bluuebunny/crossref_metadata_2025_split huggingface dataset:
Prevalence and determinant factors of unintended pregnancy among pregnant women attending antenatal clinics of Shashamane hospitals
Authors: Alemu Biresaw Wassihun , Hailemariam Zeleke , Gemeda Getachew , Tsehay Haimanot , Alemayehu Yosef , Beyene Kassaw , Hailemariam Zeleke , Teshome Abinet , Gebremeskel Feleke , Adane Daniel , Alemirew Mandefro , Girma Aron , Mekonnen Bitew , Dessalew Mulugeta 
Published: July 2024

ABSTRACT
Background: Unintended pregnancy is one of the measures of quality of reproductive health service success or failure and is defined as a pregnancy that is not wanted and/or not planned at the time of conception. Unintended pregnancy remains a major public health problem in sub-Saharan countries including Ethiopia. Therefore, the main aim of this study was to assess the magnitude and determinants of unintended pregnancy among pregnant women attending antenatal clinics of Shashemene hospitals.
Methods: An institutional-based cross-sectional study was conducted among 380 pregnant women from March 25 to April 30/2019. A systematic random sampling technique was used to select the study participants. The data were collected through a pre-tested interviewer-administered questionnaire and it was entered into EPIdata 3.1 and exported to SPSS 24 for further analysis. Binary and multivariate logistic regression analysis was used to identify significant factors. Variables with P-value < 0.05 were used to declare statistical significance.
Result: The magnitude of unintended pregnancy was 31.1%. Age 35-45 years (AOR=0.2 95% CI; 1.057-0.8), parity ?3 (AOR= 9.7 95% CI; 2.0-47.7), poor knowledge of family planning (AOR= 2.85 95% CI; 1.54-5.3), being rural residence (AOR = 1.27 95% CI; 2.15-4.5), and low husbands educational level (AOR= 4.34 95%CI; 2.16-9.73) were some of factors which affect unintended pregnancy.
Conclusion: The magnitude of unintended pregnancy is high in the study area. Low educational status of the husband, maternal age, parity, residence, and knowledge of mothers on family planning was the most important determinant factor of unintended pregnancy. Increase timely awareness and utilization of reproductive health care services like modern contraceptives are recommended for reducing the prevalence of unplanned pregnancy.
DETERMINANTS OF PREGNANCY AMONG LATE ADOLESCENTS VISITING PUBLIC HEALTH FACILITIES OF ARBA MINCH TOWN, SOUTHERN ETHIOPIA: A CASE CONTROL STUDY
Authors: Boti Negussie , Abdulkadir Hanan , Girma Meseret , Getahun Firdawek , Hussen Sultan , Oumer Blicha 
Published: July 2024

Background: Adolescent period is characterized by having physical, social, and psychological behaviors that put themselves for different problems like pregnancy. Those pregnancies which occur during the adolescent period result in poor maternal and child health.
Objective: The aim of this study is to identify determinants of pregnancy among late adolescents who visit public health facilities of Arba Minch town, Ethiopia 2019
Methods: An institution-based unmatched case-control study was conducted from Feb 9-Apr 9 2019. Cases were pregnant Adolescents age (15-19 years) who came for delivery, abortion or antenatal care on other hand controls were non-pregnant adolescents age (15-19 years) who visited outpatient department or youth-friendly services for other cases (ruled out by history and HCG pregnancy test). The total sample size was 380 (85 cases and 285 controls) which were randomly selected. Data was collected by using face-to-face interviews and entered into Epi-data version 3.4 then exported to SPSS version-23 for analysis. Multivariable logistic regression was used to assess determinants. Statistically, significance was considered at a p-value ? 0.05.
Result: Finding of this study show that family monthly income less than one thousand Ethiopian Birr (AOR=11.11; 95%CI 2.65-46.65), family history of pregnancy before age 19 years (AOR=2.85; 95%CI 1.04-7.79), starting first sex without desire (AOR=2.52; 95%CI1.07-5.93) and poor modern contraceptive methods (AOR=4.84; 95%CI 2.09-11.20) were determinate of adolescents in the study area.
Conclusion: Family income, family history of adolescent pregnancy, starting first sex without desire, and poor modern contraceptive methods were determinants of adolescents’ pregnancy. Therefore, respective stakeholders should develop interventions especially about modern family planning methods for adolescents.
Keywords: Late adolescent pregnancy; Determinants; Arba Minch town public health facilities
STUDY OF TOTAL LAPAROSCOPIC HYSTERECTOMY: COMPARISON BETWEEN CONVENTIONAL AND RETROPERITONEAL TECHNIQUE
Authors: Nayak Sibananda , RV Meghana Raj 
Published: July 2024

AIM
The aim of the study is to know whether retroperitoneal method of total laparoscopic hysterectomy is better than conventional method of total laparoscopic hysterectomy. This was assessed by comparing both methods for intra-operative blood loss and urological complications.
METHODOLOGY
An observational study was done in patients planned for total laparoscopic hysterectomy (TLH) for benign pathologies who gave their consent to be included in the study. Patients were divided into two groups based on method of surgery. Group 1 included patients who underwent conventional method of TLH while group 2 included patients who underwent retroperitoneal method of TLH. The data obtained from both the groups were compared and then analyzed for duration of surgery, blood loss and complications.
RESULTS
Out of 102 patients, 71 underwent conventional method of TLH (group 1) and 31 underwent retroperitoneal method of TLH (group 2). The mean duration of surgery was 132.0 ±39.3 minutes and 136.8 ±44.2 minutes in group 1 and group 2 respectively(p=0.643).The drop in haemoglobin level was 1.18 ±0.66g/dL and 1.11 ±0.45g/dL in group 1 and group 2 respectively (p=0.901). No significant complications were seen in both the groups (p=1.000).
CONCLUSION
There was no statistically significant difference between conventional method and retroperitoneal method of TLH in terms of blood loss and complications.
Do laboring women accompanied by their companion of choice during the first stage of labor? A case of parturient women in Arba Minch town public health facilities, Sothern Ethiopia
Authors: BEYENE GETAHUN KASSAW 
Published: July 2024

Background: Having a companion during labor and childbirth has numerous effects on the childbirth process and its outcomes. However, it doesn’t get enough attention in low and middle-income countries like Ethiopia. The study intended to assess the status of the companionship of choice during the first stage of labor among parturient women at public health facilities in Arba Minch town, South Ethiopia
Methods: An institution-based cross-sectional study design was employed. The study was conducted from October 1 to November 30, 2019. Face-to-face interviewer-administered questionnaires were used to collect the data from 418 study participants. The data were entered into Epi data version 4.4.3.1 and exported to SPSS version 25.0 for further analysis. Bivariate and multivariable logistic regression analyses were done and a p-value < 0.05 with a 95% confidence level was used to declare statistical significance.

Results: Only 237(58.2%, 95 % CI: 53%, 63%). of the respondents were accompanied by their companion of choice during the first stage of labor. Having complication during the recent pregnancy & labor (AOR= 2.57, 95%, CI: 1.42, 4.64), being primipara (AOR= 2.18, 95%CI: 1.31, 3.48), having antenatal care (AOR= 2.92, 95% CI: 1.31, 6.49), giving birth at health center (AOR= 2.76, 95%CI: 1.74, 4.37) and being aware about companionship during labor (AOR=3.06, 95%CI, 1.44, 6.47) were the independent predictors of labor companionship.

Conclusions: An ample proportion of participants had not been accompanied by their companion of choice during the first stage of labor in this study area. Health facilities and health care professionals need to provide appropriate evidence about companionship during laboring and allow companions of every laboring woman during childbirth unless the risk of allowing overshadows its profits.
Keywords: companionship, Arbaminch town, and labor.
The Early Complications of Induced Abortion Compared to Those of Spontaneous Abortion in Yaoundé-Cameroon: A Cohort Study
Authors: FOUEDJIO Jeanne Hortence 
Published: July 2024

Background: Induced abortion is a major public health challenge worldwide particularly in developing country. It is one of the leading causes of maternal death.
Objective: To compare the early complications of induced abortion with those of spontaneous abortion in Yaoundé. Methodology: We conducted a cohort study from November 1st 2019 to May 31st, 2020 with prospective data collection in the gynecology departments of the Yaoundé Gyneco-Obstetric and Pediatric Hospital and the Yaoundé Central Hospital. All women who had an abortion and gave informed consent were included in our study. Data were analyzed using SPSS 23.0 and Microsoft Excel 2016. To compare the different observations, we used the Relative Risk (RR) as well as the Odds Ratio (OR) and the significance threshold was set at 5%. Results: Patients with induced abortion were significantly younger than those with spontaneous one (median age: 24 years [20-30] vs. 28 years [24-32]; p = 0.013). Clinically, fever was significantly more common in induced abortion group (28.6%) than in spontaneous one (6.8%). The rate of complication was higher in the induced abortion group. However, haemorrhage and anaemia were observed in both groups with no significant difference. Induced abortion increases the risk of sepsis by 4.48. Some complications were observed only in cases with induced abortion, namely uterine perforation (8.9%), pelviperitonitis (7.1%), septic shock (3.6%) and intestinal lesions (1.8%). In terms of management, induced abortion carries twice the risk of blood transfusion (p = 0.030). The overall post-abortion contraceptive use rate was only 40.9%. In terms of prognosis, the case-fatality rate was 3.6% among patients with induced abortion. Conclusion: Induced abortion, compared to spontaneous abortion, is the prerogative of adolescents. Abortion remains a major provider of maternal morbidity and mortality in our country, where the application of postabortion care remains partial. We recommend a full implementation these cares, with emphasis on family planning.
POSTPARTUM MODERN CONTRACEPTIVE UTILIZATION IN ADDIS ABABA: ANTEPARTUM DECIDEDNESS FOR POSTPARTUM UPTAKE
Authors: Mengesha Abdu , Kebede Eskinder 
Published: July 2024

Introduction: Family planning (FP) slows population growth and helps achieve national and international development goals. FP counselling is the first intervention in family planning programs and can be done during late pregnancy. Antepartum FP counseling is not practiced adequately during the antenatal care (ANC) service delivery at which time women can decide to use Post-Partum Modern Contraceptive (PPMC). Women’s antenatal decidedness rate to use PPMC is not known.
Objective: To assess the prevalence of antenatal decidedness to use PPMC among pregnant women in Addis Ababa city.
Methods: A cross-sectional study was conducted from Tir 01, 2012 to Tir 30, 2012 EC on a population of women who had their 4th ANC visits in 98 health centers in Addis Ababa. The calculated sample size was 422; and the sampling procedure was made in 2 stages: Cluster Sampling and Simple Random Sampling. Study subjects were enrolled in a continuous all-inclusive manner starting from the first woman who came on her scheduled 4th ANC visit on day one of the study period until the total number of study subjects was obtained. A semi-structured, anonymous, self-prepared & pre-tested questionnaire was used to collect data; and data collection was as an exit interview. Data was entered & analyzed using SPSS version 25 software.
Results: During the routine ANC follow up only 153 (36.9%) have had FP counseling, and the study team delivered the service for 262 (63.1%). Three hundred eighteen (76.6%) have antenatally decided to use PPMC. The rate of antenatal decidedness to use PPMC was higher for those who had FP counseling by the study team compared to those counseled during the routine ANC follow up (77.9% Vs 74.5%). Religion, the round of ANC visit the FP counseling was given, and the number of topics covered during the FP counseling were found to be determining factors for women’s antenatal decidedness to use PPMC.

Conclusion: The FP counseling service delivery rate during the routine ANC service is low. Women will decide to use PPMC antenatally if they get a FP planning counseling conducted during the ANC follow up. The FP counseling should include 4 major topics (available types, efficacy, advantages & disadvantages, and side effects of each method), and an adequate duration should be allocated for it. Further study to find out why ANC care providers at health centers are not providing FP counseling service to all of their clients is recommended.
A Postpartum Uterine Dehiscence in a Pregnant Woman with Brucellosis; A Cases Report
Authors: Mohammadbeigi Abolfazl , Mirzaie Monireh , Yazdi Zahra , Asgarian Azadeh , Savari Marzieh 
Published: July 2024

Introduction
Uterine Dehiscence (UD) is a rare complication and very dangerous complication of cesarean section (CS). Brucellosis is a threatening infection in pregnant women with severe obstetrics outcomes such as spontaneous abortion, premature delivery, intrauterine infection. We presented a case with preterm delivery with continuing high fever due to uterine fascial dehiscence after CS, who were infected to brucellosis.
Case: A 26-year-old woman with gravidity 1, referred to the obstetrical department at 30 weeks of gestation due to Preterm Premature rupture of membranes (PPROM). After vaginally sonography, the patient underwent emergency CS due to fetus FHR drop and umbilical cord prolapse. From second day after CS, the patients fever increased and Doppler sonography shows low fluid and hematoma in the uterus and evidence in favor of a lesion collection that was evacuated with laparotomy and uterine fascial dehiscence was detected. Moreover, wound debridement conducted and during laparotomy the adhesions were released. The Wright-Coombs 2ME test showed she was infected to brucellosis.
Conclusion:
Uterine fascia dehiscence in lower uterine segment incision is a rare but is a potentially dangerous for mothers. However, preterm deliveries due to PPROM and high uncontrolled fever after CS, are conditions that practitioners should considering the uterine dehiscence to their differential diagnoses. Nevertheless, the occurrence of dehiscence due to brucellosis infection is questionable and require more evaluation.
Rate of Cesarean Delivery among Physicians Practicing in A Teaching Hospital in Tigray Region, Northern Ethiopia
Authors: Teka Hale , Yemane Awol , Ahmed Sumeya , Berhe Ephrem , Gebremeskel Mebrihit , Ebuy Abraha Hiluf , Hasan Abida , Abate Ermias 
Published: July 2024

Abstract
Introduction: The Ethiopian national cesarean section rate is about 5%. Rates of cesarean delivery (CD) vary widely among population segments in Ethiopia suggesting unequal access. Within this context, this study aimed to assess the rate of CD among physicians practicing at Ayder Comprehensive Specialized Hospital (ACSH).
Methods: This was cross-sectional study. All female physicians who are parous (n = 15) and all male physicians whose spouses are parous (n = 86) were interviewed to evaluate the mode of delivery among them. Indications for CD were also assessed.
Results: The overall CD rate among participants was 81 (44.3%). Thirteen out of 18 (87%) female obstetrician/gynecologists and male obstetrician/gynecologists' spouses delivered via CD. Cesarean delivery for maternal request (CDMR) accounted for 22.6% of primary CDs. Nearly all (95%) potential candidates for Trial of Labor after Cesarean delivery (TOLAC) opted for repeat elective CD. The driving factors for CD were: lack of confidence in the process of intrapartum fetal monitoring, “uncertainty” of outcome of vaginal delivery, fear of labor pain (due to absence of labor analgesia), and managing obstetricians' fear of blame for poor outcome by their colleagues.
Conclusion: This study revealed a disparity in CD rates in physician community vs the general Ethiopian population. More revealing are the reasons why they underwent CD. Rate of CD may be decreased by winning the confidence of the parturient mothers through instituting international-standard intrapartum fetal monitoring and labor analgesia protocols.
Key Words
Mode of delivery, Cesarean delivery, maternal request, physicians
Evaluation of the Quality of Ethiopian Journal of Reproductive Health
Authors: Teklu Alula , Ashenafi Wondimye , N Haregu Tilahun , Banko Muhdin Abdo 
Published: July 2024

Introduction: The Ethiopian Journal of Reproductive Health (EJRH) is a local journal that has been published by the Ethiopian Society of Obstetrics and Gynecology (ESOG) for over 10 years. The objective of this study was to examine the quality of the journal.

Methods: A mixed-methods approach that employed reviews of published editions of the journal, key informant interviews of those who have roles in the management of the journal, researchers who have the experience of publishing in EJRH and other journals, and editors-in-chief of other journals was conducted. Self-appraisal of the journal using a standard checklist and office visits to assess staffing, infrastructure, manuscript follow-up, and coordination were also conducted. In addition, an online survey questionnaire was administered to assess perception and use of the EJRH by members of ESOG.

Results: There have been nine issues with four to six articles per issue in the last 10 years. This was a 30% performance against the target. The total number of issues was lower than average when compared to other local journals. Seven out of the nine issues of EJRH were available online. The journal has no online submission system and was yet to be indexed. The journal scored low in 19 of the 20 self-appraisal criteria. The majority of ESOG members knew about EJRH, but only 10% had a publication in the journal. Findings suggest that there are critical areas that need improvement for the journal to be reputable and influential.

Conclusion: A substantial reform with focus on having a fully functional editorial team, a web-based submission and peer review process, a well-equipped editorial office, and human resources were needed. Benchmarking experiences from other journals and adopting standard operating procedures were recommended. Strengthening collaboration with universities and research institutions will also be critical.
Premenstrual Disorders (PMS and PMDD) Incidence, and its Predictors in Iranian Medical University Students; An Exploratory Cross Sectional Study
Authors: Miraj Sepideh , Derakhshani Maryam , Mohammadbeigi Abolfazl , Hassanzadeh Fatemeh , Ramezani Fatemeh , Aligol Mohammad 
Published: July 2024

Introduction:
Premenstrual disorders are a wide range of physical, behavioral, and psychological symptoms which emergence before menstruation and in the first initial days of menstruation which repeat in several cycle. This study aimed to evaluate the Premenstrual syndrome (PMS) and Premenstrual dysphoric disorder (PMDD) incidence and its related factors among Iranian medical students.
Materials and Methods:
In a is cross sectional study 264 students of Qom university of Medical Sciences were selected by stratified proportional to size and simple random sampling method. Demographic form, Premenstrual Symptoms Screening Tool (PSST) and Daily Record of Severity of Problems (DRSP) questionnaires were used for data collection and evaluation of subjects for PMS and PMMD according to the DSM-IV criteria. Data analysis conducted using SPSS version 20 (SPSS Inc., Chicago, IL, USA) by Chi square, independent t-test and multivariable logistic regression. P value lower 0.05 was considered as significant.
Results:
The mean age of subjects was 21.05±2.20 years and 102 students (38.6%) were diagnosed as PMS that 8% (21 subjects) were labeled as PMMD. Decreased interest in daily activities (60.6%), depressed mood (60.2%), fatigue/lack of energy (52.3%), physical symptoms and difficulty concentrating (51.1%) were the most common PMS symptoms. Bivariate analysis showed that BMI, marital status, chronic disease history, and continuous use of medication have significant relationship with PMS morbidity. Marriage 2.1 (OR=2.1, 95% CI: 1.12-4.42) and stress in the last 3 months (OR=2.38, 95% CI: 1.23-4.63) were two most important predictors of PMS in medical students based on multivariate logistic regression.
Conclusion:
Decreasing the students stress, especially in students with chronic disease history that have continuous medication consumption could be effective factors for control the PMS symptoms. Moreover, educational stress beside higher familial stress in married students due to socioeconomic and cultural factors, are the related predictive determinants of PMS. Change in life style by rest taking and enough sleeping, and counseling could be help the affected subjects.
THE EFFECTIVE EVALUATION OF DIGITAL REPRODUCTIVE HEALTH LITERACY INTERVENTION ON SERVICE COMPETENCIES OF HEALTH PROVIDERS IN ADOLESCENT AND YOUTH HEALTH CLINICS IN THAILAND
Authors: Intarakamhang Ungsinun , Dheva-aksorn Kirana , Prasittichok Pitchada 
Published: July 2024

INTRODUCTION: The global reproductive health remains concerning due to the insufficient knowledge and understanding among healthcare providers. This knowledge gap also extends to their limited ability to utilize technology for delivering services. The purpose of this research was to find an intervention for Digital Reproductive Health Literacy (DRHL) to enhance service competencies.
METHODS: The randomized controlled trials (RCTs) were conducted January to July 2023. The 60 participants aged 20 to 60 working in adolescent and youth clinics were selected through random assignment and 30 allocated to 12 hours intervention in 6 modules, consisted of knowledge, digital skills, communication skills, provider attitudes, digital-based services, and networking skills. 30 participants were assigned in the control group. The data were collected using DRHL scale with reliability of 0.97, and Discriminant power of 0.2 to 0.8. Data were analyzed using MANCOVA.
RESULTS: The results showed that health providers in the experimental group had significantly a higher mean score of DRHL (Mean = 90.83, 80.60) and competencies (Mean 69.60, 62.00) than control group at after treatment and follow up (Mean = 93.13, 81.13; Mean= 70.57, 62.97, p<.01). Specially, in the experimental group indicted that mean score of the DRHL and competencies by domains at follow-up were higher than the mean score at before treatment (p < .05).
CONCLUSION: Human resources specialists or administrators could apply DRHL intervention to promote DRHL and competencies for health providers working in adolescent and youth health clinics.