Obstetrics and Gynecology

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Browsing Obstetrics and Gynecology by Author "Abdella Ahmed"

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    Assessment of Comprehensive Postnatal Care Service Utilization and Associated Factors during Discharge at Three Teaching Hospitals, Addis Ababa, Ethiopia:A Cross Sectional Study,2021.
    (Addis Abeba University, 2021-10) Basha Ferhia; Abdella Ahmed ; Fantahun Yitbarek
    Background – Comprehensive postnatal care (CPNC) includes full assessment of physical,social and psychological well-being determining the health and survival of the mother and her newborn. Ethiopia is one of the low income countries with high maternal and neonatal mortality and morbidity and low utilization of postnatal care (PNC) services. The inconsistent transition from inpatient to outpatient may end up in missed opportunities to counsel on various healthy behaviors and behaviors with long term health risks and manage postpartum problems early to prevent presenting late with severe complications and even death of the mother and her newborn. Objectives - Assessing CPNC service utilization and associated factors among postpartum women during discharge at 3 teaching hospitals to identify gaps and recommend areas for actions to be undertaken to improve quality of care. Methods - An institution based cross-sectional study was conducted in three teaching hospitals in Addis Ababa, Ethiopia. Medical records and pretested structured questionnaire for interviewing postpartum mothers were used to collect data and convenience sampling method was used to select among postpartum mothers at three teaching hospitals. The collected data was entered and analyzed by Statistical package for social sciences (SPSS) version 25. Results – The study participants were 398. The overall comprehensive postnatal care utilization of all components was 0. Factors that affect comprehensive postnatal care utilization were educational level, ANC, time of information about comprehensive post-natal care utilization,mode of delivery and length of hospital stay. Those who delivered via CD had twice the likelihood of getting good counseling services. Conclusion and recommendations – CPNC utilization according to this study is very low. It is recommended that all postpartum women at any educational level should be informed about postnatal care and those informed during pregnancy are more likely to get full package of the postnatal care and therefore encouraging further effort at the antenatal care services. Additional effort is needed on counseling messages and measures have to be taken at each step to develop minimal standard of quality of care, quality indicators and pre-discharge checklist to avoid too early discharges prior to completion of the care.
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    Determinant of Anemia among Pregnant Women Attended Antennal Care Clinic in Selected Public Hospitals, Case Control Study,in Addis Ababa, Ethiopia, 2021
    (Addis Abeba University, 2021-07) Seman Asrar; Abdella Ahmed; Mekonnen Endalkachew
    Background:Anemia is a common clinical problem contributing to increased maternal and fetalmorbidityand mortality during pregnancy. Anemia can be caused bydifferent factors apart fromknown diseases. The main aim of this study is to identify determinants of anemia amongpregnant women attending antenatal care at the public health facilities of GMH,ZMH andALERT hospitals Objective:-This studyaims to assess the determinantfactors of anemia among pregnant womenattending Antenatal Care (ANC) in three selected public hospitals (GMH, ZMH and ALERThospitals), Addis AbabaEthiopia,case-control study. Methods:-A health facility-basedunmatchedcasecontrolstudydesign wasapplied, among 126cases and 252 controls from JAN,2021-APRIL, 2021G.C in three public hospitals in A.A,Ethiopia. Data were collected using interviewer-administered questionnaires. Controls werepregnant ladieswhosehemoglobinlevel was 11 g/dl and above at their first antenatal care clinic,and cases were pregnant ladies whose hemoglobin level less than 11 g/dl in the first and 3rdtrimester and 10.5g/dl in the second trimester.collected data were entered using SPSS version 25for analysis. First Bi-variable logistic regressions were used to find out determinant factors ofanemia at P–value≤ 0.025, and thenmultivariable logistic regressions were used to control outconfounding variables. Adjusted odds ratio (AOR) with 95% confidence interval (CI) and p-value<0.05 will be used to see the significant association. Result:According to bivariate analysis result;educational level of mothers and occupationalstatusof respondents,family monthly income, those mothers havehistory of abortion,number offamily living together,parity of mothers,thoseothers hadhistory of abortionand thosewomen’shad intestinal parasite parity, were significantly associated with maternal anemia. Aftercontrolling the effect of confounding factors (variables)multiple logistic regression analysisrevealed that:family monthly income between1001–3500 ETB.,werewith (AOR꞊5.252; 95%CI (2.346,11.746), those motherswho had parity four and abovewith (AOR꞊5.623; 95% CI;(2.023, 15.592),and those mothers had History of abortion with (AOR= 1.971, 95% CI(1.124,3.459), had significant association with anemia. Conclusion. monthly family income, having previous history of abortion and parity arepositively associated with anemia in current pregnancy.Early identification of determinants ofanemia and appropriate interventions have paramount importance in fighting anemia to helpmothers enjoy their pregnancy. family planning, hemoglobin determination in all pregnantwomenare valuable