Background: Maternal and child mortality is prevailing in SSA where Ethiopia is located. While it is revealed that promotion of contraception can avert 32% of all maternal deaths and 10% of childhood ...

Introduction: The international healthcare community has considered the ideal rate for caesarean sections to be between 10% and 15%.More than 85 % of these operations are performed for four reasons prior ...

Background:  Medical methods for induced abortion have emerged over the past two decades as safe, effective, and feasible alternatives to surgery. Approximately 205 million pregnancies occur each ...

Background: Long acting Family Planning(LAFP) methods such as Implants, despite of meet their needs, can dramatically improve the health and well-being of women, families, and communities. Despite their ...

Background<strong>: </strong>Overall, 1–4% of all births in the US are complicated by chorioamnionitis. However, the frequency of chorioamnionitis varies markedly by diagnostic criteria (clinical Vs histologic), specific risk factors and gestational age. Clinical chorioamnionities is associated with a number of adverse maternal and neonatal outcomes. So far there are no studies that assed prevalence or impact of chorioamnionities in our country.

Objective<strong>: </strong>The main objective of this study is to determine the maternal and neonatal outcome of women with clinical chorioamnionities at St.Paul Hospital Millenium Medical College.

Methods: Prospective cohort study design was used to determine the the maternal and neonatal outcome of women with clinical chorioamnionities at St.Paul Hospital Millenium Medical College. By using power of 80% and CI of 95%, ratio of sample size unexposed to exposed 2:1 open Epi software auto calculates total smple size of 168, 56 cases and, 112 controls.  The controls were those mothers who gave birth immediately after the case matched with gestational age.Selected adverse outcome were compared between pregnancies with and without clinical chorioamnionitis using relative risk and 95% CI.Statistical analysis was carried out using SPSS 21 version. Relative risk, 95% confidence intervals (CI) and two-tailed P values were calculated.

Result: The duration of labour and ROM has statistically significant association with occurrence of chorioamnionities with a p value and relative risk of of 0.020, RR1.538 (1.082 -2.187) and 0.000 RR3.304 (2.201 – 4.961) respectively.  Caesarean section rates for dystocia were nearly triple in cases (29.1%, whereas it was 9.8% for controls. Women with chorioamnionities were more likely to have surgical site infection and postpartum endometrities. Likewise, the neonates of women with chorioamnionitis were at increased risk of admission to NICU and to have confirmed sepsis.

Conclusion: Maternal complications dystocia and need for oxytocin labor stimulation and also postpartum wound complication and endometrities are all increased in women with chorioamnionities. Neonates also suffered morbidities related to sepsis and require multiple interventions like antibiotics, anticonvulsants, oxygen support and phototherapy.

Background: D&E is a surgical abortion that is typically performed midway during the second trimester of pregnancy and in which the uterine cervix is dilated and fetal tissue is removed using surgical instruments (as a forceps and curette) and suction (1).

Purpose: This study aimed to assess the knowledge, attitude and practices of D&E among consultants and residents in OBGY postgraduate school in Addis.

Method: The study utilized a cross-sectional design. Convenience sampling was used to recruit121 consultants and residents at AAMF and SPHMMC and their respective affiliate health facilities in gynecology and obstetrics department. Data were collected using a self-administered questionnaire and analyzed using SPSS version 20. Results are presented with tables, graphs and pie charts.

Key Findings: The participants comprised of 81.8% residents andn gynecology and obstetric department  18.2% of consultants with mean age of the participants being30 years. The mean score on the knowledge component was 6.7±2.1, from a maximum total of 13. Around two third of participants have positive attitude towards D&E. Only around a third (34.7%) of the providers has done or assisted the procedure.  Among providers about (30%) practice hysterotomy for failed medical termination.

Conclusion and recommendations: The findings show a wide gap in D&E practice among providers with unfairly significant numbers of hysterotomy procedures in place of D&E due to lack of training as a part of practice. It is crucial to expand this study at a national level to identify the gaps and to plan strategies to promote D&E skill training in postgraduate curriculum which will potentiate options of services for needy mothers.

Introduction: Management of fetal macrosomia has long been an obstetric challenge, and is becoming an increasingly important problem because of its rising incidence and the associated risks to the mother ...

Introduction: meconium stained amniotic fluid occurs in 12 to 20% of laboring mothers and it is a confusing issue because it can be due to either physiologic or a hypoxic insult to the ...

Background: Post-term pregnancy is defined as pregnancy that has extended to or beyond 42 weeks of gestation (294 days). The incidence varies with the study population. Post-term pregnancy ...

Background:-Unintended pregnancy is defined as unwanted or mistimed. It is an important public health issue in both developing and developed countries, because of its serious consequences for women and ...