Journal of pregnancy and child health最新文献

{"title":"Maternal Outcome of Pregnant Mothers with Hypertensive Disorder of Pregnancy at Hospitals in Wolaita Zone, Southern Ethiopia","authors":"M. S. Obsa, Eskinder Wolka","doi":"10.4172/2376-127X.1000375","DOIUrl":"https://doi.org/10.4172/2376-127X.1000375","url":null,"abstract":"Introduction: Hypertensive disorder of pregnancy (HDP) is a common and very severe medical disorder specific to pregnancy. The aetiology of the condition is unknown, but it is more commonly seen in primigravida and grandmuiltpara women, in association with multiple pregnancies and pre-existing medical problem such as essential hypertension, renal disease, diabetes mellitus and obesity. Objective: To assess maternal outcome of pregnant mothers with hypertensive disorder of pregnancy from June 20 to November 20 at hospitals in Wolaita zone Southern Ethiopia. Method: Institutional based cross sectional study design was conducted. All pregnant mothers with hypertensive disorder of pregnancy were included. Regular supervision and follow up was made. Data was entered into Epi info version 7 by investigators and was transported to SPSS version 20 for analysis. Bivariate and multivariate analysis was used to identify factors associated with maternal outcome. Results: A total of 225 study subjects were included in the study of which majority of them were multiparous. Preeclampsia and eclampsia were the most common causes of maternal insults either during pregnancy or at the time of deliver. Being nulliparous was about three times more likely to develop poor maternal outcome when compared to being multiparous (AOR 3.45 (95% CI (0.043-15.152)). Conclusion and recommendations: Hypertensive disorder of pregnancy is associated with increased risk of maternal adverse outcome. Therefore, close follow up of all laboring mother and provision of antihypertensive agent as per protocol is very important to control the impact of high blood pressure.","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":" ","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2018-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48029867","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":"Statistical Analysis of Neonatal Mortality: A Case Study of Ethiopia","authors":"B. Woldeamanuel","doi":"10.4172/2376-127X.1000373","DOIUrl":"https://doi.org/10.4172/2376-127X.1000373","url":null,"abstract":"Background: Neonatal mortality is a significant public health concern worldwide. It is estimated that four million neonatal deaths occur annually, 98% of which occur in developing countries. In Ethiopia neonatal mortality is a major problem accounting for more than 42% of under-five deaths. This study is an attempt to study the determinants of neonatal mortality in Ethiopia using data collected in Ethiopian demographic and health survey. Methods: The survey collected information from a total of 16,515 women aged 15-49 years out of which 9209 women were considered in this study. To meet our objectives, descriptive statistics and Poisson, negative binomial, zero inflated Poisson and zero-inflated negative binomial regression models were used for data analysis considering household, maternal and socio-demographic, socio-economic and environmental variables as explanatory variables and number of neonatal deaths per-woman as the response variable. Results: Each of the four models was compared by a variety of statistical techniques and it was found that zeroinflated negative binomial model was a better fit than the other models. Based on descriptive statistics results 23.2% of mothers have experienced at least one neonatal death in their lifetime. From result of the zero-inflated negative binomial regression model, being born to mothers whose age at first birth is at least 20 years, whose level of education is secondary and above, who reside in urban areas and who attended at least four antenatal care visits significantly decreases the risk of neonatal mortality. Conclusion: Neonatal mortality must decline more rapidly to achieve the Millennium Development Goal (MDG) target for under-five mortality in Ethiopia. Increasing access to maternal and child health services in rural areas, improving the level of education of mothers, encouraging utilization of antenatal care services and improving access to safe/pipe drinking water are recommended as possible interventions.","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":"5 1","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2018-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2376-127X.1000373","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47400673","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":"Determinants of Ectopic Pregnancy among Pregnant Women who were Managed in Nekemte Referral Hospital, Oromia Region, Ethiopia","authors":"Y. Kebede, G. Dessie","doi":"10.4172/2376-127X.1000370","DOIUrl":"https://doi.org/10.4172/2376-127X.1000370","url":null,"abstract":"Introduction: Ectopic pregnancy (EP) is a pregnancy in which the implantation of the Embryo occurs outside the uterine cavity. It is the leading cause of maternal death during the first trimester of pregnancy. A better understanding of its risk can help prevent its incidence. This case-control study was carried out to evaluate the risk factors for Ectopic Pregnancy in Nekemte Referral Hospital, Ethiopia. Objective: To identify the determinants of ectopic pregnancy among pregnant women who were managed in Nekemte Referral Hospital, 2015. Methods: The design was hospital based unmatched case control study. Detailed reviews of patient record were made by using structured check list all required information have been collected. 99 cases with ectopic pregnancy were taken as a whole whereas 200 controls have been selected with simple random sampling method. Data was entered and cleaned using Epi Info version 7 then exported to SPSS version 20 for analysis. Bi-variable analysis was executed then all explanatory variables with p-value of <0.25 were entered into multivariable logistic regression. Determinant factors have been identified based on p-value of 0.05 and AOR with 95% CI. Results: From January 2010 to December 2013, there were 99 cases of ectopic pregnancy in Nekemte Referral Hospital. The average (± SD) of patients age was 27 (± 5) years. The risk factors identified were marital status and history of contraception use. Accordingly, women with single marital status were 10.81 times (95% CI AOR (3.601, 32.465)) more likely to develop ectopic pregnancy than married once. Those who used contraception were 2.27 times (95% CI, AOR (0.214, 24.02)) more likely to develop ectopic pregnancy than who did not use contraception.","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":"5 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2018-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49171552","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":"Glucocorticoid-Induced Insulin Resistance and Its Intervention in Children with Refractory Nephrotic Syndrome","authors":"Li Zhang, Na Li, Li-zhi Song, Wanqi Zheng, Yong-Li Zhao, Zheng-juan Liu","doi":"10.4172/2376-127X.1000368","DOIUrl":"https://doi.org/10.4172/2376-127X.1000368","url":null,"abstract":"The side effects of glucocorticoid-induced insulin resistance (IR) have drawn increasing attention, but the information is scarce regarding treatment of glucocorticoid-induced insulin resistance in children. The study was conducted in children who received prolonged high-dose glucocorticoid for refractory nephrotic syndrome. The Body Mass Index (BMI) was monitored and metabolic parameters were determined. Homeostatic model assessment for insulin resistance index (HOMA-IR) was used for assessing glucocorticoid-induced IR. There were 41 obese children with HOMA-IR>3.5. The HOMA-IR showed a positive correlation with prednisone dosage, LDL-C, age and BMI (P<0.01), respectively. Multiple linear regression analysis showed that prednisone dosage, LDL-C, age and BMI correlated independently with HOMA-IR (P<0.05). Twenty-one children received metformin therapy as treated group and 20 patients received placebo as control group. After 3 months of treatment, the BMI and IR were significantly improved and the BMI and HOMA-IR were also significantly reduced compared to the control group. No significant toxicity from metformin was seen. Metformin is safe and effective for treatment of glucocorticoid-induced obesity and IR.","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":" ","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2018-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2376-127X.1000368","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49475880","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":"Study of Patients Diagnosed with Malignancy or Premalignancy After Hysteroscopic Endometrial Polyp Resection","authors":"R. Kanda, Remi Hasegawa, E. Hoshi, E. Satoi, R. Kiyoku, N. Nozaka, M. Matsuda, H. Kiseki, Shyunichi Ikeda, Y. Tsukahara, N. Hashimura, M. Kawamura","doi":"10.4172/2376-127X.1000363","DOIUrl":"https://doi.org/10.4172/2376-127X.1000363","url":null,"abstract":"Objective: This study aimed to investigate the frequency and characteristic of patients who was pathologically diagnosed with malignancy or premalignancy in women undergoing hysteroscopic endometrial polypectomy for endometrial polyps. Method: We retrospectively investigated 115 patients who were diagnosed as endometrial polyp by transvaginal ultrasonography or sonohysterography and underwent hysteroscopic surgery at our hospital in two years. All surgical specimens were examined histopathologically. Characteristics of the patients including age, size of the largest polyp, desire to bear children, presence of abnormal uterine bleeding and the result of preoperative endometrial cytology were analyzed. Results: Regarding the age, 49 (42.6%) of the EMP patients were in their 30s, which was most common and 65 patients (56.5%) desired to bear children. The polyp size was evaluated before surgery in105 patients and 65patients (56.5%) were medium size (1 cm or larger but below 2 cm). Abnormal uterine bleeding was observed in 46, accounting for 40.0% of all EMP patients. Seven of 115 patients were diagnosed premalignant (3 patients) or malignant (4 patients) on postoperative histopathological examination and 4 of them (premalignant: 3, malignant: 1) desired to bear children. One of the four patients who was diagnosed with malignancy, was a 35 year old nulligravida wishing to bear children with the chief complaint of abnormal uterine bleeding. Endometrial cytology was negative for malignancy, but the very small specimen was subsequently diagnosed as endometrioid adenocarcinoma on pathological examination. Conclusion: We suggest that when masses are found inside the uterine cavity by transvaginal sonography, it is important to carefully examine under sonohysterography and perform pathological examination and treatment using hysteroscopy. Masses should also be examined even if the endometrial cytology is negative for malignancy or the tumor is small, regardless of whether the woman exhibits abnormal uterine bleeding.","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":"5 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2018-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43740397","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":"Case Report: A Rare Case of Appendicitis Incarcerated in an Inguinal Hernia in an 8 Year Old Male Child","authors":"E. Blevrakis, S. Xenaki, E. Chrysos","doi":"10.4172/2376-127X.1000365","DOIUrl":"https://doi.org/10.4172/2376-127X.1000365","url":null,"abstract":"Introduction: Amyand’s hernia may present with the inflammation of the appendix vermiform is enclosed in its sac. Its diagnosis is very difficult in the pre-operative period, it is usually an incidental finding. Case presentation: We present a case of Amyand’s hernia in an 8 year-old male who presented with an obstructed hernia having acute appendicitis within the hernia sac. Conclusion: Amyand’s hernia is a rare condition yet represents two of the most common diseases a general surgeon has to face. It is difficult to diagnose preoperatively via clinical examination. Diagnosis can be aided by a high index of suspicion, and accurate interpretation of a Computed Tomography.","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":"5 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2376-127X.1000365","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70310847","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":"Epidemiological and Prognostic Aspects of the Trauma during Pregnancy at the University Teaching Hospital Bogodogo (UTH-B) of Ouagadougou, Burkina Faso","authors":"A. Ouattara, Lankoandé Bako Natacha, Ouédraogo Smaila, Porgo Alidou, Tougma Sanou Aline, Zongo Nayi, Sawadogo Yobi Alexis, M. Francoise, O. Charlemagne, Ouédraogo Ali, T. Blandine","doi":"10.4172/2376-127X.1000397","DOIUrl":"https://doi.org/10.4172/2376-127X.1000397","url":null,"abstract":"Objectives: To study the epidemiological and prognostic aspects of trauma during pregnancy at the University Teaching Hospital Bogodogo (UTH-B) of Ouagadougou, Burkina Faso. Patients and Methods: This was a descriptive retrospective study over a 2 year period from January 1, 2015 to December 31, 2017. Included in our sample were all pregnant women admitted for trauma during pregnancy in the department of gynecology and obstetric in the University Teaching Hospital Bogodogo of Ouagadougou. Results: We recorded 112 emergency consultations for trauma and pregnancy out of a total of 13,367 gynecoobstetrical consultations, or a frequency of 0.9%. The average age of our patients was 25.9 ± 5 years and the average parity was 3 with extremes of 0 and 8. Housewives accounted for 50% of patients and evacuation was the mode of admission in 74.6%. The etiologies of trauma were dominated by road accidents in 82.6% of cases, falls in 9.8% of cases and brawls in 7.6% of cases. The mean gestational age of onset of trauma was 26.3 ± 7. A notion of polytrauma was found in 4 patients. The fetal prognosis was marked in the 1st quarter by 3 cases of abortion, in the 2nd quarter by 5 cases of intrauterine fetal death and in the 3rd quarter by 10 cases of threatened premature delivery. Conclusion: Trauma during pregnancy is frequent in the UTH-B. The implementation of a national prevention strategy for this association will improve the prognosis of mothers and children. *Corresponding author: Adama Ouattara, Assistant Professor at the Training and Research Unit in Health Sciences (TRU/HS), University Ouaga I Pr Joseph KI-ZERBO, Ouagadougou, Burkina Faso, Tel: +22670112819; E-mail: ouattzangaadama@yahoo.fr Received: October 07, 2018; Accepted: November 15, 2018; Published: November 22, 2018 Citation: Ouattara A, Natacha LB, Smaila O, Alidou P, Aline TS, et al. (2018) Epidemiological and Prognostic Aspects of the Trauma during Pregnancy at the University Teaching Hospital Bogodogo (UTH-B) of Ouagadougou, Burkina Faso. J Preg Child Health 5: 397. doi:10.4172/2376-127X.1000397 Copyright: © 2018 Ouattara A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":"05 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70311388","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":"Risk Factors to Urinary Tract Infection Related to Prenatal Care in Pregnancy Women Attending Public Care Units of South Brazil","authors":"Arnildo Korb, Saionara Vitória Barimacker, Maria Sabrina Telch dos Santos, Suellen Fincatto, Carine Vendruscolo, Mariana Sbeghen Menegatti, Danielle Bezerra Cabral","doi":"10.4172/2376-127X.1000399","DOIUrl":"https://doi.org/10.4172/2376-127X.1000399","url":null,"abstract":"","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70311519","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":"Assessment of Long Acting Contraceptive Methods Utilization and Associated Factors Among Reproductive Age Group Women Attending Maternal and Child Health Clinic of Ambo Town Health Facilities, Oromia Region, Central Ethiopia","authors":"Kebede Megersa, Yeshi Kumera, Tolera Gudissa, A. James","doi":"10.4172/2376-127X.1000366","DOIUrl":"https://doi.org/10.4172/2376-127X.1000366","url":null,"abstract":"Introduction: Current evidences suggest that substantial numbers of clients are unsatisfied demand for long acting contraceptive methods in sub-Saharan Africa. There is also limited evidence that show demand for long acting contraceptive methods and its associated factors in the region specifically in the study area. Objective: To assess long acting contraceptive method utilization and associated factors among reproductive age group women who are attending maternal and child health clinic of Ambo town health institutions, west shoa zone, Oromia region, Ethiopia. Methodology: Facility based cross sectional study design was conducted from November 1 to December 30 of 2013 among 178 sampled women who were attending maternal and child health clinic of Ambo town health institutions. Systematic sampling was used with semi-structured questionnaires for data collection process atan exit interview of the family planning clients. Results: Out of 178 study participants, only 32 (16.3%) of the respondents were using long acting family planning methods. Among these about 24 (12.2%) and 8 (4.1%) of the respondents were using implants and IUCD methods respectively. Mothers who had primary education were 8 times more likely to use LACMs as compared with those who had no education (AOR=8.1, 95% CI: 1.07, 37.58). Women who had Awareness on LACM were 3 times more likely to use LACM than those who had no awareness on LACM (AOR=2.984, 95% CI: 0.88, 10.117). Women who discussed with their partners were 5 times more likely to use LACMs than those who never discussed with partners (AOR=5.32, 95% CI: 1.488, 19.028). Conclusion and recommendation: The long term family planning utilization among the respondents were low (16.3%). Therefore, information education communication should focus on all eviating factors hinder from practicing of LAPMs.","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":"5 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70310860","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":"Induction of Labor and Its Determinant Factors: Retrospective Cross-Sectional Study from a Public Hospital in Ethiopia","authors":"Bayew Kelkay Rade, Yohannes Moges Mitku, Almaz Berhe Weldemicheal, Zerihun Minlekalew Zenebe, Abere Yekoy Desalegn, Balem Dimtsu Bitsu","doi":"10.4172/2376-127X.1000388","DOIUrl":"https://doi.org/10.4172/2376-127X.1000388","url":null,"abstract":"Background: Induction of labor is an artificial initiation of labor after the age of viability for the purpose of accomplishing vaginal delivery. It is a common obstetric procedure which is indicated when the benefits to the mother or fetus outweigh, the benefits of continuing the pregnancy. Methods: Hospital based retrospective cross-sectional study design was carried out at Lemlem Karl hospital, Miachew town among 384 mothers chart who gave birth from July 30, 2015 to July 30, 2016. Systematic sampling technique was used to select patient medical cards. Data were entered and coded using Epi Info version 7.0 then analyzed by statistical package for social sciences window version 20. Both bivariate and multivariate logistic regression was used to test the association between determinants and dependent variable with P value <0.05 was considered as statistically significantly. Results: From 384 women who gave birth, 42 (10.9%) labor were initiated by induction. The determinant factors for induction of labor were antenatal follow up at Private clinics [AOR= 3.86, 95% CI (1.29, 11.50)], premature rupture of membrane [AOR=3.57, 95% CI (1.19, 10.76)], pregnancy induced hypertension [AOR=5.033, 95% CI (1.44, 17.62)] and fetal anomaly [AOR=5.68, 95% CI (1.614, 20.12)]. Conclusion: The magnitude of induction of labor in this study was high compare to other previous surveys conducted in Africa. The independent determinants for induction of labor in this study were: Premature rapture of membrane, pregnancy induced hypertension, antenatal visits at private clinics and fetal anomalies. Improve the quality of antenatal care and prepare induction guidelines which works for both governmental and private health care institutions may help to reduce the magnitude of induction of labor and not well convinced reasons for induction.","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":"05 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2376-127X.1000388","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70310872","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}