scholarly journals Associated Factors and Outcome of Uterine Rupture at Suhul General Hospital, Shire Town, North West Tigray, Ethiopia 2016: A Case-Control Study

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Tefera Marie Bereka ◽  
Amlaku Mulat Aweke ◽  
Tewodrose Eshetie Wondie
Keyword(s):  
General Hospital ◽  
Uterine Rupture ◽  
Associated Factors ◽  
Case Control Study ◽  
Perinatal Death ◽  
Case Control ◽  
Uterine Wall ◽  
Obstructed Labor ◽  
North West ◽  
Control Study

Background. Uterine rupture is tearing of the uterine wall during pregnancy or delivery. It may extend to partial or whole thickness of the uterine wall. It is usually a case where obstetric care is poor. In extensive damage, death of the baby and sometimes even maternal death are evident.Objective. This study assesses associated factors and outcome of uterine rupture at Suhul General Hospital, Tigray Region, Ethiopia, 2016.Methodology. A case-control study was conducted by review of data from September 2012 to August 2016. A total of 336 samples were studied after calculating by EPI-INFO using proportion of multiparity (53%) and ratio of 1 : 2 for cases and controls, respectively. Analysis was done using SPSS version 20. Bivariate and multivariate logistic regression was applied withp<0.05.Result. ANC, grand multiparity, malpresentation, and obstructed labor had association, but previous cesarean delivery was not significant. Perinatal mortality was 105 (93%) versus 13 (5.8%) in cases and controls, respectively. Anemia was highest for both groups (53.7% versus 32.1%).Conclusion. Majority of uterine rupture is attributed to prolonged or obstructed labor. Cases of uterine rupture had prompt management preventing maternal mortality, but burden of perinatal death is still high.

scholarly journals Determinants of Perinatal Mortality in Tercha General Hospital, Southern Ethiopia; Facility Based Case Control Study.

2019 ◽  
Author(s):  
Firehiwot Tebeje ◽  
Animut Addis ◽  
Muktar Basher ◽  
Chernet Hialu
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
General Hospital ◽  
Perinatal Mortality ◽  
Case Control Study ◽  
Perinatal Death ◽  
Case Control ◽  
Southern Ethiopia ◽  
Prolonged Labour ◽  
Control Study

Abstract Background: Ethiopia meets the target millennium development goal 4 on child survival three years ahead of time. However, there were high perinatal deaths in the country and the reduction was not impressive. Identifying determinants and implement evidence based interventions is crucial to reduce perinatal death. However, there were no clear evidences on determinants of perinatal mortality in Tercha General Hospital.Objective: To assess determinants of perinatal mortality in Tercha general hospital, Southern Ethiopia, January 1, 2014 and December 30, 2017.Method: An unmatched case control study using secondary data as a source of information was conducted in Tercha general hospital. Cases were stillbirths and early neonatal deaths. Controls were those newborns live till 7th days. Randomly selected 366 (183 cases and 183 controls) study subjects were constituted for this study. The data were collected from March 1-20/2018. Epi-Data version 3.1 and SPSS Version 23 were used for data entry and analysis, respectively. Descriptive statistics were used to describe the study population in relation to study variables. Logistic regressions were employed to identify determinants of perinatal death.Results: In multivariable logistic analysis, rural in residence of the mother [AOR=1.82; 95%CI:(1.04-3.19)], ANC booking [AOR=0.47; 95%CI:(0.27,0.83)], prolonged labour [AOR=2.75; 95%CI: (1.58-4.78)], low birth weight [AOR=1.78; 95%CI (1.06-2.97)], presence of obstetrics complication [AOR=2.15; 95%CI: (1.28-3.62)], using partograph [AOR=0.5; 95%CI: 0.25-0.9]. Using safe child birth checklist [AOR=0.52; 95%CI: 0.30-0.91], and coming with referral [(AOR=2.69; 95% CI: (1.51-4.8)] were significantly associated with perinatal mortality. Conclusion and Recommendation: Being rural in residence, coming with referral, low birth weight, prolonged labour and presence of obstetric complication were associated with elevated the risk of perinatal mortality, and antenatal care booking, using partograph and using safe childbirthchecklist were associated with reduced risk of perinatal mortality. We therefore, recommend strengthening maternal health and newborn care servicesby taking into account these factors to reduce perinatal death.

scholarly journals 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

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Meresa Berwo Mengesha ◽  
Desta Abraha Weldegeorges ◽  
Yared Hailesilassie ◽  
Weldu Mammo Werid ◽  
Mulu Gebretsadik Weldemariam ◽  
...  
Keyword(s):  
Risk Factors ◽  
Antenatal Care ◽  
Uterine Rupture ◽  
Case Control Study ◽  
Case Control ◽  
Public Hospitals ◽  
Obstructed Labor ◽  
Health Institutions ◽  
Control Study ◽  
Remote Health

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.

Thyroid cancer and its associated factors: A population‐based case‐control study

2021 ◽  
Author(s):  
Mohammad Taher Parad ◽  
Mohammad Fararouei ◽  
Ali Reza Mirahmadizadeh ◽  
Sima Afrashteh
Keyword(s):  
Thyroid Cancer ◽  
Associated Factors ◽  
Case Control Study ◽  
Population Based ◽  
Case Control ◽  
Control Study

A Case–Control Study on Socio-Psycho-Somatic Consequences of Intimate Partner Violence in North-West of Iran

2015 ◽  
Vol 30 (6) ◽  
pp. 803-806
Author(s):  
Mahasti Alizadeh ◽  
Yalda Ravanshad ◽  
Bahram Samadi Rad ◽  
Zhila Khamnian ◽  
Anoush Azarfar
Keyword(s):  
Intimate Partner Violence ◽  
Partner Violence ◽  
Case Control Study ◽  
Intimate Partner ◽  
Case Control ◽  
North West ◽  
Control Study

scholarly journals Determinants of stillbirths among women who gave birth at Hawassa university comprehensive specialized hospital, Hawassa, Sidama, Ethiopia 2019: a case-control study

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Rekiku Fikre ◽  
Samuel Ejeta ◽  
Taye Gari ◽  
Akalewold Alemayhu
Keyword(s):  
Case Control Study ◽  
Sampling Technique ◽  
Positive Association ◽  
Simple Random Sampling ◽  
Case Control ◽  
Obstructed Labor ◽  
Specialized Hospital ◽  
Prolonged Labor ◽  
Hawassa University ◽  
Control Study

Abstract Background Globally over 2.6 million pregnancy ends with stillbirth annually. Despite this fact, only a few sherds of evidence were available about factors associated with stillbirth in Ethiopia. Therefore, the study aimed to spot factors related to stillbirth among women who gave birth at Hawassa University Comprehensive Specialized Hospital Hawassa, Sidama Ethiopia, 2019. Methods Facility-based unmatched case-control study was conducted at Hawassa University Comprehensive Specialized Hospital. Cases were selected using simple random sampling technique and controls were recruited to the study consecutively after every case selection with case to control ratio of 1 to 3. Data were coded and entered into Epi-data version 3.1 and exported to SPSS version 24 for analysis. Results A total of 106 cases and 318 controls were included in the study. Number of antenatal care visit [AOR = 0.38, 95% CI (0.15, 0.95)], lack of partograph utilization [AOR = 4.1 95% CI (2.04, 10.5)], prolonged labor [AOR = 6.5, 95% CI (2.9, 14.4)], obstructed labor [AOR = 3.5, 95% CI (1.5, 9.4)], and congenital defect [AOR = 9.7, 95% CI (4.08, 23.0)] were significantly associated with stillbirth. Conclusion Absence of partograph utilization, prolonged labor, obstructed labor, antepartum hemorrhage and congenital anomaly were found to have positive association with stillbirth.

scholarly journals Evaluación de disfunción autonómica en pacientes con insuficiencia renal crónica en programa de hemodiálisis.

2013 ◽  
Vol 9 (3) ◽  
pp. 98
Author(s):  
Rafael CONTRERAS RIOS ◽  
Abdías HURTADO ARESTEGUI
Keyword(s):  
Heart Rate ◽  
Autonomic Dysfunction ◽  
Associated Factors ◽  
Case Control Study ◽  
Hemodialysis Patients ◽  
Case Control ◽  
Control Group ◽  
Deep Breathing ◽  
Program Material ◽  
Control Study

Objective: To determine the frequency of autonomic dysfunction and associated factors in patients with chronic renal failure in hemodialysis program. Material and methods: A case-control study we evaluated 30 patients in hemodialysis program and equal number of healthy volunters, using the heart rate variability test during deep breathing. Results: In hemodialysis group, twenty two patients (80%) had autonomic dysfunction, 67% were asimptomatics. In control group only two patients had autonomic dysfunction (6.7%). In both groups, we found positive correlation than age with autonomic dysfunction stage. Conclusion: Autonomic dysfunction is a frequent complication in hemodialysis patients; it’s frequently asymptomatic and it has age relationship.

scholarly journals Risk Factors of Antepartum Hemorrhage Among Mothers Who Gave Birth at Suhul General Hospital, 2016: A Case–Control Study

2021 ◽  
Vol Volume 14 ◽  
pp. 271-278
Author(s):  
Bekem Dibaba ◽  
Dejene Edosa ◽  
Mohammedamin Hajure ◽  
Gelawdiwos Gebre
Keyword(s):  
Risk Factors ◽  
General Hospital ◽  
Case Control Study ◽  
Case Control ◽  
Control Study

scholarly journals Hearing Loss and Associated Factors in Iranian Patients with Type 2 Diabetes: A Case-Control Study

Thrita ◽  
2016 ◽  
Vol 5 (4) ◽  
Author(s):  
Saeed Nouri ◽  
Raika Jamali ◽  
Kurosh Gharagozli ◽  
Mohammad Reza Sharif ◽  
Bardia Jamali
Keyword(s):  
Type 2 Diabetes ◽  
Hearing Loss ◽  
Associated Factors ◽  
Case Control Study ◽  
Case Control ◽  
Control Study ◽  
Iranian Patients
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