Current Issue : April - June Volume : 2018 Issue Number : 2 Articles : 7 Articles
Background. Uterine rupture is tearing of the uterine wall during pregnancy or delivery. It may extend to partial or whole thickness\nof the uterine wall. It is usually a case where obstetric care is poor. In extensive damage, death of the baby and sometimes even\nmaternal death are evident. Objective. This study assesses associated factors and outcome of uterine rupture at Suhul General\nHospital, Tigray Region, Ethiopia, 2016. Methodology. A case-control study was conducted by review of data from September 2012\nto August 2016. A total of 336 samples were studied after calculating by EPI-INFO using proportion of multiparity (53%) and ratio\nof 1 : 2 for cases and controls, respectively. Analysis was done using SPSS version 20. Bivariate and multivariate logistic regression\nwas applied with p < 0.05. Result. ANC, grand multiparity, malpresentation, and obstructed labor had association, but previous\ncesarean delivery was not significant. Perinatal mortality was 105 (93%) versus 13 (5.8%) in cases and controls, respectively.\nAnemia was highest for both groups (53.7% versus 32.1%). Conclusion. Majority of uterine rupture is attributed to prolonged or\nobstructed labor. Cases of uterine rupture had prompt management preventing maternal mortality, but burden of perinatal death\nis still high....
Background. Foramen ovale (FO) flow may be altered in IUGR. This study was designed to test this hypothesis. Methods. Forty pregnant women (24ââ?¬â??38 weeks) were divided into 3 groups: group I (IUGR), group II (adequate growth and maternal hypertension), and group III (normal controls). Impedance across the FO was assessed by the FO pulsatility index (FOPI): (systolic velocityââ?¬â?°Ã¢Ë?â??ââ?¬â?°presystolic velocity)/mean velocity. Statistical analysis utilized ANOVA, Tukey test, and ROC curves. Results. Mean FOPI in IUGR fetuses (nââ?¬â?°=ââ?¬â?°15) was 3.70ââ?¬â?°Ã?±ââ?¬â?°0.99 (3.15ââ?¬â??4.26); in the group II (nââ?¬â?°=ââ?¬â?°12), it was 2.84ââ?¬â?°Ã?±ââ?¬â?°0.69 (2.40ââ?¬â??3.28), and in the group III (nââ?¬â?°=ââ?¬â?°13), it was 2.77ââ?¬â?°Ã?±ââ?¬â?°0.44 (2.50ââ?¬â??3.04) (p = 0.004). FOPI and UtA RI were correlated (rââ?¬â?°=ââ?¬â?°0.375, p = 0.017), as well as FOPI and UA RI (rââ?¬â?°=ââ?¬â?°0.356, p = 0.024) and, inversely, FOPI and MCA RI (rââ?¬â?°=ââ?¬â?°Ã¢Ë?â??0.359, p=.023). Conclusions. The FO flow pulsatility index is increased in fetuses with IUGR, probably as a result of impaired left ventricular diastolic function....
Background. Acute colonic pseudoobstruction or Ogilvie�s syndrome is a rare entity that is characterized by acute dilatation of the\ncolon without anymechanical obstruction. It is usually associated withmedical disease or surgery and rarely occurs spontaneously.\nIf not diagnosed early, Ogilvie�s syndrome may cause bowel ischemia and perforation. Case. A G7P4+2, 40-year-old woman, who\nis a known case of gestational diabetes mellitus during her current pregnancy, four previous cesarean sections, two early pregnancy\nlosses at six-week gestation, and hypothyroidism, underwent uncomplicated elective cesarean section, after which she complained\nof abdominal distention. Conclusion. Ogilvie�s syndrome is a rare condition yet of interest to obstetricians, midwifery staff, and\ngeneral surgeons because its early diagnosis and prompt treatment are the keystones to avoid any subsequent fatal complications.\nThis case report reviews the clinical characteristics, diagnostic methods, and management of Ogilvie�s syndrome. Moreover, we\nsuggest a management approach to help in early diagnosis and prompt management to improve the outcome of this potentially\nserious condition...
Background. To improve the quality of services, satisfying patients is the primary goal of the Ethiopian reform programme.\nObjectives. To assess patient satisfaction and associated factors among clients admitted to obstetrics and gynecology wards of\npublic hospitals in Mekelle town. Method: Institution-based cross-sectional study design was conducted on 413 participants\nusing systematic sampling methods. Data were collected from March 9 to May 8, 2016, using structured questionnaires. Data\nwere entered and cleaned in Epidata 3.1 and analysed using SPSS V20 with binary logistic regression model. Result. The observed\nsatisfaction rate was 79.7% at 95% CI (75.8%, 83.6%). Clients were dissatisfied towards well-describing side effects of medication,\ninforming what the medication is used for before prescribing and administering, cleanness of toilet and washroom, and access\nto drinking water, latrine, and hand-washing facility. Respondents live in rural area, stayed < 4 days, admitted for the first time,\nadmitted in Mekelle General Hospital, and who reported their feeling on ways privacy was assured were more likely satisfied\nthan their counterparts. Conclusions. The observed satisfaction rate is high. So, policymakers, Regional Health Bureau, hospital\nmanagers, caregivers, and researchers should plan and work together to keep track of patient satisfaction. Areas patients are\ndissatisfied should also improve....
Eighty women undergoing induction of labor at the University of Calabar Teaching Hospital were recruited and randomly\nallocated into two treatment groups (40 each), to receive either serial 50 �¼g doses of misoprostol or intracervical Foley catheter.\nVaginal blood loss was collected and measured using an under buttocks plastic collection bag and by perineal pad weighing up to\n6 hours postpartum. There were no significant differences between the two groups with respect to sociodemographic and obstetric\ncharacteristics. Comparison of blood loss in vaginal deliveries between the two groups revealed that subjects in the misoprostol\ngroup had significantly higher blood loss than subjects in the Foley catheter group (488 �± 222 versus 326 �± 106, p < 0.05). In both\ngroups, there was strong and statistically significant positive correlation between postpartum blood loss and induction delivery\ninterval (r = 0.75, p < 0.0001; r = 0.77, p < 0.0001). There were no significant differences in maternal outcomes. In view of this,\nfurther study is required to ascertain if lower doses of misoprostol for induction of labor may result in lesser blood loss. This trial is\nregistered with ISRCTN14479515....
Background. Exploring patient satisfaction contributes to provide quality maternity care, but there is paucity of epidemiologic\ndata in Eritrea. Objectives. To determine the predictors of womenââ?¬â?¢s satisfaction with intrapartum care in Asmara public\nmaternity hospitals in Eritrea. Methods. A cross-sectional study among 771 mothers who gave birth in three public Hospitals.\nChi-square tests were done to analyze the difference in proportion and logistic regression to assess the predictors of satisfaction\nwith intrapartum care. Results. Overall, only 20.8% of the participants were satisfied with intrapartum service. The key\npredictors of satisfaction with intrapartum care were provision of clean bed and beddings (AOR 18.87, 2.33ââ?¬â??15.75), privacy\nduring examinations (AOR 10.22, 4.86ââ?¬â??21.48), using understandable language (AOR 8.72, 3.57ââ?¬â??21.27), showing how\nto summon for help (AOR 8.16, 4.30ââ?¬â??15.48), showing baby immediately after birth (AOR 8.14, 2.87ââ?¬â??23.07), control of\nthe delivery room (AOR 6.86, 2.65ââ?¬â??17.75), receiving back massage (AOR 6.43, 3.23ââ?¬â??12.81), toilet access and cleanliness\n(AOR 6.09, 3.25ââ?¬â??11.42), availability of chairs for relatives (AOR 5.96, 3.14ââ?¬â??11.30), allowing parents to stay during labour\n(AOR = 3.52, 1.299ââ?¬â??9.56), and request for permission before any procedure (AOR = 2.39, 1.28ââ?¬â??4.46). Conclusion. To increase\nsatisfaction with intrapartum care, maternity service providers need to address the general maternity ward cleanliness, improve\nthe quality of physical facilities, and sensitize health providers for better communication with clients. Policy makers need to\nadopt strategies that ensure more women involvement in decision making and consideration of privacy and reassurance needs\nduring the whole delivery process....
Small cell ovarian carcinoma of the pulmonary type is a rare and highly aggressive tumor for which a suitable treatment strategy\nhas not been established. A 45-year-old woman presented with abdominal swelling, and primary ovarian carcinoma was suspected.\nThe postoperative pathological diagnosis was small cell ovarian carcinoma of the pulmonary type. She also had complicated grade\n1 endometrioid carcinoma of the uterine corpus. Three courses of cisplatin and etoposide therapy were administered as adjuvant\nchemotherapy. Because the tumor was chemotherapy resistant, she underwent palliative abdominal irradiation at a dose of 26Gy in\n13 fractions,which induced cytoreduction and provided symptomatic relief. She died 4months after surgery. Lactate dehydrogenase\nwas a useful tumormarker during treatment. Here, we present an extremely rare case of a patient with small cell ovarian carcinoma\nof the pulmonary type treated with radiotherapy after surgery and chemotherapy....
Loading....