ABSTRACT Background: 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...
ABSTRACT Background: 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...
ABSTRACT Background: 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 accura...
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 carri...
ABSTRACT Background: In low and medium -income countries like Tanzania, the severe pre-eclampsia and eclampsia disease complex continues to be a major cause of maternal and perinatal morbidity and mortality. The objective of this study was to determine the prevalence, clinical presentations and management outcomes among all women admitted through the labour ward with obstetric conditions at Dodoma regional referral hospital during the study period. Methods: This was an observational, anal...
ABSTRACT Background: There is a growing concern among parturient women to have labour management modified to accommodate some of their preferences based on their previous experience of information obtainedfrom others. Objecti i ms: As service care providers, we sought to identijy women's attitude to some important aspects of childbirth, namely: the preferred place or environment of delivery; reasonsfor dislike of modem labour management; as well as attitudes (cognitive, affect and behaviour) ...
ABSTRACT Each year, around half a miilion children aged under 15 become infected with HIV and more than 90% are the result of mother-to-child transrnission. Services to prevent mother-to-child HIV transmission (PMTCT) are therefore important entry pomts for HIV / Al[:',; P' evention, treatment and care services for women, their children and families. The study aimed at identifying level of awareness and knowledge of PMTCT services that can be utilized in improving access. The methodology cons...
ABSTRACT Multiple pregnancy, whether spontaneous or from artificial reproductive techniques, is regarded us high risk. Limiting the twin-twin birth interval to with,in 30 minutes has been widely practised. However, conservative management of the retained live, immature second twin »iay be worthwhile. We report a case lasting sixty-one days in a low technology selling
Abstract Background: The World Health Organisation (WHO) guidelines for the control of malaria during pregnancy include prompt and effective case management of malaria combined with prevention of infection by insecticide-treated nets (ITNs) and intermittent preventive treatment in pregnancy (IPTp). Despite this the uptake is poor. Objective: To describe the malaria prevention measures utilized by these women in this environment. Methods: Information was obtained from consented pregnant and ne...
ABSTRACT The prognostic significance of asymptomatic bacteriuria resides in the observation that the prevalence is, relatively, high in persons with certain medical conditions, such as diabetes mellitus and pregnancy. This prevalence might, even, be higher in patients with human immunodeficiency virus infection. Hence, this study set out to determine the prevalence of asymptomatic bacteriuria among symptom free and newly enrolled HIV infected pregnant women attending PMTCT unit of Antiretrovi...
ABSTRACT Violence against women is embedded in most cultures with pregnancy associated with higher rates. This study assessed the pattern of violence in pregnancy in two maternity centres in Ibadan, Nigeria. This was a cross-sectional study of antenatal clinic attendees, between 1 and 31 March, 2007 at the University College Hospital (UCH) and the Adeoyo Maternity (AMH). By systematic random sampling, 404 women were interviewed. Analysis was done by means, w2-test (at 5% level of significa...
ABSTRACT 1 Background: Untreated maternal syphilis is strongly associated with adverse birth outcomes, especially in women with high titre syphilis. The WHO recommends routine serological screening in pregnancy. Some workers have advised a reappraisal of this practice, having demonstrated low sero-prevalence in their antenatal population. In view1 of this, the aim of this study was to determine the sero- prevalence of syphilis in the antenatal population presenting at a major hospital in sout...
Abstract Background: Many patients are referred to labour ward as emergencies, and therefore do not benefit from the antenatal HIV counselling and testing and treatment offered to registered patients. Objective: To assess the acceptability and suitability of offering HIV counselling and testing to women of unknown HIV status presenting in labour. Methods: A cross-sectional study comprising counselling and obtaining consent for HIV testing among 104 unregistered patients who presented in labou...
ABSTRACT Background: An estimated 2-3 million women globally and majorly in sub-Saharan Africa and Asia, suffer from genital fistula with an annual incidence of 50,000-100,000 women. Uganda like other low-income countries is not an exception and has an estimated fistula prevalence of 2%, with western Uganda having the highest prevalence of 4% among females aged 15-49 years. The main cause is prolonged and neglected obstructed labour in more than 90% of the cases. Risk factors for fistula var...