Cesarean Section and Associated Factors at Aira Hospital, Oromia Region, Western Ethiopia: A Retrospective Record Review
Keressa Duressa,
Gelana Fekadu,
Bedasa Taye,
Henock Asfaw
Issue:
Volume 6, Issue 1, March 2020
Pages:
1-6
Received:
26 January 2020
Accepted:
9 March 2020
Published:
8 April 2020
Abstract: Introduction: According to the latest data from 150 countries, currently, 18.6% of all births occur by cesarean section, ranging from 6% to 27.2%. It is alarmingly increasing in the last decade with an average annual rate of increase by 4.4%. Objective: To assess the prevalence of the cesarean section and associated factors among mothers who gave a birth from January 01, 2014, to December 31, 2018, at Aira Hospital, west wollega zone, Oromia region, Ethiopia. Methods and materials: Study was conducted from June 1 to July 25, 2019, by retrospective review of complete medical records of mothers who gave birth from January 01, 2014, to December 31, 2018 at Aira general hospital, west wollega zone, Oromia region, Ethiopia. The sample size was determined by using single population proportion and the final sample size was 339. Check list was used for data collection which was adapted and developed by reviewing relevant literatures. The data was analyzed by statistical package for social science version 20. Odd ratio was used for the interpretation of strength of prediction of independent variable to outcome variable, cesarean section. The statistical significance was declared at P<0.05 with 95% confidence interval. Result: A total of 332 medical records were reviewed. More than half (51.8%) of mother were less than or equal to 24 years with the mean age of 24.23 (±5.17 SD). The prevalence of cesarean section was 33.1% (95%CI 31.3-35.2%). More than two third (85.5%) of mothers had antenatal care follow up and the gestational age at the time of delivery was 37-40 weeks for 90.7% of mothers. Maternal age, gestational age and fetal weight were factors associated with cesarean section. Conclusion: Since the current prevalence of cesarean section surpass the world health organization recommendation threshold vaginal delivery should be encouraged in appropriate cases and the time should be given for conservative management of fetal distress. Maternal age, gestational age and fetal weight were factors associated with cesarean section. We recommend a future researchers to examine the attitude of service providers and their influence on the growing cesarean section delivery rate.
Abstract: Introduction: According to the latest data from 150 countries, currently, 18.6% of all births occur by cesarean section, ranging from 6% to 27.2%. It is alarmingly increasing in the last decade with an average annual rate of increase by 4.4%. Objective: To assess the prevalence of the cesarean section and associated factors among mothers who gave a...
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Nursing Care Practices at Jimma University Medical Center: A Retrospective Cross - Sectional Study in Ethiopia
Galane Abdissa,
Daniel Geleta,
Hiwot Berhanu,
Birtukan Edilu
Issue:
Volume 6, Issue 1, March 2020
Pages:
7-11
Received:
4 December 2019
Accepted:
17 April 2020
Published:
23 April 2020
Abstract: Nursing care is the gathering of information and prioritizing interventions before providing an appropriate cares using a specified assessment format to intervene the most common problems in Hospitals. Most of the nursing care activities were left undone or poorly assessed in Europe with further disrespect & abuse of women during institutional childbirth services in low-middle-income countries including Ethiopia. The current study focused to determine the status of nursing care practices in the obstetric ward of Jimma University medical center. Wherefore, a retrospective cross-sectional study was conducted from April 16, 2019 to May 15, 2019 with documentary analysis of 344 randomly selected medical records. A semi-structured and pretested questionnaire containing 16 items of nursing diagnoses were used to collect data, which was then analyzed by SPSS version 20 under formal consent of participants. During the process of management, frequencies & percentages were calculated and used to describe the data by tables & figures for ranking among the identified nursing cares. A total of 344 records were reviewed and analyzed by the study making 100% review rate. The study revealed all the nursing cares indicated in the domains were provided to labouring mothers with variable degrees. The most prominent nursing cares in the ward were recognized to be cares related to nausea (95.9%), fatigue (95.1%), acute pain relieve related to uterine contractions (94.8%), avoidance of imbalance nutrition due to poor intake (38.1%), bathing/toileting self-care deficit related to pain (27.6%) and constipation due hemorrhoids (24.4%). The remaining elements were practiced rarely. The care practice of labouring mothers in the study unit was not comprehensive. Therefore, the researchers recommend a compressive care approach as much as possible to the study unit and further study on the determinants of variation among the care domains.
Abstract: Nursing care is the gathering of information and prioritizing interventions before providing an appropriate cares using a specified assessment format to intervene the most common problems in Hospitals. Most of the nursing care activities were left undone or poorly assessed in Europe with further disrespect & abuse of women during institutional chil...
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Application of Improved Urostomy Pouch in Collection of Seepage from Nephrostomy Tube Entry After Percutaneous Nephrolithotomy
Issue:
Volume 6, Issue 1, March 2020
Pages:
12-16
Received:
22 March 2020
Accepted:
7 April 2020
Published:
23 April 2020
Abstract: Objective: We attempt to explore the effect of improved urostomy pouch on collecting the seepage from the entry of the nephrostomy tube after percutaneous nephrolithotomy. Methods: We selected 106 patients who underwent percutaneous nephrolithotomy and had indwelling nephrostomy tube with abnormal increase in seepage from the nephrostomy tube entry. Random number table was used to averagely divide them into observation group (53) and control group (53). For the observation group, we used improved urostomy pouches to collect seepage from the nephrostomy tube entry while for the control group, we dealt with the seepage through changing dressings following surgical routine. After that, we compared occurrence of dermatitis around the stoma, discomfort of stoma, stoma care cost, medical staff’s satisfaction with collection of seepage, frequency of changing dressings for stoma and material expenditure, etc. between the two groups. Results: occurrence of dermatitis around the stoma, discomfort of stoma and stoma care cost in observation group were lower than those in control group with a significant difference (P=0.000). Besides, medical staff’s satisfaction with collection of seepage in observation group was higher than that in control group with a significant difference (P=0.000). Frequency of caring for the stoma expenditure of dressings in the observation group were lower than those in the control group also with a significant difference (P=0.000). Conclusions: Improved urostomy pouches in collection of seepage from the stoma after PCNL can not only ensure the leakproofness of the urinary system and the function of nephrostomy tube but also reduce the occurrence of stoma infection to improve comfort of patients and accuracy of measurement of seepage, and reduce workload of medical staff. What’s more, the improved urostomy pouches help reduce the cost of changing dressings for patients and cost of materials of the department, and thus is worth application in collection of seepage from other drainage tubes.
Abstract: Objective: We attempt to explore the effect of improved urostomy pouch on collecting the seepage from the entry of the nephrostomy tube after percutaneous nephrolithotomy. Methods: We selected 106 patients who underwent percutaneous nephrolithotomy and had indwelling nephrostomy tube with abnormal increase in seepage from the nephrostomy tube entry...
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