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Knowledge of Obstetric Danger Signs and Associated Factors Among Pregnant Women Attending Antenatal Care Clinics in Jigjiga Public Health Institution, Somali, Ethiopia
Omar Mohamed Abdi,
Mukhtar Shekabdulahi Warsame,
Abdulahi Omar Abdulahi,
Faysal Harun Hassan
Issue:
Volume 8, Issue 5, September 2020
Pages:
122-134
Received:
11 August 2020
Accepted:
22 August 2020
Published:
10 September 2020
Abstract: Background: Pregnancy is a normal process that results in a series physiological and psychosocial changes that can be accompanied by some danger signs and complications which are potentially life threatening to the mother and/or foetus. Although, childbirth is positive expectation for most of the women, it can be problematic for others. Knowledge of obstetric danger sign is essential first step in accepting and for motivating women to seek health care service with appropriate and timely referral to comprehensive obstetric and new-born care. Objective: This study was aimed to assess knowledge of obstetric danger signs and associated factors among pregnant women attending ANC clinic in Jigjiga public health institution, Somali, Ethiopia, 2019. Method: Institutional based cross-sectional study design was conducted in Jigjiga Public Health institution from April 15 to 31, 2019. A Systematic random sampling technique was used to select a total of 399 study participants using single population proportion. Data was collected using a pre-tested and well-structured questionnaire. Data was coded, entered and cleaned in Epi-Data version 6.04 and then exported into SPSS statistical software version 20 for analysis. Descriptive statistics were used to determine sociodemographic, obstetric characteristic, health & health related variables and knowledge of obstetric danger sign while bivariate & multivariate logistic regression was used to identify factors associated with knowledge of obstetric danger signs. Result: Out of 399 Respondents, 164 (41.1%) were knowledgeable regarding all type of obstetric danger sign during Pregnancy, Childbirth and Postpartum; The most frequently key obstetric danger signs identified by participants were sever vaginal bleeding during the pregnancy 64.2%, childbirth 57.4% and postpartum 50.4%; Formal education [AOR: 2.297, 95% CI (1.274, 4.143)]; Antenatal care service visit [AOR: 4.226; 95%CI (2.256, 7.918)]; PNC utilization visit [AOR=5.256, 95% CI (2.879, 9.595)]; history of obstetric complication [AOR: 4.273; 95% CI (2.042, 8.944)] and other related factors like Maternal Occupation, home visit, Mass media access and husbands a companion during health facility visit were statistically significance associated with being knowledgeable about obstetric danger signs. Conclusion and Recommendation: A significant proportion of pregnant women were not knowledgeable about obstetric danger signs at all categories which may result lack of delay in seeking health care service. Increasing level of awareness, health education, home to home visit and support women’s health seeking behaviour and encouraging husband to support women’s during health care visit may help women to recognize obstetric danger sign and seek health care services.
Abstract: Background: Pregnancy is a normal process that results in a series physiological and psychosocial changes that can be accompanied by some danger signs and complications which are potentially life threatening to the mother and/or foetus. Although, childbirth is positive expectation for most of the women, it can be problematic for others. Knowledge o...
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Analysis of Cesarean Section Indications According to the Robson Classification in Surgical Maternities in Dakar, Senegal: About 9185 Cases
Taliana Stephie Gondjout,
Omar Gassama,
Mohamed Tété Diadhiou,
Marie Edouard Faye Dieme,
Mamour Gueye,
Abdoul Aziz Diouf,
Pape Malick Ngom,
Saidou Diallo,
Raymond Alipio,
Dieynaba Ndao,
Sedouma Yatera,
Alphousseyni Gaye,
Daouda Ndour,
Youanidou Wane Dia,
Philippe Marc Moreira,
Alassane Diouf,
Jean Charles Moreau
Issue:
Volume 8, Issue 5, September 2020
Pages:
135-140
Received:
29 August 2020
Accepted:
17 September 2020
Published:
30 September 2020
Abstract: Background: The caesarean section rate remains relatively high in the surgical maternity hospitals in Dakar and the indications for scarred uterus are still high. The management of induced prematurity for maternal pathologies still poses real problems in Dakar. The aim of our study is to compare the Caesarean section rate in the different surgical facilities in Dakar. We used the ROBSON's classification to evaluate the indications for Caesarean section in surgical maternity hospitals in Dakar. Methods: This was a descriptive and analytical prospective study which took place from January 1st to December 31st 2019 in 10 surgical maternity hospitals in Dakar (University hospital Aristide Le Dantec, National Hospital Center of Pikine, Municipal Hospital Center Abass NDAO, Principal Hospital of Dakar, Youssou Mbargane DIOP Hospital in Rufisque, Ouakam Military Hospital, Grand Yoff General Hospital, Gaspard Kamara Health Center, Nabil Choucair Health Center, Roi Baudoin Hospital Center) and which included all patients who delivered by caesarean section. Indications for Caesarean section were classified according to ROBSON's 10 group classification. The parameters studied were age, frequency, indications for Caesarean section in these surgical maternity hospitals and, Apgar score at five minutes and, birth weight. Data collection was done through birth records and registers, on-call diaries and integrated into a database developed with Sphinx software. Statistical analysis was done using SPSS software. Results: During the period of the study we recorded 35287 deliveries with 9185 Caesarean sections, i.e. a frequency of 26%. The average age of the patients was 29 years. Indications for Caesarean section in Dakar surgical maternity hospitals were dominated by group 5 (28.4%) according to Robson's classification. Group 10 in Robson's classification was predominant in the maternity hospitals of University hospital Aristide Le Dantec (23.3%) and Municipal Hospital Center Abass NDAO (22.5%). Group 5 was found in the maternity units of the Gaspard Kamara Health Center (32.3%), Nabil Choucair Health Center (39%), Principal Hospital of Dakar (26.4%), Youssou Mbargane Hospital Diop Hospital in Rufisque (31.4%), Roi Baudoin Hospital Center (29.8%), Grand Yoff General Hospital (32%), Ouakam Military Hospital (34.2%), and, National Hospital Center of Pikine (27.9%). 4 facilities had a caesarean section rate higher than 30% (University hospital Aristide Le Dantec 35.6%, Youssou Mbargane Diop Hospital in Rufisque 32.03%, Municipal Hospital Center Abass Ndao 32.01% and, National Hospital Center of Pikine 30.45%). The average birth weight of new-borns was 2943 grams, with an average Apgar score of 8 at the fifth minute. The post-op care was simple. Conclusion: The caesarean section rate remains relatively high in the surgical maternity hospitals in Dakar and the indications for scarred uterus are still high.
Abstract: Background: The caesarean section rate remains relatively high in the surgical maternity hospitals in Dakar and the indications for scarred uterus are still high. The management of induced prematurity for maternal pathologies still poses real problems in Dakar. The aim of our study is to compare the Caesarean section rate in the different surgical ...
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Media Influence on Sexual Activity and Contraceptive Use Amongst Students of University of Jos, Jos Plateau State Nigeria
Charles Ujunwa Anyaka,
Christopher Orokpo Egbodo,
Makshwar Luka Kahansim,
Amaka Ngozi Ocheke,
John Edeoja Edeh
Issue:
Volume 8, Issue 5, September 2020
Pages:
141-147
Received:
30 August 2020
Accepted:
17 September 2020
Published:
7 October 2020
Abstract: Introduction: The Youth are active consumers of media content where issues pertaining to sexual activity and contraceptives could be seen. Information derivable from the media can reduce the burden of reproductive health. Therefore, examining the influence of media on sexual behaviour and contraceptive use of students may assist policy makers to strategize on providing solutions to these problems. Objective: The general objective of this study was to examine the influence of media on sexual activity and contraceptive use among students at the University of Jos, Plateau State. Methods: A descriptive cross-sectional study where 278 students of general studies were selected using a multistage random sampling technique. Individuals were subsequently chosen at random until a statistically determined sample size was achieved. Statistical Package for Social Sciences (SPSS version 20) software was utilized for data analysis. Results: The mean age of respondents was 22.3 years Students that were ≤ 20yrs constituted the largest group of respondents (49.6%). Most of the students (77%) agreed that media influences sexual behaviour with the Internet/social media (39.3%) having the most influence. Most of the respondents (87.4%) had heard of contraceptives from the media, most from the Internet/social media (42.4%) while the male condom (46.5%) was the most known type of contraceptive. Most of the respondents (77.7%) felt that contraceptive information in the media encouraged engagement in safe sex. There was a significant statistical association between information from media and influence on sexual activity and also influence on use of contraceptives. There was also significant statistical association between information on contraceptives from media and engagement in safe sexual activity. Significant number of the students (42.6%) agreed while 40.0% disagreed that the media should be a platform for sex education to students. Most of the students (87.4%) agreed that contraceptives information in media can lead to reduced incidence of unwanted pregnancies among students. Most of the students (86.7%) agreed that contraceptives information in media can lead to reduced incidence of STIs and HIV/AIDS among students. Conclusion: Media content is seen among the top sexual educators amongst students. Mass media plays an important role in improving contraceptive use among students. This finding provides a window of opportunity for improving contraceptive utilization in the country through an improved and sustained use of the mass media to disseminate family planning information.
Abstract: Introduction: The Youth are active consumers of media content where issues pertaining to sexual activity and contraceptives could be seen. Information derivable from the media can reduce the burden of reproductive health. Therefore, examining the influence of media on sexual behaviour and contraceptive use of students may assist policy makers to st...
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Prospects for the Treatment of Endometriosis: The Effect of Immune Peptides on the Reactivation of Immune Surveillance over Ectopic Endometrial Cells
Natalia Zakharenko,
Oleksii Tatskiy,
Sergii Konovalenko
Issue:
Volume 8, Issue 5, September 2020
Pages:
148-153
Received:
13 September 2020
Accepted:
29 September 2020
Published:
13 October 2020
Abstract: Background. Genital endometriosis (GE) remains a significantly common disease, occurring in 0.5-5% of fertile women and in 25-40% of women with infertility. In patients with GE, there is a decrease in apoptosis in endometrial cells compared to healthy women, even more pronounced in ectopic foci, as a result of which their proliferative activity increases and the ability to abnormal implantation increases. Objective. Our task was to study the patterns of interaction of immune cells with ectopic endometrial cells, as well as to determine the molecular biological levers of influence on immune surveillance in endometriosis. Given the ability of ectopic cells to change the microenvironment in their favor, we aimed to find an effective tool to restore immune surveillance of endometrioma and thus offer a promising treatment for the disease. Method. For the purpose of writing this review article, we used the method of selection and analysis of scientific publications with open access. Results. The use of immune peptides in endometriosis, which are capable of activating regulatory macrophages and stimulating the recruitment of T-lymphocytes, opens up new possibilities for controlling the disease. Arecur, which contains immune peptides, including defensins and RJP-1, tunes immune cells to maximize their productivity against ectopic tissue, potentially creating conditions for the prevention of endometriosis-associated ovarian cancer. Conclusion. The use of immune peptides in endometriosis quite predictably contributes to more efficient work of local immunity. Immune cells potentiated with peptides not only independently attack and separate the intercellular connections in the endometrioma, but also provoke apoptosis of ectopic cells. The use of immune peptides in endometriosis opens up new prospects for increasing the effectiveness of treatment and prevention of this disease.
Abstract: Background. Genital endometriosis (GE) remains a significantly common disease, occurring in 0.5-5% of fertile women and in 25-40% of women with infertility. In patients with GE, there is a decrease in apoptosis in endometrial cells compared to healthy women, even more pronounced in ectopic foci, as a result of which their proliferative activity inc...
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