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A SIX-MONTH REVIEW OF PRIMARY PREMATURE OVARIAN INSUFFICENCY AMONG WOMEN SEEKING INFERTILITY CARE AT SPHMMC MICHU REPRODUCTIVE HEALLTH CLINIC ADDIS ABABA, ETHIOPIA
(2021-08-01)
<p><strong>Background</strong></p>
<p>The prevalence of primary ovarian insufficiency (POI) is very variable, but it has been estimated to be around 1% of the general population in studies. It's also very likely that the ...
Prevalence and associated factors of anemia among pregnant women attending ANC follow-up at Saint Paul’s millennium medical college, Addis Ababa, Ethiopia, 2017
(2018-01-01)
<p><strong>Background: </strong>Anemia impairs cognitive development, reduces physical work capacity and in severe cases increases risk of mortality particularly during prenatal period. There are no previous studies done ...
Fetomaternal outcome and determinants of term premature rupture of membrane: Case control study in SPHMMC, Addis Ababa, Ethiopia
(2020-08-01)
<p><strong>Background</strong>: Term Premature Rupture of Membranes (PROM) is a common obstetric event and it is defined as rupture of the membranes prior to the onset of labour at or beyond 37 weeks gestation. PROM can ...
Quality of family planning counseling Among ANC Followers at SPHMMC ANC clinic
(2016-01-01)
<strong>Background</strong>
<p>Every women in the reproductive age has a right to accurate, appropriate, understandable, and unambiguous information related to reproductive health in all parts of the health care facility.</p> ...
DETERMINANTS OF CONTRACEPTIVE UTILIZATION AMONG WOMEN WITH DIABETES & HYPERTENSION, A FACILITY BASED CROSS SECTIONAL STUDY, ADDIS ABABA, ETHIOPIA
(2021-08-01)
<p><strong>BACKGROUND: </strong>Many chronic medical conditions have been affecting women in reproductive age group. Women with medical conditions like hypertension, heart disease& diabetes are at higher risk of pregnancy ...
Pregnancy outcome of hemolysis elevated liver Enzymes and low platelate count syndrome at teaching hospital, Addis Ababa, Ethiopia
(2020-05-01)
<p><strong>Background</strong>: HELLP syndrome is a life-threating complication in pregnancy that occur in 0.5 to 0.9% of all pregnancies and in 10–20% of cases with severe preeclampsia/eclampsia. It is associated with increased rate of both maternal and perinatal complications.</p>
<p><strong>Objectives: </strong>The aim of this study was to assess maternal and perinatal outcome of HELLP syndrome at teaching Hospital in Ethiopia.</p>
<p><strong>Methods</strong>: This was a 2-year retrospective based chart review of all women diagnosed with HELLP syndrome and delivered at Saint Paul’s Hospital Millennium Medical College in obstetrics and gynecology department in A.A, Ethiopia. Data entry and analysis was made using SPSS version 23 software. Frequency and percentages were calculated and presented in tables. Bivariate and multivariate analysis were used to see association and control confounding variables. Ethical clearance was obtained from the IRB of SPHMMC.</p>
<p><strong>Results</strong>: There were 20,111 deliveries during the study period, of which 0.57% (115) of the mothers developed HELLP Syndrome. Among these ,101 women fulfilling the inclusion criteria were included and their records were analyzed retrospectively. 36.6% of the cases were in the age group of 27-31 years. Majority 60.4% of the cases were primiparous while 39.6% of them were multiparous. Most of the mothers,92% were referred cases and 63.4% were from Addis Ababa. 89.1% cases occurred during antepartum and 10.9% after delivery. The mean gestational age was 33.40 ± 4.474 wks. 68% had Partial and 32% of them had complete HELLP syndrome. Caesarean and vaginal delivery rate were 47.5% and 52.5% respectively. There was no maternal death. 30.7% (31/101) of the mothers developed maternal complications. Acute kidney injury was the most frequent maternal complication 24.8%, followed by pulmonary Oedema 11.9%. Mothers with complete HELLP syndrome and when it arises in postpartum period were found to have significant influence on maternal morbidity with p -value of 0.03 for both, AOR= 0.223 (95% CI= 0.018-0.863) and AOR =0.360 (95% CI= 0.144-0.901) respectively. The were 108 infants delivered :70.4% were preterm while 29.6% were term deliveries. Twenty-three (21.3%) babies were IUGR. 78.7 % were born alive,12% were intrapartum deaths and 9.3% were still births. 9.3% were ENDs making over all overall perinatal mortality of 30.6%(33/108).</p>
<p><strong>Conclusion: </strong>The incidence of HELLP syndrome in this study was low with significant maternal morbidity and perinatal complications. It needs further prospective study with large sample size in country level.</p>...
Unmet need for contraception and associated factors among woman having cardiovascular disease in saint Paul hospital millennium medical collage Addis Ababa, Ethiopia
(2020-06-01)
<p><a rel="nofollow"></a><strong>Background:</strong> Cardiovascular illness complicates 1-4% of pregnancy. Cardiovascular disease during pregnancy is challenging for care and carries high morbidity and mortality than ...
Hysterosalpingography Findings among Women Undergoing Infertility Workup at St. Paul’s Hospital Millennium Medical College Addis Ababa, Ethiopia: A One Year Patients’ Chart Review
(2020-08-01)
<p><strong>Background</strong>: Infertility is a major public health concern in several African countries. The primary investigation modalities for female infertility used widely today is hysterosalpingography, a radiographic ...
ASSESSMENT OF KNOWLEDGE, ATTITUDE AND ASSOCIATED FACTOR OF CARDIOPULMONARY RESUSCITATION AMONG RESIDENTS AT SAINT PAUL’S HOSPITAL MILLENNIUM MEDICAL COLLEGE, ADDIS ABABA, ETHIOPIA
(2021-08-01)
<p><strong>Background</strong>: Sudden cardiac arrest is one of the most frequent causes of death in the world, and it is an important acute emergency situation that occurs in hospital settings with high levels of mortality risk. Timely provision of Cardiopulmonary resuscitation by knowledgeable and skillful health professionals will make an important contribution to reduce avoidable death and disability. Residents are expected to handle patients with life threatening conditions, hence are expected to be knowledgeable in performing cardiopulmonary resuscitations. Therefore the study aimed at assessing knowledge attitude and associated factor of cardiopulmonary resuscitation among residents.</p>
<p><strong>Method:</strong> A Hospital based cross sectional study was carried out in February 2021 among residents working in St. Paul’s Hospital Millennium Medical College to assess their knowledge, attitude and associated factor of Cardiopulmonary resuscitation. Bivariate and multivariate analysis using logistic regression model was used to analyze association between knowledge, attitude towards Cardiopulmonary resuscitation with potential predictor variables using SPSS version 20.Adjusted odds ratio and 95 % Confidence interval were computed to identify predictor variable at P value less than 0.05.</p>
<p><strong>Results: </strong>A total of 196 residents were participated in the study giving a response rate of 94.23%. Almost all of them (98.5%) had insufficient knowledge according to American Heart Association CPR certification. 63.2 % of the residents had positive attitude towards cardiopulmonary resuscitation. Department of residency and CPR training and its timing were factors associated with the knowledge of residents toward CPR at P-value less than 0.05. Residents in the department of Gynecology obstetrics (AOR=0.008, 95%CI (0.001, 0.96)], Surgery (AOR=0.055, 95%CI (0.011, 0.273), Pediatrics (AOR=0.167, 95%CI (0.037, 0.748), and Internal medicine (AOR=0.223, 95%CI (0.063, 0.783) were less likely to have knowledge of cardiopulmonary resuscitation than Residents in the department of Emergency Medicine. Residents who took training on CPR were 3.251 times more likely to be knowledgeable about cardiopulmonary resuscitation than residents who did not take training [AOR=3.251, 95%CI (1.162, 9.100)]. Residents whose timing of training were before 6 months were 5.948 times more likely to have knowledge of cardiopulmonary resuscitation compared to those whose timing of training was more than a year (AOR=5.948, 95%CI (1.855, 19.065)]. Being male resident (AOR= 6.537, 95%CI (1.572, 27.189) and residents who took training between 6 and 12 month (AOR= 53.781, 95%CI (1.695, 1706.586) were factors associated with positive attitude of residents toward CPR at P-value less than 0.05.</p>
<p><strong>Conclusion: </strong>In general resident’s knowledge of Cardiopulmonary resuscitation displayed by all department were extremely low despite most performed in the past. Thus subsequent regular training as apart of academic fulfillment is mandatory for all residents to achieve the desired outcome. The majority’s positive attitude towards CPR is encouraging.</p>...