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Awareness on Presentation of Obstetric Fistula and Associated Factors Among Reproductive Age Women in South Eastern Zone of Tigray
Berhane Teklay Asfaha,
Haftu Berhe Gebru,
Desta Siyoum Belay,
Teferi Gebru Gebremeskel
Issue:
Volume 11, Issue 1, January 2023
Pages:
1-9
Received:
15 December 2022
Accepted:
2 February 2023
Published:
21 February 2023
Abstract: Background: Worldwide, around one million girls and women are currently living with fistula. Less than 20,000 women with obstetric fistula are treated each year. Lack of awareness is a frequently mentioned barrier to seeking fistula treatment; many women suffering from obstetric fistula do not know what fistula is, as it is treatable, or where to get treatment. Even though obstetric fistula has likely weighed down women since the beginning of time, few researches proportionally exists. Methods: A community based quantitative cross-sectional survey was undertaken in south eastern zone of Tigray. A multistage random sampling technique was implemented to select total participants of 605 reproductive age women. Two districts were randomly selected and from those districts, 12 kebels were selected randomly and the calculated sample size (605) was proportionally allocated to each selected kebeles. The data were collected by using face to face/interview with structured questionnaire from February 26-March 24/2020 after ensuring that all requirements of ethical considerations were fulfilled. The collected data were entered in to Epidata version 4.2 then exported to SPSS version20 for analysis. Descriptive statistics with frequency, percentage, table and graph and cross tabulation were used for presentation of result. Bivariable and multivariable analysis were used to examine the association. Odds ratios with 95% confidence interval and P-value <0.05 were used to determine the statistical association. Result: Overall, about 31.6% of respondents had good awareness on presentation of obstetric fistula. The major determinants identified to awareness on presentation of obstetric fistula were educational level (above secondary) [AOR (95%CI=2.9 (1.42-9.6)], history of institutional delivery (for the index child) [AOR (95%CI=4.1 (1.76-9.56)] and having prior information about obstetric fistula [AOR (95%CI=2.2 (1.01-4.75)]. Conclusion: In this study majority of reproductive age women in the study area had poor awareness regarding presentation of obstetric fistula. Several interventions like health education and information should be implemented to enhance the awareness of the community towards obstetric fistula.
Abstract: Background: Worldwide, around one million girls and women are currently living with fistula. Less than 20,000 women with obstetric fistula are treated each year. Lack of awareness is a frequently mentioned barrier to seeking fistula treatment; many women suffering from obstetric fistula do not know what fistula is, as it is treatable, or where to g...
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Maternal and Neonatal Prognosis of Childbirth Among 14 to 19 Years Teenage Girls at the Ordre De Malte Hospital of Djougou, Benin
Atade Sèdjro Raoul,
Dangbemey Patrice,
Vodouhe Mahoublo Vinadou,
Ibrahima Adnane,
Salifou Badariyatou,
Togbenon David Lionel,
Obossou Achille,
Salifou Kabibou
Issue:
Volume 11, Issue 1, January 2023
Pages:
10-16
Received:
9 January 2023
Accepted:
8 February 2023
Published:
21 February 2023
Abstract: Introduction: Despite advances in clinical care, teenage childbirth is still feared both medically and socially. Because of their immature bodies, teenage girls are more prone to complications during pregnancy and delivery. Objective: This study aimed to investigate maternal and neonatal prognosis of childbirth among 14 to 19 years teenage girls at the Ordre de Malte hospital of Djougou (HZ-OMD) in 2021. Method: For descriptive and analytical purposes, we conducted a prospective study in the gynecology and obstetrics section of the Ordre de Malte hospital of Djougou (HZ-OMD), from January 1 to May 31, 2021 (5 months). The study population consisted of all parturients admitted into the gynecology and obstetrics section of the HZ-OMD throughout the study period. Data were collected through a face-to-face interview using a pre-designed and tested questionnaire, as well as through physical checkup. Pearson's chi-square and Fisher's exact tests have been used as appropriate to determine correlation between variables. Result: A total of 240 participants were included in this study. The teenage girls childbirths rate in the HZ-OMD was 18.3%. Deliveries were vaginal (63.7%) and vaginal (36.3%). The dystocia noted during vaginal delivery were mechanical (15.2%) and dynamic (11%). High blood pressure was found in 28.6% and was complicated by eclampsia in 16.4% of cases. No maternal deaths were recorded. Preterm births and low birthweight represented 21% and 33.33% of these births respectively. Acute fetal distress was noted in 13.75%. The neonatal mortality rate was 106 per 1000 live births. Irregular fetal heart rate and a generally narrowed pelvis were associated 5.14 and 5.86 times respectively with the risk of delivering through cesarean section (p=0.001; p=0.033). Fifth minute Apgar <7, a criteria of fetal morbidity, was significantly associated with low birthweight (p=0.01), preterm delivery (p=0.021), and acute fetal distress (p 0.001). Newborns were 5 times more likely to die when they are of low birthweight (p=0.001). Conclusion: Teenage girls’ childbirth presents huge risks due to the immaturity of their bodies and the poor follow-up of their pregnancies in our settings.
Abstract: Introduction: Despite advances in clinical care, teenage childbirth is still feared both medically and socially. Because of their immature bodies, teenage girls are more prone to complications during pregnancy and delivery. Objective: This study aimed to investigate maternal and neonatal prognosis of childbirth among 14 to 19 years teenage girls at...
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The Factors Associated with Utilization of Postnatal Care Service in Sheka Zone, South-West Ethiopian Peoples Region
Issue:
Volume 11, Issue 1, January 2023
Pages:
17-24
Received:
26 November 2022
Accepted:
17 January 2023
Published:
27 February 2023
Abstract: Within the first month of life, most deaths of mothers and infants occur. Within the first 24 hours, about half of all maternal deaths occur. In the Sheka zone, southwest of the Ethiopian Peoples area, the study sought to investigate the parameters associated with postnatal care service consumption. From January 2021 to March 2022, a cross-sectional study based in the community was carried out. 1779 individuals in all were enrolled in the study. Variables having a bivariate logistic regression p-value of less than 0.25 were included in the multivariate logistic regression model as statistically significant variables. A P-value of less than 0.05 was used to indicate statistical significance. In the first six weeks after giving birth, this survey found that 54.9% of women used at least one postnatal care service. The vast majority of women who had four or more antenatal visits in the first six weeks accessed postpartum care services (68.48 %) Women who had four or more prenatal visits were 1.834 times more likely to receive postpartum care in the first six weeks than those who had fewer visits (AOR=1.834, 95% CI=1.413-2.380). Compared to women who give birth at home, those who give birth in medical facilities are more likely to receive postpartum care (AOR=1.473, 95% CI=1.163-1.867). Compared to other age groups, women between the ages of 20 and 24 were more likely to receive postpartum care (AOR=3.570, 95% CI=2.419-5.268). Women who attended Elementary school (AOR=2.356, 95% CI=1.717-3.233) and Secondary and above School (AOR=1.690, 95% CI=1.174-2.431) were more likely to receive Postnatal Care services than uneducated women. Women who had a job were more likely to receive Postnatal care than hadn’t job women (OR=5.857, 95% CI=14.013-8.549). Married women were more likely to receive Postnatal care services than Never married women (AOR=1.572, 95% CI=1.149-2.149). Women who gave birth to twins were more likely to receive Postnatal Care than women who gave birth to a child (AOR=0.360, 95% CI=0.250-0.519). This study showed that postnatal care services were underutilized in the Sheka Zone, Southwest Ethiopian People Regions. The utilization of postnatal care services will therefore rise if routine antenatal care is encouraged to be followed by institutional delivery along with integrated health education about postnatal care both during pregnancy and delivery. The research area's government and stakeholders should arrange skill development for using postnatal care.
Abstract: Within the first month of life, most deaths of mothers and infants occur. Within the first 24 hours, about half of all maternal deaths occur. In the Sheka zone, southwest of the Ethiopian Peoples area, the study sought to investigate the parameters associated with postnatal care service consumption. From January 2021 to March 2022, a cross-sectiona...
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Socio-Anthropological Determinants of the Practice Persistence of Female Genital Mutilation in Conakry, Guinea in 2021
Abdourahamane Diallo,
Daniel William Athanase Leno,
Niouma Nestor Leno,
Aissatou Barry,
Mamady Kouroumah,
Telly Sy
Issue:
Volume 11, Issue 1, January 2023
Pages:
25-30
Received:
24 January 2023
Accepted:
21 February 2023
Published:
20 March 2023
Abstract: Introduction: This study aimed to analyze the socio-anthropological determinants of the persistence of the practice of female genital mutilation in Conakry. Methods: A one-month qualitative study (May 1-31, 2021) involving seven categories of people (mothers and fathers, imams, Christian religious leaders, local elected officials, young girls and boys) in Conakry. Results: This study shows that 81% of participants consider FGM to be a customary and traditional practice and a legacy of their ancestors to be perpetuated. More than half of the respondents (52%) considered FGM to be a religious prescription. Others thought that FGM was intended to ward off bad diseases and reduce the odor of young girls' urine. The majority (66.7%) saw uncut women in a negative light, as free women who could not control their sexual urges. Nearly half (46%) of the participants did not know that FGM could lead to complications and 31% of them did not know that there was a law in the country prohibiting the practice of FGM. Conclusions: Religious beliefs, customs, traditions, and the stigmatization of uncircumcised women contribute to the persistence of FGM in Conakry. The fight against this scourge requires that these aspects be taken into account in all response strategies.
Abstract: Introduction: This study aimed to analyze the socio-anthropological determinants of the persistence of the practice of female genital mutilation in Conakry. Methods: A one-month qualitative study (May 1-31, 2021) involving seven categories of people (mothers and fathers, imams, Christian religious leaders, local elected officials, young girls and b...
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