Thesis and Dissertations

Abnormal Uterine Bleeding and Associated Factors Among Reproductive Age Women Visiting Gynecologic Opd Attertiary Hospitals,Bahir Dar, North- West Ethiopia

2023-12-22T11:38:46Z

Abnormal Uterine Bleeding and Associated Factors Among Reproductive Age Women Visiting Gynecologic Opd Attertiary Hospitals,Bahir Dar, North- West Ethiopia Daniel, Yizengaw Introduction:Abnormal uterine bleeding (AUB) is one of the most common gynecologic complaints among reproductive-age womenwhich is one third of outpatient visits to the gynecologist are for AUB. symptom for the majority of women who undergo a hysterectomy which represents the most Abnormal uterine bleeding is one of common causes of anemia in women. AUB is the presenting common gynecological procedure in the world, has substantialsurgery related complications.The objective of this study is to assess the magnitude of AUB and its related factors among reproductive age woman. Methods:An institutional based cross-sectional study was conducted. Among 502 women who visit gynecologic OPD at two tertiary hospitals in Bahir Dar from March 1, to June 30, 2023. Study subjects were selected using systematic random sampling technique. Data was collected using interviewer administered pretested well structured questionnaire. The collected data were coded and analyzed using Statistical Package for the Social Sciences version 25(SPSS, 25). Bivariable and multivariable logistic regressions were fitted to assess the association between independent and the dependent variables. P-value less than 0.05 at 95 % CI was used to declare statistical significance association. The result was presented using texts tables. Result:Themagnitude of abnormal uterine bleeding was 33.3% (29.3-37.7, 95% CI). Having history of abortion (AOR= 3.95, 95%CI), woman currently use hormonal contraceptives (AOR=3.82, 95% CI), those mothers having currently treatment for STI (AOR=2.52, 95% CI), and alcohol consumption (AOR=4.01, 95%CI)had a statistical positive association with abnormal uterine bleeding. Conclusion: Prevalence of abnormal uterine bleeding is high. History of abortion, use of hormonal contraception, current treatment for STI, and alcohol intake were predictors for AUB. Recommendation:Health care providers in the tertiary hospitals should be vigilant in diagnosing AUB and importantly its possible causes and create awareness for patients to decrease risks of STI and prompt treatment for those having it. Public health personnel’s should create awareness in the community about AUB and its potential causes, on prevention of STI has multiple health benefits Key words:Abnormal uterine bleeding, tertiary hospitals, FelegeHiwot Hospital, TibebeGhion Hospital, cross-sectional study

Perinatal Outcomes and Associated Factors in Diabeticmothers Who Gave Birth at Tertiary Hospitals, Bahir Dar Northwest Ethiopia, 2023, Institution Based Cross- Sectiona Study.

2023-12-22T11:27:26Z

Perinatal Outcomes and Associated Factors in Diabeticmothers Who Gave Birth at Tertiary Hospitals, Bahir Dar Northwest Ethiopia, 2023, Institution Based Cross- Sectiona Study. Yasin, Yesuf Introduction: -Diabetes mellitus (DM) is the most common medical complication of pregnancy and is defined as abnormal metabolism of carbohydrates which results in elevated blood glucose level. Classified as Pre-gestational Diabetes Mellitus (Type I or Type II) or Gestational Diabetes Mellitus (GDM): a carbohydrate intolerance resulting in hyperglycemia of variable severity with onset or first recognition during pregnancy.Diabetes increases perinatal and neonatal morbidities including; macrosomia, congenital anomalies, birth injury, hypoglycemia, intrauterine fetal death, still birth, shoulder dystocia, respiratory distress syndrome, polycythemia, and hyperbilirubinemia. However, little is known about its prevalence, birth outcomes, and associated factors in the study setting. Objective:-The aim of the study was to assess the perinatal outcome and associated factors of diabetic mellitus among mothers who gave birth at Tertiary Hospitals, Bahir dar, northwest Ethiopia, 2023. Methods: - Institution based cross sectional study was conducted on 117mothers with any form of diabetes mellituswho got labor and delivery services at TGSH and FHCSH from March1 to June30, 2023.Study participants was selected with consecutive sampling technique.All mothers with DM excluding those who fulfil exclusion criteria were included. Questionnaire and checklist was used to get information from the study participants and their medical documentwith interview and chart review method. Data was entered, cleaned, coded and analyzed using statistical package for social sciences (SPSS) version 25. Binary and multivariate logistic regression analysis was computed. P-value less than 0.05 at 95 % CI was used to declare statistical significance association. Result: Overall adverse perinatal outcome was 71(60.7%). From this 11(9.4%) were stillbirths, 27(23.1%) macrosomia/LGA and 51(43.6%) were admitted to NICU. Having <4 ANC contacts [AOR =6.83; 95% CI 1.28,36.34] and FBS > 100 mg/dl [AOR = 4.23; 95% CI 1.28, 13.94] were associated with adverse perinatal outcomes. Conclusion: - Mothers with diabetes mellitus are at higher risk for adverse perinatal outcomes.Maternal blood glucose control and number of ANC follow-up are strongly associated with adverse perinatal outcome.So early diagnosis, optimal ANC follow up and good glycemic control is important to alleviate the burden of adverse perinatal outcomes. Keywords:- Diabetes m

Decision to Delivery Interval and its Associated Factors Among Emergency Caesarean Section Deliveries at Tibebe Ghion Specialized Hospital, Bahirdar, Northwest Ethiopia, Cross –Sectional Study, 2023gc.

2023-12-22T11:17:59Z

Decision to Delivery Interval and its Associated Factors Among Emergency Caesarean Section Deliveries at Tibebe Ghion Specialized Hospital, Bahirdar, Northwest Ethiopia, Cross –Sectional Study, 2023gc. Wassihun, Tafere BACKGROUND: Decision to delivery interval (DDI) is the time line between a decision to conduct an emergency caesarean section and actual delivery of the baby. Prolong DDI constitute a third phase delay in provision of emergency obstetric care. Intervention designed to minimize DDI are vital, in attempt to prevent maternal morbidity and neonatal morbidity and mortality. The feasibility and practicability of the recommended DDI in recent studies have been questioned especially in limited resource setting and therefore the objective of this study was to determine the DDI and its associated factors. OBJECTIVE: To asses Decision to Delivery Interval and its associated Factors among Emergency Caesarean Section Deliveries at Tibebe Ghion Specialized Hospital Northwest Ethiopia. METHODS: cross-sectional study was conducted at Tibebe Ghion Specialized Hospital Bahir Dar city, Ethiopia, from February 1/2023- to –JUNE30, 2023 GC. A total of 244 mothers who had emergency cesarean section were included in the study. Systematic sampling was used. The collected data was cleaned, coded and entered into coded and entered into SPSS version 25 for analysis and bivariate analysis was computed. Binary logistic regression using bi-variate and multi-variable regression analysis was done. Statistical significance was considered at P value of less than 0.05 and the strength of association was assessed by odds ratio (OR) and respective confidence intervals (CIs). Result: only 24.3% of participants had a decision to delivery interval of ≤30minutes. The overall mean of DDI was 46 ± 16 minutes. The mean duration for anesthesia time was 13.4±7 minutes. Anesthesia time [AOR = 5.8, 95%CI = 2.6–12.9] and anesthesia type [AOR=12.8, 95%CI=2.4-6.9] were the predictors of prolonged decision to delivery interval. Conclusion: in most cases decision to delivery interval was achieved within the recommended time interval. In this study anesthesia time and anesthesia type has statistically significant association with prolonged DDI. Keywords: emergency cesarean section, decision to delivery interval

Perinatal Outcome and Associated Factors Among Women With Trial of Labor After Cesarean Delivery in Public Hospitals in Bahir Dar City, Northwest Ethipoia, 2023

2023-12-22T11:06:50Z

Perinatal Outcome and Associated Factors Among Women With Trial of Labor After Cesarean Delivery in Public Hospitals in Bahir Dar City, Northwest Ethipoia, 2023 Biyadgie, Aschale OBJECTIVE: To assess perinatal outcomes and associated factors among women with Trial of Labor after Cesarean Delivery who gave birth at public Hospitals in Bahir Dar city, Northwest Ethiopia, 2022/23 METHODS: A cross-sectional study was conducted among 120 mothers who came for labor and delivery service from BACKGROUND: Caesarean section is one of the commonest operations performed on childbearing women, with rates continuing to rise worldwide. For the parturient who has had one previous caesarean delivery there are basically two options, trial of labor after Cesarean section or elective repeat caesarean section. Trial of labor after Cesarean section provides women who desire a vaginal delivery the possibility of achieving vaginal birth after cesarean delivery. In different ways both of these confer a degree of perinatal morbidity, and rarely mortality. April 01/2023 to June 30, 2023 in public hospitals at Bahir Dar city. Study subjects were selected using systematic random sampling method. Data was collected using interviewer administered pre tested questinoniare and checklist. Data were entered, cleaned, coded and analysis by using SPSS version 25 statistical software.. All variables with p- value<0.05 in the multiple logistic regression were considered statistically significant. RESULTS: Of the total of 120 participants who underwent TOLAC were participated and the chart reviewed, giving a response rate of 100%. The unfavorable perinatal outcome of labor among respondents who had trial of labor after cesarean section was 18(15.0%). Among women with trial of labor after cesarean section unfavorable perinatal outcome were more likely among women with rural Place of residence (AOR=9.98; 95% CI: (2.91-34.23), prolonged duration of labor (more than mean) (AOR=6.23; 95% CI: (1.67, 23.22) and Failed TOLAC(AOR=94.4; 95% CI: (1.17, 16.49). CONCLUSION: The unfavorable perinatal outcome of labor among respondents who had trial of labor after cesarean section was 18(15.0%). Place of residence, duration of labor and failed TOLAC was found to have significant association with unfavorable perinatal outcome. Our results showed that unfavorable neonatal outcome were higher in failed trial of labor after ceseral section. Keywords: Trial of labor after cesarean section, Perinatal outcome, successful VBAC