Introduction: Labour pain is the most severe pain that a woman ever has to face. Pain relief in childbirth is subject to many social and cultural modifiers, which continue to change. Delivery of the infant into the arms of a conscious and pain-free mother is the most exciting and rewarding moment in maternal care services. Developed nation give emphasis on continuous labour support, But in developing country pain is neglected especially managing labor pain. In a country like Ethiopia with low institutional delivery managing labour pain can help as an incentive to enhance institutional delivery rate.
Preconception care (PCC) increases the chance of couple’s being healthy and having a healthier baby. It is an important strategy to prevent maternal and perinatal complications. The level of knowledge on preconception care increases its uptake. It is also considered as an input for further intervention of reduction in maternal and neonatal mortality enabling progress towards sustainable development goals (SDGs). Therefore, this systematic review and meta-analysis aimed to estimate the pooled knowledge level of PCC and its association with family planning usage among women in Ethiopia. All observational studies regardless of publication status were retrieved. Important search terms were used to search articles in Google scholar, African Journals Online, CINHAL, HINARI, Science Direct, Cochrane Library, EMBASE, and PubMed/Medline. Independent critical appraisal of retrieved studies was done using the Newcastle–Ottawa assessment checklist. The meta-analysis was conducted using STATA version 14 software. The I2 statistics were used to test heterogeneity, whereas publication bias was assessed by Begg’s and Egger’s tests. The results of the meta-analysis were explained in the Odds ratio (OR) with a 95% confidence interval (CI) and presented using forest plots. A total of seven articles were included in the current systematic review and meta-analysis. Based on the data retrieved from the articles, 35.7% of women in Ethiopia had good knowledge about preconception care. The subgroup analysis based on region revealed the lowest (22.34%) and highest (45.06%) percentage of good knowledge on preconception care among women who were living in Amhara and Oromia regions, respectively. Moreover, women who utilized family planning services were three and more times (OR 3.65 (95% CI 2.11, 6.31)) more likely to have a good level of knowledge about preconception care. One-third of Ethiopian women had good knowledge about preconception care. Family planning utilization had a positive impact on women’s knowledge of preconception care.
Background: Maternal near-miss refers to a situation where a woman who nearly died but survived from severe life-threatening obstetric complications that occurred during pregnancy, childbirth or within 42 days of termination of pregnancy. It has been estimated that up to 9 million women survive obstetric complications every year. According to studies done around the world most mothers suffer from Near Miss due to the factors which includes, low socioeconomic status, patient related, health provider related, and health related and health institution related issues. Objectives: The objective of the study was to determine the proportion of maternal near misses and its associated factors in Selected Public Health Institutions of Keffa, Bench-Maji and Sheka Zones of South Nations Nationalities and Peoples Regional state, South West Ethiopia, 2017. Methodology: Hospital based cross-sectional study design was employed and simple random sampling techniques (Lottery Method) was used to select the study institution and Systematic sampling technique was used to select 845 study participants every 5th interval. Information was collected by using pre-tested and structured interviewer administered questioner. Using SPSS version 21 software, descriptive statistics and bivariate logistic regression analysis was done and variables with p-value <0.2 were transferred to multivariate analysis and during Multivariate logistic regression analysis Variables with P-value < 0.05 were considered as statistically significant and AOR with 95% CI were used to control for possible confounders and to interpret the result. The results were summarized by tables, graphs and charts. Result: There were 5530 Live Births, 227 Sever Acute Maternal Morbidity cases of this 210 were Maternal Near-Misses cases and 17 were maternal deaths, 364 Maternal Near-Misses Events. The overall Maternal Near-Misses Proportion is 24.85%. The maternal Near-Misses outcome ratio was 41 cases/1,000 live births (LB); mortality ratio was 12.35cases/1 maternal death and 74.8/1000LB of mortality index. Parity, residence, distance of living place from hospital, ANC Follow up, duration of labor, and administrative related problems were found to have statistically significant associations. Conclusion: The proportion of Maternal Near-Misses is relatively high when compared to other regional studies and efforts should be done to lower the near-misses.
Background: Acquired immunodeficiency syndrome epidemic is the greatest challenge to human kind in the 21 st century. Mother-to-child transmission of human immune deficiency virus infection is the transmission of the virus from an HIV-infected mother to her child during pregnancy, labour, delivery or breastfeeding. Objective: To assess knowledge and attitude towards mother-to-child transmission of Human immunodeficiency virus among pregnant women attending ante natal care at Mizan-Aman town public health facilities, Benchi-Maji zone, southwest Ethiopia, 2017. Methods: Health facility based cross sectional study was conducted at Mizan-Aman town health facilities from April 25-May 22, 2017. Systematic sampling technique was used select all pregnant women who fulfil the inclusion criteria and attending 1 st antenatal care visit during the study period was included in the study with every two sampling interval until the desired sample size achieved. Structured questionnaire was used to collect data. The collected data was checked for completeness and analyzed manually by using SPSS. The result of the study was summarized by using frequency tables, graphs, and narrative description. Result: According to this study, 112 (65.9%) of the respondents had good knowledge about MTCT of HIV/AIDS and majority of the respondents, 128 (75.3%) were knew that HIV can be transmitted from infected mother to her child. Among the total respondents, 108 (63.5%) strongly agree with the idea that important of every pregnant women to be tested for HIV. Majority of the respondents, 129 (75.9%), have positive attitude towards prevention Mother-To-Child transmission. Conclusion: This study revealed that, majority of the respondents had good knowledge towards MTCT of HIV/ AIDS. Majority of the respondents know that HIV/AIDS can be transmitted from infected mother to her child, but their knowledge on specific time when the virus is transmitted is not adequate. It also showed that most of the respondents had positive attitude towards PMCT.
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