Background. Premature rupture of membranes (PROM) is a common condition in developed and developing countries and poses a serious threat to the maternal and fetal well-being if not properly managed. This study delineated the prevalence and predictors of PROM in the western part of Uganda so as to guide specific preventive measures. Methods. A cross-sectional study design was conducted in the months of September 2019 to November 2019. A total of 334 pregnant women above 28 weeks of gestation admitted at the maternity ward of KIU-TH were consecutively enrolled. Interviewer-administered questionnaires were used to obtain the data. Descriptive statistics followed by binary logistic regression were conducted. All data analyses were conducted using STATA 14.2. Results. Of the 334 pregnant women enrolled, the prevalence of PROM was found to be 13.8%. The significant independent predictors associated with lower odds of PROM were no history of urinary tract infection (UTI) in the month preceding enrollment into the study (aOR = 0:5, 95% CI: 0.22-0.69, p = 0:038) and gestational age of 37 weeks or more (aOR = 0:3, 95% CI: 0.14-0.71, p = 0:01) while history of 3 or more abortions (aOR = 13:1, 95% CI: 1.12-153.62, p = 0:05) was associated with higher likelihood of PROM. Conclusions. Majorly urinary tract infections, low gestational age, and abortions influence premature rupture of membranes among women. There is a great need for continuous screening and prompt treatment of pregnant women for UTI especially those with history of 3 or more abortions at less than 34 weeks of gestation.
Background High-risk HPV is considered a major risk factor for the development of cervical cancer, the most common malignancy among women in Uganda. However, there is a paucity of updated epidemiological data on the extent of the burden and factors associated with hr-HPV infection among women of reproductive age. The aim of this study was to determine the prevalence and genotype distribution of hr-HPV and associated factors among women of reproductive age attending a rural teaching hospital in western Uganda. Methods We conducted a cross-sectional study from April to June 2022. A total of 216 women of reproductive age attending the gynecological outpatient clinic were consecutively enrolled. Interviewer-administered questionnaires were used to collect participant characteristics, cervical specimens were collected by clinicians, and molecular HPV testing was performed using the Cepheid Xpert HPV DNA test. Descriptive statistics followed by binary logistic regression were conducted using SPSS version 22. Results The prevalence of hr-HPV was 16.67%. Other hr-HPV types other than HPV 16 and 18 were predominant, with a prevalence of 10.6%; HPV 18/45 (2.31%), HPV 16 (0.46%), and 3.24% of the study participants had more than one hr-HPV genotype. On multivariate logistic regression, an HIV-positive status (aOR = 7.06, CI: 2.77–10.65, p = 0.007), having 3 or more sexual partners in life (aOR = 15.67, CI: 3.77–26.14, p = 0.008) and having an ongoing abnormal vaginal discharge (aOR = 5.37, CI: 2.51–11.49, p = 0.002) were found to be independently associated with hr-HPV infection. Conclusions and recommendations The magnitude of hr-HPV is still high compared to the global prevalence. HIV-positive women and those in multiple sexual relationships should be prioritized in cervical cancer screening programs. The presence of abnormal vaginal discharge in gynecology clinics should prompt HPV testing.
<p class="abstract"><strong>Background:</strong> Anemia remains a serious health burden all over the world, more so among pregnant women. A lot of morbidity and mortality has been attributed to anemia in pregnancy. The problem is even much bigger among special groups of pregnant women such as the teenagers. The common morphologic type of this obstetric complication however remains a mystery among several populations across the world.</p><p class="abstract"><strong>Methods:</strong> We carried out a cross-sectional study for three months; between August 2021 and October 2021. A total of 288 pregnant teenagers aged between 13 and 19 years attending antenatal care at Hoima Regional Referral Hospital (HRRH) in western Uganda were consecutively enrolled. Short interviewer-administered questionnaires and laboratory report forms were used to obtain data. Descriptive statistics using SPSS version 23 was applied to present the data. </p><p class="abstract"><strong>Results:</strong> 75 (26%) out of the 288 pregnant teenagers had anemia. Majority 40 (53.3%) had microcytic anemia, followed by normocytic anemia 25 (33.3%) while 10 (13.3%) had macrocytic anemia.</p><p class="abstract"><strong>Conclusions:</strong> Microcytic anemia remains the most common morphological type affecting pregnant teenagers at HRRH, western Uganda.</p>
Objective To establish the predictors of anemia among pregnant teenagers presenting at Hoima Regional Referral Hospital, mid-western Uganda Methods This was a cross-sectional study conducted in the months of August 2021 to October 2021. A total of 288 pregnant teenagers aged between 13 and 19 years attending antenatal care (ANC) at Hoima Regional Referral Hospital (HRRH) were consecutively enrolled. Interviewer-administered questionnaires and laboratory report forms were used to obtain data. Descriptive statistics followed by binary logistic regression were conducted. All data analyses were conducted using IBM SPSS 23. Results The prevalence of anemia was 26%, with 53% having mild anemia, 40% moderate anemia, and 7% severe anemia. The key predictors of anemia among pregnant teenagers attending ANC at HRRH were lack of formal education (aOR = 17.39, CI:4.655–64.988; p < 0.001), nulliparity (aOR = 0.47, CI:0.225–0.989; p = 0.047) and ANC visits less than four times (aOR = 8.80, CI:2.888–27.811; p < 0.001) Conclusion The prevalence of anemia among pregnant teenagers at HRRH was higher than the estimated national anemia prevalence in this age group. Lack of formal education and poor ANC attendance are the key predictors of anemia at HRRH. Nulliparity is a protective factor for this obstetric complication in this age group of women at this facility.
The purpose of this manuscript is to present research findings based on the reported cases of medical information breaches due to Social Media (SM) usage, in selected medical institutions in Uganda. The study employed online survey techniques. Altogether, 710 questionnaires (Google forms) were developed, and operationalized. The main respondents included 566 medical students, and 143 medical staff from
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