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.

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 Neonatal sepsis risk factors in public hospitals in Wollega zones, Ethiopia: case control study

2022 ◽  
Vol 7 ◽  
Author(s):  
Werku Etafa ◽  
Getahun Fetensa ◽  
Reta Tsegaye ◽  
Bizuneh Wakuma ◽  
Sundararajan Vasantha Kumari ◽  
...  
Keyword(s):  
Risk Factors ◽  
Neonatal Sepsis ◽  
Case Control Study ◽  
Case Control ◽  
Public Hospitals ◽  
Sepsis Risk ◽  
Control Study

scholarly journals Risk Factors for Difficult Peripheral Intravenous Cannulation. The PIVV2 Multicentre Case-Control Study

2020 ◽  
Vol 9 (3) ◽  
pp. 799 ◽  
Author(s):  
Miguel Angel Rodriguez-Calero ◽  
Joan Ernest de Pedro-Gomez ◽  
Luis Javier Molero-Ballester ◽  
Ismael Fernandez-Fernandez ◽  
Catalina Matamalas-Massanet ◽  
...  
Keyword(s):  
Risk Factors ◽  
Logistic Regression ◽  
Vascular Access ◽  
Case Control Study ◽  
Previous History ◽  
Case Control ◽  
Public Hospitals ◽  
Study Population ◽  
Independent Risk Factors ◽  
Control Study

Background. Difficult peripheral intravenous cannulation (DPIVC) is associated with serious complications related to vascular access. These complications might be avoided if the risk factors were identified previously, enabling the detection of potentially difficult situations at an early stage. The aim of this study is to consider these risk factors, to determine the influence of the hospital setting, to examine the association between DPIVC and the different techniques of catheter insertion and to analyse the importance of the clinician’s experience in this context. Methods. Case-control study following a previously published protocol, conducted in 48 units of eight public hospitals in Spain. Adult patients requiring a peripheral intravenous cannula were prospectively included in the study population during their hospital stay. Over a period of 11 months, for consecutive eligible patients, nurses in each participating unit recorded data on their assessment of the vascular access performed and the technique used. Variables related to these medical personnel were also recorded. One of the researchers reviewed the patients’ clinical history to compile the relevant health variables and to characterise the healthcare process. The statistical analysis included association tests among the main study variables. The risk factors were analysed using bivariate logistic regression. The variables found to be statistically significant were included in a multivariate logistic regression model incorporating each of the healthcare environments identified. Results. The study population was composed of 2662 patients, of whom 221 (8.3%) presented with DPIVC. A previous history of difficulty, the presence of non-palpable veins, acute upper limb alterations and punctures in the ante-cubital fossa were found to be independent risk factors for DPIVC. Differences were found in the frequency of occurrence of DPIVC and in some risk factors, according to the healthcare context. The variables related to the characteristics of the hospital personnel did not influence the study event. Conclusion: The present study identifies four independent risk factors for DPIVC that can be incorporated into algorithms aimed at preventing its occurrence and facilitating the referral of patients to vascular access specialist teams.

Risk Factors and Clinical Presentation of Uterine Rupture in the Unscarred Uterus: A Case Control Study

2016 ◽  
Vol 3 (5) ◽  
Author(s):  
Anne Pinton ◽  
Eric Boudier ◽  
Arnaud Joal ◽  
Nicolas Sananes ◽  
Francois Severac ◽  
...  
Keyword(s):  
Risk Factors ◽  
Uterine Rupture ◽  
Case Control Study ◽  
Clinical Presentation ◽  
Case Control ◽  
Control Study

scholarly journals FAKTORKEHAMILAN DINI, ANTENATAL CARE, ASI EKSKLUSIF DAN PENGETAHUAN GIZI TERHADAP STUNTING PADA BALITA RESIKO STUNTING PADA BALITA DI KABUPATEN BONE

2021 ◽  
Vol 7 (1) ◽  
pp. 59-64
Author(s):  
St. Malka ◽  
Musni Musni ◽  
Sitti Fatimah
Keyword(s):  
Risk Factors ◽  
Antenatal Care ◽  
Early Pregnancy ◽  
Odds Ratio ◽  
Case Control Study ◽  
Health Centre ◽  
Case Control ◽  
Nutritional Knowledge ◽  
Under Five ◽  
Control Study

ABSTRACT EARLY PREGNANCY, ANTENATAL CARE, ESCLUSIVE BREASTFEEDING AND NUTRITIONAL KNOWLEDGE TO STUNTING IN CHIDREN UNDER FIVE Background: stuntingis a major nutritional problem that will have an impact on social and economic life in society. Stunting is a problem because it is associated with an increased risk of illness and death, suboptimal brain development, resulting in delayed motor development and stunted mental growth. Bone is one of the district in south Sulawesi high prevalence of stunting compared with province and national.Purpose  To determine risk factors early pregnancy, antenatal care, esclusive breastfeeding and nutritional knowledge on stunting among children 12-59 months old.Mathods:The study used is quantitative witch a designed  case-control study. It was conducted in Kading health centre, Bajoe health centre, and Usa health centre.  with the research time May-Juli 2020. The subjects were children between 12-59 month. The sample in this study were 120 consisting of 40 stunted and 80 normal with gender matching. Subject were chosen by purposive sampling methode. The risk factor were early pregnancy, antenatal care, esclusive breastfeeding, and nutritional knowledge. Data were analyzed by univariate, bivariate with chis-quare test and odds ratio with 95% confidence interval   Results: The results showed that factors associated with stunting were early pregnancy (P = 0.003) and antenatal care with (P = 0.033), while exclusive breastfeeding (P = 0.892) and maternal nutritional knowledge (P = 0.404) were not associated with stunting in under-five. . Early pregnancy variable is the dominant variable in the occurrence of stunting in children under five. Early childhood pregnancy has a 5.00 times higher risk of stunting in children under five compared to mothers who are pregnant at adulthood, and mothers not antenatal care during pregnancy have 2.68 times the risk of stunting compared to mothers antenatal care visit during pregnancy.Conclusion: The risk factors for stunting  were early pregnancy and antenatal careSuggestion It is hoped that the government will be even more stringent on the implementation of early marriage, so that there will be no more early marriages and can prevent stunting in toddlers. Keywords: stunting, early pregnancy,  antenatal care ABSTRAK Latar belakang :Stunting adalah masalah gizi utama yang akan berdampak pada kehidupan sosial dan ekonomi dalam masyarakat.  Stunting menjadi permasalahan karena berhubungan dengan menungkatnya risiko terjadinya kesakitan dan kematian, perkembangan otak suboptimal sehingga perkembangan motoric terlambat  dan terhambatnya pertumbuhan Kabupaten Bone meruapakan salah satu kabupaten di Sulawesi Selatan dengan angka stunting yang cukup signifikan melebihi prevalensi stunting provinsi dan nasional.Tujuan: untuk menganalisis factor risiko kehamilan usia dini, antenatal care, ASI eksklusif dan pengetahuan gizi ibu terhadap stunting pada balita usia 12 – 59 bulanMetode : Penelitian yang digunakan adalah penelitian kuantitatif dengan pendekatan Case Control Study. Penelitian dilakukan di tiga puskesmas yaitu Puskesmas Kading, Puskesmas Bajoe dan Puskesmas Usa. Penelitian dilakukan pada bulan Mei-Juli 2020. dengan subjek adalah anak umur 12 – 59 bulan. Sampel dalam penelitian ini sebanyak 120 balita yang terdiri dari 40 kasus (balita stunting) dan 80 kontrol (balita normal/tidak stunting) dengan Matching jenis kelamin. Metode penarikan sampel yang digunakan adalah purposive sampling. Factor risiko yang diukur adalah kehamilan usia dini, antenatal care (ANC), ASI eksklusif dan pengetahuan gizi ibu. Data dianalisis dengan chi square dan Odds Ratio (OR) 95% CI.Hasil :  Hasil penelitian menunjukkan faktor yang berhubungan dengan stunting adalah kehamilan usia dini (P=0,003) dan antenatal care dengan (P=0.033), sedangkan ASI eksklusif  (P=0,892) dan pengetahuan gizi ibu (P=0,404) tidak berhubungan dengan stunting pada balita. Variabel kehamilan usia dini merupakan variable dominan terjadinya stunting pada balita. Kehamilan usia dini memiliki risiko 5,00 kali lebih tiinggi untuk mengalami stunting pada balita dibandingkan ibu yang hamil pada usia dewasa, ibu yang tidak melakukan antenatal care memiliki risiko 2,68 kali mengalami stunting dibanding ibu yang melakukan pemeriksaan antenatal care. Kesimpulan: kehamilan usia dini dan antenatal care merupakan factor risiko terjadinya stunting pada balitaSaran Diharapkan pemeritah lebih ketat lagi terhadap pelaksanaan pernikahan usia dini, agar tidak ada lagi pernikahan usia dini dan bisa mencegah terjadinya stunting pada balita Kata kunci : stunting, kehamilan Dini, antenatal care  

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