scholarly journals Preterm Birth and Associated Factors among Mothers Who Gave Birth in Gondar Town Health Institutions

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Kahsay Gebreslasie

Background. The birth of a preterm infant has a greater risk of developmental disabilities, health, and growth problems than infants born at full term. The main aim of this study was to assess the prevalence and associated factors of preterm birth Northwest Ethiopia, Gondar town health institutions. Methods. Facility based cross section study was undertaken. Systematic sampling was used to select 540 study participants. Both bivariate and multiple logistic regression were fitted. Variables with p value < 0.05 and 95% CI in multivariate were considered statistically significant. Result. This study showed that 4.4% from the total 540 mothers gave a preterm birth. The covariates of pregnancy induced hypertension (AOR 5.36 (95% CI 1.8, 15.96)) and being HIV positive (AOR 3.4 (95% CI 1.25, 9.2)) were found to be significantly associated with preterm birth. Conclusion. The main factors for preterm birth were pregnancy induced hypertension and being HIV positive. Therefore, still efforts have to be made to decrease the prevalence of preterm birth and for timely management of pregnancy induced hypertension and identifying pregnant women at the risk of preterm delivery like HIV positive women and proving quality of healthcare may decrease the rate of preterm birth and its consequences.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Addisu Ginbu Dubie ◽  
Mehretie Kokeb ◽  
Abraham Tarkegn Mersha ◽  
Chilot Desta Agegnehu

Abstract Background Perinatal asphyxia is one of the leading causes of neonatal mortality and morbidity in Ethiopia. Understanding associated factors of perinatal asphyxia are important to identify vulnerable groups and to improve care during the perinatal period. Thus, this study aimed to assess the prevalence and associated factors of perinatal asphyxia among newborns admitted to NICU at the Gondar University Comprehensive Specialized Hospital Northwest Ethiopia, Ethiopia. Method Institutional based cross-sectional study was conducted on 364 newborns from November 2018 - August 2019. Data was collected using a structured and pre-tested questionnaire. It was then cleaned, coded, and entered using EPI INFO version 7, then analyzed with SPSS statistics version 20.0. Binary logistic regression analysis was used to identify variables with p < 0.2. An adjusted odds ratio (AOR) with a 95% CI and P-value of <0.05 was used to identify significantly associated variables with perinatal asphyxia. Result The prevalence of perinatal asphyxia in this study was 19.8, 95%CI (15.9, 24.2). Absence of maternal formal education (AOR = 4.09, 95%CI: 1.25, 13.38), pregnancy-induced hypertension (AOR = 4.07, 95%CI: 1.76, 9.40), antepartum hemorrhage (AOR = 6.35, 95%CI: 1.68, 23.97), prolonged duration of labor (AOR = 3.69, 95%CI: 1.68, 8.10), instrumental delivery (AOR = 3.17, 95%CI: 1.22, 8.21), and meconium-stained amniotic fluid (AOR = 4.50, 95%CI: 2.19, 9.26) were significantly associated with perinatal asphyxia. Conclusion The prevalence rate of perinatal asphyxia in this study was comparable to other resource poor countries. The absence of maternal formal education, pregnancy-induced hypertension, and Antepartum hemorrhage, prolonged duration of labor, Instrumental assisted delivery, and meconium-stained amniotic fluid was having significant association with perinatal asphyxia in this study.


2021 ◽  
Author(s):  
Jemal Suleyman ◽  
Asmare Yitayeh Gelaw

AbstractBackgroundMusculoskeletal disorders are growing public health problems both in developed and developing countries including Ethiopia. However, its prevention and control has not yet received due attention. This study aimed to determine.the prevalence and associated factors of musculoskeletal disorders musculoskeletal disorders among cleaners of health institutions in Gondar town, Northwest EthiopiaMethodAn institutional based cross-sectional study was conducted, from April to May 2016 in all health institutions of Gondar town. All the available cleaners of health institutions were taken as study participants. Data were collected by face-to-face interview technique after verbal informed consent. Additionally, weight and height of participants were measured following standard procedures. Data were collected by trained physiotherapists and then entered into a computer using Epi Info version 3.5.3 and exported to SPSS version 20 for analysis. Descriptive statistics was performed to describe the data in percentage and mean. Multiple logistic regressions were fitted and Odds ratios with 95% confidence intervals were calculated to identify associated factors.ResultsA total of 242 participants were included in this study. The majority of the study participants were females (79.3%) and between 25-44 age group (65.3%). Two hundred 0ne (83.1%) of the respondents reported that they had pain in at least one of the body parts in the previous 12 months. Of the nine body parts examined, neck (76%), upper back (40.5%) and lower back (45%) were the most frequently body parts reported to exhibit pain. Job status (AOR = 2.71, 95%CI; 1.37-5.36), and static work habit (AOR = 2.71, 95%CI; 1.37-5.36), were factors associated with musculoskeletal disorders.ConclusionThere is a high prevalence of musculoskeletal disorders among cleaners in the health institutions of Gondar Town. Job status and static work habit were the significant associated factors. Hence, we recommend the design and implementation of institution based screening programs for musculoskeletal disorders


2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Dawit Gebeyehu Mekonen ◽  
Ayenew Engida Yismaw ◽  
Tewodros Siyoum Nigussie ◽  
Worku Mequanint Ambaw

2021 ◽  
Vol 10 ◽  
Author(s):  
Hiwot Ahmed Said ◽  
Gebeyehu Tsega ◽  
Tadesse Dagget Tesfaye

Abstract The aim of the study was to assess dietary diversity (DD) and associated factors among human immune deficiency virus (HIV)-positive adults attending the anti-retroviral therapy (ART) clinic at Felege Hiwot Comprehensive Specialized Hospital (FHCSH) in Northwest Ethiopia. An institution-based cross-sectional study was conducted at FHCSH in 2019. A systematic random sampling technique was employed to select 352 study subjects. Data were collected using an interviewer-administered questionnaire and chart review. Statistical Package for the Social Science version 26 was used for analysis. A simple and multivariable binary logistic regression was used to determine associated factors. Two hundred and nine (59⋅4 %) adults had consumed a diversified diet. The mean individual DD score was 3⋅86 ± 1⋅18. Self-employment status (adjusted odd ratio (AOR): 4⋅60; 95 % confidence interval (CI): 1⋅72, 12⋅27), quintiles of wealth index (the second (AOR: 4⋅33; 95 % CI: 1⋅72, 10⋅89), middle (AOR: 4⋅40; 95 % CI: 1⋅71, 11⋅31), fourth (AOR: 6⋅60; 95 % CI: 2⋅36, 18⋅48) and the highest quintiles (AOR: 9⋅45: 95 % CI: 3⋅34, 26⋅77), the last CD4 count 200–349 cells/mm3 (AOR: 8⋅08; 95 % CI: 2⋅93, 22⋅23), those who took first-line ART regimen drugs (AOR: 4⋅49; 95 % CI: 2⋅19, 9⋅21), subjects who did not take co-trimoxazole prophylaxis (AOR: 6⋅36; 95 % CI: 2⋅54, 15⋅88), those who had nutritional counselling at a health institution (AOR: 2⋅36; 95 % CI: 1⋅08, 5⋅16), had no food preference (AOR: 2⋅42; 95 % CI: 1⋅14, 5⋅13) and a food-secure household (AOR: 3⋅51; 95 % CI: 1⋅85, 6⋅67) were associated factors of DD among adults on ART. This study exhibited that the DD status among adults attending the ART clinic was below two-thirds. Health institutions and health professionals working at ART clinics shall strengthen their efforts to sustain the nutritional counselling service and ART adherence at health institutions and encourage the patients to avoid food preference for their meal. It is vital to ensure the household food security of adults on ART.


2021 ◽  
pp. oemed-2020-107072
Author(s):  
Tanja Vrijkotte ◽  
Teus Brand ◽  
Gouke Bonsel

ObjectivesTo explore the association between working conditions during first trimester and total preterm birth (PTB), and subtypes: spontaneous PTB and iatrogenic PTB, additionally to explore the role of hypertension.MethodsPregnant women from the Amsterdam Born Children and their Development study, filled out a questionnaire between January 2003 and March 2004, two weeks after first prenatal screening (singleton liveborn, n=7561). Working conditions were working hours/week, standing/walking hours/week, physical work load and job strain.ResultsProlonged standing/walking during first trimester was associated with an increased risk for total PTB (OR=1.5; 95% CI 1.0–2.3, after adjustments). Other working conditions were not related to total PTB. The separation into spontaneous and iatrogenic PTB revealed that standing/walking was associated with iatrogenic PTB only (OR=2.09; 95% CI 1.00–4.97). The highest risk was found for the combination of a long workweek with high physical work load (OR=3.42; 95% CI 1.04–8.21). Hypertension did not mediate these associations; however, stratified analysis revealed that high physical work load was only related to iatrogenic PTB when pregnancy-induced hypertension was present (OR=6.44; 95% CI 1.21–29.76).ConclusionThis study provides evidence that high physically demanding work is associated with an increased risk for iatrogenic PTB and not with spontaneous PTB. Pregnancy-induced hypertension may play a role: when present, high physical work load leads to a more severe outcome.


2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Hailay Gebrearegawi Gebremariam ◽  
Melkie Edris Yesuf ◽  
Digsu Negese Koye

Background. Iodine deficiency has serious effects on body growth and mental development. This study assessed availability of adequately iodized salt at household level and associated factors in Gondar town, northwest Ethiopia. Methods. Community based cross-sectional study was carried out among households in Gondar town during August 15–25, 2012. Multistage sampling technique was used. Data were collected using a pretested and structured questionnaire by a face-to-face interview technique. Bivariate and multivariate analyses were performed to check associations and control confounding. Results. A total of 810 participants were participated. The availability of adequately iodized salt (≥15 parts per million) in the study area was 28.9%. Multivariate analysis showed that using packed salt (AOR (95% CI) = 9.75 (5.74, 16.56)), not exposing salt to sunlight (AOR (95% CI) = 7.26 (3.73, 14.11)), shorter storage of salt at household (AOR (95% CI) = 3.604 (1.402, 9.267)) and good knowledge of participants about iodized salt (AOR (95% CI) = 1.94 (1.23, 3.05)) were associated with availability of adequately iodized salt at household level. Conclusions. Availability of adequately iodized salt at household level was very low. Hence, households should be sensitized about importance of iodized salt and its proper handling at the household level.


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