Research Papers/Topics in Obstetrics And Gynaecology

Teenage Pregnancy: Prevalence And Immediate Obstetric Outcomes In Teenage Primigravida Arriving In Active First Stage Of Labour At Iringa Regional Referral Hospital Labour Ward

ABSTRACT Background: Pregnancy during teenage is the high risk which is associated with high incidence of complications to the mother and fetus. Worldwide the incidence of teenage pregnancies is reported to range from 8-25% in developing countries due to child marriages. Poor obstetric outcomes have been reported by previous studies. These depend largely on the age of the teenagers and the quality of care she receives. Objectives: The study aimed to assess the magnitude and immediate o...

The Effect Of Female Genital Mutilation On Perineal Injuries Among Women In Labour In Dodoma Region, Tanzania

AbstractIntroduction: Female Genital Mutilation (FGM) is widespread in Tanzania and poses a risk when women give birth. Objective: To determine the association between FGM and perineal injury among women in labour in Dodoma Methods: A matched case-control study of 364 randomly selected consenting women in labour was conducted in Dodoma Region between January 2017 and June 2018. Controls (no perineal injury) were matched to the cases (with perineal injury) based on maternal age at a rat...

Prevalence, Etiology And Factors Associated With Severe Anemia Among Children Aged 6-59 Months With Clinical Features Of Anemia Admitted At Dodoma Regional Refferal Hospital

ABSTRACT BACKGROUND Severe anaemia is prevalent in most African countries and is highly associated with increased morbidity and mortality in under-fives. Globally, iron deficiency is responsible for half of all anaemia, In Africa causes like malaria, hookworm and other helminths, other nutritional deficiencies, chronic infections and genetic conditions prevail and these causes differ from place to place. Exhaustive diagnostic evaluation is needed to establish causes of severe anaemia h...

Clinical Profile And Presentation Of Cervical Cancer Patients And Its Relationship With Common Histological Type At Mbeya Zonal Referral Hospital

ABSTRACT Background: A worldwide estimated annual case of cervical cancer is 528,000 and ends with 266,000 annual deaths. In developing countries, it accounts for about 85% for both morbidity and mortality. In sub-Saharan Africa the incidence is 25.2%, mortality 23.2% and five-year prevalence is 27.6%. In Tanzania the rate of cervical cancer is 54.4% per 100,000 people a year. This indicates that, cervical cancer is a public health concern in Tanzania. Objective: assessing clinical pro...

Bacterial Etiology, Antibiotics Susceptibility Pattern And Treatment Modality Of Surgical Site Infection Among Post Caesarean Delivery Women In Iringa Region

ABSTRACT Background Surgical site infection (SSI) is one of the common complications after cesarean section in Tanzania and other parts of the world. High rates of SSI have been reported in literature with demonstrable multiple drug resistance of the isolates. Identification of isolates and their susceptibility pattern is key to development of evidence-based treatment protocols and effective preventive strategies. Objectives: The aim of this study was to determine the bacterial etiolog...

Utility Of Cord Blood Glucose Of A New Born To Determine The Predictor Of Foetal Outcome And Maternal Gestational Diabetes Among Parturient At Dodoma Regional Referral Hospital In Tanzania

ABSTRACT Background: Gestational Diabetes Mellitus (GDM) is a complication of pregnancy characterized by the increase of insulin resistance leading to maternal Hyperglycaemia and alteration of newborn blood glucose. Alteration of cord blood glucose level can be used to predict maternal glycemic state. A newborn cord blood glucose level is a characteristic of pregnancy complicated by Gestational diabetes mellitus. The prevalence of GDM globally ranges from 6-13% with 5-9% in subSaharan A...

Primary Caesarean Deliveries: Prevalence, Indications And Management Outcomes Among Pregnant Women Who Deliver At Iringa Region Referral Hospital

ABSTRACT Background: Primary caesarian section is an operation that is performed for the first time on a pregnant woman. Primary caesarean section is of particular interest because it has an influence on future modes of delivery and is of concern as to what was the indication for procedure in a woman who has never tried her pelvis for vaginal delivery. Objectives: The study intended to determine; prevalence, indications, management outcomes of primary caesarean deliveries and associati...

Anatomical Pattern Of Placenta And Umbilical Cord In Relation To Fetal Adverse Outcome In Dodoma Regional Referral Hospital

ABSTRACT Background: Placenta and umbilical cord are highly specialized organs of pregnancy which support the normal growth and development of the fetus. Any alteration in gross anatomy of the placental appearance, location, number of cotyledons, weight, thickness and circumference and umbilical cord length, entanglement, nuchal cord, cord knots, thickness, insertion and number of umbilical blood vessel may result into adverse fetal outcome such as birth weight, Apgar score and fetal s...

Prevalance, Predictors And Antimicrobial Susceptibility Pattern Of Group B Streptococcus Colonization Among Pregnant Women And Newborns At Iringa Regional Referral Hospital

ABSTRACT Background: Group B streptococcus(GBS) infection is a leading cause of maternal and neonatal morbidity.It is usually associated with many pregnancy-related complications such as; urinary tract infections and sepsis for maternal and neonatal. Awareness of maternal and neonatal GBS colonization, predictors and antimicrobial susceptibility is essential in determining the rate of transmission and an antibiotic with minimal selective pressure for resistance against GBS. Despite the ...

Partograph Completeness And Associated Obstetric Outcome Among Primigravida In Active Stage Of Labor At Iringa Referral Regional Hospital (IRRH)

ABSTRACT Introduction: Properfilling of partograph improve the quality of obstetric care through early detection of labor related complications and hence reduce maternal and neonatal complications. Appropriate utilization of partograph during labor can significantly reduce the rate of maternal mortality related to labor and delivery. 

Vaginal Bacterial Colonization, Antimicrobial Susceptibility Patterns And Associated Obstetric Outcomes In Women With Premature Rupture Of Membranes In Public Hospitals In Dodoma City

ABSTRACTBackground: Incidence of premature rupture of membranes ranges from 3% to 10% worldwide but higher in Sub-Saharan Africa up to 18%. It is reported to be highly associated with bacterial infections as a consequence causing ascending infections or as a cause of premature rupture of membranes. Different bacterial isolates have been known to colonize the vagina and are associated with adverse fetal and maternal outcomes as well as the increasing rate of antimicrobial resistance. Objective...

Predictors And Outcomes Of Women Attempting Vaginal Birth After Cesarean Delivery At Iringa Regional Referral Hospital

ABSTRACTBackground: The rate of Cesarean section has been increasing worldwide. In Tanzania the rate has doubled from 3% in 2004/2005 to 6% in 2015/2016. Previous Cesarean section as an indication for repeat Cesarean Section has increased from 7.2% in 2000 to 17% in 2011, repeat cesarean section is associated with long term complications like placenta accrete, hemorrhage, uterine rupture and a high fetal and maternal morbidity and mortality. Vaginal birth after Caesarean Section (VBAC) is an ...

Prevalence Of Helicobacter-Pylori Infection And Clinical Characteristics Of Women With Low-Risk Early Pregnancy Attending Hospitals In Dodoma City

ABSTRACTBackground: Excessive nausea and vomiting in pregnancy, (Hyperemesis Gravidarum) HG, is a condition that can occur in early pregnancy. The aetiology is unclear and may be associated with H. Pylori's presence, leading to the extension of symptoms beyond early pregnancy or until delivery. The prevalence of H. Pylori in association with HG is increasingly recognized among developing countries compared to developed countries, while the threatening effect of pregnancy remains questionable....

Accuracy Of Clinical Methods For The Estimation Of Fetal Weight In Single Tone Pregnancy At Term At Iringa Regional Referral Hospital

ABSTRACTBackground: Prediction of fetal weight accurately is an important parameter in planning proper managements of labor and delivery, so as to reduce the rate of complications associated with the delivery of macrosomic or low birth weight fetus especially in second stage of labor and during puerperium. Fetal weight can be estimated correctly by various clinical methods but require selection of the valid method. In the present study, an effort was done to find which formula is more accurat...

Referral Diagnosis And Determinants Of Obstetric Outcomes Among Referred Women With Obstetric Emergency At Iringa Regional Referral Hospital

ABSTRACT Background: A functioning maternal referral system is critical in preventing adverse maternal and fetal outcome. Integration of emergency obstetric care with maternal referral system are strategies of reducing maternal and perinatal mortality in Tanzania, but still there is high number of maternal and perinatal mortality especially in referral cases. So it was important to find out factors which determine adverse obstetric outcome in referral patients.Objective: This study was carrie...


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