scholarly journals Cesarean Section and Its Correlates Among Early Child Bearing Women in Nepal

2021 ◽  
Author(s):  
Aliza K C Bhandari ◽  
Ashmita Adhikari ◽  
Mijjal Shrestha ◽  
Mahbubur Rahman
Keyword(s):  
Confidence Interval ◽  
Cesarean Section ◽  
Population Based ◽  
Reproductive Age ◽  
P Value ◽  
Age Group ◽  
Private Institution ◽  
Early Child ◽  
Child Bearing ◽  
Reproductive Age Group

Abstract Objective: To examine the factors associated with cesarean section among early child bearing women in Nepal.Results: Out of 4006 women of reproductive age group from 1996 to 2016, more than 50% had early pregnancy. The population-based cesarean section (CS) rate was about 10% [95% confidence interval: (8.9-11.6)]. Our logistic regression model showed that women with early child bearing had 32% (p-value <0.05, 95% confidence interval: 0.50- 0.94) less chance of having CS than women of age group 19-29 years. It was also evident that poorest women of same age group had 66% less likelihood of having CS than the richest (p-value: <0.05, 95% confidence interval: 0.29-0.99). Similarly, women from province-1, province-3 and province-4, having complete four antenatal check-ups and delivering in a private institution were associated with CS among early child bearers.

scholarly journals Cesarean Section and Its Correlates Among Early Child Bearing Women in Nepal

2021 ◽  
Vol 10 (4) ◽  
pp. 77-83
Author(s):  
Aliza KC Bhandari ◽  
Ashmita Adhikari ◽  
Mijjal Shrestha ◽  
Mahbubur Rahman
Keyword(s):  
Logistic Regression ◽  
Confidence Interval ◽  
Cesarean Section ◽  
Early Pregnancy ◽  
Logistic Regression Model ◽  
P Value ◽  
Age Group ◽  
Early Child ◽  
Factors Associated ◽  
Child Bearing

Background: Cesarean section (CS) is an important indicator of accessibility to emergency obstetric care. In Nepal there is a high rate of early marriage leading to increase in teen age pregnancy however, the factors associated with CS among early child bearing women remains unreported. Hence, the objective of this study is to examine the factors associated with CS among early child bearing women. Methods: We used the 2016 National Demographic and Health Survey (NDHS) data obtained from DHS department of USAID for this study. Bivariable analysis was done using chi square test. We used logistic regression model to identify the factors associated with CS among early child bearing women. Results: Out of 4006 women of reproductive age group from 1996 to 2016, more than 50% had early pregnancy. The population-based cesarean section (CS) rate was about 10% [95% confidence interval: (8.9-11.6)]. Our logistic regression model showed that women with early child bearing had 32% (p-value <0.05, 95% confidence interval: 0.50- 0.94) less chance of having CS than women of age group 19-29 years. It was also evident that poorest women of same age group had 66% less likelihood of having CS than the richest (p-value: <0.05, 95% confidence interval: 0.29-0.99). Similarly, women from province-1, province-3 and province-4, having complete four antenatal check-ups and delivering in a private institution were associated with CS among early child bearers. Conclusion: The odds of having CS decreased by 66% among women with early pregnancy than their counterparts after adjusting for all other covariates. This suggests that the early pregnancy might not be the risk factor for having a CS. However, we also found that this relationship might have been confounded by the interaction between wealth index and age groups as there was a huge disparity in CS rate among poorest and wealthiest women who had early child bearing. Thus, Nepal government should focus more on providing adequate accessibility to CS services throughout the population so that every woman could utilize the services in need.

scholarly journals KNOWLEDGE OF HEPATITIS PREVENTION AMONG REPRODUCTIVE AGE GROUP WOMEN FROM PAKISTAN DEMOGRAPHIC HEALTH SURVEY DATA 2012-13

2020 ◽  
Vol 9 (3) ◽  
pp. 135-138
Author(s):  
Faiz Rasul Awan ◽  
Muhammad Safdar Baig ◽  
Atiq ur Rehman Khan
Keyword(s):  
International Development ◽  
Survey Data ◽  
Health Survey ◽  
Demographic And Health Survey ◽  
Reproductive Age ◽  
P Value ◽  
Cluster Sampling ◽  
Age Group ◽  
Significant Difference ◽  
Reproductive Age Group

Background: Pakistan and Egypt bear more than 80% of the burden of disease as more than 12 million people are suffering from hepatitis B or C infection and there is addition of about 150000 new cases each year.Methods: We have used secondary data PDHS - Pakistan Demographic and Health Survey, DHS has become the gold standard of survey data in developing countries, a project by ORC Macro with financial support from the USAID for the International Development carried out as multistage, cluster sampling for its data collection on multiple questions, most pertinent from our study point view the maternal and child health related to knowledge attitude and practices of hepatitis and its prevention. Results:The final multivariate model six variables came out to be statistically significant with their adjusted odd's ration p-value and 95% confidence interval i.e., use of new disposable syringe every time for therapeutic injection purpose, the respondent being rich as wealth index, reading newspapers and magazines, watching television as source of information, area of residence being urban and with higher educational level came out to be most important variable which are making statistically significant difference for prevention of hepatitis among females of reproductive age group as our study population from Pakistan Demographic and Health Survey 2012-13. Conclusion: It is quite evident from the results of our study that use of new disposal syringes, being rich , being educated, having access to information resources like watching television, listening radio, reading newspaper & magazine and being as an urban dwellers are significant factor among women of reproductive age groups for prevention of hepatitis.

scholarly journals Study on Urinary Tract Infection Among Females of Reproductive Age Group in Tertiary Care Teaching Hospital, Dhaka, Bangladesh

2021 ◽  
Vol 3 (1) ◽  
pp. 85-89
Author(s):  
Sadia Saber ◽  
Naz Yasmin ◽  
Mohammed Tarek Alam ◽  
Mohammad Monower Hossain ◽  
Rafa Faaria Alam
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tertiary Care ◽  
Reproductive Age ◽  
P Value ◽  
Age Group ◽  
Women Of Reproductive Age ◽  
Study Population ◽  
Socio Demographic Factors ◽  
Reproductive Age Group

Introduction: Among all the bacterial infections encounter in primary care, urinary tract infection (UTI) has considered as one of the most frequent bacterial infection. UTI can be defined as the presence of an infection in any part of our urinary system-kidneys, ureters, urinary bladder and urethra. Majority of the infections involve the lower urinary tract – the urinary bladder and the urethra. Women of reproductive age group (15-44 years) are the most vulnerable of developing UTI than men. The objective of this study is to determine the prevalence rate of UTI among females of reproductive age group and to ascertain the association between socio demographic factors among study population. Material and Methods: This is a cross sectional observational study executed in a tertiary care teaching hospital, Dhanmondi, Dhaka. 250 women of reproductive age group were encountered as the study group here. Data collection was done by using a structured interview schedule followed by collection of urine sample for microscopic examination and culture. Analysis of data was done by using SPSS 15 software. Prevalence of UTI among study population was calculated by using percentage and the strength of association between socio demographic factors were evaluated in our study. Results: Prevalence of UTI among study population was found to be 41.20%. A strong association of statistical significance was observed among marital status (p values <0.05), the level of education of the study population (p value <0.05) and the urine culture reports among UTI patients (p value 0.001) Conclusion: Now a days UTI can be considered as one the most serious public health problem if it is remaining untreated. To prevent the possibilities of evolving further complexity of UTI early detection and prompt treatment is very much crucial. We should promote more educational programming about UTI prevention not only to reduce the sufferings of the patients and their hospital stay but also to compensate for the economical loss.

scholarly journals Study on urinary tract infection among females of reproductive age group in a rural area of Kancheepuram district, Tamil Nadu

2017 ◽  
Vol 4 (10) ◽  
pp. 3915 ◽  
Author(s):  
Muthulakshmi M. ◽  
Gopalakrishnan S.
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Odds Ratio ◽  
Tamil Nadu ◽  
Reproductive Age ◽  
P Value ◽  
Age Group ◽  
Group 15 ◽  
Reproductive Age Group

Background: Urinary tract infection (UTI) is defined as the presence of microbial pathogens in the urinary tract and women of the reproductive age group (15-44 years) are the most vulnerable population. UTIs are one of the most common bacterial infections seen in primary care. This study aims to estimate the prevalence rate of UTI among females of reproductive age group and to determine the association between socio demographic factors and prevalence of UTI.Methods: This is a cross sectional descriptive study carried out in the rural field practice area attached to a Medical college in Kancheepuram district. The study group were 250 women of reproductive age group (15-44 years). The data was collected using a structured interview schedule followed by collection of urine for microscopic examination and culture. Data was analysed using SPSS 15 software. Prevalence of UTI was calculated using percentages and strength of association was tested between socio-demographic characteristics and prevalence of UTI.Results: Prevalence of UTI among females of reproductive age group was found to be 20.4%. There was a strong statistical significant association between levels of education of the study subjects (Odds Ratio 18.11, p value <0.05), the socio economic status (Odds ratio 6.36, p value <0.05) and UTI.Conclusions: UTI is a serious public health problem if untreated. Early diagnosis and prompt treatment will prevent the chances of developing further complication of UTI and will help to reduce the sufferings of the patient, hospital stay and economic loss. 

scholarly journals Prevalence of Goiter and Associated Factors among Women of Reproductive Age Group in Demba Goffa Woreda, Gamo Goffa Zone, Southwest Ethiopia: A Community-based Cross-sectional Study

2020 ◽  
Author(s):  
Befikaduwa Zekarias ◽  
Frehiwot Mesfin ◽  
Bezatu Mengiste ◽  
Adane Tesfaye ◽  
Lemma Getacher
Keyword(s):  
Logistic Regression ◽  
Iodine Deficiency ◽  
Associated Factors ◽  
Iodized Salt ◽  
Reproductive Age ◽  
P Value ◽  
Age Group ◽  
Women Of Reproductive Age ◽  
Cross Sectional ◽  
Reproductive Age Group

Abstract Background: Iodine deficiency disorder is a major public health problem in Ethiopia that is more common in women of reproductive age. However, it is not well addressed and there is a lack of information on its prevalence and associated factors in women of reproductive age group. Therefore, the objective of this study was to assess goiter prevalence and associated factors among women of reproductive age in the Demba Goffa Woreda, Gamo Goffa Zone, and Southwest Ethiopia.Methods: A community-based cross-sectional study was used among 584 randomly selected women in the reproductive age group from February 05 to April 20, 2016. A simple random sampling technique was used to select the study Kebeles, and a systematic random sampling technique was used to select the study samples. Data were collected through a pretested questionnaire, and the goiter examination was done clinically for each participant. The collected data were coded and entered into a computer for statistical analysis using Epi-data version 3.2 and analyzed using SPSS version 20. Variables with a P-value ≤ 0.25 in bivariate logistic regression analysis were entered into multivariate logistic regression analysis, and finally, variables with a P-value < 0.05 in multivariate logistic regression were considered significantly associated with the dependent variable.Results: The total goiter rate was 43%, 95% CI = (39.2-46.9). Cassava consumption (AOR: 2.02, 95% CI: (1.03-4)), salt wash before use (AOR: 3.14, 95% CI: (1.1-11.3)), salt use after > 2 months of purchase (AOR: 11, 95% CI; (5-26)), family history of goiter (AOR: 4.6, 95% CI: (1.4-15.8)), and poor knowledge of iodized salt (AOR: 2.7, 95% CI (1.4-5.5)) were significant factors associated with goiter.Conclusion: Iodine deficiency was found to be severe in women of reproductive age in the study area. This showed that women of reproductive age, especially during pregnancy, are exposed to iodine deficiency and its adverse effects at delivery. Thus, they need urgent supplementation with iodine, improved access to foods rich in iodine and intake of iodized salt. Additionally, health education should focus on the importance of iodized salt, the proper method of use and the prevention of iodine deficiency, which are highly recommended to minimize the problem.

THE ADVERSE IMPACT OF MATERNAL OBESITY ON MATERNALAND PERINATAL OUTCOME

2021 ◽  
pp. 83-86
Author(s):  
Jayshree Chimrani ◽  
Uma Jain ◽  
Richa Bittharia
Keyword(s):  
Cesarean Section ◽  
Postpartum Hemorrhage ◽  
Perinatal Outcome ◽  
Mode Of Delivery ◽  
Perineal Trauma ◽  
Reproductive Age ◽  
Age Group ◽  
Apgar Scores ◽  
Increased Risk ◽  
Reproductive Age Group

Introduction: Rapidly increased global prevalence of overweight and obesity has also affected women of reproductive age group. Pregnant women who are obese at booking have an increased risk for complications, both for themselves and their babies during pregnancy and childbirth. Women who are obese are at risk for gestational diabetes, miscarriage, preeclampsia, increased incidence of cesarean section, anesthetic complication, postpartum hemorrhage, thromboembolism, perineal trauma, and wound infection. There is an increased risk of stillbirth, congenital anomalies, prematurity, macrosomia, poor APGAR scores, and neonatal death in babies of obese mothers. This study investigated the effect of Maternal BMI on the mode of delivery and perinatal outcome. Methods: This is a prospective cohort study of 100 primigravidas of the reproductive age group done at Shivpuri District Hospital over a period of a year. We categorized them on the basis of their BMI at booking and studied the mode of delivery and perinatal outcome. Results: Elective cesarean and emergency cesarean were more common with obese women whereas most of the normal weighted and underweight women underwent spontaneous labor and induced labor. Maternal and fetal complications were more pronounced in the overweight and obese groups. Babies also had an increased risk of poor APGAR scores with the increasing BMI of the mother. Conclusion: Input of skilled birth attendants is essential to improve intrapartum outcomes. Obstetricians need to be acutely aware that obese patients form a high-risk population with an increased incidence of cesarean section, postpartum hemorrhage, and perineal trauma.

scholarly journals Abortion Law awareness and Abortion Services Utilization among reproductive age women of Inarwa municipality of Eastern Nepal

2020 ◽  
Vol 13 (1) ◽  
pp. 32-38
Author(s):  
Vijay Kumar Khanal ◽  
Hari Prasad Ghimire ◽  
Meika Bhattachan ◽  
Gyanu Nepal ◽  
Shyam Sundar Budhathoki ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Reproductive Age ◽  
Care Utilization ◽  
P Value ◽  
Age Group ◽  
Women Of Reproductive Age ◽  
Female Population ◽  
Abortion Law ◽  
Reproductive Age Group

Introduction: Globally, reproductive health and quality of life among female population has been found to be unsatisfactory in developing world. Until 1963, Nepal’s 1854 legal code known as MulukiAin was revised numerous times that banned abortion exempting risk of women’s life. Enactment of New Abortion Policy from 2003 brought landmark reforms to the women’s choice in family planning methods and ended the sufferings of lengthy prison sentences for abortion crimes. This study was conducted to explore the level of awareness about abortion law with regard to health care utilization among women of reproductive age group along with its association with socio-demographic characteristics. Methodology: A cross-sectional study was conducted in March 2014, in Inarwa Municipality among women of reproductive age group (16 to 49 years). Convenient sampling was done to collect data from households. Data was entered and analyzed in SPSS 11.5 and presented in tabular form. Chi-square test was used to show association of awareness of abortion law and socio-demographic variables. Results: education, age at first marriage and age at 1st pregnancy was found to be significant (p value: <0.005). Conclusion: As media was the most used source of information, more education on awareness of abortion law and health care utilization should be disseminated through this medium.  

scholarly journals IRON DEFICIENCY ANEMIA

2010 ◽  
Vol 17 (04) ◽  
pp. 686-690
Author(s):  
SHEZADI SABAH ◽  
MUSARAT RAMZAN ◽  
IRUM FATIMA
Keyword(s):  
Iron Deficiency ◽  
Iron Deficiency Anemia ◽  
Reproductive Age ◽  
Plant Protein ◽  
Deficiency Anemia ◽  
P Value ◽  
Age Group ◽  
Balanced Diet ◽  
Nutritional Score ◽  
Reproductive Age Group

To determine the frequency of different causes of iron deficiency anemia in female patients of reproductive age group. 2) To determine the association between lack of balanced diet and iron deficiency anemia. Design: cross-sectional analytical study. Setting: Federal government services hospital, Islamabad. Period: From July 2008 to November 2008. Material and Methods: The study included female patients of reproductive age group i.e. 15-49 years of age having hemoglobin less than 11.5g/dl. The sampling technique was purposive. The data was analyzed using Microsoft excel 2000 and SPSS 10.0. Pearson correlation coefficient was used to determine the direction of relationship between total nutritional score and level of hemoglobin; student’s t-test was used to determine the significance of association. A pvalue of less than 0.05 was considered significant. Results: A positive correlation was observed between total nutritional score and level of hemoglobin (r = 0.402, p-value = 0.008). Correlation between animal protein and level of hemoglobin was 0.438 (p-value = 0.004) while between plant protein and level of hemoglobin was 0.211 (p-value = 0.179). Conclusions: It is concluded that there is a definite role of nutritional deprivation in the development of iron deficiency anemia. Lack of balanced diet especially protein group has much stronger association with thistype of anemia. Animal protein as compared to plant protein has strong association with the development of iron deficiency anemia. 

scholarly journals Knowledge, uptake of preconception care and associated factors among reproductive age group women in west shoa zone, Ethiopia, 2018.

2019 ◽  
Author(s):  
Daniel Belema Fekene ◽  
BENYAM SEIFU WOLDEYES ◽  
MARU MOSSISA ERENA ◽  
GETU ALEMU DEMISSE
Keyword(s):  
Preconception Care ◽  
Well Being ◽  
Reproductive Age ◽  
Good Knowledge ◽  
Outcome Variable ◽  
P Value ◽  
Modern Contraceptive ◽  
Age Group ◽  
History Of ◽  
Reproductive Age Group

Abstract Background Preconception care is a set of interventions that are to be provided before pregnancy, to promote the health and well-being of women and couples.Methods A community based cross-sectional study was employed among 669 reproductive aged women from November 2017 to the end of January 2018. The data were collected using pre-tested and structured questionnaire . The collected data were coded and entered into Epi Data version 3.1 and exported to SPSS 25 for analysis. Bivariate and multivariate logistic regression models were utilized to determine factors associated with outcome variable .Association presented in Odds ratio with 95% confidence interval and significance determined at P-value less than 0.05.Result A total of 669 participants had participated with response rate of 98.3%. Among them only 179(26.8%) had good PCC knowledge and 97(14.5%) of women of reproductive age group have utilized preconception care. Factors that show significant association with good knowledge of PCC are history of institutional delivery (AOR = 1.43 (95%CI (1.31 -7.33), PNC service utilization, (AOR = 5.02 (95%CI (3.22-7.84), history of using modern contraceptive, (AOR = 1.44 (95%CI (1.37-6.98)) higher educational status (AOR= 4.12 (95%CI (1.22-6.52)and being regularly employed (AOR = 1.8 (95%CI (1.01-3.22). Factors like better family monthly income (AOR = 4.1 (95%CI (1.57-9.35)), history of PNC (AOR = 6.33 (95%CI (3.94-10.17) and good knowledge of PCC (AOR = 4.3 (95%CI (2.67-6.98) had showed positive association towards uptake of PCC.

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