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Assessment of Prevalence and Risk Factors for Anemia Among Pregnant Mothers Attending Anc Clinic at Adama Hospital Medical Collage, Adama, Ethiopia, 2017
Bizuneh Ayano,
Befekadu Amentie
Issue:
Volume 6, Issue 3, May 2018
Pages:
31-39
Received:
2 November 2017
Accepted:
2 May 2018
Published:
24 May 2018
Abstract: Background: Anemia is a significant public health problem in developing countries, particularly in pregnant women. It refers to a condition in which the hemoglobin content of the blood is lower than normal. In developing countries, the cause of anemia during pregnancy is multifactorial and includes nutritional deficiencies. It is associated with an increased risk of maternal and perinatal morbidity and mortality. In order to design an intervention for prevention of anemia in pregnancy, determination of its magnitude and identifying associated risk factors for anemia are paramount importance. Objectives: To determine the magnitude and factors associated with anemia during pregnancy among mothers attending antenatal care at Adama Hospital Medical College antenatal care clinic from November to December 2017. Methods: Institution based cross sectional study design was used in Adama Hospital Medical College from November to December 2017. The study participants were selected using systematic sampling technique from their sequence of antenatal care visit in the period of study, and associated risk factors data were collected using structured questionnaire by trained antenatal care service providers. Level of haemoglobin was determined. Descriptive and analytical statistics were computed using SPSS version 20. Odds Ratios, P-values and 95% CIs - the analytical statistics from bivariate and multi variate logstic regression were used to identify predictor variables associated with the dependent variable - anaemia. Result: A total of 329 participants completed the study making the response rate of 97.0%. The mean age of the participants was (26.5 ± 4.03). The prevalence of anaemia was found to be 14.9%. Pregnant women who had pica during pregnancy had 33.6(13.92 -81.48) times more likely to be anemic compared with those had no history of pica. Pregnant women who didn’t take iron supplementation during their pregnancy were 0.196(.085-.445) times more likely to be affected by anemia when they compared with those who took iron supplementation. Conclusion: The prevalence of anaemia was found to be 14.9%. Iron supplementation during pregnancy and presence of pica were significantly associated with anaemia in the study population. Therefore, long term and short term strategies helpful in alleviating these predisposing factors need to be developed so as to reduce the number of mothers affected by anaemia.
Abstract: Background: Anemia is a significant public health problem in developing countries, particularly in pregnant women. It refers to a condition in which the hemoglobin content of the blood is lower than normal. In developing countries, the cause of anemia during pregnancy is multifactorial and includes nutritional deficiencies. It is associated with an...
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Evaluation of Artery Sequential Interventional Therapy on Pernicious Placenta Previa
Limin Wang,
Dan Luo,
Hui Zhou,
Chong Xie,
Xingtao Liu,
Liqun Li,
Hu Zhao,
Jiaji Zhang,
Qiannan Hou,
Wenjie Qing
Issue:
Volume 6, Issue 3, May 2018
Pages:
40-46
Received:
1 May 2018
Accepted:
29 May 2018
Published:
12 June 2018
Abstract: Objective: To evaluate the effect of artery sequential interventional therapy (internal iliac artery catheterization and occlusion/ uterine artery or internal iliac artery embolization) on the hemorrhage of pernicious placenta previa. Method: The total of 29 patients with pernicious placenta previa and risk factor of placenta accreta from March 2012 to June 2013 in our hospital were included as control group, who were given traditional method of treatment, while 40 patients with the same disease status from July 2013 to October 2014 as treatment group with artery sequential interventional therapy. The amount of blood loss during operation and red blood cell suspension transfusion, the rate of hysterectomy cesarean time, the amount of cesarean section hemorrhage after 24 hours, duration of postopera tive hospital stay, the time of postoperative antibiotic usage and the prevalence of complications (pain, fever, infection and others) of patients in two groups were evaluated, respectively. Result: The significant difference of amount of blood loss during operation [(868.5±549.77) ml vs. (1506.90±1417.39) ml for treatment group and control group, respectively)] and red blood cell suspension transfusion [(1.50±1.40) U vs. (2.72±2.00) U], the rate of hysterectomy (2.50% vs. 17.24%), cesarean time [(58.86±20.33) min vs. (70.83±29.26) min)] and the prevalence of pain (81.25% vs. 48.28%) and other complications (0.00% vs. 10.35%) (all p values < 0.05) were observed, but not for the amount of cesarean section hemorrhage after 24 hours [(271.66±221.55ml) vs. (255.24±249.47 ml)], the duration of postoperative hospital stay [(5.28±1.66) d vs. (5.69±1.58) d], the time of postoperative antibiotic usage [(3.70±2.16) d vs. (3.48±2.06) d], the pain score [(2.64±0.89) vs. (2.67±1.06)], the prevalence of fever (62.50% vs. 55.17%) and inflammation (5.00% vs. 6.90%) (all p values > 0.05). All patients resumed normal menstruation after weaned for 1 to 3 month and the routine newborn physical examination on 42 days after birth, blood analysis, liver function and neurological examination of infants were normal without blood diseases. Conclusion: Artery sequential interventional therapy for patients with pernicious placenta previa was safe, effective and feasible for pregnant and newborn.
Abstract: Objective: To evaluate the effect of artery sequential interventional therapy (internal iliac artery catheterization and occlusion/ uterine artery or internal iliac artery embolization) on the hemorrhage of pernicious placenta previa. Method: The total of 29 patients with pernicious placenta previa and risk factor of placenta accreta from March 201...
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Magnitude and Associated Factors of Protein Energy Malnutrition among Children Aged 6-59 Months in Wondogenet District, Sidama Zone, Southern Ethiopia
Kaleb Mayisso Rodamo,
Yonas Alemayehu Fiche,
Fisseha Bonja Geleto,
Rekiku Fikre Abebe,
Desalegn Dabaro Dangiso
Issue:
Volume 6, Issue 3, May 2018
Pages:
47-55
Received:
9 February 2018
Accepted:
13 March 2018
Published:
14 June 2018
Abstract: Background: Failure to provide sufficient nutrients during rapid rates of growth results in malnutrition, which is complex in its etiology and increasing in its manifestations. Ethiopia is one of the developing countries where malnutrition and communicable diseases represent the major health problems, and children are the more vulnerable group than others. Objectives: To assess magnitude of protein energy malnutrition and associated factors among children aged 6-59 months in Wondogenet district, southern Ethiopia. Methods: A community based cross-sectional study was employed on 422 mother-child pairs of 6-59 months old children in April 2017 using both quantitative and qualitative methods. A pretested semi-structured questionnaire and anthropometric measurement were used to collect data. Logistic regression was fitted to identify associated factors, and Focused Group Discussion was used to substantiate the quantitative finding. Result: The analysis of this study revealed that, 45.5%, 38.7% and 15.7% of children were stunted, underweight and severely wasted respectively. The major predictors of stunting were weight at birth and food distributions in the households. Age of the children was independently associated with wasting and underweight. Conclusion: The prevalence of malnutrition among children aged 6-59 months in the study area was very high. A child less than 2 years of age, a weight<2.5 kg at birth and deprived special attention during feeding children in the households were associated with increased odds of being malnourished. Thus, it is recommended that the parents and care givers should strive to improve the awareness on timely introduction of supplementary food with optimum nutritional value for children less than 2 years of age, and to pay special attention for children on meal time. Birth attendants should pay due attention on proper identification for birth weight and early diagnosis and on time management of neonatal illnesses related with low birth weight.
Abstract: Background: Failure to provide sufficient nutrients during rapid rates of growth results in malnutrition, which is complex in its etiology and increasing in its manifestations. Ethiopia is one of the developing countries where malnutrition and communicable diseases represent the major health problems, and children are the more vulnerable group than...
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Physical Activity and Neural Correlates of Sad Facial Expressions in Premenstrual Syndrome
Ren-Jen Hwang,
Hsin-Ju Chen,
Zhan-Xian Guo,
Yu-Sheun Lee,
Yueh-O Chuang
Issue:
Volume 6, Issue 3, May 2018
Pages:
56-66
Received:
1 May 2018
Accepted:
4 June 2018
Published:
28 June 2018
Abstract: Exercise benefits our emotional function, particularly frontal lobe-mediated cognitive processes. Recent studies have indicated that affective neural circuits are modulated by premenstrual syndrome (PMS). Meanwhile, observational studies have reported that physical activity can promote PMS remission. Nonetheless, few studies have investigated the effect of physical activity on sad emotion recognition from a neurobiological perspective. Our objective was to explore the relationships between exercise and high order sad emotion cognitive processing in women with PMS. We conducted a sad facial emotion recognition task to examine the effects of aerobic exercise on activity in central frontal regions with electroencephalography in 31 participants. Participants were divided into a high (HPMS) or low severity PMS (LPMS) group according to self-reported PMS scores. We then analyzed cortical activity in response to sad cues, comparing such activity between the groups. Repeated ANOVA and pooled t statistics were used for statistical analysis. We observed a significant reduction in the N250 wave evoked by sad emotions after exercise compared with baseline at most channels in HPMS (P < 0.05), but not in LPMS. There was also a significant post-exercise prolongation of N250 latency at F3 and C3 in HPMS. There were no differences in N250 activation between the groups at baseline but significantly lower activation was noted in the lateral prefrontal cortex (PFC: F7 and F8) of HPMS compared with LPMS after exercise. Furthermore, higher PMS scores were significantly associated with greater PFC-N250 amplitude before exercise, but this was not observed after exercise. Acute exercise induced significant brain activity changes in response to sad cues in the HPMS group only. Furthermore, significantly lower activation of the lateral PFC was found after exercise in HPMS compared with LPMS. Given our results, we discuss the potential efficacy of exercise to modulate emotional context or sad emotion regulatory capabilities in women with PMS.
Abstract: Exercise benefits our emotional function, particularly frontal lobe-mediated cognitive processes. Recent studies have indicated that affective neural circuits are modulated by premenstrual syndrome (PMS). Meanwhile, observational studies have reported that physical activity can promote PMS remission. Nonetheless, few studies have investigated the e...
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Long-Term Outcomes of Pelvic Organ Prolapse by Laparoscopic Butterfly Suspension
Shunshuang Li,
Mei Ji,
Xianlan Zhao,
Xiaoyan Zhang
Issue:
Volume 6, Issue 3, May 2018
Pages:
67-70
Received:
21 May 2018
Accepted:
4 June 2018
Published:
28 June 2018
Abstract: Aim The study aimed to investigate the long clinic value of laparoscopic colpo-uterine butterfly suspension for pelvic organ prolapse. Methods Ninety-three patients who underwent the laparoscopic colpo-uterine butterfly suspension from December 2012 to May 2018 at the first affiliated hospital of zhengzhou university were analyzed in a retrospective study. Baseline characteristics and perioperative data were recorded. The POP quantification (POP-Q) system indicates the pre- and post-operative data. Respectively，the symptoms, health-related quality of life (HRQL) and Sexual function were evaluated by the Pelvic Floor Distress Inventory (PFDI-20), the Pelvic Floor Impact Questionnaire (PFIQ-7) and the Pelvic organ prolapse urinary Incontinence Sexual Questionnaire (PISQ-12). Results In 5 years’ follow-up, the objective cure ratio reached 97.8%, and the subjective success rate of the laparoscopic colpo-uterine butterfly suspension was 93.5%. Two cases was identified as clinical relapse. There was only one abdominal erosion during the long-term follow-up. The quality of life had improved significantly without any genital symptoms. No patients abstained from sex due to the operation or postoperative sexual discomfort. Conclusions The laparoscopic colpo-uterine butterfly suspension is a safe, feasible and highly effective technique that offers a good long-term results for the treatment of pelvic organ prolapse, also a good option for sexually active women.
Abstract: Aim The study aimed to investigate the long clinic value of laparoscopic colpo-uterine butterfly suspension for pelvic organ prolapse. Methods Ninety-three patients who underwent the laparoscopic colpo-uterine butterfly suspension from December 2012 to May 2018 at the first affiliated hospital of zhengzhou university were analyzed in a retrospectiv...
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