Browsing by Author "Berhe Semarya (PhD)"

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    Efficacy of Transcervical Foley Catheter Versus Intravaginal Misoprostol as a Cervical Ripening Method and Associated Factors in Selected Public Hospitals of Addis Ababa, Ethiopia, 2020.
    (Addis Ababa University, 2021-01) Marye Shimels; Berhe Semarya (PhD); Assefa Yeshi (MSc)
    ABSTRACT Background: Many women who undergo labor induction have an unfavorable cervix. Therefore,cervical preparation by using a safe and effective method is necessary to increase the chance of successful induction. Objective: To compare the efficacy of transcervical Foley catheter and intra-vaginal misoprostol as a pre-induction cervical ripening method and associated factors at selected public hospitals of Addis Ababa, Ethiopia, 2020. Methods: A retrospective institution based cross-sectional study was conducted from October to November 2020 in selected Hospitals of Addis Ababa, Ethiopia. The consecutive sampling method was used to enroll a sample size of204 study participants for each group of cervical ripening methods, by using delivery and induction registration books. The first group was women primed by transcervical Foley catheter and the second was those by intra-vaginal misoprostol. Data were collected by questionnaire and entered into a computer using Epi-data version 4.6.2 statistical program then it was exported to SPSS version 25 for analysis. Selected baseline characteristics and outcome measures were compared using the independent sample T-test and Fisher’s exact or Chi-Square test for continuous and categorical variables respectively. Lastly, the significance of the statistical association was assured using OR at a 95% confidence interval and p-value <0.05. Result: The rate of success of induction (χ2 = 5.892; P=0.015) and mean change in Bishop's (P<0.001) score were found to be significantly higher in the Foley catheter group. But the rate of uterine hyperstimulation (P =0.02), fetal heart rate abnormality (P=0.01), maternal and neonatal adverse effects (P=0.04), and NICU admission (P=0.01) were significantly higher in the misoprostol group. Parity (AOR=4.45(95% CI: 2.01- 9.82) and gestational age (AOR=0.45(95%CI: 0.220.90),were significant predictors of success in misoprostol group compared to residential address (AOR=0.46(95%CI: 0.26-0.95) in the Foley group. Conclusion and recommendation:This study showed that a transcervical Foley catheter increases the success rate of induction and decreases maternal and neonatal complications associated with induction of labor. The result suggested that safety issues need to be taken into consideration when misoprostol is planned to use especially in multiparous women.
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    Prevalence and Failure Rate of Induction of Labour with their Associated Factor among Women Delivered in Woldia General Hospital, Northern Ethiopia, 2018
    (Addis Ababa University, 2018-06) wodaje Mulugeta; Berhe Semarya (PhD)
    Despite its great significant, to prevent neonatal and maternal mortality and morbidity induction of labour has a potential of failure to progress leading to caesarean birth and its complication. Due to this World Health Organization (WHO) recommends induction to be performed only with a clear medical indication when expected benefits outweigh potential harms. The objective of the study was to assess the prevalence and failure rate of induction of labour with associated factors among mothers delivered at Woldia General Hospital Northern Ethiopia from 2013 to 2017. The study was conducted using institutional based retrospective cross sectional study on 380 study samples selected by systematic random sampling method among all mothers delivered at Woldia general hospital from 2013 to 2018. Data entered and coded using Epi data 4.2 and analyzed using SPSS version 20.0. Bivariate and multivariate logistic regression analysis carried out to determine the association of different potential factors with prevalence and outcome of induction of labour. Independent predictors were determined using adjusted odds ratio with 95% confidence interval and at p-value of < 0.05 in multivariate regression analysis. The result of the study revealed that out of total delivery induction of labour was done in 89(24.4%) with 37.4% of them had failed induction of labour. The study also found out that Parity, gestational age and diastolic blood pressure of the mother have significant association with induction of labour with AOR of 3.1, 3.8 and 4.8 respectively. Furthermore, Bishop Score of less than six and primi Para were found with a significantly higher rates of caesarean section at AOR of4.11(95% CI: 1.31, 12.86) and 3.48(95% CI: 1.15, 10.55) respectively. As conclusion the prevalence of induction of labour inWoldia general hospital was relatively high with a higher risk of caesarean delivery. Therefore, the minister of health and the hospital should give greater emphasis for improving the induction of labour service. Further studies also needed on this field to investigate predictors of failed induction of labour.