Midwifery

Fearof Childbirth Among Pregnant Women Attending Antenatal Care in Debrebirhan Towen Public Health Institution , Amhara, Ethiopia,2022/23

Thu, 20 Apr 2023 00:00:00 GMT

Fearof Childbirth Among Pregnant Women Attending Antenatal Care in Debrebirhan Towen Public Health Institution , Amhara, Ethiopia,2022/23 Surafel, Shewatatek Background:Feelings of uncertainty and concern before, during, or after labor are referred to as fears of childbirth. Women face a variety of worries related to childbirth, from minor ones to serious ones. It has an impact on the health of women during the postpartum period and her family.. Objective:The objective of this study was to determine the Fear of childbirth among pregnant women attending antenatal care inDebreBirhanTowen Public HealthInstitution,Amhara, Ethiopia.2022/ 2023. Methods:A cross-sectional study was carried out among 405 pregnant patients receiving antenatal treatment at four public health facilities in DebreBirhanTowen. choose study participants, a methodical random sampling technique was employed. Face-to-face interviews with a structured, previously tested questioner were used to get the data. To measure fear of childbirth , the Wijma Delivery Expectation/Experience Questionnaire was employed. The gathered data were input. Epi-data-4.6 statistical software was used to enter the collected data, and SPSS-25 statistical packages were used for analysis. For multivariate analysis, a P-value of less than 0.05 was deemed significant in multivariate bivariate analysis when it was less than 0.25 in bivariate analysis. Results: Out of the total, 400 respondents took part in the study with a response rate was 98.8%. This study showed that 45(11.3%) of study participants had low fear of childbirth, 225(56.3%) moderate, 93(23.3%) high, 37(9.3%) severe fear of childbirth. Having no formal education(AOR=5,95%CI:(1.37-18.15)(p=0.02), previous obstetrics complications AOR=3,95%CI: (1.14-7.8)(p=0.03), mode of delivery preference AOR=3,95%CI:(1.02-9.03) (p=0.045).Having medical illness AOR=3.6,95%CI(1.02-9.03)(p=0.02)showed significant association with a fear of childbirth. Conclusion and recommendations:The study setting is one where Fear of childbirth is common. Education level, previous obstetric problems medical illness, and preferred delivery method were all associated with lower levels of fear of childbirth. The women were categorized as having fear of childbirth based on a cut-off value of high and severe fear of childbirth. In the research setting, early detection of women at risk for fear of childbirth is clinically significant to enhance women's health throughout the perinatal period. Keywords:Pregnancy, fear of childbirth,Wijma Delivery Expectancy Questionnaire A, DebreBirhan.

Derivation and Validation of A Risk Score To Predict Mortality of Early Neonates at Felege Hiwot Specialized Hospital Neonatal Intensive Care Unit, Bahir Dar

Sat, 12 Jun 2021 00:00:00 GMT

Derivation and Validation of A Risk Score To Predict Mortality of Early Neonates at Felege Hiwot Specialized Hospital Neonatal Intensive Care Unit, Bahir Dar Yitayeh, Belsti Background: Early neonatal death is death of infants in the first week of life. In 2019, 2.4 million newborns died globally, and 99, 000 live births died in Ethiopia. Of this death, 34%-92% of deaths happen within 7 days of postnatal period. Thus, the early neonatal period is the most critical time for an infant, requiring different strategies to prevent mortality. Among strategies deriving and implementing early warning scores is crucial to predict early neonatal mortality earlier upon hospital admission. However, no risk score has been derived in our country and the study area. Therefore, this study will help for screening high-risk early neonates at admission using easily measurable and accessible maternal and neonatal variables to estimate, and predict early neonatal death. Objectives: To derive and validate a risk score to predict mortality of early neonates at Felege Hiwot Specialized Hospital neonatal intensive care unit, Bahir Dar, 2021 Methods: The document review was conducted from February 24, to April 08, 2021, on all early neonates admitted to neonatal intensive care unit from January 1, 2018 to December 31, 2020. The total number of early neonates included in the derivation study was 1100. Data were collected by using structured checklists prepared on EpiCollect5 software. After exporting the data to R version 4.0.5 software, variables with (p < 0.25) from the simple binary regression were entered into a multiple logistic regression model, and significant variables (p < 0.05) were kept in the model. The discrimination and calibration were assessed. The model was internally validated using bootstrapping technique. To make the score easily applicable the regression coefficients from the final multiple binary logistic regressions were used to assign integers to each variable. Results: Admission weight, birth Apgar score, perinatal asphyxia, respiratory distress syndrome, mode of delivery, sepsis, and gestational age at birth remained in the final multiple logistic regression prediction model. The area under curve of receiver operating characteristic curve for early neonatal mortality score was 90.7%. The model retained excellent discrimination under internal validation. Using the ―Youden Index‖ optimal cutoff point for predicted probabilities of mortality 0.1363, the sensitivity, specificity, and positive predictive value, negative predictive value was 89.4%, 82.5%, 55.5%, and 96.9%, respectively. The positive and negative likelihood ratios of the model were also 5.10 and 0.13, respectively. Conclusion and recommendation: The derived score has an excellent discriminative ability and good prediction performance. This is an important tool for predicting early neonatal mortality in neonatal intensive care units just at admission. Therefore, after external validation, this score will be a better model for application in low and middle-income countries. Keywords: derivation, validation, risk score, early neonatal mortality, NICU, Ethiopia

Under Five Children Diarrhea Among Model Households and Non-Model Households In Yilmanadensa District, North West Ethiopia: Community Based Comparative Crossectional Study

Thu, 12 Oct 2017 00:00:00 GMT

Under Five Children Diarrhea Among Model Households and Non-Model Households In Yilmanadensa District, North West Ethiopia: Community Based Comparative Crossectional Study YeshiworkAmogne, Amogne Background: The morbidity and mortality related to diarrheal diseases in under-5 children are still persistent in low income countries, especially in sub-Saharan Africa including Ethiopia. Objective: To assess the prevalence and determinant of diarrhea among children under five years of age among in the rural community of Yilmanadensa district, West Gojjam zone North West Ethiopia, 2017. Methods: A community based comparative cross-sectional study design was applied in model HH and non-model HH of in the rural community of Yilmanadensadistrict. A total of 675study participants (337model HH and 338non-model HH) mothers of the index under-five children living in the households were selected randomly from nine kebeles in rural community of the district. Face to face interviewer administered questionnaire and observational cheek list were used. Collected data were entered in Epi Info 7 and analyzed using SPSS version21. Descriptive statistics like frequency, percentage, mean, standard deviation was calculated. Logistic regression analysis was employed to identify factors. Results: The prevalence of two weeks’ diarrhea on under five children were 57(16.9%) and 99(29.3%) in model HH and non-model HH respectively. Hand washing practice at critical time (AOR=2.55, 95%CI: 1.02, 6.17) and children feeding practice (AOR=1.94, 95% CI: 1.06, 3.55) were predictors of diarrhea in model HH. Maternal diarrheal history in the past two weeks (AOR=3.34, 95%CL: 1.51, 7.41), house shared with domestic animals (AOR=1.79, 95%CI: 1.04, 3.03), supplementary feeding time (AOR=2.29, 95%CI: 1.29, 4.07) and child stool disposal methods (AOR=2, 65, 95% CI: 1.14, 6.15) were significantly associated with diarrhea occurrence in non-mode HHS. Conclusion and Recommendation: Under five children from non-model HH 1.65 times were more likely to develop diarrhea compared to children from model HH but the prevalence of two weeks’ diarrhea both model HHS and non-model HHS were relatively high. Health education should be provided strongly to adopt positive behavior or practice at the HH or at the community level to reduce under five children diarrhea. Keywords: Model HHS, diarrhea, children, Yilmanadensa district

Utilization of Post Abortion Family Planning and Associated Factors Among Women Seeking Abortion Service At Heath Facility of Zuway Dugda Woreda, East Shewa Ethiopia, 2021

Mon, 12 Jul 2021 00:00:00 GMT

Utilization of Post Abortion Family Planning and Associated Factors Among Women Seeking Abortion Service At Heath Facility of Zuway Dugda Woreda, East Shewa Ethiopia, 2021 Aberash, Beyene Background: Post abortion family planning is one of the recommended preventive services to reduce post abortion morbidity and mortality. The majority of abortions occur due to unintended pregnancies, which is a result of the non-use of family planning methods. However, post-abortion family planning utilization is still low in Ethiopia. Objective: To assess utilization of post abortion family planning and associated factors among women seeking abortion service at health facility of Zuway Dugda woreda, East Shewa Ethiopia, 2021. Method: Institutional based cross- sectional study was conducted among a total of 402 women who came to abortion service. Pre- tested interview structured questionnaire was used to collect the data .Systematic random sampling technique was used to select the study participants. Data entry and cleaning were done with Epii data then was exported to SPSS software for analysis. Binary and multiple logistic regressions were applied to see the association between post abortion family planning utilization with independent variables. Odds ratio and 95% Confidence Interval (CI) were used to measure the strength of associations. The results were considered statistically significant at p value P <0.05 for multiple regressions. RESULT: Overall post-abortion contraceptive utilization in this study was 70.1 %( CI: 65.4, 74.6). Single women (AOR, 4.0 95% CI (1.8-8)), above secondary educational level (AOR, 3.7; 95% CI (1.4, 9.7)), public health institutions ((AOR, 3.0 95% CI (1.5, 6.1)), having previous information about family planning(AOR 2.1 95% CI (1.2-3.9)), ever used contraceptives (AOR 5.4, 95% CI (2.9-9.9)), and received post abortion family planning counseling (AOR 5.7 95% CI (3.1-10.4)) were significantly associated with post abortion family planning utilization.  CONCLUSION AND RECOMMENDATION: Post abortion family planning utilization was high as compared to other studies. Marital status, educational level, owner of the facility, information access, ever used family planning and PAFP counseling was the significant factors to PAFP utilization. Greater emphasis should be given to providing post abortion contraceptive counseling to increase utilization of post abortion contraceptive use.  Keywords: post abortion, contraceptives utilization, women, Ethiopia