Additional file 4:. Discharge medications prescribed to hospitalized pregnant women at JUMC, Ethi... more Additional file 4:. Discharge medications prescribed to hospitalized pregnant women at JUMC, Ethiopia, from February to June 2017
Introduction : Unicornuate uterus is one less common mullerian anomalies .unicornate uterus with ... more Introduction : Unicornuate uterus is one less common mullerian anomalies .unicornate uterus with non-communicating rudimentary horn may associated with gynecologic complication such endometrosis,infertility,hematometra,hematosalpix ,chronic pelvic pain and urinary tract abnormality. It has an affect quality of life a patient and morbidity. Case presentation: we report case of 45-year old black woman presenting with unicornate uterus with non-communicating rudimentary horn. The diagnosis was made by two dimensional ultrasound and later confirmed with laparotomy. The removal of rudimentary horn and uterus was removed, upon surgery it found that left kidney was absent .the post-surgery course was smooth and discharged on six post-operative day of surgery. Conclusion: although diagnosis of unicornate uterus difficult clinical ,it possible pick using two dimensional ultrasound with an experienced hand .it should not be forgotten that the possibility associated anomaly of urinary tract anomaly and can present with chronic pelvic pain and abdominal mass.
INTRODUCTION: Globally, valvular heart disease (VHD) is a major cause of heart disease and is ass... more INTRODUCTION: Globally, valvular heart disease (VHD) is a major cause of heart disease and is associated with indirect maternal mortality. Pregnancy associated with VHD results in various feto-maternal complications. The objective of this study was to evaluate the maternal and fetal complications and outcomes of pregnancies complicated by VHD at Jimma University medical center. METHODS: a hospital-based cross-sectional study was conducted among all pregnant mothers with VHD that visited Jimma University Medical center, from September 1, 2018 to July 30, 2019. RESULTS: the prevalence of VHD in pregnant women was 0.6%. Out of a total of 29 pregnant women 28 (96.6%) had rheumatic heart disease. Mitral stenosis (75.9%) was the most frequent mitral valve pathology and 16 (55.2%) had severe mitral stenosis. The commonest maternal complication was new onset or worsening of heart failure in 22 (75.9%). The commonest neonatal complication was preterm delivery (39.3%). There were 2 postpartum maternal deaths (6.9%) and 4 (14.3%) early neonatal deaths. CONCLUSION: majority of pregnant women with VHD had rheumatic heart disease. Adverse feto-maternal complications were common. Expanding access to cardiovascular interventions and feto-maternal medicine services is recommended.
Additional file 6:. Medications involved in MRPs among hospitalized pregnant women at JUMC, Ethio... more Additional file 6:. Medications involved in MRPs among hospitalized pregnant women at JUMC, Ethiopia, from February to June 2017
Additional file 2:. Characteristics of the study population according to ward type at JUMC, Ethio... more Additional file 2:. Characteristics of the study population according to ward type at JUMC, Ethiopia, from February to June 2017
Additional file 3:. Medications used among hospitalized pregnant women at JUMC, Ethiopia, from Fe... more Additional file 3:. Medications used among hospitalized pregnant women at JUMC, Ethiopia, from February to June 2017
Additional file 5:. Types and examples of MRPs identified among hospitalized pregnant women at JU... more Additional file 5:. Types and examples of MRPs identified among hospitalized pregnant women at JUMC, Ethiopia, from February to June 2017
Background: Obstructed labor is a major cause of both maternal and newborn morbidity and mortalit... more Background: Obstructed labor is a major cause of both maternal and newborn morbidity and mortality. It affects 3 6% of laboring women globally. The number of maternal deaths as a result of obstructed labor is 8% globally but this number varies in developing country, it ranges 4 70% of all maternal deaths and it is also associated to high prenatal mortality rate. It is common problem in resource limited countries like Ethiopia. The aim of this study was to determine the prevalence and management outcomes of obstructed labor among mothers who gave birth between January, 2013 and December, 2015 in Mettu Karl Referral Hospital South West Ethiopia. Method: A three years Hospital based cross-sectional study design was used. Then the data checked for its consistency and completeness, coded, edited, and fed in to EpiData V.3.4 and transported to SPSS version 20.0 windows, for data processing and analysis with Descriptive, Bivariate and Multivariate logistic regression. On binary logistic re...
Introduction : Unicornuate uterus is one less common mullerian anomalies .unicornate uterus with ... more Introduction : Unicornuate uterus is one less common mullerian anomalies .unicornate uterus with non-communicating rudimentary horn may associated with gynecologic complication such endometrosis,infertility,hematometra,hematosalpix ,chronic pelvic pain and urinary tract abnormality. It has an affect quality of life a patient and morbidity. Case presentation: we report case of 45-year old black woman presenting with unicornate uterus with non-communicating rudimentary horn. The diagnosis was made by two dimensional ultrasound and later confirmed with laparotomy. The removal of rudimentary horn and uterus was removed, upon surgery it found that left kidney was absent .the post-surgery course was smooth and discharged on six post-operative day of surgery. Conclusion: although diagnosis of unicornate uterus difficult clinical ,it possible pick using two dimensional ultrasound with an experienced hand .it should not be forgotten that the possibility associated anomaly of urinary tract anomaly and can present with chronic pelvic pain and abdominal mass.
ObjectiveThe aim of this study was to investigate and describe the use of medicinal plants during... more ObjectiveThe aim of this study was to investigate and describe the use of medicinal plants during pregnancy among women admitted in the Maternity and Gynaecology wards at Jimma University Medical Centre (JUMC) in the southwest Ethiopia.DesignCross-sectional study.SettingMaternity and Gynaecology wards at JUMC.Participants1117 hospitalised pregnant women or postpartum women.Main outcome measuresOur primary outcomes of interest were the prevalence of use, types of medicinal plants used and their utilisation among pregnant women.MethodsData were collected through structured face-to-face interviews of pregnant women or postpartum women and review of patient medical records between February and June 2017.ResultsOverall, 28.6% of the women reported use of at least one medicinal plant during the pregnancy. Twenty-seven different types of medicinal plants were used. The most commonly used medicinal plants wereLinum usitatissimumL. (flaxseed—use with caution) 22.0%,Ocimum lamiifoliumL. (dama...
International Journal of Environmental Research and Public Health, 2020
Background: Despite the potential foetal and maternal risks of self-medication, studies on self-m... more Background: Despite the potential foetal and maternal risks of self-medication, studies on self-medication and safety profile of medicines used during pregnancy are scarce. This study determined the prevalence, predictors and safety profile of medicines used for self-medication during pregnancy at Jimma University Medical Centre (JUMC) in Ethiopia. Methods: A hospital-based cross sectional study was conducted on 1117 hospitalized pregnant women or postpartum women in the maternity and gynaecology wards at JUMC between February and June 2017. Data were collected using an interviewer-administered structured questionnaire and by reviewing patient medical records. Data were analysed using descriptive statistics and logistic regression. Result: Nearly 3 out of 10 women reported taking at least one type of conventional medicine for self-medication, mainly analgesics 92.3%. Almost 75.0% of the self-medicated women used medicines classified as probably safe and 13.6% as potentially risky to...
Experiencing violence in childhood impacts lifelong health and well-being. Yet being subject to v... more Experiencing violence in childhood impacts lifelong health and well-being. Yet being subject to violence at a young age causes enduring psychological, social and neurological vandalism which stops people reaching their full potential in life. Violence against children includes all forms of violence against people under 18 years old ; therefore the purpose of this study is to determine the magnitude of violence against children and associated factors among sampled high school students in Jimma town. Method: Institution based crossectional study was employed among sampled 423 private and public high school students of Jimma town from february15-30, 2018. Self-administered structured questionnaire was used to collect the data. A multi stage with proportional to sample size was employed. Result: A total of 419 respondents participated in the study, making the response rate 99%. A large proportion of the study subjects, 57.5 %, were females, and 56.3% were Oromo’s. The study indicates th...
Background Studies on medication-related problems (MRPs) among pregnant women are scarce, despite... more Background Studies on medication-related problems (MRPs) among pregnant women are scarce, despite the potential consequences for both mother and child. This study aimed to describe the prevalence, clinical significance, and risk factors for MRPs among hospitalized pregnant or postpartum women at Jimma University Medical Centre (JUMC) in Ethiopia. Methods A prospective follow-up and clinical audit of 1,117 hospitalized pregnant or postpartum women in the maternity and gynaecology wards at JUMC was carried out between February and June 2017. Patients were followed throughout their stay in the hospital to assess the presence and development of MRPs. Pre-tested data extraction form and an interview-guided structured questionnaire were used to collect data. Descriptive statistics were used to describe MRPs. Logistic regression analysis was used to identify factors associated with MRPs. Results One or more MRPs occurred among 323 (28.9%) study participants, mostly in relation to lack of i...
Antimicrobial Resistance & Infection Control, 2018
Background The rates of resistant microorganisms which complicate the management of healthcare as... more Background The rates of resistant microorganisms which complicate the management of healthcare associated infections (HAIs) are increasing worldwide and getting more serious in developing countries. The objective of this study was to describe microbiological features and resistance profiles of bacterial pathogens of HAIs in Jimma University Medical Center (JUMC) in Ethiopia. Methods Institution based cross sectional study was carried out on hospitalized patients from May to September, 2016 in JUMC. Different clinical specimens were collected from patients who were suspected to hospital acquired infections. The specimens were processed to identify bacterial etiologies following standard microbiological methods. Antibacterial susceptibility was determined in vitro by Kirby-Bauer disk diffusion method following Clinical and Laboratory Standards Institute guidelines. Results Overall, 126 bacterial etiologies were isolated from 118 patients who had HAIs. Of these, 100 (79.4%) were gram n...
Medicinal plant (MP) use during pregnancy is common in Africa and may have profound effects on bo... more Medicinal plant (MP) use during pregnancy is common in Africa and may have profound effects on both the mother and the developing foetus. A lack of overview complicates monitoring and regulating the use of MPs during pregnancy. This systematic review analyses prevalence of use of MPs during pregnancy, regional distribution, types and prevalence, MP properties, potential health risks, and consensus of MPs use, and suggests relevant measures to mitigate negative effects on pregnancy. A search was undertaken using a range of scientific databases (Medline, Embase, African Journals OnLine, Google Scholar and Biological Abstracts), non-governmental organisations, various African universities and regulatory websites for original published and unpublished studies that assess and indicate the prevalence of use of MPs during pregnancy in Africa. Additional articles were located by exploring pertinent bibliographies, and contacting experts. A total of 3659 MP-use studies were found, but only 3...
Additional file 4:. Discharge medications prescribed to hospitalized pregnant women at JUMC, Ethi... more Additional file 4:. Discharge medications prescribed to hospitalized pregnant women at JUMC, Ethiopia, from February to June 2017
Introduction : Unicornuate uterus is one less common mullerian anomalies .unicornate uterus with ... more Introduction : Unicornuate uterus is one less common mullerian anomalies .unicornate uterus with non-communicating rudimentary horn may associated with gynecologic complication such endometrosis,infertility,hematometra,hematosalpix ,chronic pelvic pain and urinary tract abnormality. It has an affect quality of life a patient and morbidity. Case presentation: we report case of 45-year old black woman presenting with unicornate uterus with non-communicating rudimentary horn. The diagnosis was made by two dimensional ultrasound and later confirmed with laparotomy. The removal of rudimentary horn and uterus was removed, upon surgery it found that left kidney was absent .the post-surgery course was smooth and discharged on six post-operative day of surgery. Conclusion: although diagnosis of unicornate uterus difficult clinical ,it possible pick using two dimensional ultrasound with an experienced hand .it should not be forgotten that the possibility associated anomaly of urinary tract anomaly and can present with chronic pelvic pain and abdominal mass.
INTRODUCTION: Globally, valvular heart disease (VHD) is a major cause of heart disease and is ass... more INTRODUCTION: Globally, valvular heart disease (VHD) is a major cause of heart disease and is associated with indirect maternal mortality. Pregnancy associated with VHD results in various feto-maternal complications. The objective of this study was to evaluate the maternal and fetal complications and outcomes of pregnancies complicated by VHD at Jimma University medical center. METHODS: a hospital-based cross-sectional study was conducted among all pregnant mothers with VHD that visited Jimma University Medical center, from September 1, 2018 to July 30, 2019. RESULTS: the prevalence of VHD in pregnant women was 0.6%. Out of a total of 29 pregnant women 28 (96.6%) had rheumatic heart disease. Mitral stenosis (75.9%) was the most frequent mitral valve pathology and 16 (55.2%) had severe mitral stenosis. The commonest maternal complication was new onset or worsening of heart failure in 22 (75.9%). The commonest neonatal complication was preterm delivery (39.3%). There were 2 postpartum maternal deaths (6.9%) and 4 (14.3%) early neonatal deaths. CONCLUSION: majority of pregnant women with VHD had rheumatic heart disease. Adverse feto-maternal complications were common. Expanding access to cardiovascular interventions and feto-maternal medicine services is recommended.
Additional file 6:. Medications involved in MRPs among hospitalized pregnant women at JUMC, Ethio... more Additional file 6:. Medications involved in MRPs among hospitalized pregnant women at JUMC, Ethiopia, from February to June 2017
Additional file 2:. Characteristics of the study population according to ward type at JUMC, Ethio... more Additional file 2:. Characteristics of the study population according to ward type at JUMC, Ethiopia, from February to June 2017
Additional file 3:. Medications used among hospitalized pregnant women at JUMC, Ethiopia, from Fe... more Additional file 3:. Medications used among hospitalized pregnant women at JUMC, Ethiopia, from February to June 2017
Additional file 5:. Types and examples of MRPs identified among hospitalized pregnant women at JU... more Additional file 5:. Types and examples of MRPs identified among hospitalized pregnant women at JUMC, Ethiopia, from February to June 2017
Background: Obstructed labor is a major cause of both maternal and newborn morbidity and mortalit... more Background: Obstructed labor is a major cause of both maternal and newborn morbidity and mortality. It affects 3 6% of laboring women globally. The number of maternal deaths as a result of obstructed labor is 8% globally but this number varies in developing country, it ranges 4 70% of all maternal deaths and it is also associated to high prenatal mortality rate. It is common problem in resource limited countries like Ethiopia. The aim of this study was to determine the prevalence and management outcomes of obstructed labor among mothers who gave birth between January, 2013 and December, 2015 in Mettu Karl Referral Hospital South West Ethiopia. Method: A three years Hospital based cross-sectional study design was used. Then the data checked for its consistency and completeness, coded, edited, and fed in to EpiData V.3.4 and transported to SPSS version 20.0 windows, for data processing and analysis with Descriptive, Bivariate and Multivariate logistic regression. On binary logistic re...
Introduction : Unicornuate uterus is one less common mullerian anomalies .unicornate uterus with ... more Introduction : Unicornuate uterus is one less common mullerian anomalies .unicornate uterus with non-communicating rudimentary horn may associated with gynecologic complication such endometrosis,infertility,hematometra,hematosalpix ,chronic pelvic pain and urinary tract abnormality. It has an affect quality of life a patient and morbidity. Case presentation: we report case of 45-year old black woman presenting with unicornate uterus with non-communicating rudimentary horn. The diagnosis was made by two dimensional ultrasound and later confirmed with laparotomy. The removal of rudimentary horn and uterus was removed, upon surgery it found that left kidney was absent .the post-surgery course was smooth and discharged on six post-operative day of surgery. Conclusion: although diagnosis of unicornate uterus difficult clinical ,it possible pick using two dimensional ultrasound with an experienced hand .it should not be forgotten that the possibility associated anomaly of urinary tract anomaly and can present with chronic pelvic pain and abdominal mass.
ObjectiveThe aim of this study was to investigate and describe the use of medicinal plants during... more ObjectiveThe aim of this study was to investigate and describe the use of medicinal plants during pregnancy among women admitted in the Maternity and Gynaecology wards at Jimma University Medical Centre (JUMC) in the southwest Ethiopia.DesignCross-sectional study.SettingMaternity and Gynaecology wards at JUMC.Participants1117 hospitalised pregnant women or postpartum women.Main outcome measuresOur primary outcomes of interest were the prevalence of use, types of medicinal plants used and their utilisation among pregnant women.MethodsData were collected through structured face-to-face interviews of pregnant women or postpartum women and review of patient medical records between February and June 2017.ResultsOverall, 28.6% of the women reported use of at least one medicinal plant during the pregnancy. Twenty-seven different types of medicinal plants were used. The most commonly used medicinal plants wereLinum usitatissimumL. (flaxseed—use with caution) 22.0%,Ocimum lamiifoliumL. (dama...
International Journal of Environmental Research and Public Health, 2020
Background: Despite the potential foetal and maternal risks of self-medication, studies on self-m... more Background: Despite the potential foetal and maternal risks of self-medication, studies on self-medication and safety profile of medicines used during pregnancy are scarce. This study determined the prevalence, predictors and safety profile of medicines used for self-medication during pregnancy at Jimma University Medical Centre (JUMC) in Ethiopia. Methods: A hospital-based cross sectional study was conducted on 1117 hospitalized pregnant women or postpartum women in the maternity and gynaecology wards at JUMC between February and June 2017. Data were collected using an interviewer-administered structured questionnaire and by reviewing patient medical records. Data were analysed using descriptive statistics and logistic regression. Result: Nearly 3 out of 10 women reported taking at least one type of conventional medicine for self-medication, mainly analgesics 92.3%. Almost 75.0% of the self-medicated women used medicines classified as probably safe and 13.6% as potentially risky to...
Experiencing violence in childhood impacts lifelong health and well-being. Yet being subject to v... more Experiencing violence in childhood impacts lifelong health and well-being. Yet being subject to violence at a young age causes enduring psychological, social and neurological vandalism which stops people reaching their full potential in life. Violence against children includes all forms of violence against people under 18 years old ; therefore the purpose of this study is to determine the magnitude of violence against children and associated factors among sampled high school students in Jimma town. Method: Institution based crossectional study was employed among sampled 423 private and public high school students of Jimma town from february15-30, 2018. Self-administered structured questionnaire was used to collect the data. A multi stage with proportional to sample size was employed. Result: A total of 419 respondents participated in the study, making the response rate 99%. A large proportion of the study subjects, 57.5 %, were females, and 56.3% were Oromo’s. The study indicates th...
Background Studies on medication-related problems (MRPs) among pregnant women are scarce, despite... more Background Studies on medication-related problems (MRPs) among pregnant women are scarce, despite the potential consequences for both mother and child. This study aimed to describe the prevalence, clinical significance, and risk factors for MRPs among hospitalized pregnant or postpartum women at Jimma University Medical Centre (JUMC) in Ethiopia. Methods A prospective follow-up and clinical audit of 1,117 hospitalized pregnant or postpartum women in the maternity and gynaecology wards at JUMC was carried out between February and June 2017. Patients were followed throughout their stay in the hospital to assess the presence and development of MRPs. Pre-tested data extraction form and an interview-guided structured questionnaire were used to collect data. Descriptive statistics were used to describe MRPs. Logistic regression analysis was used to identify factors associated with MRPs. Results One or more MRPs occurred among 323 (28.9%) study participants, mostly in relation to lack of i...
Antimicrobial Resistance & Infection Control, 2018
Background The rates of resistant microorganisms which complicate the management of healthcare as... more Background The rates of resistant microorganisms which complicate the management of healthcare associated infections (HAIs) are increasing worldwide and getting more serious in developing countries. The objective of this study was to describe microbiological features and resistance profiles of bacterial pathogens of HAIs in Jimma University Medical Center (JUMC) in Ethiopia. Methods Institution based cross sectional study was carried out on hospitalized patients from May to September, 2016 in JUMC. Different clinical specimens were collected from patients who were suspected to hospital acquired infections. The specimens were processed to identify bacterial etiologies following standard microbiological methods. Antibacterial susceptibility was determined in vitro by Kirby-Bauer disk diffusion method following Clinical and Laboratory Standards Institute guidelines. Results Overall, 126 bacterial etiologies were isolated from 118 patients who had HAIs. Of these, 100 (79.4%) were gram n...
Medicinal plant (MP) use during pregnancy is common in Africa and may have profound effects on bo... more Medicinal plant (MP) use during pregnancy is common in Africa and may have profound effects on both the mother and the developing foetus. A lack of overview complicates monitoring and regulating the use of MPs during pregnancy. This systematic review analyses prevalence of use of MPs during pregnancy, regional distribution, types and prevalence, MP properties, potential health risks, and consensus of MPs use, and suggests relevant measures to mitigate negative effects on pregnancy. A search was undertaken using a range of scientific databases (Medline, Embase, African Journals OnLine, Google Scholar and Biological Abstracts), non-governmental organisations, various African universities and regulatory websites for original published and unpublished studies that assess and indicate the prevalence of use of MPs during pregnancy in Africa. Additional articles were located by exploring pertinent bibliographies, and contacting experts. A total of 3659 MP-use studies were found, but only 3...
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