◽  
pp. 198-201
Author(s):  
Shinta Novelia ◽  
Rosmawati Lubis ◽  
Erma Sulistiyorini
Keyword(s):  
Wound Care ◽  
Post Partum ◽  
Health Centre ◽  
Sampling Technique ◽  
Perineal Wound ◽  
Average Score ◽  
Postpartum Women ◽  
Validity And Reliability ◽  
Chi Square ◽  
Cross Sectional

Background: Perineum wound care is one of the factors to prevent infection during the puerperium. Because the perineum is a difficult area to keep dry and clean. Care and observation are needed during the puerperium to ensure that the perineum is healed by taking care of the perineum properly and correctly. During the Covid-19 pandemic, postpartum maternal visits to health facilities were very limited because it was to avoid transmitting infectious diseases to postpartum mothers.   Objective: To determine the knowledge of the post-partum women about the practice of perineal wounds during the Covid-19 pandemic at the Banjar Health Centre in 2021.   Methodology: this descriptive study used a cross sectional approach. The sample in this study was 102 respondents with accidental sampling technique. Data were analyzed using SPSS with Chi Square, which previously tested the validity and reliability.   Results: The practice of treating perineum wounds in the working area of the Banjar Health Centre obtained an average score of 73.5. Based on the knowledge obtained an average value of 89.2. The results of the Chi Square test showed that all independent variables had a relationship with perineum wound care practices, including knowledge (p = 0.001).   Conclusions and Suggestions: The practice of perineum wounds care in postpartum women has a relationship with the women’s level of knowledge. Postpartum women can expand their knowledge about wound care in the perineum during the puerperium through mass and electronic media and counseling provided by health personnel.       

scholarly journals A two-year review of adult emergency department mortality at Tikur Anbesa specialized tertiary hospital, Addis Ababa, Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hanna Daniel Yosha ◽  
Achamyelesh Tadele ◽  
Sisay Teklu ◽  
Kidest Getu Melese
Keyword(s):  
Emergency Department ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Addis Ababa ◽  
Multiple Logistic Regression Analysis ◽  
Retrospective Chart Review ◽  
Tertiary Hospital ◽  
Cross Sectional ◽  
Triage Category ◽  
Hiv Aids

Abstract Background Adult emergency department mortality remains high in resource-limited lower-income countries. The majority of deaths occur within the first 24 h of presentation to the emergency department. Many of these mortality’s can be alleviated with appropriate interventions. This study was aimed to assess the magnitude, cause, and factors related to very early mortality in patients presented to the emergency department of Tikur Anbesa Specialized Tertiary Hospital, Ethiopia from March 2018 to 2020. Methods This is a cross-sectional retrospective chart review. Retrospective data were collected from the records of all patients who died within 72 h of emergency department presentation from March 2018 to 2020. Data entered using Epi data 4.2.1 and analyzed using SPSS Version 23. Using the Chi-square test, binary and multiple logistic regression analysis were carried out to measure the association of variables of interest and very early emergency mortality. P-value < 0.05, odds ratio with 95% CI were used to identify the significant factors. Results Between March 2018 to 2020, 30,086 patients visited the ED and 604 patients died within 72 h of presentation (274 died within 24 h and 232 within > 24–72 h). Shock (36.7%) and road traffic accidents (3.16%) were the major causes of death. Triage category red AOR 0.23 95% CI 0.1–0.55 and duration of illness 4–24 h AOR 0.47 95% CI 0.26–0.87 were significantly associated with decreased very early emergency department mortality. Meanwhile, co-morbid disease HIV AIDS AOR 2.72 95% CI 1.01–7.30 and residence Addis Ababa AOR 2.78 95% CI 1.36–5.68 and Oromia AOR 3.23 95% CI 1.58–6.54 were found significantly associated with increased very early emergency department mortality. Conclusions and recommendations The mortality burden of a road traffic accident and shock in the TASTH is significant and the magnitude of ED mortality differs between these groups. Residence Addis Ababa and Oromia, triage category red, co-morbid disease HIV AIDS, and duration of symptom 4–24 h were significantly associated with early emergency department mortality. Early detection and intervention are required to minimize emergency mortality.

scholarly journals Domestic Violence as a Risk Factor for Postpartum Depression Among Ethiopian Women: Facility Based Study

2018 ◽  
Vol 14 (1) ◽  
pp. 109-119 ◽  
Author(s):  
Addishiwet Fantahun Adamu ◽  
Yohannes Mehretie Adinew
Keyword(s):  
Domestic Violence ◽  
Postpartum Depression ◽  
Random Sampling ◽  
Depressive Disorders ◽  
Addis Ababa ◽  
Significant Proportion ◽  
Depression Scale ◽  
Health Centers ◽  
Depression Symptoms ◽  
Cross Sectional

Background:Mental illness in women leads to an increased maternal morbidity and mortality. Postpartum depression accommodates various groups of depressive disorders and syndromes that occur within the first immediate year after delivery. Thus, this study aimed to assess the prevalence of postpartum depression symptoms and correlates among mothers attending public health centers of Addis Ababa, Ethiopia.Methods:Facility-based cross-sectional study was conducted on 618 women in their postpartum period. Simple random sampling technique was used to select three out of ten sub cities in Addis Ababa. Then, nine health centers were selected by lottery method from the three sub-cities. The number of women included from each health center was determined by proportional allocation. Study participants were enrolled by systematic random sampling. The Edinburgh Postnatal Depression Scale was used at a cutoff point>13 to detect depression. Descriptive statistics were done. The bivariate and multivariate analysis was also carried out to identify predictors of postpartum depression.Results:Significant proportion 144 (23.3%) of the women had the symptom of postpartum depression. Respondents who were the victims of domestic violence [AOR 3.1; 95% CI: 1.6-5.9], reported to have diagnosed with postpartum depression [AOR 4.41; 95% CI: 2.4-8.3], and dissatisfied with their marriage [AOR 2.9; 95% CI: 1.5-5.6] had higher odds of reporting postpartum depression symptoms.Conclusion:Postpartum depression is a common mental health problem during the postnatal period. Domestic violence was positively and significantly associated with the symptom of postpartum depression. Maternity services shall consider a sector that provides health care for women who encounter violence and develop symptoms of postpartum depression.

scholarly journals Intention to Breastfeed Among Female Students of Tertiary Institutions In Ekiti State, Southwest Nigeria.

2020 ◽  
Author(s):  
Olatunde Olatunde Ogundare ◽  
Adefunke Olarinre Babatola ◽  
Adefunke Christianah Omoyajowo ◽  
Adebukola Bidemi Ajite ◽  
Adewuyi Temidayo Adeniyi ◽  
...  
Keyword(s):  
Breast Milk ◽  
Exclusive Breastfeeding ◽  
Post Partum ◽  
Negative Attitude ◽  
Female Students ◽  
Cross Sectional ◽  
Tertiary Institutions ◽  
Breastfeeding Rate ◽  
Future Intention ◽  
Intention To Breastfeed

Abstract Introduction: Breastfeeding is a public health practice that is critical for the survival of infants and young children. Despite the well documented advantages of breastfeeding to both the child and mother, it is surprising to note that the rate of breastfeeding especially exclusive breastfeeding is quite low in many countries. The possible reason may be because most of the efforts and activities directed at improving the breastfeeding rate and duration are targeted at pregnant women and post-partum period.This study aimed at determining the knowledge, attitude, beliefs, and future intention to breastfeed among female undergraduates in tertiary institutions in Ekiti State, South West Nigeria.Methods: The study was a prospective cross-sectional study conducted among female students of tertiary institutions in Ekiti State. By convenience sampling, female students were invited to participate in the study after giving verbal consent and those that were thirty years old and above, medical or nursing students were excluded. The questionnaire used for this study was self-administered. The proforma was designed to assess the students’ knowledge about breastfeeding, attitude, beliefs, and future intention towards breastfeeding.Data analysis was with SPSS version 25 using descriptive and inferential statistics. Results were summarized as percentages. Consensus index was calculated for the questions on the knowledge of the benefits of breastfeeding and the perception of breastfeeding.Result: One thousand, three hundred and twelve (1312) students participated in the study. Only 58% of the respondents defined exclusive breastfeeding correctly. The participants displayed a particularly good knowledge of the importance of breast milk for the brain growth as 93% of the respondents agreed that breast milk is important for the development of the infant’s brain. As much as 51% of the respondents agreed that breast milk is not needed after infancy. Only 34% of the respondents indicated their intention to breastfeed their future babies, 6.5% said no.Conclusion: This study revealed that most of the future mothers have poor knowledge and beliefs about breastfeeding as well as negative attitude toward breastfeeding, hence there is need to step up awareness about breastfeeding and its benefits among this huge population of future mothers.

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