Obstetrics and Gynecology International最新文献

{"title":"Prevalence of Early Postnatal-Care Service Utilization and Its Associated Factors among Mothers in Hawassa Zuria District, Sidama Regional State, Ethiopia: A Cross-Sectional Study.","authors":"Shambel Yoseph,&nbsp;Azmach Dache,&nbsp;Aregahegn Dona","doi":"10.1155/2021/5596110","DOIUrl":"https://doi.org/10.1155/2021/5596110","url":null,"abstract":"<p><strong>Background: </strong>A postnatal care given after childbirth is a critical care to promote health and to prevent complications of the mother and newborn. However, utilization of this service is low in Ethiopia, and little is known about its coverage and determinants. Thus, this study aimed to assess the prevalence of early postnatal-care service utilization and its associated factors among mothers in Hawassa Zuria district, Sidama Regional State, Ethiopia.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from 20 February to 20 March 2020 in Hawassa Zuria District among randomly selected 320 mothers. Data were collected by using interviewer-administered structured questionnaires. Data entered were into Epi data version 3.1 and exported to SPSS version 26 for analysis. Descriptive, bivariable, and multivariable logistic regression analysis with odds ratio and 95% confidence interval were conducted. A <i>P</i> value <0.05 was considered a statistically significant association. Finally, the results were presented by texts, tables, and figures.</p><p><strong>Result: </strong>The prevalence of early postnatal-care service utilization was 29.7% (95% CI = 24.7, 35.5). Age below 25 years [AOR = 3.2 (95% CI = 1.37, 7.48)], having planned and supported pregnancy for last birth [AOR = 2.2 (95% CI = 1.13, 4.38)], having information about obstetric danger signs [AOR = 2.1 (95% CI = 1.25, 3.78)], and having positive attitude on use postnatal services [AOR = 3.5 (95% CI = 1.94, 6.32)] were factors associated with early postnatal-care utilization.</p><p><strong>Conclusion: </strong>The finding revealed that early postnatal-care utilization in the study area was low. Strengthening family planning services, giving information on obstetrics danger signs, and creating awareness about postnatal care will improve uptake of the service in a timely manner.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":" ","pages":"5596110"},"PeriodicalIF":1.9,"publicationDate":"2021-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8140851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39066586","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 and Neonatal Complications of Methamphetamine Use during Pregnancy.","authors":"Suthanud Premchit,&nbsp;Nawabhorn Orungrote,&nbsp;Sinart Prommas,&nbsp;Buppa Smanchat,&nbsp;Kornkarn Bhamarapravatana,&nbsp;Komsun Suwannarurk","doi":"10.1155/2021/8814168","DOIUrl":"https://doi.org/10.1155/2021/8814168","url":null,"abstract":"<p><strong>Background: </strong>Methamphetamine abuse has been a significant problem in Thailand. The methamphetamine abuse problem also affects pregnant women. The study of pregnancy outcomes among methamphetamine users during pregnancy is currently limited.</p><p><strong>Objective: </strong>To determine maternal and neonatal complications among methamphetamine-abusing parturients. <i>Materials and method</i>. This historical cohort study was conducted at Bhumibol Adulyadej Hospital (BAH), Bangkok, Thailand, between January 2017 and December 2019. The total number of women was 206 who were equally divided into a study and control group. Pregnant women who tested positive for methamphetamine in urine tests during the intrapartum period were compared to the control group with no history of drug abuse.</p><p><strong>Results: </strong>Maternal outcomes: gestational hypertension was found to be significantly increased in the study group compared to the control group at 14.6 vs. 1.0% (OR 17.4, 95%CI 2.5-134.3). Preeclampsia with and without severe features were found at higher rates in the study group without statistical significance. There were no eclamptic cases in this study. Neonatal outcomes: preterm birth rate of pregnant women who have tested positive in their urine methamphetamine test was significantly higher than in the control group (33.3%, 11.7%, OR 3.7, 95%CI 1.8-7.7). Average birth weight in the study and control group was 2779.1 ± 486.7 and 3049.5 ± 510 gm, respectively (<i>p</i> value < 0.001). Low APGAR score rates of both groups also had no significant difference.</p><p><strong>Conclusion: </strong>Methamphetamine use during pregnancy increased both maternal and neonatal complications in terms of gestational hypertension, preterm birth, and average birth weight.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":" ","pages":"8814168"},"PeriodicalIF":1.9,"publicationDate":"2021-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8075698/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38968045","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 between Serum Uric Acid Levels and Perinatal Outcome in Women with Preeclampsia.","authors":"Robinson Uchenna Ugwuanyi,&nbsp;Irozuruike Munachiso Chiege,&nbsp;Felix Eke Agwu,&nbsp;George Uchenna Eleje,&nbsp;Nonso Martin Ifediorah","doi":"10.1155/2021/6611828","DOIUrl":"https://doi.org/10.1155/2021/6611828","url":null,"abstract":"<p><strong>Objectives: </strong>To compare serum uric acid levels with disease severity and perinatal outcome among preeclamptic and normal pregnant women.</p><p><strong>Materials and methods: </strong>This was a case-control study carried out in Federal Medical Centre, Umuahia, Nigeria. Consenting pregnant women were consecutively recruited into two groups comprising pregnant women diagnosed with preeclampsia and normotensive nonproteinuric pregnant women. Exclusion criteria included pregnant women who were current smokers, took alcohol, and diagnosed with multiple gestation, diabetes mellitus, or renal failure. Associations between categorical variables such as preeclampsia severity and perinatal outcomes were done using logistic regression while means of continuous variables such as serum uric acid were compared using Student's <i>t</i>-test. Data were presented using odds ratios (ORs) with 95% confidence intervals (95% CI) and a statistical significance level set at <i>P</i> value ˂ 0.05. Data analysis was done using Statistical Package for Social Sciences version 22.</p><p><strong>Results: </strong>One hundred and two participants were finally analysed. Fifty-one participants were recruited in each arm. Women with preeclampsia had significantly high serum uric acid level versus controls (6.08 ± 0.49 mg/dL vs. 5.20 ± 0.19; <i>P</i> < 0.001). Women with elevated serum uric acid levels (˃6 mg/dL) were found to be 4 times more likely to have severe preeclampsia (<i>P</i>=0.022, OR = 4.00, 95% CI = 1.225-13.056), 66 times more likely to have APGAR score ˂7 in the first minute (<i>P</i> < 0.001, OR = 66.00, 95% CI = 6.991-623.128), and 3 times more likely to have lower birth weight (<i>P</i>=0.038, OR = 3.400, 95% CI = 1.073-10.775) than those with normal serum uric acid levels.</p><p><strong>Conclusions: </strong>The mean serum uric acid level in a preeclamptic is higher than that of normal pregnant control, and higher levels are associated with severity of the disease and significantly associated with poorer perinatal outcome.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":" ","pages":"6611828"},"PeriodicalIF":1.9,"publicationDate":"2021-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8064794/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38963530","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":"Early Postnatal Care Service Utilization and Its Determinants among Women Who Gave Birth in the Last 6 Months in Wonago District, South Ethiopia: A Community-Based Cross-Sectional Study.","authors":"Yordanos Tefera,&nbsp;Samirawit Hailu,&nbsp;Ruth Tilahun","doi":"10.1155/2021/4286803","DOIUrl":"https://doi.org/10.1155/2021/4286803","url":null,"abstract":"<p><strong>Background: </strong>Postnatal care is one of the key strategies to reduce maternal and newborn morbidity and mortality. Early postnatal visit is especially the most critical time for survival of mothers and newborns, particularly through early detection and management of postpartum complication. Despite the benefits, most mothers and newborns do not receive postnatal care services from health care providers during the critical first few days after delivery.</p><p><strong>Objective: </strong>The aim of this study was to assess utilization of early postnatal care service and associated factors among women who gave birth in the last six months in Wonago District, Gedeo Zone, Southern Ethiopia.</p><p><strong>Methods: </strong>A community-based cross-sectional study design was employed at Wonago District. A total of 612 mothers who gave birth in the last six months were selected by simple random sampling technique. Pretested structured questionnaire was used for data collection. Data were entered into EpiData version 3.1 and then exported into SPSS version 20 for analysis. Principal component analysis (PCA) and bivariate and multivariate logistic regression were used.</p><p><strong>Result: </strong>In this study, 13.7% of mothers utilized early postnatal care. Educational status of mothers (AOR = 3.7 : 95 CI; 1.3-10.7), place of delivery (AOR: 1.8 : 95 CI; 1.03-3.2), ANC attendance (AOR = 3.4 : 95 CI; 1.1-10.09), development of complication after delivery (AOR: 7.8 : 95 CI; 3.7-16.2), and previous history of postnatal care utilization (AOR: 2.1 : 95 CI; 1.13-3.9) were found to be associated with early postnatal care service utilization. <i>Conclusion and Recommendations</i>. Educational status of mothers, ANC attendance, place of delivery, delivery complication while giving recent birth, and past history of postnatal care utilization were significant predictors for early postnatal care utilization. Considering this, empowering women with education and overall strengthening of health facility to improve maternal health service utilization are necessary measures to be done at different levels to enhance early postnatal care utilization during this critical time.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":" ","pages":"4286803"},"PeriodicalIF":1.9,"publicationDate":"2021-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8060112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38940138","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":"Determinants of Antenatal Care Service Satisfaction among Women in Ethiopia: A Systematic Review and Meta-Analysis","authors":"Kenbon Seyoum","doi":"10.1155/2022/9527576","DOIUrl":"https://doi.org/10.1155/2022/9527576","url":null,"abstract":"Background Antenatal care service satisfaction is a measure of the degree to which a woman seeking care is happy with the antenatal care service provided to her. Thus, this systematic review and meta-analysis aims to identify factors that determine antenatal care service satisfaction among women in Ethiopia. Methods PubMed, Hinari, and Google Scholar were systematically searched for eligible studies. In addition, national university digital libraries were also searched. The Joanna Briggs Institute's (JBI) critical appraisal tools were used to assess the quality of the included articles. The Cochrane Q-statistics and I2 tests were used to assess heterogeneity among the included studies. Publication bias was assessed using Egger's test. Joanna Briggs Institute Critical Appraisal Checklist for Analytical Cross-Sectional Studies. The extracted data were analyzed using STATA version 14 software and the results were presented using the forest plot. Results Of the 274 articles identified through the systematic search of the literature, 13 studies fulfilling the inclusion criteria were included in this meta-analysis. First antenatal care visit (AOR: 0.62 and 95% CI: 0.40, 0.96), women waited <60 min (AOR: 1.87 and 95% CI: 1.40–2.50), women whose privacy was maintained (AOR: 3.91 and 95% CI: 1.97–7.77), women treated respectfully (AOR: 5.07 and 95% CI: 2.34–10.96), and unplanned pregnancies (AOR = 0.28 and 95% CI: 0.10–0.77) were significantly associated with antenatal care service satisfaction. Conclusion The study assessed the determinants of antenatal care service satisfaction in Ethiopia. First antenatal care visit, waiting time (<60 min) to see the care provider, maintenance of privacy, respectful treatment, and pregnancy unplanned were found to be determinants of antenatal care service satisfaction. Counseling a woman to comply with a minimum required antenatal care visits and compassionate and respectful maternity care will increase maternal satisfaction with the antenatal care services.","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":"74 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2021-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77581314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Awareness on Teratogenic Effects of Isotretinoin and Compliance with Precautionary Measures among Women of Childbearing Age in Makkah Province, Saudi Arabia.","authors":"Rawan Al-Mekhlafi,&nbsp;Rawabi E Attiyah,&nbsp;Yara R Haddad,&nbsp;Louai A Salah","doi":"10.1155/2021/9966300","DOIUrl":"https://doi.org/10.1155/2021/9966300","url":null,"abstract":"<p><p>Acne vulgaris ranks among the most common dermatologic conditions encountered during adolescence up to adulthood. For moderate to severe cases of acne, isotretinoin is indicated as it is considered the most efficacious medication against acne. However, isotretinoin use is known to have its side effects and most importantly is the drug's teratogenic potential. As a response, programs such as the Retinoid Pregnancy Prevention Program (PPP), System to Manage Accutane-Related Teratogenicity (SMART), and iPLEDGE were put into action as attempts to promote awareness on isotretinoin's teratogenicity and reduce the incidence of exposed pregnancies. Such programs are lacking in Saudi Arabia. This study aimed, therefore, to evaluate the awareness of women of childbearing age in Makkah Province, Saudi Arabia, with regards to the side effects of the medication, specifically its teratogenicity. This study also intended to assess the compliance of both doctors and patients with the recommendations and precautions associated with isotretinoin. A cross-sectional study was conducted on 766 women participants using a previously validated questionnaire. Results showed that majority of the respondents (91%) are generally aware of the side effects of isotretinoin use, particularly its teratogenicity. However, lapses have been identified with regards to the compliance of both the treating physician and the patient. Three-fourths of sexually active women did not use any form of contraception while being on isotretinoin treatment. Two-thirds of the study participants responded that they were not issued approval forms indicating their understanding of the side effects of isotretinoin and the importance of compliance to the treating physician's instructions; 11.5% claimed that their doctors did not perform any blood tests; and 67.7% claimed that no pregnancy test was performed at any time during the treatment. These findings strongly suggest a need for improvement when it comes to compliance of both doctors and patients. It is recommended that doctor-patient communication be more comprehensive and more efforts should be made to follow international guidelines in that regard.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":" ","pages":"9966300"},"PeriodicalIF":1.9,"publicationDate":"2021-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8055435/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38940140","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":"Assessments of Birth Outcome of Twin Delivery and Associated Factors among Newborns in Dessie Referral Hospital, Dessie, Ethiopia, 2019.","authors":"Nigusie Abebaw,&nbsp;Mohammed Abdu,&nbsp;Natnael Girma","doi":"10.1155/2021/2421843","DOIUrl":"https://doi.org/10.1155/2021/2421843","url":null,"abstract":"<p><strong>Background: </strong>There was a fast improvement of twin's birth outcomes in the past decade, but it was average in developing countries. Stillbirth, preterm birth, low birth weight, and birth asphyxia are the major contributors to poor twin birth outcomes. This study was crucial to address the gaps and clarify the outcome of twin delivery.</p><p><strong>Objectives: </strong>To assess the birth outcome of twin delivery and associated factors among newborns who were delivered in Dessie Referral Hospital, Ethiopia, 2019.</p><p><strong>Methods: </strong>Institutional-based retrospective cross-sectional study was employed among 385 maternal records from Nov 10/2013 to Dec 10/2019. Data were selected by using a random sampling technique. Frequencies, proportion, and summary statics were used to describe the study population. The data were entered into Epi Info and exported in the SPSS version 20 for analysis. All variables with <i>p</i> value < 0.20 in bivariable logistic regression analysis were considered for multivariable logistic regression analysis; adjusted odds ratio with 95% confidence interval was used to measure the association variable with <i>p</i> value < 0.05 which was statistically significant.</p><p><strong>Results: </strong>This finding showed that the prevalence of twin birth outcome accounts 23.4% (95 % CI, 19.2-27.5). Low birth weight 9.1%, stillbirth 4.2%, Apgar score < 7 9.1%, and neonatal death 1 % were accounted. Hypertension disorder (95% CI, 6.01(2.43-14.87)), rural residence (95% CI 2.46(1.39-4.37)), PROM (95% CI 6.39(2.52-16.16)), and no ANC follow-up (95% CI, 13.47(2.49-72.85)) were significantly associated with adverse twin birth. <i>Conclusions and Recommendations.</i> Magnitude of twins' adverse birth outcome was 23.4%. Hypertension disorder, rural residence, PROM, and no ANC follow-up were significant variables for twins' adverse birth outcome. Therefore, all healthcare providers should give sustainable educations and instructions about the importance of sticking with the recommended ANC follow-up.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":" ","pages":"2421843"},"PeriodicalIF":1.9,"publicationDate":"2021-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7987469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25558290","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":"Menstrual Pattern and Characteristics of One-Rod and Two-Rod Levonorgestrel Implant Users.","authors":"Eka Rusdianto Gunardi,&nbsp;Sulaeman Andrianto Susilo","doi":"10.1155/2021/2904542","DOIUrl":"https://doi.org/10.1155/2021/2904542","url":null,"abstract":"<p><strong>Introduction: </strong>The maternal mortality ratio (MMR) in Indonesia reaches 359 per 100,000 live births. The long-acting reversible contraceptive (LARC) method is an effective contraceptive choice for reducing MMR. The contraceptive implant is one of the LARCs that has low usage due to lack of education about the side effects. This study aims to compare the menstrual pattern and characteristics between one-rod and two-rod levonorgestrel implant users.</p><p><strong>Methods: </strong>A prospective cohort study was performed in patients at Cipto Mangunkusumo Hospital (RSCM) from March 2016 to May 2018. Subject recruitment was done by consecutive sampling. This study was conducted from March 2016 until May 2019. Statistical analysis was performed on the data using the chi-square test to determine the relationship between menstrual pattern and characteristics, and the use of one-rod or two-rod levonorgestrel implants.</p><p><strong>Results: </strong>A total of 140 subjects participated in the study, comprising 70 (50%) one-rod users and 70 (50%) two-rod users. In the first month, 32.9% one-rod users experienced amenorrhea, 22.9% experienced shortened menstrual period, 30% experienced normal menstrual period, and 14,2 % experienced lengthened menstrual period. In comparison, in the first month, 41.4% two-rod users experienced amenorrhea, 15.7% experienced shortened menstrual period, 32.9% experienced normal menstrual period, and 10% experienced lengthened menstrual period. There was no significant difference in menstrual patterns and characteristics between one-rod and two-rod levonorgestrel implant users.</p><p><strong>Conclusion: </strong>There was no significant difference in menstrual patterns and characteristics between one-rod and two-rod levonorgestrel implant users. <i>Implications</i>. Menstrual patterns and characteristics from levonorgestrel implants user can help clinicians to reduce discontinuation rate from the acceptors. Further research should be conducted to know other side effects aside from menstrual bleeding patterns.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":" ","pages":"2904542"},"PeriodicalIF":1.9,"publicationDate":"2021-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7972863/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25525009","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":"Determinants of Postpartum Intrauterine Contraceptive Device Uptake among Women Delivering in Public Hospitals of South Gondar Zone, Northwest Ethiopia, 2019: An Unmatched Case-Control Study.","authors":"Mandefro Assefaw,&nbsp;Getnet Azanew,&nbsp;Ayenew Engida,&nbsp;Zenebe Tefera,&nbsp;Wondimnew Gashaw","doi":"10.1155/2021/1757401","DOIUrl":"https://doi.org/10.1155/2021/1757401","url":null,"abstract":"<p><strong>Introduction: </strong>Integrated use of postpartum intrauterine contraceptive devices with delivery service during the immediate postpartum period is ideal for both women and health-care providers. However, utilization of intrauterine contraceptive devices during the postpartum period was rare and in Ethiopia, with information regarding uptake of postpartum intrauterine contraceptive devices limited.</p><p><strong>Objective: </strong>Identify determinants of postpartum intrauterine contraceptive devices uptake among women delivering in public hospitals of South Gondar zone, Northwest Ethiopia, 2019.</p><p><strong>Methods: </strong>An unmatched case-control study was conducted in public hospitals of South Gondar, Ethiopia, from August 1, 2019, to November 10, 2019. A total of 140 cases and 280 controls have actively participated in the study. Five hospitals were selected by simple random sampling. Cases were selected consecutively, whereas two controls for each case were recruited by the lottery method. Pretested questionnaires were used to collect data and it was entered into Epidata version 4.4.2. Logistic regression analysis was used to identify variables associated with the use of outcome and adjusted odds ratio with a 95% confidence interval was used to determine the association between independent and outcome variables.</p><p><strong>Results: </strong>Completing secondary education (AOR = 4.5, 95%CI 2.3-8.85), having a total number of children of 3-4 (AOR = 3.6, 95%CI 1.25-10.2), having  ≥ 5 (AOR = 4.7, 95%CI 1.5-15.3), attending 3 antenatal care (AOR = 2.8, 95%CI 1.44-5.6), ever hearing about postpartum IUCD (AOR = 6.6, 95%CI 2.7-16.1), and having counseling from health-care provider about a postpartum intrauterine contraceptive device (AOR = 6.2, 95%CI 2.99-12.8) were significantly associated with uptake of the postpartum intrauterine contraceptive. <i>Conclusion and Recommendation.</i> Completing secondary education, having 3-4 and ≥5 children, attending three antenatal care, ever hearing about postpartum IUCD, and having counseling from health-care providers about the postpartum intrauterine contraceptive device among women were significantly associated with uptake of an intrauterine contraceptive device after birth. Therefore, it is better to advise women to strictly follow their antenatal care, access to information, and provide counseling.</p>","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":" ","pages":"1757401"},"PeriodicalIF":1.9,"publicationDate":"2021-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7920734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25467857","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 and Perinatal Outcome of Maternal Obesity at RSCM in 2014-2019.","authors":"Junita Indarti,&nbsp;Sulaeman Andrianto Susilo,&nbsp;Purnomo Hyawicaksono,&nbsp;Jimmy Sakti Nanda Berguna,&nbsp;Galuh Anindya Tyagitha,&nbsp;Muhammad Ikhsan","doi":"10.1155/2021/6039565","DOIUrl":"https://doi.org/10.1155/2021/6039565","url":null,"abstract":"&lt;p&gt;&lt;p&gt;Obesity is a pandemic found in many countries. It is estimated that, in 2025, more than 21% of women in the world will suffer from obesity and its number keeps increasing yearly. Obesity in pregnancy is one of the important challenges in obstetric services given the prevalence and potential adverse effects on the mother and fetus. Obese women have a higher risk of developing gestational diabetes, gestational hypertension, preeclampsia, venous thromboembolism, postpartum hemorrhage, cesarean delivery, and maternal death. The aim of this research is to determine the prevalence of maternal and perinatal complication in various obesity grades. This research was an observational descriptive study using the cross-sectional design. The inclusion criterion is obese pregnant women whose delivery was done in Dr. Cipto Mangunkusumo National General Hospital (RSCM) from 2014 to 2019. The exclusion criterion in this study is the incomplete medical record. A total of 111 subjects were included in the study. Obesity grades in this study were based on World Health Organization (WHO) obesity, divided into 3 classifications which are obese I (30-34.9 kg/m&lt;sup&gt;2&lt;/sup&gt;), obese II (35-39.9 kg/m&lt;sup&gt;2&lt;/sup&gt;), and obese III (≥40 kg/m&lt;sup&gt;2&lt;/sup&gt;). Maternal outcomes in this study were birth method, gestational diabetes, preeclampsia, and premature rupture of membrane (PROM). Perinatal outcomes in this study were preterm birth, birth weight, APGAR score, and postdelivery neonatal care. In this study, obese patients had a mean age of 31.23 years, mean gravida 2, parity 1, and abortion 0. Most of these patients used an intrauterine device (IUD) for family planning (74.8%). There were no differences in age, parity status, and family planning methods in each group of patients with different body mass index (&lt;i&gt;p&lt;/i&gt; &gt; 0.05). Maternal characteristics are the majority of deliveries performed cesarean delivery (86.5%), cases of diabetes mellitus are more common in obese I patients (50%), preeclampsia is more prevalent in obese grade II patients (34,4%), and premature rupture of membranes (PROM) is more common in patients with obese II (52,4%). However, there was no difference in the prevalence of maternal outcomes between groups. There was a median gestational age of 37 weeks in all obesity grades, the highest percentage of preterm births owned by obese II patients (32,6%), the mean birth weight of babies tends to increase along with the weighting of the body mass index group, and neonatal intensive care unit (NICU) treatment rooms were mostly occupied from mother with obese II groups (18%). There was no difference in the first-minute and fifth-minute APGAR scores between study groups (&lt;i&gt;p&lt;/i&gt; &gt; 0.05). There were no differences in perinatal outcomes between groups. There were no significant differences in maternal and perinatal outcomes prevalence between different obesity grades. However, the rate of maternal and perinatal complications in obese women is higher than the","PeriodicalId":19439,"journal":{"name":"Obstetrics and Gynecology International","volume":" ","pages":"6039565"},"PeriodicalIF":1.9,"publicationDate":"2021-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7886500/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25408429","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}