scholarly journals The effects of stillbirth and abortion on the next pregnancy: a longitudinal study

2021 ◽  
Author(s):  
Berhanu Elfu Feleke ◽  
Teferi Elfu Feleke ◽  
Azezu Nigussie ◽  
Eyaya Misgan
Keyword(s):  
Service Utilization ◽  
Tertiary Education ◽  
Past History ◽  
Survival Curve ◽  
Post Partum ◽  
Sampling Technique ◽  
Medical Disorders ◽  
Catchment Areas ◽  
History Of ◽  
Pregnant Mothers

Abstract Background: abortion and stillbirths are the common obstetrics condition in Ethiopia and their effect on the next pregnancy was not well identified in resource limited settings. The aim of the study was to assess the effect of stillbirth and abortion on the next pregnancy.Methods: A prospective cohort study design was implemented. The study was conducted in Mecha demographic surveillance and field research center catchment areas. The data were collected from January 2015 to March 2019. Epi-info software was used to calculate the sample size. The systematic random sampling technique was used to select stillbirth and abortion women. Poison regression was used to identify the predictors of MCH service utilization; descriptive statistics were used to identify the prevalence of blood borne pathogens. The Kaplan Meier survival curve was used to estimate survival to pregnancy and pregnancy related medical disorders.Results: 1091 stillbirth and 3,026 abortion women were followed. Hepatitis B was present in 6% of abortion and 3.2 % of stillbirth women. Hepatitis C was diagnosed in 4.7 % of abortion and 0.3 % of stillbirth women. HIV was detected in 3 % of abortion and 0.8 % of stillbirth women. MCH service utilization was determined by knowledge of contraceptives [IRR 1.29, 95% CI: 1.18-1.42], tertiary education [IRR 4.29, 95% CI: 3.72 -4.96], secondary education. [IRR 3.14, 95% CI: 2.73 -3.61], married women [IRR 2.08, 95% CI: 1.84 -2.34], family size women [IRR 0.67, 95% CI: 1.001 -1.01], the median time of pregnancy after stillbirth and abortion were 12 months. Ante-partum hemorrhage was observed in 23.1 % of pregnant mothers with a past history of abortion cases and post-partum hemorrhage was observed in 25.6 % of pregnant mothers with a past history of abortion.PIDM was observed 14.3 % of pregnant mothers with a past history of stillbirth and pregnancy-induced hypertension was observed in 9.2 % of mothers with a past history of stillbirth.

scholarly journals The effects of stillbirth and abortion on the next pregnancy: a longitudinal study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Berhanu Elfu Feleke ◽  
Teferi Elfu Feleke ◽  
Azezu Asres Nigussie ◽  
Eyaya Misgan
Keyword(s):  
Service Utilization ◽  
Tertiary Education ◽  
Past History ◽  
Pregnancy Induced Hypertension ◽  
Medical Disorders ◽  
Catchment Areas ◽  
Induced Hypertension ◽  
History Of ◽  
The Common ◽  
Pregnant Mothers

Abstract Background Abortion and stillbirths are the common obstetrics condition in Ethiopia and their effect on the next pregnancy was not well identified in resource limited settings. The aim of the study was to assess the effect of stillbirth and abortion on the next pregnancy. Methods A prospective cohort study design was implemented. The study was conducted in Mecha demographic surveillance and field research center catchment areas. The data were collected from January 2015 to March 2019. Epi-info software was used to calculate the sample size. The systematic random sampling technique was used to select stillbirth and abortion women. Poison regression was used to identify the predictors of MCH service utilization; descriptive statistics were used to identify the prevalence of blood borne pathogens. The Kaplan Meier survival curve was used to estimate survival to pregnancy and pregnancy related medical disorders. Results 1091 stillbirth and 3,026 abortion women were followed. Hepatitis B was present in 6% of abortion and 3.2% of stillbirth women. Hepatitis C was diagnosed in 4.7% of abortion and 0.3% of stillbirth women. HIV was detected in 3% of abortion and 0.8% of stillbirth women. MCH service utilization was determined by knowledge of contraceptives [IRR 1.29, 95% CI 1.18–1.42], tertiary education [IRR 4.29, 95% CI 3.72–4.96], secondary education. [IRR 3.14, 95% CI 2.73–3.61], married women [IRR 2.08, 95% CI 1.84–2.34], family size [IRR 0.67, 95% CI 1.001–1.01], the median time of pregnancy after stillbirth and abortion were 12 months. Ante-partum hemorrhage was observed in 23.1% of pregnant mothers with a past history of abortion cases and post-partum hemorrhage was observed in 25.6% of pregnant mothers with a past history of abortion. PREGNANCY INDUCED DIABETES MELLITUS was observed 14.3% of pregnant mothers with a past history of stillbirth and pregnancy-induced hypertension were observed in 9.2% of mothers with a past history of stillbirth. Conclusion Obstetric hemorrhage was the common complications of abortion women while Pregnancy-induced diabetic Mellitus and pregnancy-induced hypertension were the most common complications of stillbirth for the next pregnancy.

Comparison of Efficacy of Refrigerated Oxytocin with Oxytocin Kept at Room Temperature for the Prevention of Post-Partum Haemorrhage in Vaginal Deliveries in a Tertiary Care Setting

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Pandey U
Keyword(s):  
Blood Loss ◽  
Low Income ◽  
Room Temperature ◽  
Postpartum Haemorrhage ◽  
Past History ◽  
Post Partum ◽  
Cold Chain ◽  
Vaginal Deliveries ◽  
History Of ◽  
The Mean

Introduction: Postpartum haemorrhage is one of the leading causes of maternal death worldwide and it accounts for nearly one-quarter of all maternal deaths and almost half of all postpartum deaths in low-income countries. Primary postpartum haemorrhage (PPH) is the most common form of major obstetric haemorrhage. Materials and Methods: The study protocol was comprised of Consent, Measurement of Pre-delivery Hemoglobin, Administration of the Intervention, Measurement of postpartum blood loss and Measurement of Post-delivery (24-48 hours) Hemoglobin. Blood loss was measured using a calibrated drape. The drape was placed beneath the parturient buttocks and secured around her abdomen with ties. Blood loss was monitored for a minimum of one hour and was continued in the second hour in case of persistent bleeding. The drape with the collected blood was weighed on a scale. The weight of the drape and the container in which it is placed was deducted from the total recorded weight in order to obtain the weight of the blood collected in the drape. Blood loss weight in grams was converted to milliliters by dividing the figure in grams by 1.06 (blood density in grams per milliliter). Results: The cross tabulations were used to study the demographic, obstetrical and medical factors in women with obstetrical haemorrhage. Table 1 shows the selected sociodemographic characteristics of the study population. The mean age of cases and controls are 26.333.559 and 26.853.873 respectively. On comparison, they are statistically insignificant. (p=0.324). The educational, occupational and socioeconomic status was comparable between cases and controls (p >0.05). Table 2 shows Antenatal, intra-partum and post-partum data in cases and controls. Discussion & Conclusion: It is a study done in North India comparing the Oxytocin kept at room temperature with failure of maintenance of cold chain during transport and storage and the refrigerated Oxytocin. It is the common understanding and general training that Oxytocin must be stored in the refrigerator, failing which its efficacy reduces i.e. it, will not be effective in controlling PPH. During the study we compared the mean blood loss and change in hemoglobin levels in cases and control and despite the fact that major risk factor for PPH for example past history of PPH, past history of D&C, prolonged third stage labour duration, manual removal of placenta were comparable in both cases and controls, still the mean blood loss and change in hemoglobin values was more in cases than controls. This could be attributed to usage of market oxytocin which had failed cold chain maintenance resulted in less effective oxytocin in prevention of PPH, Hence causing more blood loss and drop in hemoglobin values. This shows the need of room temperature stable uterotonic drug in LMIC’s like ours. Recently room temperature stable carbetocin shows the potential as an effective uterotonic drug for the prevention of PPH. However according to various studies carbetocin cannot be used for induction or augmentation of labour so it cannot replace oxytocin fully, rather it acts as a part of collective PPH reduction strategy.

scholarly journals Clinical Outcomes of Trans-caesarean and Vaginal Post-placental CuT380A IUCD Insertions: A Comparative Study

2021 ◽  
pp. 46-57
Author(s):  
C. P. Okoye ◽  
D. N. Onwusulu ◽  
C. P. Nnamani
Keyword(s):  
Clinical Outcomes ◽  
Post Partum ◽  
Sampling Technique ◽  
Categorical Variables ◽  
P Value ◽  
Contraceptive Device ◽  
Continuous Variables ◽  
Expulsion Rate ◽  
Post Placental ◽  
Pregnant Mothers

Background: Immediate postpartum CuT380A intrauterine contraceptive device (PPIUCD) insertion provides a novel approach in reducing the unmet contraceptive needs of family planning. The insertion can be trans-caesarean or vaginal following delivery of the placenta. The clinical outcomes of the different routes of insertion have not been adequately studied. Aim: The study aimed at comparing the clinical outcomes following trans-caesarean and vaginal post-placental insertions of CuT380A IUCD. Methodology: The study was a prospective cohort study of 81 pregnant mothers managed at a tertiary health institution in southern Nigeria. They were recruited into two groups using a convenient sampling technique; 27 and 54 mothers in the caesarean and vaginal delivery groups respectively. The pregnant mothers were followed up till delivery and at the six weeks postnatal visit. Information on their socio-demographic characteristics, Obstetrics and Gynecology history were obtained with the aid of a proforma. The proforma was updated with the clinical outcomes of immediate PPIUCD insertions in the two groups, at the six weeks visit. Data obtained were analyzed using statistical package of social sciences version 21. Continuous variables were expressed as means and standard deviations. The Chi square test was used for dichotomous or categorical variables. A p-value of less than 0.05 was considered statistically significant. Results: The study showed that PPIUCD is a safe practice in both vaginal and caesarean deliveries with no significant differences in clinical outcomes. However, incidence of missing string was higher in the caesarean group compared to vaginal group (81.5% vs 51.9%; p value-0.01); and expulsion rate was also high in the vaginal group but not significant. (13.0% vs 7.4%; p value 0.45). Conclusion: Immediate postpartum CuT380A contraception, irrespective of route of insertion, is convenient, effective, and safe. Although there is a relatively higher incidence of missing strings, including expulsions after vaginal PPIUCD insertions, immediate post-partum contraception should be encouraged. This will help to reduce high unmet contraceptive needs in our environment and loss to follow up irrespective of route of delivery. Recommendation: Immediate PPIUCD, irrespective of the route, should be encouraged and integrated into the existing Maternal and Child Health Programme. Awareness should be created to promote acceptance in our environment.

scholarly journals The subsequent newborn effects of stillbirth and abortion, a longitudinal study.

2020 ◽  
Author(s):  
Berhanu Elfu Feleke ◽  
Teferi Elfu Feleke
Keyword(s):  
Birth Weight ◽  
Serum Iron ◽  
Survival Curve ◽  
Previous History ◽  
Serum Zinc ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Iron And Zinc ◽  
History Of ◽  
Zinc Levels

Abstract Introduction This study was conducted to assess the effects of stillbirth and abortion on the health of the subsequent newborn. Methods A prospective cohort study was implemented. The data were collected from January 2015 to August 2019. The study participants were selected using the simple random sampling technique. The data were collected using interviewing the pregnant mothers, reviewing medical charts, analyzing the blood samples from the newborn, and scheduled medical checkups. General linear model was used to assess the effects of stillbirth and abortion on the health of the newborn, Poisson regression was used to identify predictors of childhood infectious diseases episodes and Kaplan Meier survival curve were used to estimate time to childhood pneumonia and diarrhea. Results 2872 infants were included giving for the response rate of 88.97%. Neonate born from mothers with a previous history of stillbirth or abortion had low birth weight, low serum iron, and zinc levels. High infection episodes of diarrhea and pneumonia were observed among infants born from a previous history of stillbirth and abortion mothers. The infection episodes during the childhood period were determined by serum zinc level [IRR 0.71; 95% CI: 0.61- 0.83], birth weight [IRR 0.86; 95% CI: 0.81 – 0.91], breastfeeding frequency [IRR 0.9; 95% CI: 0.87-0.93]. Conclusion The birth weight, serum iron and zinc levels of neonates born from the previous history of stillbirth and abortion were lower. The infection episodes of newborns born from mothers with previous history stillbirth or abortion were higher.

scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PRE-EKLAMSIA PADAHAMIL DI POLI KEBIDANAN RUMAH SAKIT TINGKAT II ISKANDAR MUDA BANDA ACEH TAHUN 2014

2018 ◽  
Vol 11 (2) ◽  
pp. 82-86
Author(s):  
Fithriany Fithriany ◽  
Fitri Susana ◽  
Cut Yuniwati
Keyword(s):  
Sampling Technique ◽  
Pregnant Mother ◽  
Chi Square ◽  
Cross Sectional ◽  
Midwifery Care ◽  
Death Rates ◽  
History Of ◽  
Grade Ii ◽  
Pregnant Mothers ◽  
Banda Aceh

Based the data obtained in Poly Midwifery of Grade II Hospital of IskandarMuda Banda Aceh, obtained that in 2013, of amount of pregnancy was 3.787, found 44 persons (1,16%) of pregnant mother havehypertension, as many 106 (2,79%) of pregnant mothers have severe pre-eklampsia and 2 (0,05%) ofpregnant mothers have eklampsia. Whereas period of 2014, of 3.188 of pregnant mothers who came to visit to Poly Midwifery of Grade II Hospital of IskandarMuda Banda Aceh, was 49 (1,53%) have hypertension, as many 126 persons (3,95%) have severe pre-eklampsia and as many 4 persons (0,15%) have eklampsia.Purpose of Study: To find out factors related to pre-eklampsia in pregnant mother in Poly-Midwifery of Grade II Hospital of IskandarMuda Banda Aceh, period of January up to December 2014.Method of Study: This study is in analytical survey by cross sectional approach, it was conducted in May 27th up to June 1st, 2015, population in this study was whole pregnant mothers who came to visited to Poly-Midwifery of Grade II Hospital of IskandarMuda Banda Aceh, January up to December 2014 periods,amounted to 3.188 persons, where sampling technique was using random sampling that taken randomly was 97 persons, the data is processed and analysed using chi-square (x2) test.Results of Study: There was correlation age to pre-eklampsia in pregnant mother with p=0,017 (p<0,05), there was correlation parity to pre-eklampsia in pregnant mother with p=0,021 (p<0,05), there was correlation history of hypertension to pre-eklampsia in pregnant mother with p=0,035 (p<0,05)Conlusion and Suggestion: There was correlation between age, parity and history of hypertension to pre-eklampsia in pregnant mother, expected to midwife for can give midwifery care to pregnant mother by pre-eklampsia so that may decrease the illness and death rates effect of pre-eklampsia.

scholarly journals Politicization of Students Politics in Bangladesh: Historical Experiences and Contemporary Trends

2019 ◽  
Vol 6 (2) ◽  
pp. 17
Author(s):  
Salma Nasrin ◽  
Md. Mashiur Rahman
Keyword(s):  
Literature Review ◽  
Field Survey ◽  
Past History ◽  
Sampling Technique ◽  
Common Interest ◽  
Political Agenda ◽  
Data Set ◽  
Population Sampling ◽  
History Of ◽  
Student Politics

The purpose of the study is to review the long glorious history of student politics in Bangladesh under different regime and to illustrate the recent trends of student politics. The study includes two parts, first part is entirely based on a literature review and second portion includes a field survey. Twenty two literatures have been selected as a data set through searching Web of Science, SCOPUS and Google Scholar databases by using the relevant keywords for reviewing the past experiences of student politics. On the other hand, a field survey has been conducted using the unknown population sampling technique, where student’s perceptions toward present student politics have been explored. From the literature review, it is found that student politics in Bangladesh has a magnificent past history of fighting and greatest sacrifice for the national interest during all turning points of the country, including anti-British movement in 1940s, the language movement of 1948 to 1952, six point movement of 1966, mass upsurge of 1969, liberation war of 1971, and the falling of military dictator Ershad in 1990s. Unfortunately, the impression of this historic student politics have been transformed to the personal goal accomplishment after starting democratic forms of government in 1991, when student organizations are mostly found to be used as the political weapons of mainstream political parties. The results of field survey also complemented that the perception of present party backed student politics is mostly focused on personal agenda or their mother party’s political agenda rather than national or common interest of the students.

scholarly journals PREVALENCE OF NON-SPECIFIC NECK PAIN AMONG SURGEONS IN DIFFERENT HOSPITALS OF LAHORE

2021 ◽  
Vol 6 (2) ◽  
pp. 42-47
Author(s):  
Amirah Zafar ◽  
Saad Akhtar  ◽  
Umar Sadiq ◽  
Sobia Sobia
Keyword(s):  
Neck Pain ◽  
Past History ◽  
Tertiary Care ◽  
Sampling Technique ◽  
Working Hours ◽  
Cross Sectional Study ◽  
Cervical Region ◽  
Cross Sectional ◽  
Postural Alignment ◽  
History Of

Objective: The objective of the study was to determine the prevalence of non-specific neck pain among Surgeons in different hospitals of Lahore and developed some guidelines to reduce the occupational hazards. Materials and Methods: It was a cross-sectional study. Non-Probability Convenient sampling technique was used. Data was collected from surgeons working in tertiary care hospitals of Lahore Inclusion criteria included Surgeons (25 years or above), both genders selected and Neck pain in cervical region, surgery of consecutive 2- 3 hours or more. Exclusion criteria included age under 25 years, any neurological disorders, cerebrovascular insufficiency, Past history of Infection and Malignancy, any Structural disorders and Trauma. Data was collected by questionnaire form set on paper. Results: Non-specific neck pain has positive statistically significant association with “Starting of Neck Pain Surgical Day”, “Starting of Neck Pain Post-Surgical Day”, “Worsening of Neck Pain Surgical Day” and “Worsening of Neck Pain Post-Surgical Day Conclusion: It concluded that the surgeons are not getting neck pain due to the surgical activities but it may worsen by their surgical activities of consecutive 3 hours if they already have some neck-related problems. Recommendations: Prolong working hours should be reduced which ultimately affect their ergonomics and posture of neck. By reducing consecutive hours of surgery neck pain can be minimized. Surgeons should be trained about their postural alignment while performing surgeries as to prevent maximum stress on neck musculature to avoid neck pain.

scholarly journals Prevalence of Post-partum Depression among Sudanese Women Using Edinburgh Postnatal Depression Scale (EPDS) in Two Major Delivery Hospitals in Khartoum State

2020 ◽  
Author(s):  
Maram Osman Elawad Mabyoue
Keyword(s):  
Postpartum Depression ◽  
Post Partum ◽  
Occupational Status ◽  
Previous History ◽  
Depression Scale ◽  
Sampling Technique ◽  
Cutoff Score ◽  
University Graduates ◽  
Cross Sectional ◽  
History Of

Background: Postpartum depression is a mood disorder that can affect women after childbirth; it can occur at any time during the first year after delivery. Mothers experience depressive symptoms that may make it difficult for them to complete daily care activities. The aim of this study was to find out the prevalence of postpartum depression among Sudanese women as well as determining the association between postpartum depression (PPD), socio-demographic, and obstetric characteristics. Method:  In this cross-sectional study, 129 women selected through convenient sampling technique were interviewed; the participants were recruited from the postnatal and child welfare clinics at the Saad Abueleella and the Dream International Hospitals. To assess any possible depression, information was collected at six weeks postpartum using a structured questionnaire in addition to a screening tool. Results: At a cutoff score of ≥12, the prevalence of PPD was found to be 10.9% (Confidence Interval 6.5–17.3%); while 79.1% of mothers revealed no signs of PPD and scored <9 points, 10.1% scored 9–11, indicating a need for extra visits. Interestingly, 59.7% of the respondents were aged between 25 and 35 years, 76% were university graduates, 64.3% housewives, 20.9% had obstetric complications, 3.1% reported a history of PPD, and almost 97.7% breastfed their babies. Moreover, PPD was found to be associated with occupational status (p = 0.01) and a previous history of PPD (p = 0.01). Conclusion: The prevalence of postpartum depression was 10.9% among the studied sample. Interventions to address its risk factors should be implemented, physicians and health personnel should be qualified on screening and referring depressed mothers for further clinical assessment.  Keywords: Postpartum depression, Prevalence, Screening, Sudanese

HUBUNGAN TUNGAU DEBU RUMAH, PAPARAN ASAP ROKOK DAN RIWAYAT PENYAKIT KELUARGA TERHADAP KEJADIAN ASMA BRONKIAL PADA ANAK USIA 5 – 10 TAHUN DI WILAYAH KERJA PUSKESMAS LEMPAKE KOTA SAMARINDA TAHUN 2016

2018 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Sri Evi New Yearsi Pangadongan ◽  
Agustina Rahyu ◽  
Selvy Pasulu
Keyword(s):  
Cigarette Smoke ◽  
Bronchial Asthma ◽  
Sampling Technique ◽  
Total Sample ◽  
Control Group ◽  
Case Group ◽  
Chi Square ◽  
History Of ◽  
Weather Changes ◽  
And Gender

Bronchial Asthma generally starts from childhood which is condition where respiration channel experiences constriction because of hyperactivity with some specific stimulation which cause inflammation. Some risk factors are smoking exposure of cigarette smoke, weather changes, mite on house dirt, pet and history of family sickness. The purpose of this research is to know Relation of mite on house dirt, exposure of cigarette smoke  and history of family sickness with bronchial asthma incident to child 5 – 10  years old on working area of Puskesmas Lempake Samarinda City in 2016. Method which used was analytic survey with Case Control approaching. The total sample was 36 children which consisted of 18 case group and 18 control group with matching by using age and gender which submitted with Purposive Sampling technique. Data Analysis used Chi Square with wrong degree α = 0,005. The result showed that there was relation of mite of house dirt (p = 0,006), history of family sickness (p = 0,001) and no relation with exposure of cigarette smoke (p = 0,370) with bronchial asthma incident to child 5 – 10 years old on working area of Puskesmas Lempake Samarinda City in 2016.

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