Obstetrics and Gynecology International最新文献

{"title":"Maternal and Perinatal Outcomes of Singleton Term Breech Vaginal Delivery at a Tertiary Care Center in Nepal: A Retrospective Analysis.","authors":"Tulasa Basnet,&nbsp;Baburam Dixit Thapa,&nbsp;Dipti Das,&nbsp;Ramesh Shrestha,&nbsp;Sarita Sitaula,&nbsp;Anu Thapa","doi":"10.1155/2020/4039140","DOIUrl":"https://doi.org/10.1155/2020/4039140","url":null,"abstract":"<p><strong>Background: </strong>Breech presentation is associated with increased rates of maternal and perinatal morbidity regardless of mode of delivery. After the results of Term Breech Trial, most of the countries adopted the protocol of cesarean section for term breech delivery because of which breech vaginal delivery is becoming rare. The aim of this study is to evaluate short-term maternal and perinatal outcomes of breech vaginal delivery at a tertiary care hospital in Nepal.</p><p><strong>Methods: </strong>A retrospective review of case records of all women who had vaginal breech delivery from April 13, 2016, to April 12, 2018, was conducted, over a period of two years. Available demographic variables, obstetric characteristics, details of labor, postpartum complications, and perinatal complications were recorded and analyzed.</p><p><strong>Results: </strong>Out of 21,768 cases of deliveries during the study period, the incidence of term breech deliveries was 528 (2.4%) among which the mode of only 84 (17.8%) deliveries was vaginal. Most of the deliveries were unplanned and were conducted because emergency cesarean section could not be performed. Three (3.6%) women had postpartum hemorrhage, and four (4.8%) had entrapment of aftercoming head, two of them requiring Dührssen incisions. Adverse perinatal outcomes were seen in 23.8% of such deliveries with <7 APGAR score at 5 minutes in 20.2%, neonatal admission in 17.7%, and perinatal mortality in 8.3%. The perinatal mortality was significantly associated with birthweight less than 2500 grams as compared to birthweight ≥2500 grams (21.1% versus 4.6%; <i>P</i>=0.043).</p><p><strong>Conclusion: </strong>The perinatal outcomes for vaginal breech delivery are grave with our existing health facilities, especially when the deliveries are not well planned.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":"2020 ","pages":"4039140"},"PeriodicalIF":1.9,"publicationDate":"2020-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/4039140","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38694590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal Deaths due to Obstetric Haemorrhage in Dodoma Regional Referral Hospital, Tanzania.","authors":"Mzee M Nassoro,&nbsp;Enid Chiwanga,&nbsp;Athanase Lilungulu,&nbsp;Deogratius Bintabara","doi":"10.1155/2020/8854498","DOIUrl":"https://doi.org/10.1155/2020/8854498","url":null,"abstract":"<p><strong>Background: </strong>Despite the availability of comprehensive emergency obstetric care at Dodoma Regional Referral Hospital, deaths due to obstetric haemorrhage are still high. This study was carried out to analyse the circumstances that had caused these deaths.</p><p><strong>Methods: </strong>A retrospective review of all files of women who had died of obstetric haemorrhage from January 2018 to December 2019 was made.</p><p><strong>Results: </strong>A total of 18,296 women gave birth at DRRH; out of these, 61 died of pregnancy-related complications of the deceased while 23 (38%) died of haemorrhage, with many of them 10 (44%) between the age of 30 and 34. Many were grand multiparous women 8 (35%) and almost half of them (11 (48%)) had stayed at DRRH for less than 24 hours. More than half (12 (52%)) had delivered by caesarean section followed by laparotomy due to ruptured uterus (8 (35%)). The leading contributing factors to the deaths of these women were late referral (6 (26%)), delays in managing postpartum haemorrhage due to uterine atony (4 (17%)), inadequate preparations in patients with the possibility of developing PPH (4 (17%)), and delay in performing caesarean section (3 (13%)).</p><p><strong>Conclusion: </strong>Maternal mortality due to obstetric haemorrhage is high at Dodoma Regional Referral Hospital where more than one-third of women died between 2018 and 2019. Almost all of these deaths were avoidable. The leading contributing factors were late referral from other health facilities, inadequate skills in managing PPH due to uterine atony, delays in performing caesarean section at DRRH, and inadequate preparation for managing PPH in patients with abruptio placentae and IUFD which are risk factors for the condition. There is a need of conducting supportive supervision, mentorship, and other modes of teaching programmes on the management of obstetric haemorrhage to health care workers of referring facilities as well as those at DRRH. Monitoring of labour by using partograph and identifying pregnant women at risk should also be emphasized in order to avoid uterine rupture.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":"2020 ","pages":"8854498"},"PeriodicalIF":1.9,"publicationDate":"2020-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/8854498","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38673665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum to \"Severe Life-Threatening Pregnancy Complications, \"Near Miss\" and Maternal Mortality in a Tertiary Hospital in Southern Nigeria: A Retrospective Study\".","authors":"Ubong Bassey Akpan,&nbsp;Udeme Asibong,&nbsp;Ezukwa Omoronyia,&nbsp;Kazeem Arogundade,&nbsp;Thomas Agan,&nbsp;Mabel Ekott","doi":"10.1155/2020/9732648","DOIUrl":"https://doi.org/10.1155/2020/9732648","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1155/2020/3697637.].</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":"2020 ","pages":"9732648"},"PeriodicalIF":1.9,"publicationDate":"2020-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/9732648","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38711227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fetal Rhesus D Genotyping and Sex Determination from Maternal Plasma of Rhesus D-Negative Antenatal Population: The Usefulness of Conventional Polymerase Chain Reaction in Resource-limited Settings.","authors":"Otchere Addai-Mensah,&nbsp;Edward Y Afriyie,&nbsp;Samuel Asamoah Sakyi,&nbsp;Christian Obirikorang,&nbsp;Max Efui Annani-Akollor,&nbsp;Eddie-Williams Owiredu,&nbsp;Francis A Amponsah,&nbsp;Richard Vikpebah Duneeh,&nbsp;Evans Asamoah Adu","doi":"10.1155/2020/4913793","DOIUrl":"https://doi.org/10.1155/2020/4913793","url":null,"abstract":"<p><strong>Background: </strong>This prospective cohort study evaluated the usefulness of conventional PCR in genotyping fetal Rhesus D (RhD) and sex from the maternal plasma of RhD-negative (RhD-) antenatal population in resource-limited settings.</p><p><strong>Methods: </strong>Thirty apparently healthy RhD- pregnant women with RhD positive (RhD+) partners were included. Blood samples were collected from each participant (in the third trimester of pregnancy) for DNA extraction/purification and fetal RhD genotyping.</p><p><strong>Results: </strong>Out of the 30 samples, 26 (86.7%) were found to be RhD+ while 4 (13.3%) were RhD-. The RhD+ comprised 24 (80.0%) RhD+ based on exons 5, 7, and 10 combined. Exons 5 and 7 were detected in two additional samples but not exon 10. Serological phenotyping of neonatal blood confirmed 26 RhD+ and 4 RhD-. There was a perfect agreement between the fetal RhD genotype and neonatal RhD phenotyping after delivery for exons 5 and 7 (concordance = 100%, <i>κ</i> = 100.0%, diagnostic accuracy = 100%, <i>p</i> < 0.0001) while exon 10 presented with an almost perfect agreement (concordance = 93.3%, <i>κ</i> = 76.2%, diagnostic accuracy = 93.3%, <i>p</i> < 0.0001). Regarding the prenatal test for the SRY gene, 9 (30.0%) were predicted to be males and the remaining 21 (60.0%) were females. All the 9 and 21 anticipated males and females, respectively, were confirmed after delivery (concordance = 100%, <i>κ</i> = 100.0%, diagnostic accuracy = 100%).</p><p><strong>Conclusion: </strong>Our study suggests that conventional PCR using the SRY, RhD exons 5 and 7 could be useful for predicting fetal sex and RhD from maternal peripheral blood in resource-limited settings.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":"2020 ","pages":"4913793"},"PeriodicalIF":1.9,"publicationDate":"2020-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/4913793","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38551488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Model of Trust within the Mother-Midwife Relationship: A Grounded Theory Approach.","authors":"Firoozeh Mirzaee,&nbsp;Mahlagha Dehghan","doi":"10.1155/2020/9185313","DOIUrl":"https://doi.org/10.1155/2020/9185313","url":null,"abstract":"<p><strong>Introduction: </strong>The mother-midwife relationship is a good experience during childbirth, but there is a lack of evidence about the trustful relationship between mothers and healthcare providers during labor and birth in Iran. The current study aimed to discover how a trustful mother-midwife relationship is formed during a vaginal delivery.</p><p><strong>Methods: </strong>Twenty-nine women who had a vaginal delivery, midwives, and obstetricians participated in this qualitative research with the grounded theory method. Data were collected using semistructured interviews and observations. Open, axial, and selective coding was used for data analysis. <i>Findings</i>. The main category of \"seeking trust in midwife\" and three subcategories of \"effective interaction,\" \"attempt to access to healthcare provider\", and \"playing an active role in birth\" were extracted from the data.</p><p><strong>Conclusion: </strong>According to the findings, mothers tried to gain action/interaction strategies and increase healthcare providers' trusts during vaginal delivery. It is essential to consider the factors that improve or disrupt this relationship.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":"2020 ","pages":"9185313"},"PeriodicalIF":1.9,"publicationDate":"2020-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/9185313","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38659104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Metastatin as a Marker for Hyperandrogenemia in Iraqi Women with Polycystic Ovary Syndrome.","authors":"Manal Madany Abdalqader,&nbsp;Shatha Sami Hussein","doi":"10.1155/2020/5216903","DOIUrl":"https://doi.org/10.1155/2020/5216903","url":null,"abstract":"<p><strong>Objective: </strong>Kisspeptin 1 might reflect increased androgen level in polycystic ovarian syndrome instead of other markers. <i>Study Design</i>. A case control study was performed in Al-Yarmouk Teaching Hospital from 1^st of July 2016 to 1^st of July 2017; it involved 87 women divided into two groups: 44 women diagnosed as PCOS, 22 women with BMI ≥ 25 kg/m² and 22 women with BMI < 25 kg/m², and another 43 women without PCOS, 22 women with BMI ≥ 25 kg/m² and 21 women with BMI < 25 kg/m². Hormonal, metabolic profiles, and hirsutism scores, as well as serum kisspeptin level, were assessed by using Human Kisspeptin 1(KISS-1) ELISA Kit. The blood samples between days 2 and 5 of menstrual cycle were drawn by an disposable sterile syringe and collected in EDTA containing tubes (as anticoagulant), and the hormonal profile was measured using a biotech ELISA reader.</p><p><strong>Result: </strong>Serum level of kisspeptin was significantly higher in PCOS compared to control (322.4 vs. 235.3 ng/L, respectively). There was no significant difference in age, BMI, and parity between control and PCOS; the frequency of hirsutism, acne, elevated LH, and increased free testosterone (fTT) were significantly higher in PCOS compared to control. Kisspeptin shows a direct significant correlation with hirsutism and fTT (<i>r</i> = 0.648, 0.238, respectively). In ROC analysis, kisspeptin had AUC (95% CI) = 0.874 (0.785-0.935) for predicting PCOS.</p><p><strong>Conclusion: </strong>Kisspeptin levels might be used as a marker for hyperandrogenemia in polycystic ovarian syndrome.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":"2020 ","pages":"5216903"},"PeriodicalIF":1.9,"publicationDate":"2020-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/5216903","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38492646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Serum Leptin as a Marker for Severity of Endometriosis.","authors":"Shatha Sami Hussein,&nbsp;Fatin Shallal Farhan,&nbsp;Alaa Ibrahim Ali","doi":"10.1155/2020/6290693","DOIUrl":"https://doi.org/10.1155/2020/6290693","url":null,"abstract":"<p><strong>Background: </strong>Endometriosis a disease of theories, and one of the important causes of chronic pelvic pain, dysmenorrhea, dyspareunia, and subfertility. Surgery is the mainstay step for the diagnosis; noninvasive test is the goal in the future. <i>Aim of Study</i>. To test the role of serum leptin in determination of severity of endometriosis. <i>Study Design</i>. A cross-sectional study done in Al-Yarmouk Teaching Hospital from 1st of January 2018 to 1st of January 2019.</p><p><strong>Methods: </strong>60 BMI-matched patients were involved in the study. A study group of 30 patients were operated either by laparoscopy or laparotomy for many reasons diagnosed as endometriosis by histopathology, and 30 normal women as a control group underwent elective surgery. Blood sample was taken from all patients in the theater room when laparoscopy finding went with endometriosis, and classifying according to surgical staging of endometriosis, the level of serum leptin was measured by ELISA using Human LEP (Leptin) ELISA Kit. The recording of finding of laparoscopy after conforming of diagnosis by histopathology was compared with the result of serum leptin.</p><p><strong>Result: </strong>The result shows no significant difference between the two groups regarding parity and age; however, the level of serum leptin was significantly high in the endometriosis group than in the control group. The <i>P</i> value was less than 0.05. Also, the result shows no significant differences between serum leptin in both groups according to the symptom but there was a significant difference with surgical staging. The mean of the level of serum leptin in stage 1 was 214.8, while it was 340.3 in stage 4.</p><p><strong>Conclusion: </strong>Serum leptin can be used as a marker of severity of endometriosis.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":"2020 ","pages":"6290693"},"PeriodicalIF":1.9,"publicationDate":"2020-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/6290693","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38505514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of Cesarean Birth among Robson Groups 2 and 4 at Mizan-Tepi University Hospital, Ethiopia.","authors":"Margo S Harrison, Tewodros Liyew, Ephrem Kirub, Biruk Teshome, Andrea Jimenez-Zambrano, Margaret Muldrow, Teklemariam Yarinbab","doi":"10.1155/2020/5620987","DOIUrl":"10.1155/2020/5620987","url":null,"abstract":"<p><strong>Background: </strong>Primary cesarean birth rates were high among women who were either nulliparous (Group 2) or multiparous (Group 4) with a single, cephalic, term fetus who were induced, augmented, or underwent cesarean birth before labor in our study cohort.</p><p><strong>Objectives: </strong>The objective of this analysis was to determine what risk factors were associated with cesarean birth among Robson Groups 2 and 4.</p><p><strong>Methods: </strong>This study was a prospective hospital-based cross-sectional analysis of a convenience sample of 1,000 women who delivered at Mizan-Tepi University Teaching Hospital in the summer and fall of 2019.</p><p><strong>Results: </strong>Women in Robson Groups 2 and 4 comprised 11.4% (<i>n</i> = 113) of the total population (<i>n</i> = 993). The cesarean birth rate in Robson Group 2 (<i>n</i> = 56) was 37.5% and in Robson Group 4 (<i>n</i> = 57) was 24.6%. In Robson Group 2, of all prelabor cesareans (<i>n</i> = 5), one birth was elective cesarean by maternal request; the intrapartum cesarean births (<i>n</i> = 16) mostly had a maternal or fetal indication (93.8%), with one birth (6.2%) indicated by \"failed induction or augmentation,\" which was a combined indication. In Robson Group 4, all 4 women delivered by prelabor cesarean had a maternal indication (one was missing data), and 3 of the intrapartum cesareans were indicated by \"failed induction or augmentation.\" In multivariable modeling of Robson Group 2, having a labor duration of \"not applicable\" increased the risk of cesarean delivery (RR 2.9, CI (1.5, 5.4)). The odds of requiring maternal antibiotics was the only notable outcome with increased risk (RR 11.1, CI (1.9, 64.9)). In multivariable modeling of Robson Group 4, having a labor longer than 24 hours trended towards a significant association with cesarean (RR 3.6, CI (0.9, 14.3)), and women had a more dilated cervix on admission trended toward having a lower odds of cesarean (RR 0.8, CI (0.6, 1.0)).</p><p><strong>Conclusion: </strong>Though rates of primary cesarean birth among women who have a term, single, cephalic fetus and are induced, augmented, or undergone prelabor cesarean birth are high, those that occur intrapartum seem to be associated with appropriate risk factors and indications, though we cannot say this definitely as we did not perform an audit. More research is needed on the prelabor subgroup as a separate entity.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":"2020 ","pages":"5620987"},"PeriodicalIF":1.6,"publicationDate":"2020-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7487109/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38398613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Meta-Analysis of VTE Risk: Ovarian Cancer Patients by Stage, Histology, Cytoreduction, and Ascites at Diagnosis.","authors":"Kristin S Weeks,&nbsp;Emma Herbach,&nbsp;Megan McDonald,&nbsp;Mary Charlton,&nbsp;Marin L Schweizer","doi":"10.1155/2020/2374716","DOIUrl":"https://doi.org/10.1155/2020/2374716","url":null,"abstract":"<p><p>Venous thromboembolisms (VTEs) have been a leading secondary cause of death among ovarian cancer patients, prompting multiple studies of risk factors. The objective of this meta-analysis is to quantify the associations between VTE and the most commonly reported risk factors among ovarian cancer patients. PubMed, Embase, and Cumulative Index to Nursing and Allied Health Literature (CINAHL) were used to identify observational studies. Two reviewers independently abstracted data and assessed quality via the Newcastle-Ottawa tool. A random effects model was used to calculate the pooled odds ratios for VTE with each of the following exposures: advanced cancer stage, clear cell histology, serous histology, ascites at diagnosis, and complete cytoreduction. The <i>I</i> ² and <i>Q</i> tests were used to evaluate heterogeneity. Twenty cohort studies with 6,324 total ovarian cancer patients, 769 of whom experienced a VTE, were included. The odds of VTE in ovarian cancer patients were higher among patients with cancer stage III/IV (versus cancer stage I/II, pooled odds ratio (OR) 2.73; 95% CI 1.84-4.06; <i>I</i> ²= 64%), clear cell (versus nonclear cell) histology (OR 2.11; 95% CI 1.55-2.89; <i>I</i> ² = 6%), and ascites (versus no ascites) at diagnosis (OR 2.12; 95% CI 1.51-2.96; <i>I</i> ² = 32%). Serous (versus nonserous) histology (OR 1.26; 95% CI 0.91-1.75; <i>I</i> ² = 42%) and complete (versus incomplete) cytoreduction (OR 1.05; 95% CI 0.27-4.11; <i>I</i> ² = 88%) were not associated with VTE. This meta-analysis quantifies the significantly elevated odds of VTE in ovarian cancer patients with advanced stage at diagnosis, clear cell histology, and ascites at diagnosis. Further studies are needed to account for confounders and inform clinical decision-making tools.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":"2020 ","pages":"2374716"},"PeriodicalIF":1.9,"publicationDate":"2020-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/2374716","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38505513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Obstetric Danger Signs: Knowledge, Attitude, Health-Seeking Action, and Associated Factors among Postnatal Mothers in Nekemte Town, Oromia Region, Western Ethiopia-A Community-Based Cross-Sectional Study.","authors":"Misganu Teshoma Regasa,&nbsp;Jote Markos,&nbsp;Ashenafi Habte,&nbsp;Shivaleela P Upashe","doi":"10.1155/2020/6573153","DOIUrl":"https://doi.org/10.1155/2020/6573153","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Maternal mortality remains unacceptably high due to pregnancy complications and remains the major health problems in many developing countries such as Ethiopia. Having poor knowledge of obstetric danger signs contributes to delays in seeking and receiving skilled care which in turn increases maternal mortality. However, in Ethiopia, studies are lacking regarding the knowledge level of mothers about obstetric danger signs during pregnancy, child birth, and postnatal periods. In Ethiopia, the proportion of those who have full knowledge of these obstetric danger signs during pregnancy, child birth, and postnatal period is not known. Despite few studies are conducted at health facility level focusing on danger signs during pregnancy, the issue of health-seeking action after identifying danger signs and attitude of mothers towards obstetric danger sign was not addressed.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;To determine knowledge, attitude, health-seeking action towards obstetric danger signs, and associated factors among postpartum women.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A community-based cross-sectional study was conducted in Nekemte Town from October 1 to November 30, 2017. Multistage sampling technique was employed to select the total sample size of 621. Ethical clearance was obtained from Wollega University research and ethical committee. A pretested structured questionnaire was used to collect data from respondents. Data were entered to EpiData version 3.1 and exported to SPSS version 20 for analysis. To assess the associations between dependent and independent variables, binary and multivariate logistic regressions were employed, and the strength of association was presented using odds ratios with 95% confidence intervals.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Result: &lt;/strong&gt;Only 197 (32.3%) of respondents were able to spontaneously mention at least five key obstetric danger signs during antepartum, intrapartum, and postpartum (in the three phases) with at least one obstetric danger sign in each phase and thus were considered as having good knowledge of key obstetric danger signs. Government employee (AOR = 3.28, 95% CI: 1.98-5.42), able to read and write (AOR = 4.92, 95% CI: 2.14-11.3), primary school (AOR = 4.90, 95% CI: 2.11-11.4), ANC follow-up (AOR = 6.2, 95% CI: 1.82-21.21), and ANC visit (AOR = 4.07, 95% CI: 2.35-7.06) were significantly associated with knowledge of obstetric danger sign. From 150 (24.6%) participants who faced obstetric danger signs during their last pregnancy, the majority of them, 137 (91.3%), had a good practice which is seeking a health facility for care. &lt;i&gt;Conclusion and Recommendation&lt;/i&gt;. Despite their low knowledge level and attitude, the practice of mothers in response to obstetric danger signs was encouraging. Occupation, educational status, ANC follow-up, and number of ANC visits were variables significantly associated with knowledge of obstetric danger signs. Health care providers should provide heal","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":"2020 ","pages":"6573153"},"PeriodicalIF":1.9,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2020/6573153","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38398614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}