Placental and Umbilical Cord indices and their Association with Perinatal outcome in Hadiya Zone Public Hospitals, Southern Ethiopia
| dc.contributor.advisor | Mulu, Abay (Assistant Professor of Anatomy) | |
| dc.contributor.author | Meskele, Simeon | |
| dc.date.accessioned | 2018-11-30T07:46:09Z | |
| dc.date.accessioned | 2023-11-29T04:16:18Z | |
| dc.date.available | 2018-11-30T07:46:09Z | |
| dc.date.available | 2023-11-29T04:16:18Z | |
| dc.date.issued | 2018-07 | |
| dc.description.abstract | Back ground: Mother and Foetus come in close contact with each other by the Placenta. The placenta and umbilical cord have been considered to significantly contribute to the perinatal outcome. The conditions of placental and umbilical cord indices have contribution in some degree for neonatal mortality and are important factors in foetal growth retardation. Nowadays, very little is known about measurements of placental and umbilical indices in Ethiopia and there is a gap to quantitatively describe the relationship between parameters of placenta and umbilical cords such as placental weight, shape, thickness, length of umbilical cord and their association with foetal outcome. Objective: To assess placental and umbilical indices and to determine association with perinatal outcome in public hospitals Hadiya Zone, Southern Ethiopia, 2018. Method: Institution based cross-sectional study design was conducted in public hospitals of Hadiya Zone, Southern Ethiopia from September 1 to November 30, 2017. A total of 249 placentae from normal singleton with known gestational live birth with attached umbilical cord were collected and included in this study. Data was collected by using check list adopted from different literature and modified according to objectives of this study. Systematic sampling technique was used to select study respondents. Bivariate and multiple variable logistic regressions (Odds Ratio) analyses were calculated at 95% CI. Result: Low placental weight [AOR=6.57; 95%CI: 2.47, 17.48], preterm birth before 34weeeks [AOR=21.16; 95% CI: 5.00, 89.53] and preterm between 34-37weeks [AOR=7.28; 95 % CI: 2.12, 25.04] were significantly associated with LBW. And also short cord length (<40cm) [AOR=3.43; 95% CI: 1.66, 7.09], long cord length (>70cm) [AOR=7.55; 95% CI: 2.07, 27.53], Preterm birth before 34weeks, Thin Placenta, Apgar score<7 at five and one minute were association with foetal distress. Prevalence of short, long and normal cord length were 32.9%, 5.2% and 61.8% respectively in this study. Conclusion: Low Placental Weight and Preterm birth before 34 complete weeks were significantly associated with LBW. Deviation of UCL from normal range, preterm delivery (<34weeks), Apgar score<7 at five and Apgar score<7 at one minute were significantly associated with foetal distress at p<0.05. Recommendations: Examination of the placenta and umbilical cord should be performed routinely in the delivery rooms to provide valuable information that are important to the care of both mother and new born. | en_US |
| dc.identifier.uri | http://etd.aau.edu.et/handle/123456789/14740 | |
| dc.language.iso | en_US | en_US |
| dc.publisher | Addis Ababa Universty | en_US |
| dc.subject | placental indices, umbilical cord indices, foetal outcome, Hadiya, Ethiopia | en_US |
| dc.title | Placental and Umbilical Cord indices and their Association with Perinatal outcome in Hadiya Zone Public Hospitals, Southern Ethiopia | en_US |
| dc.type | Thesis | en_US |