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Assessment of Quality of Comprehensive Abortion Care in Selected Health Institution of Addis Ababa, Ethiopia
Tatek Tesfaye,
Ephrem Mamo,
Trhas Tadesse,
Yared Tesfaye,
Gelane Lelise,
Ayele Teshome,
Selahadin Seid,
Jemal Mohammed,
Tamerat Assefa
Issue:
Volume 11, Issue 4, July 2023
Pages:
80-89
Received:
19 August 2022
Accepted:
28 September 2022
Published:
13 July 2023
Abstract: Back ground: The risks of unsafe abortion are not only just to the woman involved and her family butalso the costs of unsafe abortion are carried by the whole of the society. Howeverunsafe abortion is commonly neglected reproductive health care problem in developing countries like Ethiopia. Therefore, the aim of this study was todetermine the level of quality comprehensive abortion care and its associated factor in selected hospitals of Addis Ababa Ethiopia. Method: An institution based cross sectional study was conducted. Three public hospitals, 113 cleints and 46 health care providers were included in the study. Data was collected through a standard structured pre-defined observation checklist adopted from WHO, client exit interview and providers self adminster questioners. Frequency tables and graphs were used to describe the study variables and a logistic regression model was used to measure the association between the outcome and the predictor variable. Statistical significance was declared at p-value<0.05. Direction and strength of association were expressed using OR and 95% CI. Result: Only 36 (31.9%) of the participants were counseled on contraceptive use and 54.3% of the providers were trained on comprehensive abortion care services. Consent was taken verbally from 41 (36.3%) of the clients' and privacy was maintained for 34 (30.1%) of the clients during physical examination. Over all 52 (46%) of clients were satisfied by abortion care services. Clients with no history of previous pregnancy and muslim religions and protestant were more likely satisfied by CAC service compared to clients with a history of previous pregnancy and orthodox religion respectively. Conclusion: The proportion of quality of comprehensive abortion care was low. Religion and previous history of pregnancy were significantly associated with quality of comprehensive abortion care. Policymakers and other concerned bodies should focus on those areas to improve the quality of comprehensive abortion care.
Abstract: Back ground: The risks of unsafe abortion are not only just to the woman involved and her family butalso the costs of unsafe abortion are carried by the whole of the society. Howeverunsafe abortion is commonly neglected reproductive health care problem in developing countries like Ethiopia. Therefore, the aim of this study was todetermine the level...
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Screening for Precancerous Lesions of the Cervix by IVA/IVL Visual Tests at the Training Center for the Prevention of Gynecological Cancer in Conakry (Guinea)
Conte Ibrahima,
Soumah Aboubacar Fode Momo,
Diallo Abdourahamane,
Sylla Ousmane,
Cissoko Mamadou,
Sy Telly,
Keita Namory
Issue:
Volume 11, Issue 4, July 2023
Pages:
90-94
Received:
1 June 2023
Accepted:
10 July 2023
Published:
20 July 2023
Abstract: Introduction: The prevention of cervical cancer involves screening for precancerous lesions of the cervix using IVA/IVL visual tests, an approach to be popularized in countries with limited resources. The objective of this study was to contribute to the study of screening for precancerous conditions of the cervix at the center. Methods: it was a descriptive retrospective study lasting three (3) years (2016-2018), which involved all patients with precancerous lesions of the cervix detected by the IVA/IVL test coupled with histology at the Francophone Regional Training Center for the Prevention of Gynecological Cancer in Donka. Results: for 2784 patients seen at the center, 207 tested positive for VIA/IVL, including 153 cases of precancerous and/or cancerous lesions (153/207) for an overall frequency of 73.9%. The most affected age group was 35-54 years. The average age was 44.04 ± 11.65 years, with extremes of 21 and 76 years. Women most often resided in Conakry (71.1%), not attending school (66.7%), married (76.8%), premenopausal (59.5%), multiparous (72%) and had used at least one contraceptive method (57.5%). Atypical grade 1 transformation was most encountered at colposcopy (50.7%). Precancerous lesions were more common with 40.6% of cases, histology reported 33.3% of invasive cancer. IVA/IVL tests were 74% sensitive and 92% specific. Conclusion: IVA/IVL, is a very useful evaluation method in the study and diagnosis of CIN and invasive cancer. Histology remains the means of confirming the diagnosis.
Abstract: Introduction: The prevention of cervical cancer involves screening for precancerous lesions of the cervix using IVA/IVL visual tests, an approach to be popularized in countries with limited resources. The objective of this study was to contribute to the study of screening for precancerous conditions of the cervix at the center. Methods: it was a de...
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Postpartum Eclampsia Management with Lytic Cocktail Solutions in Rural and Semirural Health Care (with Limited Resources) Services in Eritrea
Abrehet Gebrekidan,
Elias Teages Adgoy,
Laban Lebahati Simel,
Feven Beletse Negash
Issue:
Volume 11, Issue 4, July 2023
Pages:
95-99
Received:
30 June 2023
Accepted:
22 July 2023
Published:
31 July 2023
Abstract: This is a case report of 28-year-old primigravida woman with complaints of mild headache, edema of both legs and history of amenorrhea of eight + months who presented to the maternity hospital. After assessment she was admitted for mild pre-eclampsia management. Two days after admission, her membranes ruptured spontaneously, clear liquor drained and had no signs of true labor on assessment. Four hours later strong uterine contractions started with increased frequency and labor progressed well giving birth spontaneously. Third stage of labor completed with minimum bleeding. Her blood pressure was monitored every 6 hours and in the first 3 days of postpartum period B/P measurement showed slight improvement (160/90, 150/85 and 140/90). She was on Valium 20 mg twice per day. Edema of the extermities and facial puffiness decreased. Uterine involution was within normal limits. Her breasts were full and normal. Eighty hours after delivery while being assessed for postpartum follow up client developed seizures suddenly which lasted for 25 seconds. Management & Treatment: Supportive care, Valium 20 mg IV and Pethedine 100 mg IM were given stat and then an in-dwelling catheter was inserted. Lytic cocktail Solution I (Pethedine 50 mg, promethazine (Phenergan) 50 mg and chlorpromazine (largactile 50 mg) in 250 ml of 10% Dextrose was administered intravenously over 30 minutes. Since convulsions was not controlled, Solution II Lytic cocktail (chlorpromazine 100 mg and Pethedine 50 mg) in 250 ml of 10% Dextrose in water was prepared and given intravenously at 40 drops/min. While taking the Solution II Lytic cocktail she had one convulsion that lasted for 7 seconds. The same Solution II was prepared and continued intravenously at a slower rate. Convulsion was controlled. Later, she developed fever, tachycardia, crepitation of the lungs and urine output decreased. She was treated with anti-biotics, diuretics and digoxin with good outcome. The patient was followed as an outpatient weekly, biweekly and monthly after discharge. Conclusion: A pregnant or postpartum mother with blood pressure of 170/100 and history of convulsion require continued follow up by a skilled attendant in a health facility. Early hospital discharge for such cases should not be practiced under any circumstances. The need for trained, committed maternal health care providers, equipped health facility including availability of medication like magnesium sulfate to control convulsion. Up dated eclampsia management procedures (guidelines/ protocols) must be available and health care providers should be well oriented on how and when to use them properly.
Abstract: This is a case report of 28-year-old primigravida woman with complaints of mild headache, edema of both legs and history of amenorrhea of eight + months who presented to the maternity hospital. After assessment she was admitted for mild pre-eclampsia management. Two days after admission, her membranes ruptured spontaneously, clear liquor drained an...
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Prevalence and Associated Factors of Hepatitis B Virus Infection Among Pregnant Women Attending Antenatal Care at Felegehiwot Hospital, Bahir Dar, Ethiopia
Abyot Terefe Teshome,
Ebrahim Abdela Siraj,
Beselam Gizachew Astatekie,
Litegebew Yitayeh Gelaw,
Dagninet Derebe,
Haylemariam Adera Bayleyegn,
Oumer Abdu Muhie,
Ashagrachew Tewabe Yayehrad,
Adise Adem Ahmed,
Adugna Tasew Tebabal
Issue:
Volume 11, Issue 4, July 2023
Pages:
100-105
Received:
10 July 2023
Accepted:
24 July 2023
Published:
5 August 2023
Abstract: Background: Hepatitis B virus is one of the major infectious diseases and caused by a small enveloped DNA virus. Globally, 360 million people have a chronic HBV infection, and greater than three fourth of these live in the Western Pacific Region and Africa, considered as a region with high endemicity. Hepatitis B virus infection during pregnancy has a high risk of vertical transmission and is harmful to both the mother and the newborn. There is a lack of information regarding the prevalence of HBV infection and its contributing factors among pregnant women in Bahir Dar City. Objectives: To assess the prevalence and associated factors of Hepatitis B virus infection among pregnant women who had Antenatal Care services at Felegehiwot Comprehensive specialized Hospital in Bahir Dar City. Methods: Institution based cross sectional study design was employed at Felegehiwot Comprehensive specialized Hospital among 221 mothers. Systematic random sampling technique was used to select the study participants and data was collected using structured questionnaire by face-to-face interview and chart reviews. Data were entered into SPSS version 25 and cleaned, coded and analyzed. Bivariate and multi-variable logistic regression analysis was used. P<0.05 was used to express the statistical significance of the variables. Result: Prevalence of HBV infection is found to be 4.5% among study participants. History of blood transfusion [AOR=13.4, 95% CI (1.79-101.36)], genital mutilation [AOR=11.2, 95% CI (1.20-104.3)] and body tattooing [AOR= 6.6, 95% CI (1.29-33.7)] were the significantly associated determinant factors for HBV infection. Conclusion: The prevalence of the HBV was intermediate, according to WHO classification criteria. History of blood transfusion, body tattooing and genital mutilation were the determinant factors identified in this study. The study's recommendations involve maintaining sterility while taking blood samples for transfusion, eliminating risky cultural behaviors, and promoting community awareness regarding transmission and prevention techniques.
Abstract: Background: Hepatitis B virus is one of the major infectious diseases and caused by a small enveloped DNA virus. Globally, 360 million people have a chronic HBV infection, and greater than three fourth of these live in the Western Pacific Region and Africa, considered as a region with high endemicity. Hepatitis B virus infection during pregnancy ha...
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Postpartum Subcutaneous Implant: Use and Follow-Up of Users at the Coronthie Communal Medical Center in Conakry, Guinea in 2022
Leno Daniel William Athanas,
Baldé Ousmane,
Soumah Aboubacar Fode Momo,
Sylla Ibrahima,
Conté Ibrahima,
Bah Elhadj Mamoudou,
Diallo Mamadou Hady,
Moussa Kantara Camara,
Sy Telly
Issue:
Volume 11, Issue 4, July 2023
Pages:
106-110
Received:
28 July 2023
Accepted:
14 August 2023
Published:
22 August 2023
Abstract: Objective: This study aimed to evaluate the use of the subcutaneous implant in the postpartum period at the communal medical center of Coronthie in Conakry. Methods: This was a longitudinal study carried out from1st of July202December 2 to 31, 2022, be oneperiod6 months. Were included, women having gave birth in the service, chosen and received the postpartum contraceptive implant and agreed to participate in the study. The non-inclusion criteria were women with serious maternal complications, post-abortion women and refusal to participate in the study. We carried out an exhaustive recruitment of patients. We performed a simple descriptive analysis with calculation of numbers and percentages. Results: Of a total of 631 patients advise on the different methods of contraception, 117 (18.5%) used the postpartum contraceptive implant. The users of the implant had an average age of 25 years with extremes of 14 years and 45 years and were mainly married (59%), secondary level (41%) exercising a liberal profession (53%) and primiparous (45.3%). They were mainly recommended in the postpartum (47.9%) and the implant was inserted in the immediate postpartum in 73.5% of cases. The majority of users of the implant had presented neither adverse effects (64.1%) nor immediate complications (93.2%). The continuation and satisfaction rates were 87.2% and 79.3% respectively. Conclusion: our study has shown that the use of the postpartum implant is well accepted by patients, resulting in an el rate eve of continuation and satisfaction. Therefore, the implant provides a safe, long-acting contraceptive that can be used by most postpartum patients for birth spacing.
Abstract: Objective: This study aimed to evaluate the use of the subcutaneous implant in the postpartum period at the communal medical center of Coronthie in Conakry. Methods: This was a longitudinal study carried out from1st of July202December 2 to 31, 2022, be oneperiod6 months. Were included, women having gave birth in the service, chosen and received the...
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