Tag: nevin manimala

Afr J Reprod Health. 2022 Dec;26(12s):27-37. doi: 10.29063/ajrh2022/v26i12s.4.

ABSTRACT

Despite commitments and interventions, Female Genital Mutilations (FGM) practice persists in West African countries. This research analyzes the effect of living conditions on FGM practice. Data were sourced from thirty-four demographic and health surveys conducted between 1995 and 2020 in 12 countries. The study sample consisted of 69,971 adolescent girls aged 15-19 years. Meta-regression analysis and binary logistic regression analyses showed the effect and relative contribution of study covariates on the phenomenon. The overall average prevalence of FGM is 40.7%, with a mixed effect of living conditions on FGM practice. The factors associated with FGM practice are, in order of importance, religion, level of education, ethnicity and place of residence. All factors have a direct effect on the studied phenomenon, and the level of education acts as an inhibiter of the effect of living conditions. The study suggests the need to strengthen the involvement of religious, traditional and community leaders in the definition and implementation of actions to combat FGM, as well as girl’s education, especially by maintaining them in school till completion of at least secondary school.

PMID:37585158 | DOI:10.29063/ajrh2022/v26i12s.4

Afr J Reprod Health. 2022 Jul;26(7):127-134. doi: 10.29063/ajrh2022/v26i7.13.

ABSTRACT

Despite extensive work on macrosomia, it is impossible to predict women at risk. Current prediction strategies which include clinical examination and ultrasound are imprecise. This study aims to determine the risk factors associated with macrosomia. It was a descriptive, retrospective chart review of women delivered of macrosomic neonates over a two-year period from 2015-2016. Detailed clinical and demographic information was recorded. Statistical analysis was carried out using SPSS (version 25.0 IBM, Armonk, New York, USA). Of 22 244 singleton deliveries, 415 were macrosomic infants (1.9%). The mean birth weight for macrosomic infants was 4.39 ± 0.43 (range 4-5.15) kg and males were more in number and weight. Macrosomic infants occurred more in age groups 25-29 years and peaked with BMI ≥30 kg/m2. Majority were cesarean sections compared to vaginal deliveries (56.6% vs 43.4%; p=0.006) respectively. Vaginal delivery of macrosomic infants was associated with complications. Significant differences were found between fetal macrosomia and clinical characteristics such as body mass index, parity, advanced maternal age, and male fetal sex. Hypoglycaemia was most frequent in infants born to non-diabetic mothers (98.1%). Antenatal risk factors are important in the prediction of macrosomia, but fetal and maternal outcome depends on labour management.

PMID:37585154 | DOI:10.29063/ajrh2022/v26i7.13

Afr J Reprod Health. 2022 Jul;26(7):90-101. doi: 10.29063/ajrh2022/v26i7.10.

ABSTRACT

Pre-rupture of membranes prior labour initiation could complicate approximately 5% of pregnancies and could be associated with a high incidence of perinatal morbidity and mortality complications. The major complications could be chorioamnionitis and cord compression resulting in hypoxia. This study aimed to assess the health literacy of mothers on perinatal outcomes following pre-rupture of membranes at Thulamela B clinics of Vhembe district. A quantitative research approach with a cross-sectional descriptive design was used. The study population comprised a total of 210 lactating mothers within 6 weeks following delivery, irrespective of the mode of delivery were purposively selected. Data were collected by the researchers through self-administered questionnaires. The Statistical Package for Social Sciences (SPSS) version 25 was used for data analysis. The results are presented in the form of tables and graphs based on probability allowing judgment to be made on variables. Validity and reliability were ensured. Ethical clearance was obtained from the University of Venda Research Ethics Committee and permission to access health facilities from the Limpopo Province Department of Health. Findings revealed that limited and inadequate health literacy towards pre-rupture of membranes contributes to perinatal morbidity and mortality, with associated factors like poor antenatal care attendance, delayed health seeking, defaulting, and loss of follow-up. Recommendations to emphasise the provision of preconception and antenatal care where health information on risks and danger signs of PROM to perinatal outcomes are given were made.

PMID:37585151 | DOI:10.29063/ajrh2022/v26i7.10

Afr J Reprod Health. 2022 Nov;26(11s):79-91. doi: 10.29063/ajrh2022/v26i11.8.

ABSTRACT

Malnutrition is the main cause of two-thirds of deaths among Egyptian under five children, which could be due to reduced rates of breastfeeding, as it is one of the contributing factors. Breastfeeding is the optimal solution for health promotion to mothers and their infants. It has various benefits not only for the mother and infant but also for society. Breastfeeding educational programs are essential for the enhancement of knowledge and self-efficacy of new mothers, and to ensure a longer duration of breastfeeding. Therefore, this study aims to evaluate the effects of an interactive digital-based educational program about breastfeeding on the knowledge, attitudes, and self-efficacy of primiparous women in Egypt. A quasi-experimental study design was adopted. The study was held in Itay El-baroud maternal and child health center, whereby 120 pregnant women were purposively selected. Then, they were randomly assigned to either a study group (60) or control group (60). The derived data were statistically analysed using SPSS version 20, Pearson correlation coefficient, chi-square test and independent sample t test were utilized. Four tools were utilized for data collection. A statistically significant mean difference was found concerning total breastfeeding knowledge scores after one month and three months. The total attitude and self-efficacy scores showed highly statistically significant differences after one month and three months from the start of the program. Moreover, breastfeeding self-efficacy was found to be positively correlated with knowledge and attitude. In conclusion, the interactive digital-based educational program about breastfeeding was suggested to be effective in enhancing the knowledge, attitude and self-efficacy of the primiparous women, in combination with other health education activities. Therefore, it is recommended that web-based educational sites are created for first-time mothers.

PMID:37585136 | DOI:10.29063/ajrh2022/v26i11.8

Afr J Reprod Health. 2022 Nov;26(11):56-66. doi: 10.29063/ajrh2022/v26i11.6.

ABSTRACT

Family is the microcosm of a larger society that provides care that shapes the behavior of children. However, the different levels of attention children receive from their parents may affect their behaviour and self-esteem, which can lead to them being more vulnerable to sexual harassment. An institutional-based cross-sectional survey was conducted from March – August 2021, to assess the relationship between family birth order and prevalence of sexual harassment. The multistage sampling procedure was used to draw 1070 participants. The data was analyzed using percentages, mean, and multivariate logistic regression statistics. The multivariate logistic regression was used to estimate adjusted odds ratios (AOR) along with 95% confidence intervals (CIs). The level of significance was set at P < 0.05. The findings revealed prevalence (73.6%) of sexual harassment, and the two forms such as verbal ( = 2.63) and non-verbal sexual harassment ( = 2.56) were high. The multivariate logistic regression odds ratios adjusted shows that the middle born were approximately 2 folds (AOR = 1.62; CI = 1.14 – 2.30; P = 0.008 0.05) more likely to predict sexual harassment. The study recommended amongst others that parents in South Eastern Nigeria should refrain from given special attention to a particular child as this may predispose the unfavoured child to sexual harassment.

PMID:37585134 | DOI:10.29063/ajrh2022/v26i11.6

Afr J Reprod Health. 2022 Nov;26(11):9-14. doi: 10.29063/ajrh2022/v26i11.1.

NO ABSTRACT

PMID:37585129 | DOI:10.29063/ajrh2022/v26i11.1

Afr J Reprod Health. 2022 Mar;26(3):114-123. doi: 10.29063/ajrh2022/v26i3.13.

ABSTRACT

Early marriage and adolescent pregnancies are prevailing phenomena in Mozambique, with 48% and 40% of girls aged 20-24 marrying and getting pregnant before the age of 18. Using a cross-sectional survey in Maganja da Costa and Morrumbala districts, Zambézia Province, and descriptive and inferential statistics for data analysis, the study revealed that around 65% of adolescent became pregnant at the age of 15-17. Among these adolescent, 18.8% had their first baby before turning 15 and 99.2% before their 18th birthday. Of the respondents, 23% experienced health complications after birth. A further 71.5% said they did not, and 5.5% were ‘not applicable’. Referring to their education, 55.9% of adolescents finished primary education, 39.9% completed secondary education, and 2.9% achieved some higher education qualification. When asked if they were going to school while initially pregnant, 58.7% responded “yes”, 39.7% responded “no,” and 1.6% answered “not applicable” as they had never gone to school. After delivery, 31.6% returned to school, and 66.8% did not. This supports the assumption that early marriage and adolescent pregnancies are potential drivers for school dropout, low education and adverse pregnancy and birth health outcomes. Girls’ education can act as a protective factor in delaying early marriage and adolescent pregnancy. School retention of girls should be monitored, therefore contributing towards gender parity in education.

PMID:37585118 | DOI:10.29063/ajrh2022/v26i3.13

Afr J Reprod Health. 2022 Mar;26(3):63-73. doi: 10.29063/ajrh2022/v26i3.8.

ABSTRACT

Infertility, an obstacle to healthy living, makes its victims patronize traditional methods of infertility treatment (TMIT) in spite of associated complications. They turn to hospitals when this method fails. This is actually a serious issue because the presence of contaminated herbal products and the relationship between the use of TMIT and noncompliance with biomedical treatment regimens constitutes a major concern in medical practice. And the use of traditional methods of infertility treatment has been correlated with severe and fatal consequences. Therefore, the study assessed prevalence/determinants of TMIT use among patients visiting the gynaecology clinic at Alex Ekwueme Federal University Teaching Hospital Abakaliki (AE-FUTHA). Descriptive cross-sectional design was adopted for the research. Only 263 women took part in the study. The research instrument was questionnaire. Data were analyzed using descriptive statistics. Findings revealed that 95.4% of these women have used traditional methods for infertility treatment and factors influencing infertile women’s use of TMIT are demographic characteristics, infertility duration, husbands’ relatives’ pressure and cheap cost of traditional medical treatment. Again, inability of infertile women to disclose TMIT use to healthcare providers makes effective treatment difficult. Therefore, these impediments expose infertile women to use TMIT. The result is a guide to healthcare providers who are expected to know the extent of their parents’ use of TMIT.

PMID:37585113 | DOI:10.29063/ajrh2022/v26i3.8

Afr J Reprod Health. 2022 Mar;26(3):46-53. doi: 10.29063/ajrh2022/v26i3.6.

ABSTRACT

Vaginal Candidiasis and associated epidemiological risk factors prevalent among a cross section of pregnant women attending tertiary hospital in Trinidad and Tobago was evaluated. Standardized questionnaire was used to survey 492 pregnant women over a period of 10 months in 2019. Vaginal swab was collected and processed using standard microbiological laboratory methods for phenotypic identification. Data were analyzed using SPSS to identify potential risk factors. Chi-squared (ꭓ2) test and logistic regression tests examined associations and odds ratios with corresponding 95% confidence intervals. Prevalence of vulvovaginal candidiasis was 44.9% with Candida albicans as predominant species identified (62%, N=492). Vaginal candidiasis was statistically significant for several risk factors, including second trimester (p = 0.03), age group 26 – 34 years (p=003), history of masturbation especially during the last 48hours prior to the swabbing (p=0.05), and wearing of pants as opposed to skirt clothes (p=0.04). In conclusion, several epidemiological risk factors are associated vaginal candidiasis among cross section of pregnant women in the country. Patient education, microbiological investigations and appropriate treatment will improve antenatal healthcare delivery in the country.

PMID:37585111 | DOI:10.29063/ajrh2022/v26i3.6

Afr J Reprod Health. 2022 Mar;26(3):9-12. doi: 10.29063/ajrh2022/v26i3.1.

NO ABSTRACT

PMID:37585106 | DOI:10.29063/ajrh2022/v26i3.1