Background Despite Ethiopia’s efforts to avail postpartum family planning (PPFP) services, the unmet need for family planning among postpartum women remains high. Therefore, this study is aimed to assess barriers and determinants of postpartum family-planning uptake among women visiting Maternal, Neonatal, and Child Health (MNCH) services in public health facilities of western Ethiopia. Methods A facility-based cross-sectional study design with a quantitative method was conducted on 989 postpartum women in Western Ethiopia from September 1 to October 30, 2020. Data were collected through face-to-face interviews using pretested structured questionnaires, entered using EPI-INFO version 7.0, and analyzed by SPSS version 25. Descriptive analysis and logistic regressions were performed. The adjusted odds ratio with a 95% confidence interval was used and statistical significance was declared at P-value < 0.05. Result In this study, 56.1% of participants had used PPFP in the last year. The most commonly used method was injectable (51.7%). Family planning use before the index pregnancy (AOR = 2.09;95%CI:1.29,3,41),counselling on PPFP during antenatal care and delivery (AOR = 4.89;95%CI:2.31,10.37),health facility delivery (AOR = 7.61;95%CI:4.36,13.28), skilled birth attendance (AOR = 4.99;95%CI:2.88,8.64),COVID-19 restrictions (AOR = 0.59;95%CI:0.39,0.90) were factors associated with PPFP utilization. Being breastfeeding and amenorrhea were major reasons for not using postpartum family planning. Conclusion Post-partum family planning utilization among study participants was low. Given the associated factors, it is recommended that health facilities should make postpartum family planning one of their top priorities and focus on these factors to improve its utilization.

Background Postpartum spontaneous vulvar hematoma is a rare complication of childbirth that can potentially cause maternal death if not managed properly and in a timely manner. Case summary We present the case of maternal near miss secondary to postpartum hemorrhage secondary to vulvar hematoma after home delivery in a 28-year-old para IV mother from rural Ethiopia. The case was surgically managed under spinal analgesia. The mother and her newborn were discharged on the fourth postprocedure day. Conclusion Neglected and inappropriately managed postpartum vulvar hematoma can cause significant maternal morbidity; therefore, timely surgical exploration, ligation of bleeding vessels, and obliteration of dead space can avert severe maternal complications

Objectives: The use of youth sexual and reproductive health (YSRH) services is low in poor nations like Ethiopia. This puts individuals at risk for a variety of sexual and reproductive health issues. Thus, the goal of this study is to evaluate how young people in East Wollega, Western Ethiopia, perceive and use YSRH services. Methods: A community-based cross-sectional quantitative study mixed with a qualitative inquiry was conducted among 771 participants from February 1 to 28, 2020. Data were collected through face-to-face interviews using pretested structured questionnaires adopted from reviewed works of literature on YSRH services. Data were entered using Epi Info version 7.0 and analyzed by SPSS version 20. The qualitative data was collected using interview guides and checklists. These data were analyzed using a thematic framework approach. Results: In this study, 48.2% of teens felt that the YSRH service units’ location within the medical facilities was inconvenient and difficult to access. More than half, 71.3% of participants, concurred that the health providers offer services that are technically sound. The confidentiality of information is disputed by 18% of participants at YSRH service locations. The limited awareness and use of YSRH services was investigated. Because of their fear of embarrassment, lack of privacy, the providers’ attitudes and workload, and the service unit’s awkward location, the adolescents believe they lack the confidence to use YSRH services. Conclusion: Due to low awareness, providers’ attitudes, and characteristics specific to health facilities, such as poorly placed service sites inside such facilities, a lack of services offered there, and a terrible work environment, youth had a negative opinion of YSRH services. Therefore, it is advised that families, local authorities, the medical field, the educational field, and the media all collaborate to alter public opinions of juveniles by utilizing youth-friendly strategies. The authors advise health facilities to respect young people’s privacy, alter health workers’ attitudes, let them use the services, remove obstacles to payment, designate enough health workers for both working and non-working hours, and reorganize the services.

Worldwide, the incidence of cesarean sections has increased. Cesarean scar dehiscence, in which the scar tissue from the prior cesarean section is disrupted and separated, is one of the most significant complications of cesarean deliveries. Spontaneous cesarean scar dehiscence is among rare obstetric events. It carries catastrophic fetal and maternal complications. Timing of occurrence, screening, diagnosis, and obstetrics management in the current and subsequent pregnancies are full of controversies. Here, we present a case of spontaneous cesarean scar dehiscence in a patient who had an inter-pregnancy interval of only 4 months. We present the case of spontaneous cesarean scar dehiscence during pregnancy in a 30-year-old patient from western Ethiopia. She got pregnant after 4 months of previous cesarean delivery. Currently, she presented to the hospital with previous two cesarean scars and a term pregnancy. Intraoperative findings showed separation of the uterine wall which is covered by only fetal membranes. After delivering the fetus and placenta, the uterus was repaired in two layers. The patient had a smooth postoperative course and was discharged on the fifth day with appropriate counseling. During pregnancy, there is a chance of spontaneous cesarean scar dehiscence. Therefore, it is essential to properly assess pregnant mothers who have had a previous cesarean scar. If the cesarean scar dehiscence is diagnosed before the elective cesarean section, the obstetrician should get prepared to prevent potential complications.

Objectives: Screening for precancerous cervical lesions and providing access to effective treatment can significantly improve the likelihood of survival. To identify associated factors of positive visual inspection of the cervix with acetic acid test for precancerous cervical lesions among women screened for cervical cancer at public health facilities in Woliso Town, Southwest Shoa, Ethiopia. Methods: A facility-based unmatched case–control study was conducted on 86 cases and 172 controls. Cases were women who had a positive result for the visual inspection of the cervix with acetic acid test, and controls were women with a negative result. Data were collected using a pretested structured questionnaire and organized using SPSS version 20. Descriptive analysis and logistic regressions were performed. The adjusted odds ratio with a 95% confidence interval was used, and statistical significance was declared at p-value <0.05. Results: The study found that women aged 40–44 years (adjusted odds ratio = 4.11, 95% confidence interval (1.20–14.50)), greater or equal to five deliveries (adjusted odds ratio = 2.78, 95% confidence interval (1.39–5.56)), age at first birth less than 20 (adjusted odds ratio = 5.45, 95% confidence interval (1.41–21.04), age at first sexual intercourse less than 18 (adjusted odds ratio = 4.73, 95%, confidence interval (1.79–12.48)), ever used condom (adjusted odds ratio = 11.06, 95% confidence interval (3.93–31.14), having a history of sexually transmitted diseases (adjusted odds ratio = 4.05, 95% confidence interval (2.15–7.76), having a history of multiple sexual partners (adjusted odds ratio = 4.81, 95% confidence interval (1.37–16.90)), and being human immunodeficiency virus positive (adjusted odds ratio = 3.85, 95% confidence interval (1.68–8.83)) were associated factors of positive visual inspection with acetic acid test for precancerous cervical lesions. Conclusion: Given the above-associated factors of positive visual inspection with acetic acid test for precancerous cervical lesions, the health facilities should target women with these factors and timely screen them with the application of acetic acid on the cervix.