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Weldemariam MG, Weldegeorges DA, Angaw Y, Assefa NE, Welay FT, Werid WM, Gebru TT, Beyene GG, Bitew MT, Mengesha MB. Magnitude and Associated Factors of Maternal Near Miss in Public Hospitals of Tigrai, Northern Ethiopia: A Cross Sectional Study. Clin Nurs Res 2024; 33:138-145. [PMID: 38147002 DOI: 10.1177/10547738211029680] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2023]
Abstract
The purpose of this study was to determine magnitude and associated factors of maternal near miss among women seeking obstetric and gynecologic care. A hospital based cross-sectional study design was implemented in selected public hospitals of Tigrai. Systematic random sampling method was used to select study participants. Data were entered to epi data manager version 4.1 and exported to Statistical Package for social science version 20 for analysis. Bivariate and multivariate logistic regression was used to identify factors associated with maternal near miss. The magnitude of maternal near miss was found to be 7.3%. Regression analysis showed that, mothers who reside in rural area, had distance of greater than 10 km, referred from low level health institution, and mothers had no antenatal care follow up were significantly associated with maternal near miss. Therefore, promoting antenatal care and increasing awareness in rural areas related with maternal health care services is recommended.
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Mengesha MB, Hidru HD, Welay FT, Gebremedhin TS. Effect of Maternal Education on Prenatal Adherence of Iron-folic Acid Supplementation in Ethiopia: A Systematic Review and Meta-analysis. Curr Rev Clin Exp Pharmacol 2020; 16:247-255. [PMID: 33176661 DOI: 10.2174/1574884715999201110193353] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2020] [Revised: 09/16/2020] [Accepted: 09/16/2020] [Indexed: 11/22/2022]
Abstract
BACKGROUND Iron-folic acid supplementation is a central preventive measure for maternal anemia, so considering the factors leading to or deterring from adherence is important. This review aims to establish if there is a correlation between increasing maternal education and adherence to iron-folic acid supplementation in Ethiopia. METHODS An electronic database search was conducted using PubMed, Google Scholar, Cochrane Library and African Journals Online. Joanna Briggs Institute Meta-Analysis of Statistical Assessment and Review Instrument was used for quality appraisal of the included studies. The extracted data were entered into Microsoft™ Excel sheet and exported to R-software version 3.6.1 for analysis. Maternal education on adherence of iron-folic acid supplementation was analyzed and subgroup analyses of difference between regions and time of study period were conducted. RESULTS The online search yielded a total of 936 articles, and based on inclusion/exclusion criteria nine were included in this study with a total of 3263 participants. Applying the random effect model, the analysis revealed that the odds of prenatal adherence of iron-folic acid supplementation were 2.89 times higher in mothers with secondary school education and above as compared to those who had not received formal education. CONCLUSION This review identified that increased maternal education leads to improved adherence of iron-folic acid supplementation amongst women across Ethiopia. This information may inform efforts of government and non-government organizations to encourage maternal education in order to sustained adherence of iron-folic acid supplementation. Further research is required in this critical area at regional, national, and global levels.
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Affiliation(s)
- Meresa Berwo Mengesha
- Department of Midwifery, Adigrat University College of Medicine and Health Sciences, Adigrat, Tigrai, Ethiopia
| | - Hagos Degefa Hidru
- Department of Public Health, Adigrat University College of Medicine and Health Sciences, Adigrat, Tigrai, Ethiopia
| | - Fissaha Tekulu Welay
- Department of Midwifery, Adigrat University College of Medicine and Health Sciences, Adigrat, Tigrai, Ethiopia
| | - Tsige Shushay Gebremedhin
- Department of Public Health, Adigrat University College of Medicine and Health Sciences, Adigrat, Tigrai, Ethiopia
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Mengesha MB, Weldegeorges DA, Hailesilassie Y, Werid WM, Weldemariam MG, Welay FT, Gebremeskel SG, Gebrehiwot BG, Hidru HD, Teame H, Gebremedhin H, Assefa NE. Determinants of Uterine Rupture and Its Management Outcomes among Mothers Who Gave Birth at Public Hospitals of Tigrai, North Ethiopia: An Unmatched Case Control Study. J Pregnancy 2020; 2020:8878037. [PMID: 33194231 PMCID: PMC7641719 DOI: 10.1155/2020/8878037] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2020] [Revised: 10/06/2020] [Accepted: 10/08/2020] [Indexed: 11/17/2022] Open
Abstract
INTRODUCTION Uterine rupture is a leading cause of maternal death in Ethiopia. Despite strengthening the health care system and providing basic and comprehensive emergency obstetric care closer to the communities, uterine rupture continues to produce devastating maternal and fetal outcomes. Although risk factors of uterine rupture are context specific, there is lack of clarity in our context towards the contributing factors and untoward outcomes of uterine rupture. This study was conducted to identify the risk factors of uterine rupture and its impacts in public hospitals of Tigrai. OBJECTIVE This study would identify determinant factors of uterine rupture and its management outcomes among mothers who gave birth in public hospitals in Tigrai region, North Ethiopia. METHOD A retrospective hospital-based unmatched case control study design was implemented with 135 cases of women with uterine rupture and 270 controls of women without uterine rupture. Cases were enrolled consecutively from case notes of women who gave birth from 1/9/2015 to 30/6/2019, while charts (case note) of women without uterine rupture found following the cases were selected randomly and enrolled. Bivariate and multivariate logistic regression with 95% confidence interval was used to identify the determinants of uterine rupture. RESULT Mothers referred from remote health institutions (AOR 7.29 (95% CI: 2.7, 19.68)), mothers who visited once for antenatal care (AOR 2.85 (95% CI: 1.02, 7.94)), those experiencing obstructed labor (AOR 13.33 (95% CI: 4.23, 42.05)), and birth weight of a newborn greater than four kilograms (AOR 5.68 (95% CI: 1.39, 23.2)) were significantly associated with uterine rupture. From 135 mothers who develop uterine rupture, 13 (9.6%) mothers died and 101 (74.8%) fetuses were stillborn. Obstetrical complications like abdominal hysterectomy in 75 (55.6%) of mothers and excessive blood loss in 84 (57.8%) were additional untoward outcomes of uterine rupture. CONCLUSION Referrals from remote health institutions, once-visited antenatal care, obstructed labor, and birth weight of newborns greater than four kilograms were significant determinants of uterine rupture. Maternal death, stillbirth, hysterectomy, and hemorrhage were adverse outcomes. The findings of this study suggest early identification of factors that expose to uterine rupture during antenatal care, labor, and delivery must be attended to and further prospective studies are needed to explore predictors of untoward outcomes. Knowing the determinants of uterine rupture helps prevent the occurrence of a problem in pregnant women, which reduces maternal morbidity and mortality, and would have a tremendous help in identifying the best optional strategies in our current practices. This assertion was added to the abstract concluding session.
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Affiliation(s)
- Meresa Berwo Mengesha
- Department of Midwifery, Adigrat University, College of Medicine and Health Sciences, Adigrat, Tigrai, Ethiopia P.O. Box No. 50
| | - Desta Abraha Weldegeorges
- Department of Midwifery, Adigrat University, College of Medicine and Health Sciences, Adigrat, Tigrai, Ethiopia P.O. Box No. 50
| | - Yared Hailesilassie
- Department of Nursing, Adigrat University College of Medicine and Health Sciences, Adigrat, Tigrai, Ethiopia
| | - Weldu Mammo Werid
- Department of Midwifery, Adigrat University, College of Medicine and Health Sciences, Adigrat, Tigrai, Ethiopia P.O. Box No. 50
| | - Mulu Gebretsadik Weldemariam
- Department of Midwifery, Adigrat University, College of Medicine and Health Sciences, Adigrat, Tigrai, Ethiopia P.O. Box No. 50
| | - Fissaha Tekulu Welay
- Department of Midwifery, Adigrat University, College of Medicine and Health Sciences, Adigrat, Tigrai, Ethiopia P.O. Box No. 50
| | - Senait Gebreslasie Gebremeskel
- Department of Midwifery, Adigrat University, College of Medicine and Health Sciences, Adigrat, Tigrai, Ethiopia P.O. Box No. 50
| | | | - Hagos Degefa Hidru
- Department of Public Health, Adigrat University College of Medicine and Health Sciences, Adigrat, Tigrai, Ethiopia
| | - Hirut Teame
- Department of Public Health, Adigrat University College of Medicine and Health Sciences, Adigrat, Tigrai, Ethiopia
| | - Haftay Gebremedhin
- Department of Public Health, Adigrat University College of Medicine and Health Sciences, Adigrat, Tigrai, Ethiopia
| | - Natnael Etsay Assefa
- Department of Midwifery, Adigrat University, College of Medicine and Health Sciences, Adigrat, Tigrai, Ethiopia P.O. Box No. 50
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Welay FT, Kassa NA, Gebremeskel GA, Assefa NE, Mengesha MB, Weldemariam MG, Gebremeskel SG. Knowledge of neonatal danger signs and associated factors among mothers who gave birth during the last 4 months while attending immunization services in Harar town public health facilities, Ethiopia, 2017. BMC Res Notes 2019; 12:651. [PMID: 31601235 PMCID: PMC6785929 DOI: 10.1186/s13104-019-4677-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2019] [Accepted: 09/26/2019] [Indexed: 11/10/2022] Open
Abstract
OBJECTIVE The purpose of this study was to assess knowledge about neonatal danger signs and associated factors among mothers who gave birth in the last 4 months attending immunization services. RESULT The study recruited 432 mothers to participate. A knowledge score of neonatal danger signs was found [32.9% (95% CI 28.9%, 37%)]. Mothers educated to secondary level were 4.9 times more likely to know about neonatal danger signs [(AOR = 4.9, 95% CI (1.15, 21). Similarly, mothers whose husband educated to college and above [AOR = 4.95, 95% CI (1.15, 21)], and being multipara mother [(AOR = 2.59, 95% CI (1.05, 6.6)], were factors significantly associated with good knowledge of mothers about neonatal danger signs.
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Affiliation(s)
- Fissaha Tekulu Welay
- Department of Midwifery, College of Medicine and Health Science, Adigrat University, Adigrat, Ethiopia.
| | - Nega Assefa Kassa
- School of Public Health, College of Health and Medical Sciences, Haramaya University, Dire Dawa, Ethiopia
| | | | - Natnael Etsay Assefa
- Department of Midwifery, College of Medicine and Health Science, Adigrat University, Adigrat, Ethiopia
| | - Meresa Berwo Mengesha
- Department of Midwifery, College of Medicine and Health Science, Adigrat University, Adigrat, Ethiopia
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Mengesha MB, Adhanu HH, Weldegeorges DA, Assefa NE, Werid WM, Weldemariam MG, Welay FT, Hidru HD, Gebru TT. Maternal and fetal outcomes of cesarean delivery and factors associated with its unfavorable management outcomes; in Ayder Specialized Comprehensive Hospital, Mekelle, Tigray, Ethiopia, 2017. BMC Res Notes 2019; 12:650. [PMID: 31590693 PMCID: PMC6781415 DOI: 10.1186/s13104-019-4690-5] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2019] [Accepted: 09/28/2019] [Indexed: 11/21/2022] Open
Abstract
Objectives This study aimed to determine the unfavorable outcomes and to assess factors contribute to the unfavorable management outcomes after cesarean deliveries in Ayder Specialized Comprehensive Hospital, Mekelle, Tigray, Ethiopia, 2017. Results The unfavorable maternal management outcomes were Adhesion 28 (8.3%), excessive blood loss and blood transfusion 19 (5.6%), cesarean hysterectomy 10 (3%), relaparotomy 5 (1.5%), wound infection and wound dehiscence 23 (6.8%). Unfavorable fetal outcomes were were stillbirth 9 (2.6%), early neonatal death 8 (2.4%), low birth weight 58 (17.2%). women who did not book for Antenatal Care and having a history of previous cesarean delivery were found to be associated with unfavorable maternal outcomes and indications of cesarean delivery as obstructed labor was associated with unfavorable fetal outcomes.
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Affiliation(s)
- Meresa Berwo Mengesha
- Department of Midwifery, College of Medicine and Health Sciences, Adigrat University, P.O.BOX NO-50, Adigrat, Tigray, Ethiopia.
| | - Hadgay Hagos Adhanu
- Department of Midwifery, College of Medicine and Health Sciences, Mekelle University, Mekelle, Tigray, Ethiopia
| | - Desta Abraha Weldegeorges
- Department of Midwifery, College of Medicine and Health Sciences, Adigrat University, P.O.BOX NO-50, Adigrat, Tigray, Ethiopia
| | - Natnael Etsay Assefa
- Department of Midwifery, College of Medicine and Health Sciences, Adigrat University, P.O.BOX NO-50, Adigrat, Tigray, Ethiopia
| | - Weldu Mammo Werid
- Department of Midwifery, College of Medicine and Health Sciences, Adigrat University, P.O.BOX NO-50, Adigrat, Tigray, Ethiopia
| | - Mulu Gebretsadik Weldemariam
- Department of Midwifery, College of Medicine and Health Sciences, Adigrat University, P.O.BOX NO-50, Adigrat, Tigray, Ethiopia
| | - Fissaha Tekulu Welay
- Department of Midwifery, College of Medicine and Health Sciences, Adigrat University, P.O.BOX NO-50, Adigrat, Tigray, Ethiopia
| | - Hagos Degefa Hidru
- Department of Public Health, College of Medicine Health Science, Adigrat University, Adigrat, Tigray, Ethiopia
| | - Tesfay Tsegay Gebru
- Department of Nursing, College of Medicine and Health Science, Adigrat University, Adigrat, Tigray, Ethiopia
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