Search

Introduction: The cesarean delivery rate has been consistently rising over time and differs among different hospitals. In order to understand the specific factors contributing to this rapid increase beyond the recommended levels, it is necessary to continuously monitor and evaluate cesarean deliveries using the Robson ten-group classification system. Consequently, the objective of this study was to evaluate the rate of cesarean deliveries within each group by employing the Robson ten-group classification system. Method: A cross-sectional study design was conducted in referral hospitals in the North West Amhara region, involving 721 mothers who gave birth between January and February 2022. Participants were selected using systematic random sampling. Data collection involved an interviewer-administered, pretested, semi-structured questionnaire, as well as a review of medical charts. The women were allocated into one of the ten Robson groups. The proportion of each group, the contribution of each group to the total caesarean delivery rate, and the caesarean delivery rate within each group were all calculated. Result: The overall caesarean delivery rate was 277 (38.3 %). The primary factors contributing to the overall cesarean delivery rate were found to be group 1 (23.9 %), group 5 (21 %), group 3 (11.6 %), and group 10 (11%). The most common indication for caesarean delivery included an abnormal fetal heart rate pattern, the presence of meconium in the amniotic fluid, a history of previous cesarean delivery, fetal-pelvic disproportion, and breech presentation. Conclusion: Group 1, 5, 3, and 10 emerged as the major contributor to the overall cesarean delivery rate. Interestingly, this study also unveiled a significant prevalence of cesarean delivery among low-risk groups. These specific groups warrant further investigation to identify potential factors that can be modified and implement targeted interventions to decrease the cesarean delivery rate. It is crucial to evaluate existing management protocols in the study area.

Background: The incorporation of evidence-based practice into midwifery care improves patient outcomes and quality of care by increasing patient satisfaction, patient safety, and shorter hospital stays. So, the purpose of this study is to assess midwives’ implementation of evidence-based practice and the factors associated with it. Method: A cross-sectional study was conducted with 384 randomly selected midwives. Data were collected using a structured, self-administered questionnaire. The collected data was entered into Epi Data version 3.1 and exported to STATA version 17 for analysis. Bivariable and multivariable linear regression models were used to identify factors associated with EBP implementation. Result: The mean EBP implementation score was 32.05 with SD ± 10.52 points out of a possible 70 points, and 199 (51.82 %) of respondents scored above the mean. The factors found to be significantly and independently associated with EBP implementation were level of hospital (primary) [β: 4.12; 95 % CI (2.03, 6.18)], attending continuous professional development [β: 2.36; 95 % CI (0.13, 4.59)], internet access in the hospital [β: 3.68; 95 % CI (1.58, 5.79)], participating in conferences for the last 12 months [β: 4.94; 95 % CI (1.46, 8.41)], and participating in seminars for the last 12 months [β: 4.99; 95 % CI (1.54, 8.43)]. Conclusion: The findings have indicated that nearly half of the study participants had good implementation of evidence-based practice. Level of hospital, attending continuous professional development, internet access in the hospital, participating in conferences for the last 12 months, and participating in seminars for the last 12 months significantly increased the mean overall implementation of evidence-based practice among midwives.

Introduction: Obstetrics danger signs are the major health problems and cause of mortality among women in developing countries including Ethiopia. To make an informed decision man should know the danger signs of pregnancy, childbirth, and postpartum and be able to act when they occur. In this regard, the role of men as decision-makers cannot be overlooked. However, studies regarding knowledge and associated factors of obstetric danger signs were limited in Ethiopia. Objectives: This study aimed to assess knowledge and associated factors towards obstetric danger signs among men in Debretabor town North West, Ethiopia. Method: A community-based cross-sectional study was conducted among 609 participants from February 1 -March 30/2021 in Debre Tabor town. A cluster sampling procedure was used. Data were collected through a pretested semi-structured interviewer-administered questionnaire. Data were entered into Epi data version 4.6 and exported into SPSS version 25 for analysis. All variables with a p-value

Introduction: Depression and HIV/AIDS are estimated to be the world's two leading causes of burden of disease by 2030. Depression during pregnancy is a significant public health problem because it has negative effects on the health of the mother and her fetus. However, evidence on antenatal depression and associated factors among HIV-positive women is scarce in the study area. Objective: This study was aimed to assess antenatal depression and associated factors among HIV-positive pregnant women attending prevention of mother to child transmission service in South Gondar zone public health facilities, northwest Ethiopia. Methods: Institutional-based cross-sectional study was conducted on 606 HIV-positive pregnant women. The data were collected by face-to-face interviews and chart review. Edinburgh Perinatal Depression Scale was used to assess antenatal depression. Data were entered into Epi-Data version 4.6 and analyzed by SPSS version 23. Multivariable logistic regression model was fitted and AOR with 95% CI was computed to determine the level of significance. Results: The prevalence of antenatal depression was 36.4% (95% CI: 32.7, 40.2). Being unmarried (AOR = 2.77, 95% CI: 1.26, 6.07), experienced intimate partner violence during this pregnancy (AOR = 1.50, 95% CI: 1.05, 2.15), ART non -adherence (AOR = 2.18, 95% CI: 1.50, 3.18), and experienced internalized AIDS stigma (AOR = 1.46, 95% CI: 1.02, 2.09) were significantly associated with antenatal depression. Conclusion and recommendation: In this study, more than one-thirds of HIV-positive pregnant women had antenatal depression. Screening HIV-positive pregnant women for depression and provision of intervention is recommended.