Journal of pregnancy and child health最新文献

{"title":"Magnitude of Post-Partum Hemorrhage among Women Who Received Postpartum Care at Bedele Hospital South West, Ethiopia, 2018","authors":"T. Gudeta, D. Kebede, Garoma Abire Negeri, Mark Kong Dow, S. Hassen","doi":"10.4172/2376-127X.1000396","DOIUrl":"https://doi.org/10.4172/2376-127X.1000396","url":null,"abstract":"Excessive bleeding after childbirth is a leading cause of maternal deaths worldwide, has gained international attention among medical and research communities for decades. Postpartum hemorrhage has long and short term impacts like, chronic illness, disability, increased risk of death and/or poor growth and development of their children, hepatic dysfunction, respiratory distress syndrome and renal failure and postpartum hemorrhage continues to be the leading single direct cause of maternal mortality worldwide. Objective: To assess magnitude of post-partum hemorrhage among women who received postpartum care at Bedele hospital Southwest, Ethiopia, 2018. Method: Institutional based cross sectional study design was employed and systematic sampling technique was used to select study participants. The total sample (200) were selected from mother’s chart every six interval and from the selected charts, the data was collected by using well prepared check list. Pre-test was performed to evaluate the appropriateness of instrument and after data collection it was processed and analyzed in a line of its objective and frequency and percentage of the result were presented in tables, graphs and narrative forms. Result: Out of the total 200 charts, 196 charts were included in the study which gives 98% of response rate. The Magnitude of postpartum hemorrhage among women who got post natal service at Bedele hospital was 19 (9.69%). According to this study the postpartum hemorrhage was more prevalent among age group ≥ 35 and <20 years old. Among mothers who encountered postpartum hemorrhage were 13 (68 %) 4 (21%) and 2 (11%) give birth at hospital, health center and home respectively. Conclusion and recommendation: The magnitude of postpartum hemorrhage was high despite many women receiving uterotonic during delivery of the babies. To reduce the prevalence of postpartum hemorrhage every health care provider conducting delivery have to performs active management of third stage of labor, manual removal of retained placenta. *Corresponding author: Tesfaye Abera Gudeta, Department of Nursing (Maternal Health), Mizan Tepi University, Ethiopia, Tel: +251938658481; E-mail: tesfeabera2013@gmail.com Received: October 03, 2018; Accepted: October 29, 2018; Published: November 05, 2018 Citation: Gudeta TA, Kebede DS, Negeri GA, Dow MK, Hassen S (2018) Magnitude of Post-Partum Hemorrhage among Women Who Received Postpartum Care at Bedele Hospital South West, Ethiopia, 2018. J Preg Child Health 5: 396. doi:10.4172/2376-127X.1000396 Copyright: © 2018 Gudeta TA, 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":"70311348","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":"Fetal Hibernation: A Case Report","authors":"L. Jensen, J. Grau, M. Khalil","doi":"10.4172/2376-127X.1000372","DOIUrl":"https://doi.org/10.4172/2376-127X.1000372","url":null,"abstract":"Cardiotocography (CTG) is normally used to monitor fetal heart rate in order to determine the metabolic resources of the fetus and avoid intrauterine asphyxia. In our case study, the woman had preterm rupture of the membranes (at 39 weeks of gestation) but showed normal values e.g. CTG and fetal water. After 26.5 h, the CTG changed to a silent, hibernated pattern with tachycardia and reduced variability. Further, the mother developed fever and chorioamnionitis was suspected. Therefore, a sub-acute caesarean section performed followed by a medical examination of the newborn which showed normal values for Apgar score and vital parameters. Our interpretation is that the fetus responded to the maternal infection by a state of hibernation, shown by a pathological monotone heart rate pattern. It is remarkable that the fetus was able to sustain a well-preserved metabolism, shown by the normal acid-base status, considering the pathological and uniform CTG.","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":"5 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70310561","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":"Placental Abruption after Bricanyl Injection Prior to External Cephalic Version: A Case Report","authors":"L. Ankerstjerne, M. Khalil","doi":"10.4172/2376-127X.1000382","DOIUrl":"https://doi.org/10.4172/2376-127X.1000382","url":null,"abstract":"Background: External cephalic version (EVC) is a procedure of fetal rotation to a cephalic presentation at term and tocolysis is often used to contribute to a successful ECV. Tocolysis is contraindicated if placental abruption (PA) is suspected or diagnosed. However, in rare situations it happens, even in the absence of clinical signs. Case: A 31-year-old pregnant woman at 37 weeks’ gestation with a normal pregnancy, which was planned to ECV because of breech presentation. Few minutes after the intramuscular Bricanyl administration prior to the ECV, the patient presented vaginal bleeding and hypotension. Urgent Caesarean Section (CS) was performed and placental abruption was diagnosed. Discussion: PA is a rare diagnosis and many risk factors have been reported. This case report might present another potential risk factor associated with PA, namely tocolysis injection. Since early diagnosis of PA is lifesaving and diagnosing of PA can be difficult, this report rightly urges to share the awareness of tocolysis injection as a rare risk factor for placental abruption.","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.1000382","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70310729","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":"Neonatal Hyperbilirubinemia: Magnitude and Associated Etiologic Factors among Neonates Admitted at Tikur Anbessa Specialized Hospital, Ethiopia","authors":"R. Kassa, Hoffola Gudeta, Z. Assen, Tefera Mulugeta Demlew, Girum Sebsibie Teshome","doi":"10.4172/2376-127x.1000384","DOIUrl":"https://doi.org/10.4172/2376-127x.1000384","url":null,"abstract":"Background : Neonatal Hyperbilirubinemia is a recognized cause of brain damage and bilirubin encephalopathy resulting in long-term sequel like sensory-neuronal hearing loss in the survivors and death. Objective : To assess magnitude and associated factors of neonatal Hyperbilirubinemia among neonates admitted Tikur Anbessa Specialized Hospital. Methods and materials: Cross sectional study was conducted. A total of 356 study subjects were recruited in this study. A systematic sampling method was employed to select the desired sample size. Data was first entered to Epi Info version 7 and exported to SPSS version 20.0 to clean and analyze data. Result: Among 356 total neonates, 160(44.9%) of them were diagnosed for hyperbilirubinemia. From these, 11(6.9%) neonates developed bilirubin encephalopathy. Prevalence of neonatal hyperbilirubinemia among male neonates was 89(47.8%) whereas 71(41.8%) was in females. Mean age of neonates at admission with hyperbilirubinemia was 5.29 days. Major etiologic factors of neonatal hyperbilirubinemia were ABO incompatibility and sepsis which accounts 57(35.6%) and 30(18.8%) respectively. Conclusions: Magnitude of neonatal hyperbilirubinemia was quite high. Major factors causing hyperbilirubinemia in neonates were ABO incompatibility, sepsis, Rh isoimmunization, idiopathic cause and breast feeding jaundice. Early prevention and timely treatment of hyperbilirubinemia in neonates is important to prevent or reduce neonatal death due to hyperbilirubinemia.","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.1000384","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70310739","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":"Newborn and Maternal Outcomes in Out-of-Hospital Delivery: A Review","authors":"D. Amorim, H. Machado","doi":"10.4172/2376-127X.1000371","DOIUrl":"https://doi.org/10.4172/2376-127X.1000371","url":null,"abstract":"Introduction: As maternity services became available out-of-hospital births diminished in favor of planned hospital deliveries. After an early decline, there is a recent increase of out-of-hospital births in United States, from 0.87% in 2004 to 1.36% in 2012. Reasons why women have an out-of-hospital birth differ between countries. Many women feel that hospital is the safest place to give birth, but others believe that hospital is impersonal and a place that provoke anxiety. Maternal outcomes due to labor include: Obstetric interventions’ and non-related with interventions. Newborn outcomes comprise: 5 min Apgar 90% for gestational age or ≥ 4000 g), postdatism (≥ 42 weeks’ gestation), assisted ventilation requirement and neonatal/perinatal death. The aim of this review was to understand the real impact of out-of-hospital births in newborn and maternal outcomes. Methods: The search was performed on PubMed, from which 45 articles met all inclusion criteria. Results: In developed countries, home birth rate is very low (1-2% in UK, 1% in New Zealand, 0.6% in USA, 0.5% in France and 0.4% in Australia), the exception is Netherland (30%). In developing countries, the situation is quite different: Home birth rate is 95% in Bangladesh, 41% in Mozambique and 90% in Nepal. Unplanned out-of-hospital births had higher incidence of maternal and newborn complications. Planned out-of-hospital deliveries also showed higher incidence of newborn complications, especially when transferred babies were considered also out-of-hospital births. Discussion: Although some studies showed that maternal-fetal outcomes occur in the same proportion in planned low risk out-of-hospital births compared to hospital births, unplanned or high-risk out-of-hospital births show higher incidence of maternal and newborn complications. Conclusion: The safety of out-of-hospital births remains controversial because the benefits may be overcome by the disadvantages, given the maternal and birth risk and the unplanned scenarios.","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":"126 1","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2376-127X.1000371","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70311001","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":"Association between Birth Weight and Galanin Concentrations in Maternal Plasma, Amniotic Fluid, and Umbilical Cord Blood in Normal Pregnancies and Pregnancies Complicated By Gestational Diabetes","authors":"E. Karagianni, E. Bili, D. Goulis, P. Katsoulos, A. Mamopoulos, A. Athanasiadis, G. Grimbizis","doi":"10.4172/2376-127X.1000392","DOIUrl":"https://doi.org/10.4172/2376-127X.1000392","url":null,"abstract":"","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":"16 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.1000392","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70311018","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":"Pregnancy Induced Hypertension and Associated Factors among Pregnant Women in Karamara Hospital, Jijiga, Eastern Ethiopia, 2015","authors":"L. Mekonen, Z. Shiferaw, Eyob Wubshet, Semehal Haile","doi":"10.4172/2376-127X.1000379","DOIUrl":"https://doi.org/10.4172/2376-127X.1000379","url":null,"abstract":"Background: Pregnancy induced hypertension (PIH) is a significance rise of blood pressure during pregnancy, occurring after 20 weeks. It includes gestational hypertension, mild pre-eclampsia , sever pre-eclampsia and eclampsia. So more, women with PIH disorders may progress from mild diseases to more serious conditions. This study assessed pregnancy induced hypertension and associated factors among pregnant women. Methods: A hospital based cross- sectional study design was conducted in Karamara hospital, Jijiga town among 408 pregnant. Systematic random sampling was employed. The data was collected using pretested semi-structured questionnaire and analyzed using SPSS Version 20. Results: The prevalence of pregnancy induced hypertension was 19.1% in Karamara hospital. Maternal education (AOR=2.5, 95% CI%=1.2-5.3), age (AOR=2.73, 95% CI=1.31-5.7), previous history of preeclampsia (AOR=19.3, 95% CI%=5.2-72.1) and family history of preeclampsia (AOR=7.2, 95% CI%=2.9-17.8) were identified as predictor factors for occurrence of pregnancy induced hypertension. Conclusion and recommendations: One out of five women developed pregnancy induced hypertension in Karamara referral Hospital, Jigjiga Ethiopia. This is figure is very high compared to studies conducted in Ethiopia. Socio-demographic factors like age less than 25 years, lack formal education, previous history of PIH and family history of PIH were independent predictors of development of pregnancy induced hypertension. Hence, this study suggests that early detection and management of mothers with PIH should be mandatory as part of focused antenatal care. Lastly, this study suggests that further studies should be conducted to assess lifestyle and dietary factors, using analytical study designs.","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":"5 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70310634","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":"Fetal Movement in Actocardiogram and Prevention of Cerebral Palsy with Hypoxia Index","authors":"K. Maeda","doi":"10.4172/2376-127X.1000380","DOIUrl":"https://doi.org/10.4172/2376-127X.1000380","url":null,"abstract":"Aim: To analyze the relation of fetal movement and heart rate. Method: Fetal movement and heart rate (FHR) was analysed by actodardiogram. Novel hypoxia index was calculated by the sum of FHR deceleration duration and the lowest FHR. Results: As FHR increasesd when the fetus moved, FHR was studied in the relation to fetal movements, e,g, benign sinusoidal FHR was evoked by periodic fetal respiratory movement. No FHR acceleration was found in fetal hiccupping due to no formation of fetal movement burst. Hypoxic loss of FHR acceleration and variability were caused by no response of damaged fetal brain to fetal movement. Discussion: The fetus should be cured from cerebral palsy by early delivery before the loss of variability, where the hypoxia index was 25 or more in the loss of variability followed by cerebral palsy, while normal variability and no cerebral palsy was preceded by 24 or less hypoxia index. Thus, the HI should be 24 or less to prevent cerebral palsy. Conclusion: FHR changes, which had not solved by CTG, was solved by the application of fetal movement. Novel hypoxia index is usefull for the prevention of cerebral palsy by the 24 or less of hypoxia index.","PeriodicalId":87313,"journal":{"name":"Journal of pregnancy and child health","volume":"5 1","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2376-127X.1000380","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70310690","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":"Feto-Maternal Outcome of Vaginal Birth after Cesarean and Associated Factors Among Mothers with Previous Cesarean Scar at Attat Lord Merry Primary Hospital, Gurage Zone, South Ethiopia","authors":"Y. Siraneh, F. Assefa, M. Tesfaye","doi":"10.4172/2376-127X.1000390","DOIUrl":"https://doi.org/10.4172/2376-127X.1000390","url":null,"abstract":"Background: Vaginal delivery after previous one cesarean section for a non-recurring indication has been described by several authors as safe and having a success rate of 60-80%. Hence, many health professionals were encouraging Vaginal Birth After Cesarean (VBAC) for candidates leaving the century old dictum of once cesarean always cesarean. However, predicting success of VBAC following Trial of Scar (TOS) is still a difficult task due to the lack of a validated prediction tool. In addition to this, feto-maternal outcome was also uncertain and unknown in the study area including factors associated with. Hence, the objective of this study was to determine the perinatal and maternal outcome of pregnancy and factors associated with success of VBAC among mothers who had previous one cesarean section and gave birth at Attat Catholic Primary Hospital, South Ethiopia. Methods: Facility based retrospective cross-sectional study design was used at Attat Catholic Hospital, Ethiopia from October 01/2015-Septmeber 30/2016. The data was collected from October 01-15, 2016. The data on Sociodemographic, obstetric factors and outcome related variables were collected from medical record books using pretested data collection tool by trained data collectors. The collected data were coded, cleaned and entered to SPSS version 21 for analysis. Descriptive statistics was used to describe some of study variables. Logistic regression analysis (bivariate and multivariable logistic regression) was employed. Statistical tests such as Odds ratio (absolute measure of association) with 95% CI was used to see the associations. A P<0.05 was considered as statistically significant in all types of tests to declare significance. Results : Out of all mothers who gave birth, 169 mothers gave birth with pervious one caesarean section scar from which repeated caesarean section was 104 (61.5%). Majority 81 (78%) of them were done as an emergence and 146 offered TOS. Less than half of them 65 (44.5%) had successful VBAC and Cephalo-Pelvic Disproportion (CPD) was the major indication for failed VBAC. Passage of liquor at admission (AOR: 0.25, 95% CI: 0.084,0.733), history of vaginal birth after cesarean (AOR: 1.88, 95% CI : 0.084, 0.733), cervical dilation at admission (AOR: 8.171, 95% CI: 3.303, 34.473) and type of indication for pervious cesarean section (AOR: 0.703, 95% CI: 0.014, 0.364) were significant factors associated with success of VBAC. Conclusion: Successful vaginal delivery after one previous cesarean scar was 45.5% which was relatively low. Trial of vaginal birth after cesarean section should be encouraged for appropriate cases. Before indicating mothers for cesarean delivery due to only having history of previous one cesarean section, attention should be given to the indication to avoid unnecessary cesarean section. *Corresponding author: Yibeltal Siraneh, Department of Health Economics, Management and Policy, Faculty of Public Health, Institute of Health, Jimma University","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.1000390","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70310944","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":"The Impact of Antithrombotic Medication on Uteroplacental Blood Flow in Patients with Previous Obstetric History of Placental Mediated Disorders","authors":"K. Neykova, V. Dimitrova, R. Dimitrov","doi":"10.4172/2376-127x.1000391","DOIUrl":"https://doi.org/10.4172/2376-127x.1000391","url":null,"abstract":"","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.1000391","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70310954","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}