Spectrum of maternal and perinatal outcomes among parturient women with preceding short inter-pregnancy interval at Bugando Medical Centre, Tanzania

Lilungulu, Athanase; Matovelo, Dismas; Kihunrwa, Albert; Gumodoka, Balthazar

doi:10.1186/s40748-014-0002-1

Cited by 47 publications

(74 citation statements)

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“…A systematic review of the effect of birth spacing on the maternal and child nutritional status found that short birth intervals are related to maternal anemia [49]. Similar findings were also observed in a study conducted in Tanzania [53]. …”

Section: Discussionsupporting

confidence: 58%

Prevalence and determinants of anemia among pregnant women in Ethiopia; a systematic review and meta-analysis

et al. 2017

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BackgroundAnemia during pregnancy is one of the most common indirect obstetric cause of maternal mortality in developing countries. It is responsible for poor maternal and fetal outcomes. A limited number of studies were conducted on anemia during pregnancy in Ethiopia, and they present inconsistent findings. Therefore, this review was undertaken to summarize the findings conducted in several parts of the country and present the national level of anemia among pregnant women in Ethiopia.MethodsPreferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline was followed for this systematic review and meta-analysis. The databases used were; PUBMED, Cochrane Library, Google Scholar, CINAHL, and African Journals Online. Search terms used were; anemia, pregnancy related anemia and Ethiopia. Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument (JBI-MAStARI) was used for critical appraisal of studies. The meta-analysis was conducted using STATA 14 software. The pooled Meta logistic regression was computed to present the pooled prevalence and relative risks (RRs) of the determinate factors with 95% confidence interval (CI).ResultsTwenty studies were included in the meta-analysis with a total of 10, 281 pregnant women. The pooled prevalence of anemia among pregnant women in Ethiopia was 31.66% (95% CI (26.20, 37.11)). Based on the pooled prevalence of the subgroup analysis result, the lowest prevalence of anemia among pregnant women was observed in Amhara region, 15.89% (95% CI (8.82, 22.96)) and the highest prevalence was in Somali region, 56.80% (95% CI (52.76, 60.84)). Primigravid (RR: 0.61 (95% CI: 0.53, 0.71)) and urban women (RR: 0.73 (95% CI: 0.60, 0.88)) were less likely to develop anemia. On the other hand, mothers with short pregnancy interval (RR: 2.14 (95% CI: 1.67, 2.74)) and malaria infection during pregnancy (RR: 1.94 (95% CI: 1.33, 2.82)) had higher risk to develop anemia.ConclusionsAlmost one-third of pregnant women in Ethiopia were anemic. Statistically significant association was observed between anemia during pregnancy and residence, gravidity, pregnancy interval, and malaria infection during pregnancy. Regions with higher anemia prevalence among pregnant women should be given due emphasis. The concerned body should intervene on the identified factors to reduce the high prevalence of anemia among pregnant women.Electronic supplementary materialThe online version of this article (10.1186/s12878-017-0090-z) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 58%

Prevalence and determinants of anemia among pregnant women in Ethiopia; a systematic review and meta-analysis

et al. 2017

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“…Table 3. The main maternal post-operative complications associated with caesarean sections are: surgical site infections, obstetric fi stulae, pulmonary embolism, postpartum haemorrhage, maternal death, and the peroperative complications are anaesthetic complications, complicated haemorrhage in haemostatic hysterectomy and maternal death [10,15,16,19,21,28,33,[37][38][39]45,[48][49][50][51][52][53][54][55][56][57][58][59][60][61][62] [12,[63][64][65][66][67][68][69][70][71][72][73][74][75]…”

Section: Resultsmentioning

confidence: 99%

An analysis of the practices of caesarean section in sub-Saharan Africa: A summary of the literature

Dikete¹,

Coppieters²,

Trigaux³

et al. 2019

Arch Community Med Public Health

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Introduction:Ensuring access to quality caesarean sections (CS) is a challenge for the next millennium and a sustainable development goal to reduce maternal and infant mortality. A CS involves risks and complications and should therefore be performed in an approved way and not used excessively. The WHO recommends that the CS rate should not exceed 10-15%. Approximately 99% of maternal deaths occur in developing countries where efforts to reduce maternal deaths are still low. This review of the literature aims to provide a summary of CS practices in sub-Saharan Africa and the consequences in terms of morbidity and mortality. Material and Method:The data was collected following the selection criteria on the NCBI's PubMed.Result: Across the four main themes selected for this summary, the frequency of CS varies from 2 to 51%. Indications for caesarean CS are mainly dystocia, foetal distress, scarred uterus, breech presentation, antenatal haemorrhage and hypertensive disorders. Maternal risks related to CS are surgical site infections, obstetric fi stulae, anaesthetic complications, pulmonary embolism, postpartum haemorrhage, haemostatic hysterectomy and maternal death, and the perinatal risks related to CS are respiratory distress, prematurity and perinatal death. Conclusion:In the current working conditions, the risks incurred by the mother and the foetus during a CS are signifi cantly greater than during a vaginal delivery. CS is not yet a factor in reducing maternal and perinatal morbidity and mortality in Sub-Saharan Africa. To reduce maternal and perinatal morbidity and mortality, working conditions at referral centre level, transfer conditions, and improve the training of health staff should be improved. Citation:Dikete M, Coppieters Y, Trigaux P, Englert Y, Simon P, et al. (2019) An analysis of the practices of caesarean section in sub-Saharan Africa: A summary of the literature. Arch Community Med Public Health 5(2): 077-086. DOI: http://dx.References were selected based on the following criteria: the type of study on CS, the target population and the data analysis using the following search terms on PubMed (intraoperative complications, caesarean section, maternal mortality and morbidity, perinatal mortality and morbidity, Africa South of the Sahara) for the period from 2011 to 2016 (the period during which we started missions to support the training of gynaecologists and obstetricians in the east of the Democratic Republic of the Congo). The following inclusion criteria were applied: articles focusing essentially on the CS, the indications for a CS, and maternal and perinatal complications associated with CS in sub-Saharan Africa. The studies selected were retrospective, prospective, clinical trials and ecological studies. Clinical cases were excluded from this review. The target population is the population of sub-Saharan Africa: the population studied was composed of women who had a CS delivery and their new-borns infants. The registrations of the participants involved in the various studies were examined...

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“…In Sierra Leone, MCP among married or in-union reproductive-age women is as low as between 15% and 20% [2,3]. Non-use of modern contraceptive (N-UMC) is associated with unplanned pregnancies that many times lead to unsafe abortions as well as a significant predictor of maternal and child morbidity and mortality [4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Complex samples logistic regression analysis of predictors of the current use of modern contraceptive among married or in-union women in Sierra Leone: Insight from the 2013 demographic and health survey

et al. 2020

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Background Non-use of modern contraceptives among married or in-union women aged 15 to 49 years is a demographic and public health challenge. Studies on the predictors of contraceptive use among women in Sierra Leone are few, more than two decades old, and not nationally representative. This study aims to fill this gap by estimating the prevalence and the predictors of the current use of modern contraceptives among married or in-union women in Sierra Leone. Methods This is a population-based study that used the 2013 Sierra Leone Demographic and Health Survey (SDHS) dataset. We performed complex samples logistic regression with 9,111 reproductive-age women. The analysis was done using the IBM SPSS Statistics version 21, and statistical significance was pegged at p�0.01 and p�0.05. The outcome of interest is the current use of modern contraceptives among reproductive-age married or in-union women in Sierra Leone, measured as 'Yes' (currently using a modern method) and 'No' (using a folkloric method, traditional method, and no method). Results About 18.1% of reproductive-age women were currently using a modern contraceptive. The study found the following sociodemographic factors as positive correlates: being within the age group of 20-24 years [

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Spectrum of maternal and perinatal outcomes among parturient women with preceding short inter-pregnancy interval at Bugando Medical Centre, Tanzania

Cited by 47 publications

References 26 publications

Prevalence and determinants of anemia among pregnant women in Ethiopia; a systematic review and meta-analysis

Prevalence and determinants of anemia among pregnant women in Ethiopia; a systematic review and meta-analysis

An analysis of the practices of caesarean section in sub-Saharan Africa: A summary of the literature

Complex samples logistic regression analysis of predictors of the current use of modern contraceptive among married or in-union women in Sierra Leone: Insight from the 2013 demographic and health survey

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