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Magnitude and Determinants of Utilization of Skilled Birth Attendance Among Women of Child Bearing Age in Sidama Zone, Southeast Ethiopia
Kaleb Mayisso Rodamo,
Waju Beyene Salgedo,
Gebeyehu Tsega Nebeb
Issue:
Volume 3, Issue 4, July 2015
Pages:
69-76
Received:
16 April 2015
Accepted:
28 April 2015
Published:
6 June 2015
Abstract: Background: Skilled birth attendance is correlated with lower maternal mortality rates globally. Providing skilled care during pregnancy and delivery reduces maternal deaths. Methods: A community based cross sectional study was conducted from April 18 to 28, 2014 in Loka-Abaya district, southeast Ethiopia. Multistage sampling technique was used for selection of study participants. A pretested semi-structured questionnaire was used to collect data. Bivirate and multivariate logistic regression analysis was used to identify the determinants of skilled birth. Results: A total of 550 women participated in the study. The mean age of the subjects was 18.61 ± 2.269 years. 41.2% of the subjects attended 1-6 grade schooling. 26.8% of the mothers gave birth at health facilities. Only 13.9% of the mothers encountered at least one complication. The study showed that age and educational status of the mothers and husbands, frequency of antenatal visit, birth order, and maternal knowledge and prior experience of delivering at a health facility were independent predictors of skilled birth attendance. Conclusions: The study revealed that the prevalence of utilization of skilled birth attendance for the recent birth was low. Younger age, educational status of mothers and their husbands, lesser birth order, frequency of antenatal care, previous experience of delivery at health institutions and maternal knowledge had positively affected skilled birth attendance. Thus it is recommended that the responsible bodies should strive to improve the awareness and health seeking behavior of mothers.
Abstract: Background: Skilled birth attendance is correlated with lower maternal mortality rates globally. Providing skilled care during pregnancy and delivery reduces maternal deaths. Methods: A community based cross sectional study was conducted from April 18 to 28, 2014 in Loka-Abaya district, southeast Ethiopia. Multistage sampling technique was used for...
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Amniotic Fluid Embolism During Emergent Cesarean Section at 25 Weeks of Gestation: A Case Report
Khalid Guelzim,
Youssef Benabdejlil,
Adil Chennana,
Mohammed Moutaouakil,
Adil Boudhas,
Jaouad Kouach,
Mohammed Oukabli,
Chafiq Haimeur,
Driss Moussaoui,
Mohammed Dehayni
Issue:
Volume 3, Issue 4, July 2015
Pages:
77-82
Received:
31 May 2015
Accepted:
12 June 2015
Published:
30 June 2015
Abstract: Amniotic fluid embolism (AFE) is a rare but fatal obstetric emergency, characterized by sudden cardiovascular collapse, dyspnea or respiratory arrest and altered mentality, disseminated intravascular coagulation (DIC). It can lead to severe maternal morbidity and mortality, but the prediction of its occurrence and treatment are very difficult. We report a case of AFE during emergent Cesarean section at 25 weeks of gestation for high vaginal bleeding, caused by placenta praevia totally recovered, in a 36 years old woman having a history of two c-section and carring bichorial biamniotic twin pregnancy. Sudden dyspnea, hypotension, signs of pulmonary edema and DIC were developed during Cesarean section, and cardiac arrest followed after these events. The course of these events was so rapid and catastrophic, which was consistent with AFE and disseminated intravascular coagulation (DIC).Thus, we report this case precisely and review pathophysiology, diagnosis, treatment of AFE by referring to up-to-date literatures.
Abstract: Amniotic fluid embolism (AFE) is a rare but fatal obstetric emergency, characterized by sudden cardiovascular collapse, dyspnea or respiratory arrest and altered mentality, disseminated intravascular coagulation (DIC). It can lead to severe maternal morbidity and mortality, but the prediction of its occurrence and treatment are very difficult. We r...
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Severe Maternal Morbidity and Near Miss Mortality - A Case Report of an Adolescent with a Thyroid Storm
Tinuade Oyebode,
Bose Toma,
Henry Embu,
Fabian Puepet,
Atiene Sagay
Issue:
Volume 3, Issue 4, July 2015
Pages:
83-87
Received:
11 June 2015
Accepted:
24 June 2015
Published:
4 July 2015
Abstract: A thyroid storm is a major life threatening disorder and is more complicated when it happens in an unsupported pregnant teenager where possible maternal and perinatal morbidity and mortality are additional concerns on account of medical and social issues. This patient who defaulted treatment for Graves ’ disease for 18 months presented with cardiovascular, central nervous system, gastrointestinal, renal and obstetric complications as a medical emergency to the Labour Ward of the Jos University Teaching Hospital (JUTH). She was in cardiac failure, had anaemia and assessed to have a thyroid storm with intrauterine foetal death. She received intensive care from a multidisciplinary team with anti-thyroid and anti-heart failure drugs, oxygen, blood transfusion, antibiotics, supportive therapy, and subsequently went into labour and had forceps delivery of a macerated foetus and very proactive management that led to the aversion of a potential maternal mortality.
Abstract: A thyroid storm is a major life threatening disorder and is more complicated when it happens in an unsupported pregnant teenager where possible maternal and perinatal morbidity and mortality are additional concerns on account of medical and social issues. This patient who defaulted treatment for Graves ’ disease for 18 months presented with cardiov...
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A Ten Year Review of Hydatidiform Mole in University of Calabar Teaching Hospital Nigeria
Iklaki Christopher Ubong,
Ago Boniface Uji,
Efiok Eyo Efiok,
Ebughe Godwin Abeng,
Nnorom Felix
Issue:
Volume 3, Issue 4, July 2015
Pages:
88-91
Received:
10 June 2015
Accepted:
21 June 2015
Published:
6 July 2015
Abstract: Background: Hydatidiform mole is a cause of early trimester miscarriages which if not properly treated may lead to increasing severity of vaginal bleeding and maternal death. Aim: The aim of the study was to review the demographic characteristics of patients with hydatidiform mole, and the clinical outcome in the last decade. Subject, method and material: This was a retrospective review of cases of hydatidiform mole from 1st of January 2004 to 31st of December 2013. The clinical data were retrieved from patients’ folders and histologically confirmed cases were analyzed using EpiInfo7 and simple percentages. The total number of deliveries over the study period was obtained from the labour ward register. Results: There were 72 cases of hydatidiform mole giving a prevalence of 3.6 per 1000 deliveries. However only 68 folders contained results of histology. Women of age groups 35-39 years (48.5%) and 15-19 years (26.5%) were those predominantly affected. Vaginal bleeding (85.3%), large for gestational age (57.4%), anaemia (57.4%), passage of vesicles (55.9%) were the most common presentations. Pregnancy test was positive in all the cases, while ultrasononography aided diagnosis in 88.2% of the cases. Suction evacuation was done in all the cases. About 63% of patients had 1-3 months follow up, while 2.9% continued beyond 1 year. The case fatality was 1.47%. However, 12 patients never came back to the hospital after evacuation. Conclusion: Molar pregnancy is a common cause of first trimester miscarriages and contributes to maternal morbidity and mortality in our Centre.
Abstract: Background: Hydatidiform mole is a cause of early trimester miscarriages which if not properly treated may lead to increasing severity of vaginal bleeding and maternal death. Aim: The aim of the study was to review the demographic characteristics of patients with hydatidiform mole, and the clinical outcome in the last decade. Subject, method and ma...
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Puerperal Morbidity Following Caesarean Section in a Teaching Hospital in Ghana
David Mireku Aduama,
Samuel A. Obed,
Joseph D. Seffah,
Solomon K. Gumanga
Issue:
Volume 3, Issue 4, July 2015
Pages:
92-97
Received:
1 July 2015
Accepted:
4 July 2015
Published:
10 July 2015
Abstract: A prospective descriptive study was undertaken to determine the incidence and causes of puerperal morbidity after caesarean section in the department of Obstetrics and Gynaecology, Korle Bu Teaching Hospital from 1st to 30th June 2010. There were a total of 906 deliveries during the study period, of which 299 had caesarean section giving a caesarean section rate of 33%. Primary caesarean section was 57.7%. The incidence of puerperal morbidity after caesarean section was 45.6%. Painful incisional site (21%), puerperal febrile morbidity (16%), depression (12.0%) severe anaemia (12%) Urinary tract infection (6.2%) and wound infections (5.8%) were the leading causes of puerperal morbidities. Other morbidities included hypertensive disorders (4.2%), malaria (3.2%) mastitis (2.5%), postpartum haemorrhage (2.1%), and endometritis (1.2%). Conculsion: There was considerable maternal morbidity after caesarean section at the Korle Bu Teaching Hospital. There is a need for improvements in post operative care to reduce puerperal morbidity following caesarean section; adequate post operative pain management would reduce morbidity to a greater extent.
Abstract: A prospective descriptive study was undertaken to determine the incidence and causes of puerperal morbidity after caesarean section in the department of Obstetrics and Gynaecology, Korle Bu Teaching Hospital from 1st to 30th June 2010. There were a total of 906 deliveries during the study period, of which 299 had caesarean section giving a caesarea...
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