Clinics in mother and child health最新文献

{"title":"Prevalence of Traditional Medicine Use during Pregnancy, at Labour and for Postpartum Care in a Rural Area in Zimbabwe","authors":"T. Mawoza, C. Nhachi, T. Magwali","doi":"10.24105/2090-7214.16.321","DOIUrl":"https://doi.org/10.24105/2090-7214.16.321","url":null,"abstract":"Objectives: The aim of this study was to determine the prevalence and types of traditional medicine used during pregnancy, at labour and for postpartum care by women in rural Zimbabwe. Research design: A cross-sectional survey was conducted on 398 women from two rural districts in Zimbabwe. Data on socio-demography, pregnancy related information as well as traditional medicine use patterns was collected using a structured interviewer administered questionnaire. Convenient sampling was used to recruit women of childbearing age who were either pregnant at the time of the study, or had previously given birth. Results: The prevalence of traditional medicine used during pregnancy and at labour was 69.9% and only 17.3% used these medicines for postpartum care. During pregnancy, 27.7% used soil from a mole hill, 21.6% used elephant dung, and 13.3% used Fadogia ancylantha. These medicines were mainly used to facilitate labour (43.5%), avoid tears/stitches (19.7%), make delivery easy and safe (18.3%) and to avoid prolonged labour (5%). Only 9% of the participants however reported to have experienced adverse effects from using traditional medicines. Conclusion: The use of traditional remedies in different forms during pregnancy and at labour was very common as confirmed by the high prevalence rate of 69.9%. Some of the women however used more than one type of traditional medicine during pregnancy, labour and for postpartum care. The exact effects of some of these medicines on both the mother and infant however, are not known, and there is therefore a need for them to be studied in greater detail.","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45932956","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":"Update on neonatal diabetes mellitus","authors":"pIrfan Ullahp","doi":"10.4172/2090-7214-C1-003","DOIUrl":"https://doi.org/10.4172/2090-7214-C1-003","url":null,"abstract":"","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70977633","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 importance of diagnosing hereditary epilepsy: EAST/SeSAME syndrome","authors":"pMarta Celminap","doi":"10.4172/2090-7214-C1-002","DOIUrl":"https://doi.org/10.4172/2090-7214-C1-002","url":null,"abstract":"","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70977621","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":"Utilization of Integrated Management of Neonatal and Childhood Illness (IMNCI) Guidelines and Associated Factors among Nurse at Public Health Institutions in West Arsi Zone, South East Ethiopia","authors":"Sheka Shemsi Seid, E. Sendo, Tura Koshe Haso, Shamsedin Amme","doi":"10.4172/2090-7214.1000313","DOIUrl":"https://doi.org/10.4172/2090-7214.1000313","url":null,"abstract":"Background: World health organization (WHO) and United Nations for Children‘s fund (UNICEF) in the early 1990s developed Integrated Management of Childhood Illness (IMCI), a strategy designed to reduce child mortality and morbidity in developing countries. This study is aimed at assessing factors associated with utilization of IMNCI protocol by nurses West Arsi Zone, Oromia Region, Ethiopia. Methods: An institutional based cross-sectional study was conducted on a total of 185 nurses who were included from health facilities selected using simple random sampling technique. Data was coded, entered and cleaned using Epi-data 3.1 and exported to SPSS version 22 for analysis. Univariate and bivariate analysis was performed. Multivariate analysis was also done to control for possible confounding variables. Results: Data were obtained from 185 nurses, of which 131 (70.8%) were males. More than half 103 (55.7%) of the respondents was aged between 25-29 years. The mean (± SD) age was 26.65 ± (1.7) with the range of 20-43 years and 107 (57.8%) were diploma nurses. The overall IMNCI protocol utilization was 58.7%. In multivariate analysis, the odd of IMNCI utilizations among nurses who had attended IMNCI training were 2.76 times higher compared to nurses who had not attended IMNCI training [AOR=2.76, 95% CI:1.388, 5.51]. Nurses who had practice of always referring chart booklet during every case management process were three times more likely to utilize IMNCI protocols [AOR=2.95, 95% CI: 1.48, 5.89] compared to their counterparts. Conclusions: The proportion of IMNCI utilizations in the selected districts was low and less than the WHO recommendations. Training and frequent referring of chart booklet were found to significantly associate with the utilization of the IMNCI protocols. Therefore the emphasis should be given to the provision of IMNCI training to the nurse by the stakeholders and motivating the nurses to always refer chart booklet, in order to enhance proper utilization of the protocols.","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70977135","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":"Episiotomy Practice and its Associated Factor among Women Who Gave Birth at Public Health Institutions of Akaki Kality in Addis Ababa, Ethiopia","authors":"S. Worku, Yohannes Moges Mitku, Sewunet Azezewu Getahun","doi":"10.4172/2090-7214.1000318","DOIUrl":"https://doi.org/10.4172/2090-7214.1000318","url":null,"abstract":"Introduction: Episiotomy is defined as perineum enlargement incision during the second stage of labor to increase the diameter of vaginal outlet to facilitate baby birth. It is commonly practiced procedure in obstetrics and the rate of episiotomy varies widely worldwide. To assess the magnitude of episiotomy practice and its associated factors among women who gave birth at public health institutions of Akaki Kality, 2017/2018. Method: A facility based cross-sectional study design using a quantitative method was used to conduct this study from March 2 to April 30/2018 GC. Systematic random sampling technique was used to select participants for the assessment. A total of 381 selected mothers by systematic random sample technique in public health institution of Akaki Kality sub city A.A, Ethiopia to examine sets of variables using questionnaire. Data were analyzed using descriptive statistics and a logistic regression model to identify factors associated with the outcome variable and the result was presented using the OR as well as AOR with the corresponding 95% CI. Results: In this study among the participants the prevalence of episiotomy was found to be 134 (35.2%). Urban residence [AOR=2.947 (1.321, 6.572)], face presentation [AOR=15.972 (2.289, 111.440)] birth attendant (when doctors attend)[AOR=11.187 (1.917, 65.285), duration of second stage of labor, who stayed above 2 h [AOR=11.167 (2.567, 48.588)], prim parity [AOR=15.031 (6.369, 35.475)] and weight above 4000 g [AOR=26.343 (26.159, 265.289)] were factors significantly associated with episiotomy. Conclusion: The prevalence of episiotomy in this study was relatively high (35.2%) as compared to recommended practice by WHO (10%), developing stratagem, guideline and periodic training on regarding the indication of episiotomy should be provided and more efforts should be made to reduce the rate of episiotomy, to improve wellbeing and quality of women’s life.","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"16 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70977185","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":"Iron Therapy in Pregnant Women","authors":"I. Abraha","doi":"10.35248/2090-7214.19.16.326","DOIUrl":"https://doi.org/10.35248/2090-7214.19.16.326","url":null,"abstract":"Pregnancy is characterized by a remarkable maternal physiological change with an intense fetal growth that needs adequate nutrition. Epidemiological evidence suggest that between 11% and 45% of women in Western countries of childbearing age have depleted iron stores [1] and this explains why most pregnant women are found with totally depleted iron stores. Limited iron stores may lead to iron deficiency that is the most leading cause of anemia in pregnancy [2]. The prevalence of iron deficiency in pregnancy depends much on the economic status of the population and it varies from 20% to 90% [3].","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69965184","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 Effect of Socio-Demographic Factors on Quality of Midwifery Performance as Perceived by Midwives","authors":"A. Alkasseh, Diaa Abu Kweik","doi":"10.24105/2090-7214.16.325","DOIUrl":"https://doi.org/10.24105/2090-7214.16.325","url":null,"abstract":"Background: Midwives play a vital role in the provision of maternal health care globally. Quality of midwifery performance is essential to strengthen mother and child health care. A successful maternal health care services must have a strong midwifery performance in providing ante natal, basic intra partum and post-partum care. Therefore, it was important to identify the socio-demographic factors influencing quality of midwifery performance. The study aimed to determine socio-demographic factors that influence quality of midwifery performance from the perspective of the midwives in governmental hospitals in Gaza Strip. Methods: A cross sectional study utilized representative census sampling of 212 midwives and nurses who work in maternity departments of governmental hospital in Gaza Strip. A questionnaire was developed with a response rate of 91.9%. The questionnaire was validated by experts, and reliability was obtained by Cronbach’s alpha coefficient. Data were analyzed using SPSS. Results: The results of the study revealed that presence of the highest socio-demographic factor that positively influences the quality of midwifery performance (high level of salary and availability of transportation). On other hand, the results indicated lowest socio-demographic factor that positively influences the quality of midwifery performance (marriage and advancement in age with more experience). In addition, it was found that there is a significant difference in the quality of midwifery performance in the governmental hospitals between different job titles (nurses, midwives, head nurses, supervisors) of the participants (p<0.05) in favor of midwives. Conclusion: There was a positive correlation between quality of midwifery performance and job titles in favor of midwives. Therefore, it is recommended that the managers should ensure adequate number of professional midwives at all times and shifts in maternity departments at the governmental hospitals in Gaza Strip.","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"16 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69014536","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":"Magnitude and Factors Associated with Intra Uterine Contraceptive Device Method Utilization among Clients Attending Family Guidance Association Clinics in Addis Ababa, Ethiopia","authors":"Mohammed Ali, W. Mekonnen, Yohannes Tekalegn","doi":"10.35248/2090-7214.19.16.327","DOIUrl":"https://doi.org/10.35248/2090-7214.19.16.327","url":null,"abstract":"Introduction: Although intrauterine contraceptive device (IUCD) method is the safest, very effective, long acting and reversible contraceptive method, it has been used at a very low rate in many developing countries compared to other modern contraceptive methods. Objective: The objective of the study was to assess the utilization of IUCD method and associated factors among women of reproductive age in Addis Ababa attending family Guidance Association of Ethiopia (FGAE) clinics. Methods: Facility based cross sectional study was conducted on sample size of 326 respondents from March 1 to April 30, 2016. Data was coded and entered into Epi-info version 7 and analyzed using statistical package for social sciences version 20. Both descriptive and inferential statistics was employed to summarize and display data. Binary Logistic regression was used to detect factors associated with IUCD utilization. Statistical significance was declared at p<0.05. Results: A total of 307 clients participated in the study, making 94.2% response rate. The mean age of the respondents was 34 years 6.6 years. Magnitude of current IUCD utilization was 35.2%. The median duration of IUCD use was 33 months (Range: 1 - 120 months). Binary logistic regression showed good knowledge of IUCD use (AOR: 1.8; 95% CI: 1.1-2.9) was associated with utilization of IUCD. Conclusion: The present study revealed that the proportion of current IUCD utilization was optimal. Clients with good knowledge on the method were more likely to choose IUCD. Information dissemination to clarify myth and perceptions of IUCD method is recommended.","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69965213","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":"Heparin Use in Pregnant Women Diagnosed With Thrombophilia: Obstetric Outcomes","authors":"Julio Andrade, Marina Camargos, Mateus Figueiredo de Rezende Reis, Ricardo Augusto, Barcelos Maciel, T. Mello, Sophia Batalha, Hakayna Calegaro Salgado, João Matheus de, Castro Rangel, Verônica Marques Matos, Alexander Cangussu Silva, Clarissa Rocha Panconi, Larissa Milani, Coutinho, M. Sirimarco, Juliana Barroso Zimmermmann","doi":"10.35248/2090-7214.19.16.331","DOIUrl":"https://doi.org/10.35248/2090-7214.19.16.331","url":null,"abstract":"Introduction: Thrombophilias are associated with venous thromboembolism. According to reports, uteroplacental thrombosis can lead to preeclampsia, intrauterine growth restriction (IUGR), placental abruption (PA) and even to fetal death. The Brazilian Ministry of Health recommends the application of heparin treatment-associated, or not, with ASA to pregnant women diagnosed with thrombophilia, based on its type. However, many studies have not been able to confirm the beneficial effects of heparin use on maternal and fetal health. Methods: The current research is a case-control study comprising pregnant women treated at the Obstetrics Service of Federal University of Juiz de Fora and at the Medical School of Barbacena, who used heparin in the current pregnancy due to previously diagnosed thrombophilia. Current pregnancy associated with heparin use was named ‘case’, whereas previous pregnancy without heparin use was named ‘control’. Thus, 47 cases (current pregnancy) and 32 controls were selected (1,4 cases: 1,0 control). Results: Association between heparin and miscarriage, intrauterine fetal death and preeclampsia were analyzed. Results showed that heparin acted as protective factor against miscarriage (OR=0.04; CI=0.01-0.14; p<0.0001), intrauterine fetal death (OR=0.01; CI=0.01-0.11; but heparin use did not reduce the frequency of preeclampsia cases (OR=0.35; CI=0.07-1.6; p=0.17). Conclusion: Based on the current results, the early heparin application to pregnant women with thrombophilia was able to reduce the number of miscarriage, intrauterine death, but did not reduce the frequency of preeclampsia.","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69965278","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":"Profile of Children Born to HIV-Positive Mothers Followed-up in the Borgou/Alibori Regional University Teaching Hospital from 2005 to 2015","authors":"J. Agossou, A. Noudamadjo, Adedemy Jd, F AgbeilleMohamed, Kpanidja Mg, F Doha, G. Sagbo, H. F. Lalya, R Ahodégnon, S. Adeothy-Koumakpai","doi":"10.35248/2090-7214.19.16.335","DOIUrl":"https://doi.org/10.35248/2090-7214.19.16.335","url":null,"abstract":"Introduction: Prevention of Mother-to-Child Transmission (PMTCT) of HIV is the best strategy for fighting pediatric HIV in developing countries. This study’s main objective was to describe the outcome of children born to HIV positive mothers, attended and followed up through the PMTCT program in the Borgou/Alibori Regional University Teaching Hospital (CHUD-Borgou/Alibori) from 2005 to 2015. Secondly, it aimed to identify factors associated with mother-to-child transmission of HIV at 18 months of age. Patients and Methods: This research work is a cross-sectional, retrospective, descriptive and analytical study of a cohort of children born to HIV-infected mothers and followed up in the pediatric ward of the Borgou/Alibori Regional University Teaching Hospital. It was conducted from May to December 2016 on the basis of data retrieval from medical records and registers. Results: Total of 1234 children was included in the study. Exclusive breastfeeding was the main source of nutrition for 91.6% of children. Antiretroviral prophylaxis was received by 82.7% of children at birth. 49.4% of the 1234 children (610/1234) were followed up till 18 months of age; 36.5% were lost to follow-up and 4.1% died. Overall rate of mother-to-child HIV transmission was 5.6% (34/610), of which 1.8% (9/509) was among children who received antiretroviral prophylaxis at birth. Two predictive factors for mother-to-child transmission of HIV were absence of clean and safe childbirth and lack of antiretroviral prophylaxis in children at birth. Conclusion: Improved antenatal care quality and efficient childbirth management with early mothers’ adherence to pediatric follow-up may help reduce vertical HIV transmission in this study environment.","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69965542","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}