Clinics in mother and child health最新文献

{"title":"Assessment of Knowledge and Attitude towards Prevention of Mother-To Child Transmission of HIV/AIDS among Antenatal Care Client in Mizan-Aman Town Public Health Facilities, Benchi-Maji Zone, South Nation Nationalities and People Region, Southwest Ethiopia, 2017","authors":"Dejene Hailu, W. Nigussie, T. Gudeta, Mehid Abdu, Y. Molla, Getahun Assefaw, Lalisa Chewaka, Yayehyirad Yemaneh, A. Girma","doi":"10.4172/2090-7214.1000280","DOIUrl":"https://doi.org/10.4172/2090-7214.1000280","url":null,"abstract":"Background: Acquired immunodeficiency syndrome epidemic is the greatest challenge to human kind in the 21st century. Mother-to-child transmission of human immune deficiency virus infection is the transmission of the virus from an HIV-infected mother to her child during pregnancy, labour, delivery or breastfeeding. \u0000Objective: To assess knowledge and attitude towards mother-to-child transmission of Human immunodeficiency virus among pregnant women attending ante natal care at Mizan-Aman town public health facilities, Benchi-Maji zone, southwest Ethiopia, 2017. \u0000Methods: Health facility based cross sectional study was conducted at Mizan-Aman town health facilities from April 25-May 22, 2017. Systematic sampling technique was used select all pregnant women who fulfil the inclusion criteria and attending 1st antenatal care visit during the study period was included in the study with every two sampling interval until the desired sample size achieved. Structured questionnaire was used to collect data. The collected data was checked for completeness and analyzed manually by using SPSS. The result of the study was summarized by using frequency tables, graphs, and narrative description. \u0000Result: According to this study, 112 (65.9%) of the respondents had good knowledge about MTCT of HIV/AIDS and majority of the respondents, 128 (75.3%) were knew that HIV can be transmitted from infected mother to her child. Among the total respondents, 108 (63.5%) strongly agree with the idea that important of every pregnant women to be tested for HIV. Majority of the respondents, 129 (75.9%), have positive attitude towards prevention Mother-To-Child transmission. \u0000Conclusion: This study revealed that, majority of the respondents had good knowledge towards MTCT of HIV/AIDS. Majority of the respondents know that HIV/AIDS can be transmitted from infected mother to her child, but their knowledge on specific time when the virus is transmitted is not adequate. It also showed that most of the respondents had positive attitude towards PMCT.","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":" ","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2018-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48736985","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":"Comparison of Nutritional Status of Pre-school Children from Households with Home Garden and Without Home Garden in Wondogenet Woreda, South Ethiopia","authors":"L. Petros, Afework Mulugeta, A. Kabeta, T. Fekadu","doi":"10.4172/2090-7214.1000292","DOIUrl":"https://doi.org/10.4172/2090-7214.1000292","url":null,"abstract":"Objective: Malnutrition is a worldwide prevalent problem. Under-nutrition segment of the condition is common in the developing world. Under-nutrition, because of being the result of multiple interlinked factors it needs intervention from different angles. Agriculture, home garden production, is one of the ways to address under-nutrition through food-based approach. Pre-school children are risky for under-nutrition. Though they are expected to benefit from the home garden products, their nutritional status was not assessed in consideration of home garden practice of households where they reside. Therefore, this study was aimed to compare nutritional status of pre-school children from households with and without home garden in Wondogenat Woreda, South Ethiopia. Patients and Methods: Comparative community based cross-sectional study was conducted on a total of 430 pre-school children selected using simple random sampling technique. Z-score of anthropometric status was generated using WHO Anthro. Entire data was analyzed SPSS version 20. Frequencies and proportions of basic information were calculated. Independent sample t-test was used to compare z-score mean value of nutritional status of the pre-school children. Results: From households with home garden 41% of the children were stunted, 28% were under-weight and 8% were wasted. From households without home garden 44% of the children were stunted, 30% were underweight and 8.8% were wasted. Mean of weight for age Z-score (p<0.0001), height for age Z-score (p<0.026) and weight for height Z-score (p<0.0001) of children from households with and without home garden was different. All forms of under-nutrition are prevalent both in households with and without home garden. Mean values of weight for height, height for age and weight for age Z-scores of pre-school children from households with and without home garden are different.","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"15 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":"70976857","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":"Survey of Current Status for Kampo Education to Nursing Students at Public Universities and Colleges in Japan","authors":"Keiko Yonezawa, Kazutomo Ohhashi, M. Nakatsuka, K. Tamakoshi, N. Suganuma","doi":"10.4172/2090-7214.1000307","DOIUrl":"https://doi.org/10.4172/2090-7214.1000307","url":null,"abstract":"Objective: Kampo education has been part of the curriculum in medical universities and colleges since 2001. However, it has not been the part of nursing university/college curriculum. The purpose of this study is to identify and follow the trend of Kampo education in Japanese nursing universities and colleges. We also gathered the opinion of beneficiaries of Kampo education, i.e. nursing students and teachers. Subjects and methods: The implementation status of Kampo education was investigated at departments of nursing in 90 schools of all Japanese public universities and colleges (n=90) in 2012 and 2016 using mail and web surveys. The recovery rate indicated 100%. In addition, questionnaire surveys concerning Kampo education were conducted among nursing students (n=208) and nursing teachers (n=365). Results: Although number of performing Kampo education increased from 27 in 2012 to 38 in 2016 significantly (p=0.04), it was smaller portion compared with medical courses (100%). In the consciousness survey on Kampo education, 75.5% of the nursing students and 88.8% of the nursing teachers responded that Kampo education was necessary. Conclusions: The present results indicated the necessity of Kampo education to nursing students. Because Kampo education was introduced into the nursing curriculum by the Japanese government recently, educational program should be arranged in the near future.","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"15 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":"70977314","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":"Trisomy 18 Syndrome: An Ethical Dilemma in the Neonatal Intensive Care Unit","authors":"A. Caines","doi":"10.4172/2090-7214.1000306","DOIUrl":"https://doi.org/10.4172/2090-7214.1000306","url":null,"abstract":"","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70977218","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 Decision to Delivery Interval (DDI) in Emergency Caesarean Sections in Ladoke Akintola University of Technology Teaching Hospital Ogbomoso, Nigeria","authors":"Owonikoko Km, Olabinjo Ao, Bello-Ajao Ht, A. Ma, Ajibola Ta","doi":"10.4172/2090-7214.1000294","DOIUrl":"https://doi.org/10.4172/2090-7214.1000294","url":null,"abstract":"Background: Emergency caesarean sections are invaluable when vaginal delivery is either impossible or possess risk to the life of mother and or the foetus. Patients however still encounter delays after the decision has been made, despite recommended time frame. Objective: This is to identify the common indications for emergency caesarean section, factors responsible for delays after decision has been made and the short-term effect on the mother and neonate. Materials and methods: This was a retrospective study in which case records of patients who had emergency caesarean section were retrieved. Information about sociodemographic characteristics, booking status, parity, indication for surgery, decision time, incision time and short term feto-maternal outcomes were collected with the aid of structured proforma. Data was analyzed with Stata: Release 13 statistical software. Results: The mean age of participants was 28.9 ± 5.1 years, 51.3% were booked, primary caesarean section rate was 84.0%. The commonest indication was cephalo-pelvic disproportion (40.5%). The mean DDI was 145.3 ± 69.2 min. Patients’ factor was the leading cause of delay due to lack of funds and non-provision of surgical materials (53.5%). Leading hospital factors were non-availability of blood and blood products (32.8%) and power outage (28.0%). Five min APGAR score was normal in 92.3% of the neonates and 0.5% had severe asphyxia. Conclusion: This study shows that there are still avoidable delays in emergency caesarean section. Although there were no immediate neonatal complications, improving health care delivery so as to eliminate the identified causes would go a long way in reducing these delays.","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"15 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2090-7214.1000294","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70976527","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 Profile of HIV Pregnant Women at the University Hospital Centre for Mother and Child Lagoon (Benin)","authors":"Lokossou Mshs, Ogoudjobi Om, M. Aboubacar, Tognifode, Angéline Josiane Tonato Bagnan, Adisso Ts, Tossou Ea, A. Lokossou, R. Perrin","doi":"10.4172/2090-7214.1000291","DOIUrl":"https://doi.org/10.4172/2090-7214.1000291","url":null,"abstract":"Objective: Vertical transmission of HIV remains the second mode of infection in Benin. To study the epidemiological aspects of HIV infection during the pregnancy at University Hospital Centre for Mother and Child Lagoon (CHU-MEL). Patients and methods: We conducted a descriptive cross-sectional study at the Mother and Child Hospital in Benin from 1 January 2015 to 30 June 2017. The sampling was exhaustive. The selection criteria were: all pregnant or parturient seropositive who were taken care of during the study period at HOMEL. The data analysis was done with the Epi Info software, by calculating averages and standard deviations. Results and conclusion: The prevalence rate of HIV amongst pregnant women was 1.9% (188/9554). The average age was 30 years old ± 5 years. They were married (45.6%), crafts women (67.7%), lived in a monogamous family (60.3%) and gave birth at least once (73.8%). The prevalence rate varied depending on the level of education; it was lower among the unschooled (17.5%), around (7.4%) among those who went to high school and higher among those with an intermediate level of education. HIV prevalence remains stable in the population of pregnant women. The education of young girls and the increasing purchasing power of women must be taken into consideration when drafting HIV control strategies.","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"19 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":"70976789","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 Neonatal Death and Causes among Admitted Neonates in Neonatal Intensive Care Unit of Mizan Tepi University Teaching Hospital, Bench Maji Zone, South-West Ethiopia, 2018","authors":"T. Mekonnen, T. Tenu, T. Aklilu, T. Abera","doi":"10.4172/2090-7214.1000305","DOIUrl":"https://doi.org/10.4172/2090-7214.1000305","url":null,"abstract":"Background: Neonatal death is loss of the newborn with in the first twenty eight days of life. In many societies, neonatal deaths and stillbirths are not perceived as a problem, largely because they are very common. However, it is remains untold grief for the mother especially in developing countries likes Ethiopia where its magnitude is very high. Because of the high magnitude of the problem and its direct linkage with the quality of health services during pregnancy, peripartum and in the first month of the neonates’ life, neonatal mortality rate are used as an important indicators of the health status of a country. Therefore, this study will have a role in fighting against neonatal death through gathering information about neonatal death and its possible causes in the study area. Objective: The main objective of this study is to assess neonatal deaths and its causes in neonatal intensive care unit of Mizan Tepi University Teaching Hospital, Bench Maji Zone, South-West Ethiopia, 2018. Method: Institution based cross sectional study was done from June25 to July 20, 2018. The registration book of admitted neonate was reviewed by using checklist to collect data. Data was analyzed manually and presented in text, frequencies, tables, and percentages. Result: According to the records from Neonatal Intensive Care Unit, 1316 neonates were admitted in the last three years. Among these admitted neonates, 300 died due to different reasons. Out of the deaths, 180 were male and 120 were females. From all deaths 93 (31%) of them were those who delivered prematurely, 89 (29.7%) were those admitted for diagnosis of sepsis and 46 (15.3%) were those admitted due to low birth weight. Conclusion and recommendation: 300 death of neonates occurred in Neonatal Intensive care unit of Mizan Tepi University Teaching Hospital since the service started. Premature, sepsis and low birth weight accounted higher percent among the causes. Health care providers of MTUTH working on maternal health care service delivery and NICU should be emphasize on educating and counseling about prevention of infection. Budget: The budget allowed for this study was 6,143.50 EB","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"5 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2090-7214.1000305","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70977108","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":"Human Milk Phthalate Diester Levels in Turkey","authors":"M. Dinleyici","doi":"10.4172/2090-7214.1000301","DOIUrl":"https://doi.org/10.4172/2090-7214.1000301","url":null,"abstract":"Introduction: Newborn and infants are among the most susceptible age groups to endocrine disruption due to potential environmental toxins like phthalates. Differing results have been found on phthalate exposure through human milk from different geographic parts of the world. In this study, we aim to evaluate six different phthalate diesters in human milk samples. Methods: In this part of the Human Milk Artificial Pollutants (HUMAP) study, human milk samples were analyzed using GC-MS to indicate the presence of bis (2-ethylhexyl) phthalate (DEHP), benzyl butyl phthalate (BBP), dibutyl phthalate (DBP), di-“isononyl” phthalate (DINP), di-“isodecyl” phthalate (DIDP), and di-n-octyl phthalate (DNOP). Results: This study included 72 mothers aged 18 to 41 years; human milk samples were taken from the mothers who gave their consent to participate within 7 to 79 days after birth (mean 34 ± 20 days). We did not detected phthalate esters as DEHP, BBP, DBP, DINP, DIDP, and DNOP in 72 human milk samples. Discussion: In this study, we did not find phthalate diesters in human milk samples in Turkey. Different results of previous studies about human milk phthalate levels might be related to geography, maternal factors, or analytical methods. In conclusion, potential further studies should continue for potential chemical contamination of human milk.","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"21 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2090-7214.1000301","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70977439","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":"Perineal Hernia in a One Month Child: A Case Report","authors":"K. Maxime, Dieth Atafy Gaudens, Kouamé Yapo Guy Serge, C. Clement, Tembely Samba, K. Bertin, Ouattara Oussenou, D. Sylvia","doi":"10.4172/2090-7214.1000299","DOIUrl":"https://doi.org/10.4172/2090-7214.1000299","url":null,"abstract":"Perineal hernia (PH) is the protrusion into the perineum of intraperitoneal or extraperitoneal contents through a congenital or acquired defect of the pelvic diaphragm [1]. They are classified as primary and secondary (postoperative) [2]. Primary PH can be congenital or acquired. PH are very rare conditions and even more so within paediatric population. The treatment of PH is surgical [3,4]. Many approaches and techniques of treatment were described in the literature. Among the cases described in the literature a few cases of children has been reported. In this report, we present a case of PH in a male child first described in Cote d’Ivoire.","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"15 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":"70976744","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":"Intrauterine Contraceptive Device Insertion during Cesarean Section versus Conventional Application: A Randomized Clinical Trial","authors":"S. Salem, H. Ali, Maha A. Katta, N. Shehata, M. Eweis, G. Hussein","doi":"10.4172/2090-7214.1000309","DOIUrl":"https://doi.org/10.4172/2090-7214.1000309","url":null,"abstract":"Objective: To compare immediate intrauterine contraceptive device (IUCD) (Copper T 380A) insertion (within 10 minutes of placenta delivery) after caesarean section versus conventional application. Method: The study involved 200 women who were booked for elective cesarean section and wanted IUCD insertion in Department of obstetrics and gynecology, Beni Suef University Hospital, Egypt. Participants were randomly assigned for IUCD insertion at the time of cesarean delivery or 6 weeks postpartum. The primary outcome was IUCD expulsion rate. Results: Follow-up of women within 6 months of IUCD application showed that expulsion rate was 10/94 (10.6%) in immediate group but 4/95 (4.2%) in conventional group with no statistical significance between the studied groups. Pelvic infection rate was 2.3% and 2.2% respectively, a difference that was not statistically significant. Also there was no significant difference in bleeding patterns along the 6 weeks follow up. Continuation rate was 75/94 (83%) in immediate group and 83/95 (87.4%) in conventional group. Device tail visibility at 1 week, 6 weeks and 6 months postpartum was significantly lower in immediate group than conventional group (p value <0.0001). Conclusion: Insertion of Copper T 380A IUD during C-section is safe and effective with expected low expulsion, and high continuation rate as in conventional method. Clinical trial registry: clinicaltrials.gov NCT02674139. Synopsis: Insertion of Copper T 380A during C-section is safe and effective with expected low expulsion, high satisfaction and continuation rates. It should be offered to mothers planned for elective cesarean.","PeriodicalId":92765,"journal":{"name":"Clinics in mother and child health","volume":"15 1","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2090-7214.1000309","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70977403","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}