Maternity and Reproductive Health Nursing

Permanent URI for this collection

http://etd.aau.edu.et/handle/123456789/87

Browse

Browsing Maternity and Reproductive Health Nursing by Author "Adugna Haweni ( MSc)"

Now showing 1 - 2 of 2
  • No Thumbnail Available
    Item
    Health Provider’s Readiness in Managing Intimate Partner Violence in Public Health Institutions at Hawassa City, Sidama Region, Ethiopia, 2021
    (Addis Ababa University, 2021-06) Teshome Lidiya; Deribe Leul (Prof); Adugna Haweni ( MSc)
    Introduction: Intimate partner violence is prevalent worldwide public health problem and major human and legal rights abuse of all women, which requires complex and multifaceted interventions.Health facilities are situated to provide management for IPV. Thus, Nurses and midwives are front lines responsible for consolidating essential health care services for IPV victims. There is no detail, however, on whether or not health providers are prepared to identify and manage IPV. Objective: The aim of this study was to assess health provider’s readiness in managing IPV in public health institutions at Hawassa city, Sidama, Ethiopia, 2021. Method: A cross-sectional study was performed at an institution. An anonymous self-administered questionnaire was distributed across 424 respondents selected by simple random sampling.Categorical variables were reported by frequency with percentage. Mean and standard deviation were used to report perceived readiness score. The factors influencing providers' perceived readiness were assessed using linear regression analysis. The strength of association between independent and dependent variables was assessed by using unstandardized β with 95% CI. In all statistical tests used, statistical difference considered significant when P-value was less than 0.05. Results: The mean score for provider’s readiness in managing IPV was 26.18±6.69. Not having received IPV training (P = 0.013: 95% CI of β: -3.746, -0.449), providers with higher age (P =0.017: 95% CI of β: 0.032, 0.321), perceived knowledge on IPV management (P <0.001: 95% CI of β: 0.203, 0.383), absence of protocol in the institution dealing with IPV management (P = 0.049:95% CI of β: -2.706, -0.008) and attitude of providers toward IPV (P = 0.027: 95% CI of β: 0.013,0.213) were factors that affect providers perceived readiness in managing IPV. Conclusion: Providers had limited perceived readiness to manage IPV and certain factors were affected their perceived readiness. Recommendations: Interventions on provision of training, develop protocols and improvement in perceived knowledge should be needed to increase provider’s perceived readiness in managing IPV.
  • No Thumbnail Available
    Item
    Maternal and Fetal Health Outcome of Cesarean Section and its Associated Factors in Gurage Zone Governmental Hospitals, SNNPR, Ethiopia, 2021 G.C
    (Addis Ababa University, 2021-06) Mesfin Helina; Teshome Roza( Prof); Adugna Haweni ( MSc)
    Background: A cesarean section is the most common obstetric surgery performed today. Even though cesarean delivery is the safest mode of delivery for high risk situation, it also appears to have higher risk of maternal and neonatal morbidity and mortality than vaginal delivery in low risk cases. Objectives: To determine the maternal and fetal health outcome after cesarean section and its associated factors in Gurage Zone governmental hospitals, SNNPR, Ethiopia 2021 G.C. Methods: Institutional based retrospective cross-sectional study was conducted in Gurage Zone governmental hospitals from February 21/2021- March 13/2021on cards of mother who delivered by cesarean section from February 2019 to January 2021. The total sample size was 398 and collected from five governmental hospitals. The collected data was entered and analyzed using STATA version 15. Binary and Multiple Logistic regressions were used to identify associated factors for maternal outcome and fetal outcome. Result: Out of mothers included in the study 23.4% of them had poor maternal outcome. The prevalence of poor fetal outcome was 19.74%. Obstetric complication [AOR of 2.65, 95% CI,(1.17, 6.01)], Medical disease [AOR of 3.39, 95% CI (1.13, 10.16)], General Anesthesia [AOR of 16.8, 95% CI (1.32, 212.54)] and Ante Partum Hemorrhage as indication for Cesarean Section [AOR of 3.73, 95% CI, (1.08, 12.83)] are found to be statistically significant factors for poor maternal outcome. Also Medical disease [AOR of 5.78, 95% CI (1.17, 28.54)] and Cephalic Pelvic Disproportion as an indication for Cesarean Section [AOR of 5.57, 95% CI (1.74, 17.78)] are statistically significant factors for poor fetal outcome. Conclusion & Recommendation: The prevalence of poor maternal and fetal outcome is 23.37% and 19.74% respectively. The most common maternal complications post CS were infection(5.98%), Blood transfusion (5.71%), Hemorrhage (5.43%). Although much emphasis has been placed on reducing maternal mortality associated with pregnancy, mothers who escape pregnancy-related mortality but suffer health consequences should also be given special attention.