Obstetrics and Gynecology International最新文献

{"title":"The Pattern of Cervical Cancer according to HIV Status in Yaoundé, Cameroon.","authors":"Pierre-Marie Tebeu,&nbsp;Jean Pierre Ngou-Mve-Ngou,&nbsp;Laure Leka Zingué,&nbsp;Jesse Saint Saba Antaon,&nbsp;Etienne Okobalemba Atenguena,&nbsp;Julius Sama Dohbit","doi":"10.1155/2021/1999189","DOIUrl":"https://doi.org/10.1155/2021/1999189","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the epidemiological aspects of invasive cervical cancer according to HIV status.</p><p><strong>Methods: </strong>This was an historical cohort study from January 2010 to April 2017 in three hospitals at the Yaoundé city Capital, Cameroon, after the National Ethics Committee' approval. We included invasive cervical cancers with documented HIV status. Odds ratios and 95% confidence interval were calculated to assess the association between the different variables and HIV status. Survival was analyzed using the Kaplan-Meier. The level of significance was set up at <5%.</p><p><strong>Results: </strong>Among the overall 213 cervical cancer patients, 56 were HIV+ (24.67%). Factors associated with positive HIV status were age below 40 (OR: 2.03 (1.38-2.67)), celibacy (OR: 2.88 (1.58-4.17)), nonmenopausal status (OR: 2.56 (1.36-3.75)), low parity, primiparity (OR: 2.59 (1.43-3.74)), and for parity with 2-4 children (OR: 2.24 (1.35-3.12)). Concerning the HIV+ patients, tumor was diagnosed late (stages III-IV) (OR: 2.70 (1.43-5.08)), undifferentiated (grade III) (OR: 7.69 (5.80-9.57)), with low median survival (9.83 months vs. 20.10 months).</p><p><strong>Conclusion: </strong>HIV is frequent among cervical cancer patients. In the HIV+ patients, the diagnosis was made at the advanced stage, cells were poorly differentiated, and the prognosis was worse.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":" ","pages":"1999189"},"PeriodicalIF":1.9,"publicationDate":"2021-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8857519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39943385","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":"Prevalence of Hepatitis B Carrier Status and Its Negative Association with Hypertensive Disorders in Pregnancy.","authors":"W Y Lok,&nbsp;C W Kong,&nbsp;W W K To","doi":"10.1155/2021/9912743","DOIUrl":"https://doi.org/10.1155/2021/9912743","url":null,"abstract":"<p><strong>Results: </strong>In a total cohort of 87889 deliveries over a period of 20 years, the prevalence rate of HBV fell from around 10-11% to around 6-7% in the last 5 years of the study. A negative association between chronic HBV carrier status and all gestational hypertensive disorders could be demonstrated. An apparent protective effect of HBV carrier status was apparently more robust against preeclampsia than gestational hypertension, as the negative association with preeclampsia was consistently observed throughout the study period. A logistic regression model showed that advanced maternal age, multiple pregnancies, obesity, and significant medical disorders were positively correlated with gestational hypertensive disorders, while multiparity and positive HBV carrier status were negatively correlated.</p><p><strong>Conclusion: </strong>Chronic HBV carrier status appeared to have a protective effect against the development of preeclampsia and gestational hypertension in an endemic area with high HBV prevalence rates.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":" ","pages":"9912743"},"PeriodicalIF":1.9,"publicationDate":"2021-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8528634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39552374","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":"Relationship between Perineal Body Length and Degree of Perineal Tears in Primigravidas Undergoing Vaginal Delivery with Episiotomy.","authors":"Suskhan Djusad,&nbsp;Yuditiya Purwosunu,&nbsp;Fadil Hidayat","doi":"10.1155/2021/2621872","DOIUrl":"https://doi.org/10.1155/2021/2621872","url":null,"abstract":"<p><strong>Background: </strong>Perineal tears are one of the most common complications of vaginal delivery. Severe perineal tears can cause various morbidities. There are many factors that affect the occurrence of perineal tears. One of the major factors related to the occurrence of perineal tears is the length of the perineal body. However, until now, no research in Indonesia has concluded that the length of perineal body can predict the perineal tears.</p><p><strong>Objective: </strong>To find the relationship between perineal body length and perineal tears, so it can provide a reference on the use of perineal body length to predict severe perineal tears in vaginal delivery with episiotomy.</p><p><strong>Methods: </strong>This nested case-control study was conducted at RSUD Tangerang and RSUD Karawang in Indonesia from February to September 2017. A total of 126 primigravida patients participated in the study consecutively. The length of the perineal body was then measured and followed until the start of the second stage of labor. Afterwards, the perineal length and degree of perineal tears were assessed using unpaired <i>T</i>-test for bivariate analysis, multivariate analysis, and scoring test to predict the occurrence of third- and fourth-degree of perineal tears with power calculation (<i>β</i>) 80% and Z<i>β</i> 0.842.</p><p><strong>Results: </strong>There was a significant difference in mean length of the perineal body between the group with first- and second-degree perineal tears and the group with third- and fourth-degree perineal tears (<i>p</i> < 0.001). From the multivariate analysis, adjusted OR was 5.26 (95% CI 1.52-18.17). Score test was performed to predict the occurrence of third- and fourth-grade perineal tears. Perineal body length and head circumference could be used as predicting factors of perineal tears. Perineum length ≤ 3.0 cm and head circumference ≥ 33.5 cm posed a risk of perineal tears of third and fourth degrees (70.52%).</p><p><strong>Conclusion: </strong>The length of the perineal body has a good ability to predict the occurrence of perineal tears.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":" ","pages":"2621872"},"PeriodicalIF":1.9,"publicationDate":"2021-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8460378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39452074","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":"Nonproteinuric Preeclampsia among Women with Hypertensive Disorders of Pregnancy at a Referral Hospital in Southwestern Uganda.","authors":"Asiphas Owaraganise,&nbsp;Richard Migisha,&nbsp;Wasswa G M Ssalongo,&nbsp;Leevan Tibaijuka,&nbsp;Musa Kayondo,&nbsp;Godfrey Twesigomwe,&nbsp;Joseph Ngonzi,&nbsp;Henry Mark Lugobe","doi":"10.1155/2021/9751775","DOIUrl":"https://doi.org/10.1155/2021/9751775","url":null,"abstract":"<p><strong>Background: </strong>Preeclampsia is a priority obstetric emergency requiring urgent diagnosis and treatment to avert poor pregnancy outcomes. Nonproteinuric preeclampsia poses even greater diagnostic challenges due to contested diagnostic criteria by the clinical practice guidelines and variable clinical presentation. Previously, preeclampsia was only diagnosed if high blood pressure and proteinuria were present. This study determined the prevalence of nonproteinuric preeclampsia and associated factors among women admitted with hypertensive disorders of pregnancy at a referral hospital in southwestern Uganda.</p><p><strong>Methods: </strong>Women with hypertensive disorders of pregnancy were consecutively enrolled in a cross-sectional study at Mbarara Regional Referral Hospital between November 2019 and May 2020. We interviewed all pregnant women ≥20 gestation weeks presenting with hypertension and obtained their sociodemographic, medical, and obstetric characteristics. We excluded women with chronic hypertension. We measured bedside dipstick proteinuria in clean-catch urine. Preeclampsia was defined as hypertension plus any feature of severity including <100,000 platelets/ul, creatinine >1.1 g/dl, and liver transaminases ≥twice upper normal limit with or without proteinuria. We defined nonproteinuric preeclampsia in participants with <+2 urine dipstick cut-off and determined the factors associated with nonproteinuric preeclampsia using logistic regression.</p><p><strong>Results: </strong>We enrolled 134 participants. The mean age was 26.9 (SD ± 7.1) years and 51.5% were primigravid. The prevalence of nonproteinuric preeclampsia was 24.6% (95% CI: 17.9-32.7). Primigravidity (aOR 2.70 95% CI: 1.09-6.72, <i>p</i> = 0.032) was the factor independently associated with nonproteinuric preeclampsia.</p><p><strong>Conclusion: </strong>Nonproteinuric preeclampsia was common, especially among primigravidae. We recommend increased surveillance for nonproteinuric preeclampsia, especially among first-time pregnant women, who may not be detected by the traditional criteria. Obstetrics care providers should emphasize laboratory testing beyond proteinuria, among all women with hypertensive disorders of pregnancy to optimally diagnose and manage nonproteinuric preeclampsia.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":" ","pages":"9751775"},"PeriodicalIF":1.9,"publicationDate":"2021-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8423541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39403457","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":"The Effect of Educational Intervention on Improvement of Breastfeeding Self-Efficacy: A Systematic Review and Meta-Analysis.","authors":"Azam Maleki,&nbsp;Elham Faghihzadeh,&nbsp;Samaneh Youseflu","doi":"10.1155/2021/5522229","DOIUrl":"https://doi.org/10.1155/2021/5522229","url":null,"abstract":"<p><strong>Background: </strong>Self-efficacy is an important psychological and motivational factor in breastfeeding, and it is a valuable framework that predicts breastfeeding outcomes and demonstrates maternal confidence in breastfeeding. The meta-analysis evaluated the effectiveness of educational interventions on improving breastfeeding self-efficacy (BSE).</p><p><strong>Methods: </strong>The English and Persian databases including Medline, Embase, Cochrane Database of Systematic Reviews (CDSR), PubMed, Web of Science, Scopus, CINAHL, Sid, IRANDOC, and Marg-Iran were systematically searched for studies published from January 2005 to December 2020. The quality of studies was evaluated using the Cochrane risk of bias tool and the heterogeneity by <i>I</i> ² statistic. The extracted data were analyzed using RevMan 5 statistical software and presented using random effects standardized mean difference (SMD). The funnel plot was used for evaluating publication bias.</p><p><strong>Results: </strong>Results from 40 RCTs showed that educational intervention had a positive effect on the BSE compared with the usual/standard care (pooled SMD = 1.20; 95% CI = 0.75-1.64, <i>p</i> value <0.001). The subgroup analysis indicated that the educational intervention was based on theory, group class format, direct method education, during the first week of postpartum, doing during pregnancy, on primiparous women, and health center setting, and the Asian region has a more effect on BSE than the others.</p><p><strong>Conclusion: </strong>Breastfeeding education is considered an influential factor in the improvement of BSE. It is recommended that breastfeeding education should be continued for several weeks after childbirth for gaining its benefit. The Asian region has a more effect on BSE than the others. Therefore, it is important to add the values in content of education in each country.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":" ","pages":"5522229"},"PeriodicalIF":1.9,"publicationDate":"2021-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8371651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39334267","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":"Advanced Abdominal Pregnancy (AAP) after 20 Weeks of Gestation in Japan: A Retrospective Review.","authors":"Tatsuji Hoshino,&nbsp;Tatsuo Mori,&nbsp;Yu Fujii,&nbsp;Shinya Yoshioka","doi":"10.1155/2021/6624404","DOIUrl":"https://doi.org/10.1155/2021/6624404","url":null,"abstract":"<p><strong>Background: </strong>An advanced abdominal pregnancy (AAP) rarely continues to a live birth, but sometimes, a live birth may occur. In developed countries, women with AAP who have not been diagnosed preoperatively are expected to be diagnosed quickly, and the pregnant woman and the fetus will be saved. After careful examination of the past cases, we sought to derive what is the best diagnosis and treatment choice in the current medical environment.</p><p><strong>Materials and methods: </strong>We retrospectively studied AAP cases in Japan. We examined diagnosis of AAP before fetal delivery and placental treatment at the time of delivery. AAP was well documented in 10 cases. We contacted the AAP authors, who reported 10 AAP cases in Japan, directly to confirm any unclear points.</p><p><strong>Results: </strong>Two cases were diagnosed with AAP before laparotomy, one was diagnosed after IUFD, and seven were diagnosed at the time of laparotomy. The two most recent cases were diagnosed with AAP preoperatively by ultrasound and MRI. Six cases were described for preoperative diagnosis. There were two cases of placenta previa, one of a bicornuate uterus, one of breech presentation, one of a combination of uterine cervical fibroids and placenta previa, and one of a combination of presentation and placental abnormality with uterine fibroids. In five cases, the placenta was removed at the time of laparotomy. Simultaneous removal of the placenta during laparotomy could not be performed because of intra-amniotic infection with a macerated fetus in an IUFD case. Among eight cases, excluding 20-week and 21-week gestation with no expectation of viable newborns, there were one male and seven female fetuses. The birth weight ranged from 1765 to 3520 g, with a median birth weight of 2241 g. Combined malformations were described in six of the seven live births. Clubfoot, torticollis, joint contracture, and bone deformity were transient because intrauterine compression quickly improved.</p><p><strong>Conclusion: </strong>In recent cases, AAP has been diagnosed by MRI and ultrasound. MRI should be performed if abdominal pregnancy is suspected. Postoperative infections may occur if the placenta is not removed at the time of delivery. We recommend placental resection with the help of an anesthesiologist, a gynecologist, a urologist, and a surgeon in the current medical environment.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":" ","pages":"6624404"},"PeriodicalIF":1.9,"publicationDate":"2021-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8328741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39276673","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":"Association of Stillbirths with Maternal and Fetal Risk Factors in a Tertiary Care Hospital in South India.","authors":"Rajshekher V Mali,&nbsp;Anita Dalal,&nbsp;Romana Khursheed,&nbsp;Aditya Gan","doi":"10.1155/2021/8033248","DOIUrl":"https://doi.org/10.1155/2021/8033248","url":null,"abstract":"<p><strong>Background: </strong>Birth of a fetus with no signs of life after a predefined age of viability is a nightmare for the obstetrician. Stillbirth is a sensitive indicator of maternal care during the antepartum and intrapartum period. Though there has been a renewed global focus on stillbirth as a public health concern, the decline in stillbirth rate (SBR) has not been satisfactory across the nations, with a large number of stillbirths occurring in the low- to middle-income countries (LMICs). Hence, the study was carried out to analyze maternal and fetal risk factors and their association with stillbirths in a tertiary care center in South India.</p><p><strong>Methods: </strong>This observational prospective study included pregnant women with stillbirth beyond 20 weeks of gestation or fetal weight more than 500 grams. Stillbirths were classified according to the simplified causes of death and associated conditions (CODAC) classification. Association between the risk factor and stillbirths was calculated with chi-square test and odds ratio with 95% confidence interval.</p><p><strong>Results: </strong>There were 171 stillbirths (2.97%) among total 5755 births. The SBR was 29.71/1000 births. Risk factors such as preterm delivery (OR: 22.33, 95% CI: 15.35-32.50), anemia (OR: 21.87, 95% CI: 15.69-30.48), congenital malformation (OR: 11.24, 95% CI: 6.99-18.06), abruption (OR: 10.14, 95% CI: 6.43-15.97), oligohydramnios (OR: 4.88, 95% CI: 3.23-7.39), and hypertensive disorder (OR: 3.01, 95% CI: 2.03-4.46) were significantly associated with stillbirths. The proportion of intrapartum stillbirths was found to be 5 (3%) among the study population.</p><p><strong>Conclusion: </strong>Highest prevalent risk factors associated with stillbirth are anemia and prematurity. Intrapartum stillbirths can be reduced significantly through evidence-based clinical interventions and practices in resource-poor settings. There is a need to provide and assure access to specialized quality antenatal care to pregnant women to control the risk factors associated with stillbirths.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":" ","pages":"8033248"},"PeriodicalIF":1.9,"publicationDate":"2021-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8324385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39265268","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":"Magnitude and Determinants of Antenatal Care Utilization in Kandahar City, Afghanistan.","authors":"Muhammad Haroon Stanikzai,&nbsp;Mohammad Hashim Wafa,&nbsp;Abdul Wahed Wasiq,&nbsp;Hadia Sayam","doi":"10.1155/2021/5201682","DOIUrl":"https://doi.org/10.1155/2021/5201682","url":null,"abstract":"<p><strong>Background: </strong>Women's and children's health is a crucial public health concern that epitomizes the universal platform for Sustainable Development Goals (SDGs). Appropriate and timely care during pregnancy can improve maternal and child health.</p><p><strong>Objectives: </strong>The present study aimed at determining the magnitude and determinants of antenatal care services' utilization in Kandahar city.</p><p><strong>Methods: </strong>A community-based cross-sectional study involving 850 women with at least one delivery in the last 2 years was carried out in Kandahar city from January to February 2021. Questionnaires to record information on sociodemographic, reproductive, and antenatal care- (ANC-) related characteristics were administered. Data were analyzed using SPSS 21.00 statistical software. We used descriptive statistics such as frequency and percentages to present the data. Determinants of antenatal care services' utilization were determined using a multivariable logistic regression model.</p><p><strong>Results: </strong>Among all study participants, 589 (69.3%, 95% confidence interval (CI) = 66.0%-72.4%) of study participants utilized antenatal care services at least once. However, only 22% of the women were utilizing the recommended ≥4 ANC visits. Factors that remained significantly associated with antenatal care services' utilization in multivariable analysis included women's educational status (adjusted odds ratio (AOR) = 2.0, 95% CI: 1.0-4.3), pregnancy intention (AOR = 2.1, 95% CI: 1.1-3.4), and place of residence (AOR = 1.7, 95% CI: 1.1-2.6).</p><p><strong>Conclusion: </strong>This study has found high rates (vs. the national level) of antenatal care services' utilization among women who had at least one delivery in the last 2 years. However, the rate of recommended ≥4 ANC visits was low. Factors determining antenatal care utilization such as educational status of the mother, pregnancy intention, and place of residence hold the key to address the issue of ANC services lower utilization and consequently improve maternal and fetal health.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":" ","pages":"5201682"},"PeriodicalIF":1.9,"publicationDate":"2021-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8272656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39219108","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":"The Impact of Socioeconomic Determinants on the Quality of Life of Moroccan Breast Cancer Survivors Diagnosed Two Years Earlier at the National Institute of Oncology in Rabat.","authors":"Rachid Ismaili,&nbsp;Leila Loukili,&nbsp;Hind Mimouni,&nbsp;Imane El Haouachim,&nbsp;Abderraouf Hilali,&nbsp;Bouchra Haddou Rahou,&nbsp;Rachid Bekkali,&nbsp;Ahmed Nejmeddine","doi":"10.1155/2021/9920007","DOIUrl":"https://doi.org/10.1155/2021/9920007","url":null,"abstract":"<p><strong>Introduction: </strong>The objective of this study was to investigate the impact of socioeconomic determinants on the quality of life of Moroccan women with breast cancer two years after their diagnosis who are followed up at the National Institute of Oncology (INO) in Rabat.</p><p><strong>Methods: </strong>This is a cross-sectional study that was conducted between May 2019 and September 2020. The sample size was 304 women. Data were collected using the EORTC QLQ-C30 and EORTC QLQ-BR 23 questionnaires in the Moroccan dialect.</p><p><strong>Results: </strong>The mean age of participants was 53.5 ± 12.4 years, where the majority resided in urban areas and more than half were illiterate. Moreover, three-quarters of the survivors were not working, and almost all have basic medical coverage. Nearly one-third of the respondents had experienced discrimination from those around them, and nearly half attributed the decrease in income to their state of health. In addition, 38.2 percent of participants stated that they had great difficulty living on their monthly income after the illness, whereas more than half of the survivors had a good quality of life in terms of overall health (GHS/QOL). Besides, social function obtained the highest score, while emotional function obtained the lowest score. Furthermore, financial difficulty was the most distressing symptom. Indeed, income adjustment after the disease, discrimination, distance between home and treatment center, professional status, and medical coverage were correlated with GHS/QOL. Regression analysis revealed that income adjustment after illness and discrimination were significant predictors of GHS/QOL.</p><p><strong>Conclusion: </strong>The data suggest establishing a financial support program and the development of education and awareness-raising policies to combat discrimination.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":" ","pages":"9920007"},"PeriodicalIF":1.9,"publicationDate":"2021-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8249154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39181021","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":"Prevalence and Factors Associated with Meconium-Stained Amniotic Fluid in a Tertiary Hospital, Northwest Ethiopia: A Cross-Sectional Study.","authors":"Enyew Abate,&nbsp;Kassahun Alamirew,&nbsp;Eleni Admassu,&nbsp;Awoke Derbie","doi":"10.1155/2021/5520117","DOIUrl":"https://doi.org/10.1155/2021/5520117","url":null,"abstract":"<p><p><i>Background</i>. Fetal bowel could pass meconium, a green viscous fluid, before or during labour and most intrauterine passage of meconium is associated with several fetomaternal factors that lead to increased risk of perinatal morbidity and mortality. Given that there is a paucity of data, this study was conducted to assess the proportion and associated factors of meconium-stained amniotic fluid (MSAF) in women who came for labour and delivery service in a tertiary hospital.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from 1 June to 31 August 2018 among 606 labouring mothers at Felege Hiwot Referral Hospital, northwest Ethiopia. Study participants were selected using a systematic random sampling technique. Data were collected using an interviewer-administered pretested questionnaire and data checklist. Factors associated with MSAF were explored using multivariable logistic regression analysis.</p><p><strong>Results: </strong>MSAF occurred in 24.6% (149/606) of pregnancies. Nonreassuring fetal heart rate patterns (Adjusted Odds Ratio [AOR]: 21.9, 95% Confidence interval [95% CI]: 10.96-43.83), postterm pregnancy (AOR: 4.54, 95% CI: 2.24-9.20), duration of labour more than 15 hours (AOR: 2.83, 95% CI: 1.76-4.53), pregnancy-induced hypertension (AOR: 2.43, 95% CI: 1.45-4.05), oligohydramnios (AOR: 2.53, 95% CI: 1.25-5.12), interpregnancy interval less than 2 years (AOR: 2.24, 95% CI: 1.12-4.51), and monthly family income less than 5000 Ethiopian Birr (185 USD) (AOR: 2.03, 95% CI: 1.18-3.51) were significantly associated with MSAF.</p><p><strong>Conclusions: </strong>In this study, the proportion of MSAF was at 24.6% which was higher than a previous report in Ethiopia. Nonreassuring fetal heart rate pattern, postterm pregnancy, duration of labour more than 15 hours, pregnancy-induced hypertension, oligohydramnios, interpregnancy interval less than 2 years, and monthly family income less than 5000 Ethiopian Birr were factors associated with an increased risk for MSAF. Therefore, interventions aimed at detecting MSAF early should consider these factors.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":" ","pages":"5520117"},"PeriodicalIF":1.9,"publicationDate":"2021-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8175172/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39238434","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}