ABSTRACT The birth of a new baby is an important event in the life of a woman that requires some physical and emotional adjustments. This study investigated the differences in health-related quality of life of housewives and career women after normal vaginal delivery in the light of their mother-worker dyad and the associated socio-demographic factors. Three objectives and five hypotheses were raised to guide the study. Response shift theory was used to appraise the quality of life of the mot...
ABSTRACT Introduction: Anaemia in pregnancy remains a major health problem with adverse maternal and fetal outcome worldwide, especially in developing countries such as Tanzania. Taking proper nutrition, including taking iron supplement, child spacing and absence of negative food cultural practices and taboos, may prevent anaemia during pregnancy. The study aimed to establish prevalence, nutrition and obstetric factors associated with anaemia among pregnant women at Mnazimmoja, Mwembeladu an...
ABSTRACT Background: There is a significant increase of drug abuse especially injection in Tanzania. Injection behaviors have been known to facilitate the transmission of HIV. Injecting drug users are among the population with an increased risk of contracting HIV. Understanding their perceived risk is a significant factor in determining the behaviors of this group Objective: This study wanted to assess the perceived risk of HIV infections among injecting drug users in Zanzibar. Methods: A c...
ABSTRACT Background: There is increasing rate of umbilical cord abnormalities that put a pregnant woman at the risk of operative delivery, perinatal complications and adverse new born outcomes. Therefore, morphological variations in structure of this vital structure could determine the obstetrics outcomes. Despite the umbilical cord being considered to contribute to obstetric outcome, practice of examining it in Africa even globally is limited. The aim of this study was to assess predictors ...
ABSTRACT Background: Mwanza Region is one of the Regions in Tanzania with high maternal deaths with a burden of 305 MMR per 100,000 live births. Inadequate partograph compliance among nurse-midwives and poor structural quality for maternal referral system at the dispensary, health centers and hospital level can be among the contributing factors of the reported maternal deaths in the Region. This study aimed to assess the effect of structural quality of the maternal health referral system on ...
ABSTRACT Background: There is increase rate of home delivery that put women at risk of adverse maternal and neonatal outcomes. There has been an effort on structural barriers to facility delivery leaving behind reasons like respecting personal preferences during delivery and the quality of intrapartum care provided during delivery. Objective: The aim of this study was to determine the influence of perceived quality of intrapartum care and respect of personal preferences during delivery on th...
ABSTRACT Background : Neonatal sepsis is the clinical infection categorized as early and lateonset that is a public health challenge all over the world. Number of factors; Premature rupture of membrane >18hours, repeated per vaginal examination, Prolonged/obstructed labor, antenatal care attendances have been associated with neonatal sepsis. Despite of all national interventions, Tabora Region is still the region with a high morbidity of neonatal sepsis at the western zone by 6.8%. Risk facto...
ABSTRACT Background: Family planning can avert nearly one-third of maternal deaths and 10% of child mortality when couples space their pregnancies more than two years apart. In Kagera Region the use of modern Postpartum Family Planning is uncommon. However, it is not known how much the facility preparedness and clients ‗readiness influence the uptake of Long-term ActingReversible Postpartum Family Planning [LAR PPFP]. Objective: To assess facility preparedness and clients‘ readiness on ...
ABSTRACT Despite the important advances in perinatal care in the past decades, asphyxia remains a severe condition leading to significant mortality and morbidity. Perinatal asphyxia has an incidence of 1 to 6 per 1,000 live full-term births, and represents the third most common cause of neonatal death (23%) after preterm birth (28%) and severe infections (26%). Each year approximately 24% of neonatal deaths occur due to birth asphyxia with an equal number of survivors with serious neurologica...
ABSTRACT Background: Hypertensive disorders of pregnancy, including preeclampsia and eclampsia are the major health problem among the pregnant women and the main causes of the maternal and perinatal morbidity and mortality which accounts 19% of deaths in Tanzania. This study intended to assess knowledge and Myths about preeclampsia and eclampsia and its influence on antenatal care services utilization among expecting couples in Mtwara region. Method: A community based cross-sectional analyti...
ABSTRACT During the previous dispensation, health services were fragmented along ethnic lines and were curatively biased. To redress the above situation, the Ministry of Health and Social Services embarked on a health sector reform. Out of the previous four health directorates thirteen health regions were established to bring decision making and development to the people. The eight original directorates at the central level merged into five key functional units. The reform process in the heal...
ABSTRACT Background: Antenatal care services are amongst of determinants of maternal anemia during pregnancy. Maternal anemia is rated as a first indirect cause of maternal and neonatal death. This accounts for 50% of all pregnant women with inadequate ANC services utilization due to the lack of getting iron supplements during pregnancy. This study intended to assess the influence of ANC services utilization on prevention of anemia and its associated obstetric immediate outcomes among pregna...
ABSTRACT Background: Modes of delivery (birth of a baby) are spontaneous vaginal delivery and caesarean section. Throughout the modern obstetric and midwifery practice understanding, vaginal birth is and has been considered to be the preferred mode of delivery while caesarean birth is reserved only when it’s obstetrically indicated to save the life of the mother and/or the unborn baby and therefore, improve obstetric outcomes. The effect of mode of delivery on other outcomes, such as mater...
ABSTRACT Back ground: Abortion is a termination of pregnancy at the gestational age of 20 weeks from whatever cause or before the fetus is capable of extrauterine life, it can be spontaneous or induced. Safe or unsafe abortion can lead to serious abortion complications. Individual awareness on abortion complications and the accessibility of comprehensive post abortion care services, are important predictors of the outcome treatment of abortion complications (Geleto & Markos, 2015). Objectiv...