scholarly journals Proportion and Outcome of Induction of Labor Among Mothers Who Delivered in Teaching Hospital, Southwest Ethiopia

2021 ◽  
Vol 9 ◽  
Author(s):  
Tewodros Yosef ◽  
Dawit Getachew
Keyword(s):  
Teaching Hospital ◽  
Perinatal Outcomes ◽  
Cross Sectional Study ◽  
Induction Of Labor ◽  
Binary Logistic Regression Analysis ◽  
Maternal Complications ◽  
Cross Sectional ◽  
Southwest Ethiopia ◽  
Factors Associated ◽  
Failed Induction

Background: Despite the induction of labor (IOL) having had some undesired consequences, it also has several benefits for maternal and perinatal outcomes. This study aimed to assess the proportion and outcome of IOL among mothers who delivered in Teaching Hospital, southwest Ethiopia.Methods: A retrospective cross-sectional study was conducted from June 10 to June 20, 2019, among 294 mothers who gave birth between November 30, 2018, and May 30, 2019, by reviewing their cards using a structured checklist to assess the prevalence, outcome, and consequences of induction of labor. A binary logistic regression analysis was computed to look for the association between outcome variables and independent variables.Results: The prevalence of labor induction was 20.4%. The most commonly reported cause of induction was preeclampsia (41.6%). The factors associated with IOL were mothers aged 25–34 years [AOR = 2.55, 95% CI (1.18–5.50)] and ≥35 years [AOR = 10.6, 95% CI (4.20–26.9)], having no history of antenatal care [AOR = 2.12, 95% CI (1.10–4.07)], and being Primipara AOR = 2.33, 95% CI (1.18–3.24)]. Of the 60 induced mothers, 23.3% had failed induction. The proportion of mothers with dead fetal outcomes and maternal complications was 5 and 41.7%, respectively. The unfavorable Bishop Score before induction [AOR = 1.85, 95% CI (1.32–4.87)] and induction using misoprostol [AOR = 1.48, 95% CI (1.24–5.23)] were the factors associated with failed induction of labor.Conclusion: The prevalence of induced labor was considerably higher than rates in other Ethiopian studies; however, the prevalence of induction failure was comparable to other studies done in Ethiopia. The study found that Bishop's unfavorable score before induction and induction using misoprostol was the factor associated with unsuccessful induction. Therefore, the health professionals should confirm the favorability of the cervical status before the IOL to increase the success rate of induction of labor.

scholarly journals Predicting factors of failed induction of labor in three hospitals of Southwest Ethiopia: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Amare Genetu Ejigu ◽  
Shewangizaw H/mariam Lambyo
Keyword(s):  
Cross Sectional Study ◽  
Normal Weight ◽  
Labor Induction ◽  
Induction Of Labor ◽  
Reproductive Age ◽  
Sectional Study ◽  
Cross Sectional ◽  
Southwest Ethiopia ◽  
Resource Setting ◽  
Failed Induction

Abstract Introduction Failed induction of labor affects maternal and neonatal outcomes as well as the cost of healthcare, especially in low-resource setting regions in which the prevalence of failed induction is higher despite the incidence of labor induction is low. This study aimed to assess the prevalence of failed induction of labor in southwest Ethiopia. Method A hospital-based cross-sectional study was conducted among 441 induced women from March 1 to August 30, 2018. A systematic random sampling technique was used to select study participants. Data were collected using a pretested and structured questionnaire. Bivariable and multivariable logistic regression models were done and fitted to identify predictors of failed induction. An adjusted odds ratio with 95% confidence interval (CI) was calculated to determine the level of significance. Result Premature rupture of membrane was the most common cause of labor induction and the commonly used method of labor induction were oxytocin infusion. Cesarean section was done for 28.1% of induced women. Failed induction of labor was found to be 21%. Primiparous [AOR = 2.35 (1.35–4.09)], analgesia/anesthesia [AOR = 4.37 (1.31–14.59)], poor Bishop Score [AOR = 2.37 (1.16–4.84)], Birth weight ≥ 4 k grams [AOR = 2.12 (1.05–4.28)] and body mass index [AOR = 5.71 (3.26–10.01)] were found to be significantly associated with failed induction of labor. Conclusion The prevalence of failed induction of labour was found to be high. Preparation of the cervix before induction in primi-parity women is suggested to improve the success of induction. To achieve the normal weight of women and newborns, proper nutritional interventions should be given for women of reproductive age. It is better to use analgesia/anesthesia for labor induction when it becomes mandatory and there are no other optional methods of no- pharmacologic pain management.

Sociodemographic factors associated with postnatal maternal complications in public hospitals in Nairobi City County, Kenya

2021 ◽  
Vol 15 (1) ◽  
pp. 1-7
Author(s):  
Raheli Misiko Mukhwana ◽  
Margaret N Keraka ◽  
Meshack Onyambu
Keyword(s):  
Antenatal Care ◽  
Mode Of Delivery ◽  
Cost Effective ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Maternal Complications ◽  
Cross Sectional ◽  
Factors Associated ◽  
Focused Antenatal Care

Introduction/Aims Focused antenatal care provides individualised counselling, targeted assessment and safe, cost effective, evidence-based intervention. It has been implemented in developing countries as a strategy to improve maternal health. This study aimed to investigate sociodemographic factors associated with maternal complications in selected public county hospitals in Nairobi City County, Kenya. Methods This was a cross-sectional study using a sample of 397 postnatal women who were given a questionnaire, with sections on their sociodemographic and health characteristics. Data analysis was done using the Chi Square test to determine the association between study variables, with P<0.05 considered statistically significant. Results The study found that 30% of respondents reported a maternal complication during their current delivery outcome. Sociodemographic factors significantly associated with maternal complications were age (P=0.002), occupation (P=0.001) and income (P=0.011). The health factors associated with occurrence of maternal complications were number of deliveries (P=0.001) and mode of delivery (P=0.001). Conclusions A number of factors were found to be significantly associated with maternal outcomes, including age and occupation. Further studies to determine why young women do not use focused antenatal care are necessary, as this would help reduce the incidence of birth-associated complications.

scholarly journals Bacterial Profile and Antimicrobial Susceptibility Pattern of the Isolates from Stethoscope, Thermometer, and Inanimate Surfaces of Mizan-Tepi University Teaching Hospital, Southwest Ethiopia

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Teshale Worku ◽  
Dejene Derseh ◽  
Abera Kumalo
Keyword(s):  
Teaching Hospital ◽  
Health Professionals ◽  
Multidrug Resistant ◽  
Cross Sectional Study ◽  
University Teaching ◽  
Diffusion Method ◽  
Resistant Bacteria ◽  
Cross Sectional ◽  
Southwest Ethiopia ◽  
E Coli

Background. Nosocomial infections occur among patients during their stay in hospitals. The severity of infection depends on the characteristics of microorganisms with a high risk of being acquired when the environment is contaminated. Antibiotic-resistant bacteria are emerging rapidly around the globe creating a serious threat. Methods. A cross-sectional study was conducted from December 2016–February 2017 at Mizan-Tepi University Teaching Hospital, Southwest Ethiopia. Samples were collected from the equipment and hospital surfaces. The isolated bacteria were checked for susceptibility by the Kirby–Bauer disc diffusion method following the standards of CLSI 2014. Health professionals and sanitary team members were included in the study which assessed the disinfection practice of objects from which samples were taken. Data were analyzed using SPSS version 20.0. Results. A total of 201 swab samples were taken, and most bacteria were recovered from thermometer and floor consisting of 21.6% S. aureus, 19.3% CoNS, 15.9% E. coli, 14.8% Klebsiella species, 11.4% P. aeruginosa, 10.2% Proteus species, and 6.8% Serratia species. The most multidrug resistant organisms were S. aureus (79%), Klebsiella species (53.8%), CoNS (47%), and Proteus species (44.4%). Only 6.45% of health professionals disinfect their stethoscope consistently. Conclusion. S. aureus, CoNS, and E. coli were the predominant isolates. Most isolates showed highest susceptibility to ciprofloxacin and least to ampicillin and penicillin. There is no regular sanitation and disinfection of hospital equipment and surfaces.

scholarly journals HIV Preventive Behaviors and Associated Among Gold Mining Workers in Dima District, Southwest Ethiopia, 2019: Community Based Cross-Sectional Study

2020 ◽  
Author(s):  
Tadesse Nigussie ◽  
Qaro Qanche ◽  
Tewodros Yosef ◽  
Wondimagegn Wondimu ◽  
Adane Asefa
Keyword(s):  
Hiv Prevention ◽  
Gold Mining ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Preventive Behaviors ◽  
Community Based ◽  
Cross Sectional ◽  
Perceived Susceptibility ◽  
Southwest Ethiopia ◽  
Factors Associated

Abstract Background: The prevalence of HIV/AIDS is increasing over time, leading to a significant number of life losses. According to the USAID 2018 report, 36.9 million (35.1 million adults) people globally were living with HIV, 1.8 million people became newly infected with HIV, and 940 000 people died from AIDS-related illnesses in 2017. Mining workers are at high risk of acquiring HIV and infecting others, while successful preventive m easures are a key solution. Objective: To assess HIV preventive behaviors among gold mining workers in Dima district, southwest Ethiopia, 2019Methods and materials: A community-based cross-sectional study was conducted from March 1st to 31st, 2019. The data were collected through face-to-face interviews. The collected data were coded and entered into Epidata version 4.2.0.101, cleaned, and analyzed using SPSS version 21 statistical software. A binary logistic regression was conducted to determine the association using odds ratios at 95% confidence intervals. A P-value of less than 0.05 considered as the level of significance for HIV preventive behaviors. Results: Of 279 (61.3%) of the respondents have good practices of HIV prevention. Factors associated with good preventive practice were not alcohol drinkers (AOR= 2.86, 95%CI:1.30-6.29), not chew Khat (AOR= 2.09, 95%CI: 1.09-4.02), having good knowledge about HIV (AOR=1.81, CI:1.16-2.83), favorable attitude towards HIV prevention (AOR=4.76, 95%CI:3.02-7.49), and high perceived susceptibility to HIV were (AOR=2.63, 95%CI:1.63-4.24).Conclusion: Only about 61% of the mining workers in the study area were practiced HIV preventive behaviors. Not alcohol drinkers, having good knowledge about HIV, having a favorable attitude toward HIV prevention, and having high perceived susceptibility to HIV were factors associated with the practice of HIV preventive behaviors. Efforts have to be made by local governments and other concerned bodies to increase preventive behavior.

scholarly journals Prevalence and Outcome of Induction of Labor in a Tertiary Care Center of Kathmandu, Nepal

2019 ◽  
Vol 14 (2) ◽  
pp. 54-56
Author(s):  
Dhan Bahadur Shrestha ◽  
Rosy Malla ◽  
Reeta Manandhar ◽  
Ratna Khatri ◽  
Cimona Shrestha ◽  
...  
Keyword(s):  
Care Center ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Cross Sectional Study ◽  
Induction Of Labor ◽  
Maternity Unit ◽  
Tertiary Care Center ◽  
Maternal Complications ◽  
Cross Sectional ◽  
Vaginal Deliveries

Aim: To study the prevalence of induction of labor and obstetric and neonatal outcome among delivery cases in the maternity unit of a tertiary care center. Methods: This is a prospective cross-sectional study conducted on pregnant ladies presenting to maternity unit of Shree Birendra Hospital, Chhauni over a period of six months from March to August 2017. All pregnant ladies in labor during the study period were enrolled. Induction of labor, mode of delivery, perinatal outcome (gestational age at delivery, birth weight), and maternal complications if any were recorded. Results: Among 497 deliveries in the study period, induction of labor was performed in 117 (23.5%) cases with post-date pregnancy being the most common indication. Induction was successful with vaginal deliveries in 82(70.1%) cases, while in the rest, IOL failed. Among the induced cases, 17 (14.5%) neonates had poor APGAR at 5 minutes and there was significant association of IOL with low APGAR. There was normal post-natal recovery in 108 (92.3%) induced cases while 9 (7.7%) cases developed some maternal complications. IOL has no significant association with maternal and neonatal complications or perineal injury (p>0.05). Conclusions: The prevalence of induction in this center is slightly higher than other centers. The IOL has significant association with low APGAR at 5 minutes but no significant association with the neonatal and maternal complications.

Factors associated with depression among prisoners in Mizan prison institute, southwest Ethiopia

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Bethelehem Girma ◽  
Abonesh Taye ◽  
Wondimagegn Wondimu ◽  
Melese Sinaga
Keyword(s):  
Odds Ratio ◽  
Cross Sectional Study ◽  
Outcome Variable ◽  
Sectional Study ◽  
Cross Sectional ◽  
Southwest Ethiopia ◽  
Content Type ◽  
Factors Associated ◽  
Prevalence Of Depression ◽  
Physically Inactive

Purpose In spite of the vulnerability of prisoners to depression and their increased number, the issue has not been thoroughly investigated in Ethiopia. In particular, the determining factors of depression have not been exhaustively identified. Thus, the purpose of this study is to assess the prevalence of depression and associated factors among prisoners in Mizan prison institute, southwest Ethiopia. Design/methodology/approach An institution-based cross-sectional study was conducted from April 6–27, 2020. A total of 340 randomly selected prisoners were included. Depression was assessed using the Patient Health Questionnaire-nine and participants were considered to be in a state of depression if they scored five and above. Binary logistic regression was used to assess the association between the outcome variable (depression) and the independent variables (factors). The odds ratio with a 95% confidence interval (CI) was used to measure the strength of association. The final significance was decided using a p-value < 0.05. Findings The prevalence of depression was 29.9% (95% CI: 25%, 34.8%). Prisoners whowere not participating in the duty work of the prison had 55% (adjusted odds ratio [AOR] = 0.45; 95% CI: 0.22, 0.93) less odds of depression compared to those who were participating in the duty work. Similarly, physically active respondents had 81% (AOR = 0.19; 95% CI: 0.10, 0.35) less odds of depression than physically inactive respondents. Moreover, undernourished participants had two times (AOR = 2.03; 95% CI: 1.08, 3.82) higher odds of depression than normal participants. Research limitations/implications Considering their risk of exposure compared to the general population and the limitations of cross-sectional study design, special care should be provided to the prisoners’ mental health. Moreover, priority attention should be given to the undernourished, physically inactive and those who are participating in duty work in the prison. Originality/value This study demonstrated important and modifiable factors associated with prisoners’ depression. It also evaluated the contribution of new variables (such as participation in the duty work, nutritional status and physical activity) that were not considered in previous local studies.

scholarly journals Fetal malposition and malpresentation: Mode of delivery and perinatal outcomes at Maternity Teaching Hospital in Erbil city

2020 ◽  
Vol 24 (3) ◽  
pp. 367-375
Author(s):  
Shahen Kak Hussein ◽  
Shahla Alalaf
Keyword(s):  
Cesarean Section ◽  
Teaching Hospital ◽  
Neonatal Intensive Care ◽  
Mode Of Delivery ◽  
Perinatal Outcomes ◽  
Breech Presentation ◽  
Neonatal Morbidity ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Neonatal Deaths

Background and objective: Delivering a malpositioned and malpresenting fetus remains uncertainty, despite advances in obstetric practice. This study aimed to determine the mode of delivery and neonatal outcome in cases of fetal malposition and malpresentation. Methods: A cross-sectional study of women delivering malpositioned and malpresenting fetuses was conducted at Maternity Teaching Hospital, Erbil city, Kurdistan Region, Iraq, from the 1st of June, to the 30th of November, 2018. Three hundred women and their newborns were followed for seven days of life. Results: The total rate of malposition and malpresentation was 4.8%. Most women (87.3%) delivered by cesarean section, 25% of the neonates were admitted to the neonatal intensive care unit, where 69.3% of these infants stayed for seven days. There were three early neonatal deaths (1.0%), all of them were in occipito-posterior, or occipito-transverse position and were delivered abdominally. Among occipito-posterior and occipito-transverse deliveries, 2.2% ended with the death of the fetus (P = 0.360). An Apgar score of 7 was recorded after 5 minutes for 97.7% of the infants. Around 11% of the women had postpartum hemorrhage. Conclusion: Fetal malpresentation and malposition are not uncommon during labor, and most cases are delivered by cesarean section. Neonatal morbidity and mortality are dependent on the type of presentation and the mode of delivery. Keywords: Malposition; Malpresentation; Perinatal outcome; Breech presentation.

scholarly journals Factors Associated With Length of Stay for Patients With Stroke in Malaysia

2020 ◽  
Vol 3 (4) ◽  
pp. 134-138
Author(s):  
Aniza Ismail ◽  
Muhammad Alimin Mat Reffien ◽  
Norlinah Mohamed Ibrahim ◽  
Hanani Nabilah Mohd Sobri ◽  
Noor Dalila Inche Zainal Abidin ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Teaching Hospital ◽  
Severity Of Illness ◽  
Cross Sectional Study ◽  
Nonparametric Tests ◽  
Public Health Issue ◽  
Case Mix ◽  
Cross Sectional ◽  
Factors Associated ◽  
Significant Public Health

ABSTRACT Introduction Globally, stroke continues to become a significant public health issue contributing to one of the significant causes of morbidity and mortality. The study aimed to describe the characteristics of patients with stroke who were admitted to a teaching hospital in Malaysia and to determine the factors associated with length of stay (LOS). Methods This is a single-center, cross-sectional study using in-patient data maintained by the Case-Mix Unit of a teaching hospital in Malaysia from 2016 to 2017. The study included all patients with International Classification of Disease (ICD) code 164 (stroke, not specified as hemorrhage or infarct). The significance of association was determined using nonparametric tests in the form of the Mann-Whitney U test and the Kruskal-Wallis test. Results A total of 162 stroke patients from 2016 to 2017 from Case-Mix database were included in the study. The age ranged from 31 to 97 years old. The minimum and maximum LOS for patients with stroke ranged from 1 to 17 days. The severity of illness was found to be significantly associated with longer LOS (p &lt; 0.001); however, age, sex, and presence of co-morbidities did not show any significant association. Conclusion Despite its limitations, this study is an essential first step to examine the characteristics of patients with stroke and to determine the factors associated with LOS.

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