Maternal & Neonatal Health Care Status in Somalia presented
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A paper presented at the annual conference on Higher Education in Post-Conflict Societies held in Jazera palace in Mogadishu in 2019
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This document presents a proposed study to compare late toxicity for breast radiation therapy patients treated in the prone versus supine position. The study would enroll 30 early-stage breast cancer patients and collect dose and toxicity data. Patients would receive tangential breast radiotherapy planned on CT scans in both positions. Late toxicity would be assessed during follow-up appointments over 36 months to see if prone positioning reduces side effects by sparing nearby organs at risk from radiation. Statistical analysis using t-tests would compare dose and toxicity between the two treatment positions. The methodology aims to provide quantitative data on whether prone positioning offers benefits for breast radiation therapy patients.
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This document discusses the Philippine health care delivery system and the importance of nursing informatics within that system. It describes the key components of the Philippine system, including the Department of Health mandate, WHO building blocks like health services and workforce. The application of epidemiology and use of information technologies can help improve population health outcomes by more efficiently assessing needs, delivering services, and targeting patients. Nursing informatics is important for the Philippine system to effectively use data and technology.
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Evaluation of factors that contributes to post-partum haemorrhage in Pregnant...
Postpartum haemorrhage (PPH) is the world’s leading cause of maternal death and accounts for an estimated 127,000 deaths each year. Identification of some of the risk factors such as; previous postpartum haemorrhage, multiple pregnancies, macrosomia, induction of labour, operative vaginal deliveries and cesarean section would help in preventing PPH. The aim of this research was to assess the factors contributing to postpartum haemorrhage (PPH) among pregnant women who attend delivery services in Kampala International University Teaching Hospital (KIU-TH). This study used a cross-sectional descriptive design where by a cross-section of respondents involving 68 respondents were sampled to represent the target population, in these case women who received maternity service from KIU-TH. Only quantitative methods of data collection using questionnaires with closed ended questions were employed for both mothers and health workers. During the study period, 58 women who delivered in the unit and 20 women developed postpartum haemorrhage giving the frequency of postpartum haemorrhage 34.6%. The majority of the women 30% were between 30-34 years of age. Among the women who developed PPH retained placental tissues was the most common cause 50% followed by uterine atony which was 30%. The rest of the causes of PPH were laceration 20%. Postpartum haemorrhage is still a leading but preventable cause of maternal morbidity and mortality in our country due to underutilization of health facilities, the major cause is retained placental tissues followed by uterine atony.
Keywords: post-partum haemorrhage, pregnant women, delivering, Uganda
Evaluation of factors that contributes to post-partum haemorrhage in Pregnant...
Postpartum haemorrhage (PPH) is the world’s leading cause of maternal death and accounts for an estimated 127,000 deaths each year. Identification of some of the risk factors such as; previous postpartum haemorrhage, multiple pregnancies, macrosomia, induction of labour, operative vaginal deliveries and cesarean section would help in preventing PPH. The aim of this research was to assess the factors contributing to postpartum haemorrhage (PPH) among pregnant women who attend delivery services in Kampala International University Teaching Hospital (KIU-TH). This study used a cross-sectional descriptive design where by a cross-section of respondents involving 68 respondents were sampled to represent the target population, in these case women who received maternity service from KIU-TH. Only quantitative methods of data collection using questionnaires with closed ended questions were employed for both mothers and health workers. During the study period, 58 women who delivered in the unit and 20 women developed postpartum haemorrhage giving the frequency of postpartum haemorrhage 34.6%. The majority of the women 30% were between 30-34 years of age. Among the women who developed PPH retained placental tissues was the most common cause 50% followed by uterine atony which was 30%. The rest of the causes of PPH were laceration 20%. Postpartum haemorrhage is still a leading but preventable cause of maternal morbidity and mortality in our country due to underutilization of health facilities, the major cause is retained placental tissues followed by uterine atony.
Keywords: post-partum haemorrhage, pregnant women, delivering, Uganda
Ijpsr14 05-11-015
The study assessed knowledge, attitude, and practices regarding emergency contraception among 366 female students in Mekelle, Northern Ethiopia. The key findings were:
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2) Older age was significantly associated with greater awareness. Those over 18 were more likely to have good knowledge compared to younger students.
3) Age and ethnicity also influenced attitude - younger students and non-Tigre ethnic groups were less likely to have a positive attitude.
4) While knowledge and attitude were high, the study
Community Midwifery and Prevention of Postpartum Hemorrhage_Kate Brickson_5.8.14
This document summarizes information from a meeting on preventing postpartum hemorrhage (PPH). It discusses:
1) The leading causes of maternal death globally based on a WHO study, with severe bleeding during and after childbirth accounting for 27% of deaths.
2) MCHIP's comprehensive approach to PPH prevention, which promotes a package of interventions before, during, and after birth to prevent and manage PPH at both health facilities and in the community.
3) New WHO guidelines from 2012 that focus on uterotonic use immediately following birth to prevent PPH and allow misoprostol administration by community health workers.
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Focused antenatal care (FANC) aims to provide goal-oriented and timely care during pregnancy through a limited number of focused visits. The document outlines the elements and purposes of FANC, including early detection and management of diseases, individual birth planning, and 4 scheduled antenatal visits. It also discusses emergency obstetric care (EmOC) and the need to address barriers to access such as delays in seeking, reaching, and receiving appropriate care. A study in northern Tanzania found low availability of basic EmOC units, high availability of comprehensive EmOC units, and that 36% of expected deliveries occurred in EmOC facilities, above the minimum threshold of 15%.
Neonatal and Obstetric Risk Assessment (NORA) Pregnancy Cohort Study in Singa...
The Neonatal and Obstetric Risk Assessment (NORA) pregnancy cohort study was set up to assess clinical, biochemical and biophysical markers for risk assessment and prediction of the outcomes early in pregnancy. A total of 3271 patients who were in KK Women’s and Children’s Hospital between September 2010 and October 2014 were screened and 1013 patients consented to participate in the study. Women were followed at 18 to 22 weeks, 28 to 32 weeks and 34 weeks and above, till their postnatal discharge from the hospital. Finally, 926 patients remained for studying the outcome. In NORA study, we established locally derived and gestational age-specific reference intervals for the five thyroid hormone parameters. Higher serum progesterone levels at 28–32 weeks of pregnancy were observed in women who had preterm deliveries compared with women with term deliveries in the cohort. We also found that extracellular vesicle (EV) biomarkers enhanced the predictive robustness of an existing pre-eclampsia (PE) biomarker sufficiently to justify PE screening in a low-risk general obstetric population. We plan to further conduct a range of serial assessments from the biosamples which will provide a comprehensive and valuable information of the dynamics of maternal conditions and fetal development during pregnancy.
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The study aimed to describe evidence-based intrapartum care practices and associated factors at a tertiary hospital in the Philippines through direct observation of 170 deliveries and interviews with healthcare providers. While recommended practices like prophylactic oxytocin were followed in most cases, potentially harmful practices like episiotomy in 92% of first-time mothers and fundal pressure in 31% of mothers were also observed. Factors associated with episiotomy included being a first-time mother, longer second stage of labor, and assisted delivery. Factors linked to fundal pressure were being a first-time mother, oxytocin augmentation, and assisted delivery. Healthcare providers believed these practices can prevent tearing, though the rate of severe
Mid trimester scan
The document provides guidelines for performing a routine mid-trimester fetal ultrasound scan between 18-22 weeks gestation. It outlines the purpose, who should perform the scan, and what should be evaluated which includes fetal anatomy, growth, and well-being. Key recommendations include using standardized measurements and imaging protocols, producing a report for the referring provider, and minimizing fetal exposure during the scan. The guidelines aim to optimize outcomes for both mother and fetus through an accurate and safe examination.
Obstetrical emergencies
This document discusses obstetric emergencies and the role of nurses. It begins by defining obstetric emergencies as life-threatening conditions that occur during pregnancy, labor, delivery or postpartum. It then lists some common causes like postpartum hemorrhage, eclampsia, obstructed labor and discusses their management. It emphasizes the importance of recognizing early signs, performing life-saving interventions and timely referral. It outlines essential life-saving skills for nurses including managing hemorrhage, infection prevention and using a partograph. It concludes by stressing the need for nurses to anticipate problems, communicate well with doctors and be prepared for emergencies.
Jc aprile 2017
This study aimed to develop a predictive tool for unplanned cesarean delivery (CD) in nulliparous women using prenatal maternal and fetal characteristics. Over 2,200 nulliparous women were prospectively studied across seven Irish hospitals. Multivariate analysis identified that maternal age, BMI, height, fetal abdominal circumference, and head circumference can predict CD risk. A nomogram was developed and showed good predictive ability, with an AUC of 0.69. The tool may help counsel women on their chances of a vaginal delivery versus an elective CD.
thesis presentation
This document provides an introduction and background for a study examining the effectiveness of a Breastfeeding Empowerment Programme (BEP) on knowledge, skills, self-confidence, and breastfeeding outcomes among first-time mothers in India. The study aims to evaluate the impact of the BEP, correlate outcomes with domains, and associate outcomes with background variables. It outlines the objectives, hypotheses, variables, sample size, population, sampling technique, data collection tools, and data analysis methods for the randomized controlled study.
Study designs
This document discusses various study designs used in medical research. It describes descriptive study designs like case reports, case series, ecological studies, and cross-sectional studies which are used to describe characteristics of subjects. It also describes analytical study designs like case-control studies and cohort studies which are used to analyze associations between exposures and outcomes. Experimental study designs like randomized controlled trials are also discussed which are used to evaluate interventions. Key aspects of each study design like their strengths, weaknesses and steps are highlighted.
Pregnancy Outcomes of Oligohydramnios at Term diagnosed by Ultra Sonography (...
Pregnancy Outcomes of Oligohydramnios at Term diagnosed by Ultra Sonography (...International Multispeciality Journal of Health
— This study was conducted to find out if AFI ≤ 5 cms has any clinical significance in identifying the subsequent fetal distress & associated maternal & perinatal outcomes, in pregnancies beyond 37 weeks. Methodology: This is a prospective case control study done from July 2010 to July 2012 (24 months) at Dr Vasantrao Pawar Medical College, Hospital and Research Center. Adgaon, Nashik. It study the pregnancy outcome comparison of 58 Anenatal Cases(ANCs)as Study Group with diangosis of oligohydramnios (AFI ≤ 5 cms) by ultrasound after 37 completed weeks of gestation w e r e compared with 58 ANCs (Control Group) with no oligohydramnios (AFI > 5 cms). These two groups were matched for other variables like age, parity, gestational age and any pregnancy complication. Results: There was significant difference between two groups. Hypertension and Preeclampsia were found significantly more in ANCs with oligohydramnios. FHR deceleration was also significantly higher in women with oligohydramnios. Women require LSCS were also significantly more in women with oligohydramnios. Newborn borned by women with oligohydramnios had significantly more chances to admit in NICU than in newborn born by women without oligohydramnios. Conclusion: It can be concluded from this study that women with oligohydramnios poor pregancy outcomes. Determination of AFI can be used as an adjunct to other fetal surveillance methods. Determination of AFI can be used as valuable screening test for predicting fetal distress in labour, requiring caesarean section.APCRSHR10 Virtual abstract presentation of Sayantan Chowdhury
This is the abstract presentation of Sayantan Chowdhury of UNFPA Bangladesh, which was presented as part of the 9th session of #APCRSHR10 Virtual, on the theme of "Humanitarian response and sexual and reproductive health and rights (SRHR) in Asia and the Pacific".
C H A I R
Chonghee Hwang
Senior Manager, Family Planning 2020 (FP2020)
P L E N A R Y S P E A K E R
Tomoko Kurokawa
Humanitarian Advisor, UNFPA Asia Pacific
"Building Resilience across the Humanitarian Development Peacebuilding Nexus"
A B S T R A C T P R E S E N T E R S
* Sahlil Ahmed | Challenges Health Workers Face While Providing Sexual and Reproductive Health Services to Rohingya Refugees in Refugee Camps in Cox’s Bazar, Bangladesh: A Qualitative Study
* Sayantan Chowdhury | Genesis of maternal mortality surveillance and response in the Rohingya refugee crisis
* Sigma Ainul | Contraceptive non-use among the Rohingya and changing dynamics in post-displacement to Bangladesh
* Manju Karmacharya | Transitioning from Minimum Initial Service Package to Comprehensive SRHR services responding Rohingya crisis in protracted Emergency in Cox’s Bazar, Bangladesh
For more information on this session go to www.bit.ly/apcrshr10virtual9
#SRHR #sexualhealth #reproductiverights #familyplanning #womenshealth #genderequality #SDGs #BodilyAutonomy #humanitariancrisis #humanitariandisaster #pandemic
Quality Improvement Presentation (1).pptx
The document discusses quality of maternal and neonatal care in Iraq. It notes that while facility-based deliveries are increasing, caesarean delivery rates and early initiation of breastfeeding are declining. Most preventable maternal and neonatal deaths occur in health facilities. National standards for maternal and neonatal quality improvement have been developed based on the UNICEF Every Mother Every Newborn approach. These standards assess structure, process, and outcomes of care across 9 domains to improve quality and experience of care. The standards and a quality improvement process are being implemented and scaled up in Iraqi health facilities.
Motherhood method 12 9-13
This document summarizes field test results of the "motherhood method" used to measure maternal mortality in Nepal. The motherhood method is a direct technique that estimates births and deaths within a geographic area through group discussions with pregnant women and community health workers, without visiting every household. The method was tested in Nepal's Bara district over 2 years, collecting information on 15,161 births. The results provided an estimate of the maternal mortality ratio within 30% margin of error. The study employed the "pregnant women group" approach, where pregnant women and health workers discussed mother and child health issues to identify maternal and infant births and deaths.
A04730108
The document summarizes a study on women's awareness of initiating and continuing breastfeeding after cesarean section in Baghdad, Iraq. The study involved surveying 30 women who had cesarean sections using a questionnaire. The results showed that 43.3% initiated breastfeeding within 24 hours of their c-section. 76.7% continued breastfeeding, though only 26% practiced exclusive breastfeeding. The study aimed to identify factors influencing breastfeeding initiation and continuation after c-sections. It recommended promoting breastfeeding through baby-friendly hospital initiatives and counseling women during pregnancy and after birth.
New Microsoft PowerPoint Presentation.pptx
The document discusses a study assessing knowledge and perceptions of emergency contraception among senior undergraduate medical students in Pakistan. A survey of 211 students found that the majority (80%) did not have good knowledge of emergency contraception. While 94.8% supported women's right to access emergency contraception, only around 75% exhibited a positive attitude towards the method overall. The study aims to understand knowledge gaps to help improve family planning education for future doctors in Pakistan.
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Maternal & Neonatal Health Care Status in Somalia presented
- 1. Maternal & Neonatal Health care status in Somalia. A facility based survey Omar Osman (MPH, BSc) Lecturer of Biostatistics at JUS & founder of ASRA omarosmaneid
- 2. Outline • Background information/introduction • Methodology • Results/ findings • Conclusion • Recommendation
- 3. Background information • According to WHO, 287,000 women worldwide die annually from pregnancy and childbirth-related conditions, • 6.9 million under-five children die each year, of which about 3 million are newborns. • In Somalia, One out of every 12 women dies due to pregnancy related causes (Unicef, 2015)
- 4. Background information (continued) • This study assessed the availability, accessibility and quality of emergency obstetric care services and essential resources available for maternal and Neonatal Health services in Somalia.
- 5. Methodology • The study employed multistage, cluster sampling method • The health facility tools developed by the Averting Maternal Death and Disability program were adapted for local use • Structured questionnaire and observation methods were used for data collection. Descriptive, bivariate and multivariate logistic regression analyses were conducted
- 6. Results Health Facilities by their level in the 9 signal functions of EmONC Status Frequency (N=37) Percent % CEmONC 4 10.8% BEmONC 11 29.7 Partial EmONC Non EmONC 13 09 35.2 24.3
- 7. Results (continued) Availability of qualified birth attendants Frequency (N=37) Percent % Available 8 21.6 Not available 29 78.4 Availability of Pediatricians Frequency (N=37) Percent % Available 6 16.22 Not available 31 83.78
- 8. Results (continued) • The study observed that majority 89.4% of health facilities do not have telephone services and a significant majority 86.5% do not have Ambulance services for emergency obstetric care
- 9. Conclusion • According to the study there is a high need of a qualified birth attendants and pediatricians as well as necessary equipment's including infant incubators and essential drugs in prepartum, intrapartum and postpartum care
- 10. Recommendations • The study recommends to FMOH and related agencies to train birth attendants and provide essential drugs and equipment's to MCH facilities • The study also recommends to MCH facilities to initiate Obstetric emergency services and telephone services for pregnant women