فهرست مطالب hassen mosa halil

In developing countries, such as Ethiopia, neonatal morbidity and mortality, which is usually associated with low birth weight, are still high. Therefore, the aim of this study was to determine the extent and predictors of low birth weight among newborns delivered at a referral hospital in Hadiya Zone, Southern Ethiopia.

A hospital-based cross-sectional study was conducted from 1st to 28th April, 2019. A structured questionnaire and chart review were used to collect data. A systematic sampling technique was used to recruit 363 study participants. The relationship of independent variables with the dependent variable was determined using bivariate and multivariable logistic regression analyses. The odds ratios were calculated with their 95% confidence intervals, and statistical significance was accepted at a p -value of < 0.05. SPSS software (version 23) was used to enter and analyze the data.

The prevalence of low birth weight was found to be 12.7%. The predictors of low birth weight comprised of not receiving antenatal care visit (AOR =7.6; 95 % CI: 1.23-6.24), preterm delivery (AOR=4.99, 95% CI: 2.22-11.18), anemia (AOR =4.99; 95% CI: 2.22-11.18) and smoking of cigarette (AOR=5.85; 95% CI: 1.18-28.92).

This study revealed that a significant proportion of newborns are delivered with low birth weight. Consumption of iron-rich foods and abstinence from smoking should be encouraged to help prevent low birth weight. Additionally, increasing the uptake of antenatal care visits and prompt diagnosis and treatment of obstetric complications such as preterm delivery are important.

Caesarean delivery is a lifesaving surgical procedure for both the mother and the infant in specific medically indicated circumstances, but unnecessary caesarean delivery can lead to increased medical risks. This research considers the rate, indications and contributing factors of caesarean delivery in the Durame Hospital, Southern Ethiopia.

This hospital-based, cross-sectional study examined the period from May 1 through June 1, 2019. Three hundred respondents were enrolled by consecutive sampling, and a structured tool and document review were used for data collection. Data entry and analysis were conducted with EpiData (version 3.1) and SPSS software (version 24). Multivariable logistic regression was employed to determine the contributing factors associated with caesarean delivery at a 95% confidence interval (CI).

The overall rate of caesarean delivery was observed to be 24.7%. Non reassuring fetal heart rate (n=13; 17.06%) and abnormal presentation (n=9; 12.2%) were the two most prevalent indications of cesarean delivery. The factors associated with cesarean delivery were previous cesarean delivery (AOR =7.3, 95 % CI: 2.02-26.65), post-term pregnancy (AOR=3.3, 95% CI: 1.268.67) and maternal age of ≥35 years (AOR=3.21, 95% CI: 1.19 -8.67).

The rate of caesarean delivery exceeded the recommended limit of the World Health Organization. To ensure the appropriate use of the procedure, women with a previous caesarean delivery must be meticulously evaluated for the possibility of vaginal delivery, and the hospital must regularly monitor caesarean delivery indications.