scholarly journals Utilization of obstetric analgesia in labor pain management and associated factors among obstetric caregivers in public health facilities of Kembata Tembaro Zone, Southern Ethiopia

2018 ◽  
Vol Volume 11 ◽  
pp. 3089-3097 ◽  
Author(s):  
Teketel Ermias Geltore ◽  
Ayanos Taye ◽  
Abraham Getachew Kelbore
2021 ◽  
Author(s):  
Girma Tufa Melesse ◽  
Zelalem Jabessa Wayessa ◽  
Amana Jilo Bonkiye

Abstract Introduction: Childbirth is a painful experience for almost all women and most women require pain relief. Labor pain management strategies include non-pharmacological interventions and pharmacological interventions. Globally, approximately 140 million births occur every year and most of them are vaginal births among pregnant women with no risk factors identified for complications during onset of labor.More than a third of maternal deaths from pregnancy-related conditions are attributed to complications that arise during childbirth or the period immediately following childbirth, usually due to bleeding, obstructed laboror sepsis.The aim of this study was to assess labor pain management practice and associated factors among obstetric care givers in public health facilities of West Guji, Southern Ethiopia 2020.Methods: Institutional based cross-sectional study was conducted. Simple random sampling technique was employed to select 280 study participants. The data was collected by using self-administered questionnaire. Descriptive statistics, binary and multiple logistic regressions were used. Adjusted odds ratios (AOR) with 95% CI was estimated to assess the strength of associations and statistical significance was declared at a p-value < 0.05. Result: The magnitude of labor pain management practice among obstetric care workers at the study area was 43.3%. Factors that associated to labor pain management practice which were found to be statistically significant by multivariable analysis model were: Being diploma holder (AOR, 0.3; 95% CI: 0.2, 0.6), knowledge of obstetric analgesia (AOR, 9.4; 95% CI:1.8, 9.9) andthought of pharmacologic obstetric analgesia has effect on the labor (AOR, 2.9; 95% CI: 1.4, 6.2)Conclusion: Though the magnitude of labor pain management practice was better than other studies, stillit needs working to increase it. Being diploma holder, knowledge of obstetric analgesia and thought of pharmacologic obstetric analgesia has effect on the labor were the factors that responsible for labor pain management practice.


2020 ◽  
Vol Volume 13 ◽  
pp. 1869-1877
Author(s):  
Haymanot Nigussie Weldehawaryat ◽  
Feleke Gebremeskel Weldehawariat ◽  
Firdawek Getahun Negash

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0255808
Author(s):  
Samuel Abdisa ◽  
Zelalem Tenaw

Background Adherence to antiretroviral therapy is very essential to achieve a great outcome of drugs via suppressing viral load, preventing multidrug resistance, and reducing mother to a child transmission rate of the Human Immune Virus. Objective This study aimed to assess the level of adherence to option B plus PMTCT and associated factors among HIV Positive pregnant and lactating women in public health facilities of Hawassa city, Southern Ethiopia, 2020 G.C. Methods Institution-based cross-sectional study was done on 254 HIV-positive pregnant and lactating women attending the prevention of mother-to-child transmission (PMTCT) follow-up. Participants were selected by simple random sampling. Data collected through a structured interviewer-administered questionnaire were cleaned and entered into Epi-data 3.1 and exported to SPSS 20 for statistical analysis. Descriptive analysis was done. Bivariable and multivariable logistic regressions were done to measure the strength of association between independent and dependent variables using the odds ratio and 95% of confidence interval. A p-value <0.05 was taken as statistically significant. Result The overall adherence level to option B+ was 224 (88.2%). Respondents in age group of ≤ 25 [AOR = 0.12, 95% CI (0.03, 0.42)], with no formal education [AOR = 0.12, 95% CI (0.03, 0.51)], experienced drug side effects [AOR = 0.11, 95% CI (0.04, 0.32)], have good knowledge of PMTCT [AOR = 3.6, 95% CI (1.16, 11.3)], and get support from partner/family [AOR = 4.5, 95% CI (1.62, 12.4)] were identified associated factors with adherence level. Conclusion The level of adherence to option B plus PMTCT was 88.2% which is suboptimal. Ages, educational level, knowledge on PMTCT, getting support from partner/family, and drug side effect were significantly associated with adherence. Therefore, educating and counseling on the service of PMTCT to improve their knowledge and encouraging partner/family involvement in care are mandatory to achieve the standard adherence level.


PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257290
Author(s):  
Mulusew Enbiale ◽  
Asmare Getie ◽  
Frehiwot Haile ◽  
Beemnet Tekabe ◽  
Direslgn Misekir

Introduction Syphilis is one of the leading causes of perinatal morbidity and mortality and is one of the most important public health problems. There was no study showing syphilis serostatus and its related factors among pregnant women in the current study area. This study was aimed to assess the magnitude of syphilis serostatus and associated factors among pregnant women attending antenatal care in Jinka town public health facilities. Method Institution based cross-sectional study design was conducted in Jinka town public health facilities, southern Ethiopia from the 1st July to the 1st September, 2020. A systematic sampling technique was used to select 629 study subjects. Data were collected using a structured questionnaire through face-to-face interviews and records were reviewed to check syphilis test results. Data were coded and entered by using Epi-data version 4.432 and analyzed using SPSS version 25. The binary logistic regression model was used to investigate factors associated with syphilis. A p-value of < 0.05 at multivariable analysis was considered statistically significant. Result In this study, syphilis sero-prevalence among pregnant women attending antenatal care clinics was 4.8% (95% CI: 3.12, 6.48). Rural residence [AOR: 2.873; 95%CI (1.171, 7.050)], alcohol use [AOR: 3.340; 95% CI (1.354, 8.241)] and having multiple sexual partner [AOR: 5.012; 95% CI (1.929, 13.020)] were statistically significantly associated with syphilis. Conclusion Sero-prevalence of syphilis was high. Being a rural residence, having multiple sexual partners, alcohol use were factors associated with syphilis. Therefore, substantial efforts have to be made to provide regular health education for pregnant women at the antenatal clinic on the avoidance of risky behaviors and the risk of syphilis on their pregnancy.


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