African Journal of Reproductive Health
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The Pattern and Spectrum of Severe Maternal Morbidities in Nigerian tertiary Hospitals
This study aimed to determine the pattern and spectrum of life-threatening maternal morbidities seen in tertiary reproductive health facilities in Nigeria. All cases of severe maternal outcome (SMO), maternal near-misses (MNM), or maternal death (MD), attending 42 tertiary hospitals across all geopolitical zones of Nigeria were prospectively identified using the WHO criteria over a period of 14 months. The main outcome measures were the incidence and outcome of severe maternal outcome by geopolitical regions of Nigeria. The participating hospitals recorded a total of 4383 severe maternal outcomes out of which were 3285 mat...
Source: African Journal of Reproductive Health - June 2, 2021 Category: African Health Authors: Calvin M Chama Saturday J Etuk Olufemi T Oladapo Source Type: research
Hysteroscopy Findings in Women with Thin Endometrium Scheduled for In Vitro fertilization in Niger Delta Region, Nigeria
Afr J Reprod Health. 2020 Jun;24(2):123-128. doi: 10.29063/ajrh2020/v24i2.12.ABSTRACTThe effect of endometrial thickness on in vitro fertilization (IVF) outcome is still a subject of debate. It is unclear why a thin endometrium reduces IVF success rates. Our objective was to analyze the hysteroscopic findings in women scheduled for IVF who had an endometrial thickness less than 7 mm. Relevant data of patients scheduled for IVF cycles and found to have an endometrial thickness (ET) of <7 mm on transvaginal ultrasound scan (TVS) between April 1, 2010 and March 31, 2017, at a private fertility and minimal access surgery un...
Source: African Journal of Reproductive Health - June 2, 2021 Category: African Health Authors: Jude E Okohue Source Type: research
Perceived Causes of Obstetric Fistula and Predictors of Treatment Seeking among Ugandan Women: Insights from Qualitative Research
Afr J Reprod Health. 2020 Jun;24(2):129-140. doi: 10.29063/ajrh2020/v24i2.13.ABSTRACTMany obstetric fistula patients remain untreated or present late to treatment despite increasing surgical availability in Uga nda. We explored women's perceptions of the cause of their obstetric fistula and their treatment seeking behaviours, including barriers and facilitators to timely care access. In-depth interviews and focus group discussions were conducted from June-August 2014 among 33 women treated for obstetric fistula at Mulago Hospital, Kampala. Data were analysed to describe dimensions and commonalities of themes identified und...
Source: African Journal of Reproductive Health - June 2, 2021 Category: African Health Authors: Hadija Nalubwama Alison M El Ayadi Justus K Barageine Josaphat Byamugisha Othman Kakaire Susan Obore Haruna Mwanje Suellen Miller Source Type: research
Prevalence and Risk Factors Associated with Anemia among Women of Childbearing Age in Rwanda
Afr J Reprod Health. 2020 Jun;24(2):141-151. doi: 10.29063/ajrh2020/v24i2.14.ABSTRACTAnemia among women of child bearing age is a global public health problem. In developing countries such as Rwanda, women and their children may be particularly susceptible to anemia. The main objectives of this study were to assess the prevalence of anemia among women of reproductive age in Rwanda and to identify the risk factors associated therewith. The current study considered socio-economic, demographic and environmental factors and the 2014/2015 Rwanda Demographic and Health Survey data was used for this purpose. Due to the complexity...
Source: African Journal of Reproductive Health - June 2, 2021 Category: African Health Authors: Faustin Habyarimana Temesgen Zewotir Shaun Ramroop Source Type: research
Can Women's Lives be saved from Hypertensive Disorders during Pregnancy? Experiences of South African Midwives
In conclusion, poor support came up very strongly as a factor influencing good management of hypertensive disorders in pregnancy. Recruitment of more midwives that will support each other during management of pregnant women with hypertensive disorders is recommended.PMID:34077101 | DOI:10.29063/ajrh2020/v24i2.15 (Source: African Journal of Reproductive Health)
Source: African Journal of Reproductive Health - June 2, 2021 Category: African Health Authors: Irene T Ramavhoya Maria S Maputle Rachel T Lebese Source Type: research
Assessment of Knowledge, Attitude and Experience of Sexual Violence among Female Employees in Sokoto Metropolis, Northwest Nigeria
Afr J Reprod Health. 2020 Jun;24(2):164-175. doi: 10.29063/ajrh2020/v24i2.16.ABSTRACTThis descriptive cross-sectional study was carried out to determine the knowledge, attitude and experiences of sexual violence among female employees in Sokoto metropolis. Multistage sampling technique was used to select 191 participants and a set of pre-tested structured questionnaire was used to obtain data from the participants. Data was analysed using IBM SPSS version 20. The mean age of the respondents was 28.9years ±6 with 102(53%) of them aged between 20-30 years. Up to 112(63.6%) of them were unmarried, 127(73%) were Muslims and 9...
Source: African Journal of Reproductive Health - June 2, 2021 Category: African Health Authors: Oche Mansur Oche Habibullah Adamu Shawwal A Mallam Rasheedat A Oluwashola Aisha S Muhammad Source Type: research
Prevalence and Factors Associated with Institutional-based Delivery in The Gambia: Further Analysis of Population-based Cross- Sectional Data
Afr J Reprod Health. 2020 Jun;24(2):176-186. doi: 10.29063/ajrh2020/v24i2.17.ABSTRACTInstitutional-based delivery could be the major strategy to avoid most maternal deaths occurring from preventable obstetric complications. The study examines the prevalence and factors associated with institutional-based delivery in The Gambia. The secondary data, from The Gambia Multiple Indicator Cluster Survey (MICS) - 2018 for 3,791 women aged 15-49 years who had given birth, were extracted for the analysis. Chi-square analysis and multivariable logistic regression model were used to determine factors associated with institutional-base...
Source: African Journal of Reproductive Health - June 2, 2021 Category: African Health Authors: Amadou Barrow Amienatta Jobe Vivian Ifunanya Onoh Kenneth Toby Maduako Source Type: research
Prevalence and Determinants of Unintended Pregnancy in Sub -Saharan Africa: A Systematic Review
Afr J Reprod Health. 2020 Jun;24(2):187-205. doi: 10.29063/ajrh2020/v24i2.18.ABSTRACTOver forty percent of pregnancies worldwide are unintended, with a quarter of these from Africa. There is a growing body of evidence regarding the adverse health, economic, societal, and developmental consequences of unintended pregnancies. The main aim of this systematic review is to report on the current prevalence and determinants of unintended pregnancies in sub-Saharan Africa. A literature search (in PubMed, Embase, PsycINFO and Scopus) was performed up to 29 May 2019. The Joanna Briggs Institute Reviewers' Manual guidelines to assess...
Source: African Journal of Reproductive Health - June 2, 2021 Category: African Health Authors: Luchuo Engelbert Bain Marjolein B M Zweekhorst Tjard de Cock Buning Source Type: research
Scoping AJRH operations and future directions
Afr J Reprod Health. 2021 Feb;25(1):11-14. doi: 10.29063/ajrh2021/v25i1.1.NO ABSTRACTPMID:34077105 | DOI:10.29063/ajrh2021/v25i1.1 (Source: African Journal of Reproductive Health)
Source: African Journal of Reproductive Health - June 2, 2021 Category: African Health Authors: Akhere A Omonkhua Loretta F C Ntoimo Judith O Obaseki Joseph A Balogun Friday E Okonofua Source Type: research
The rights of women and girls are not negotiable
Afr J Reprod Health. 2021 Feb;25(1):15-19. doi: 10.29063/ajrh2021/v25i1.2.NO ABSTRACTPMID:34077106 | DOI:10.29063/ajrh2021/v25i1.2 (Source: African Journal of Reproductive Health)
Source: African Journal of Reproductive Health - June 2, 2021 Category: African Health Authors: Natalia Kanem Source Type: research
Identifying barriers to accessing skilled maternal health care in rural Morocco
This study aimed to understand the experiences of women giving birth in rural Morocco, and to identify the barriers they face when accessing facility-based maternity care. Fifty-five participants were recruited from villages in Morocco's rural south to participate in focus group discussions (FGDs), using appreciative inquiry as the guiding framework. Several themes emerged from the analysis of the focus group data. Women felt well-cared for and safe giving birth both at home and in the large, tertiary care hospitals, but not in the small, primary care hospitals. Women who gave birth at the primary care hospitals reported a...
Source: African Journal of Reproductive Health - June 2, 2021 Category: African Health Authors: Jami Baayd Sara E Simonsen Joseph B Stanford Sydney K Willis Caren J Frost Source Type: research
Determinants of modern contraceptive prevalence and unplanned pregnancies in Migori County, Kenya: results of a cross-sectional household survey
Afr J Reprod Health. 2021 Feb;25(1):29-40. doi: 10.29063/ajrh2021/v25i1.4.ABSTRACTFamily planning and contraceptive utilization can have significant effects in reducing unplanned pregnancies and improving maternal and child health indicators. We conducted a retrospective cross-sectional study analyzing survey response data within six sub-locations of Migori County, Kenya in 2018 and 2019. We utilize this survey data to estimate both the prevalence of contraceptive uptake and unwanted pregnancies in the study populations, and to examine the potential role that different factors play in meeting related family planning target...
Source: African Journal of Reproductive Health - June 2, 2021 Category: African Health Authors: Troy D Moon Vincent Okoth Joseph R Starnes Elisha Opiyo Daniele J Ressler Julius Mbeya Ash Rogers Source Type: research
Women's contraceptive choice following the use of Implanon NXT: Findings from a study in Durban, South Africa
Afr J Reprod Health. 2021 Feb;25(1):41-48. doi: 10.29063/ajrh2021/v25i1.5.ABSTRACTImplanon NXT was introduced in South Africa (SA) in 2014 to expand the contraceptive method mix. While studies have explored patterns of implant use, data on contraceptive choice following implant removal is limited. Here, we describe contraceptive choice among 120 women requesting Implanon NXT removal, between 2017 and 2018, at an urban reproductive health clinic in Durban, SA. Among women who used the implant for three years (n=91), >50% chose to reinsert Implanon NXT. Reasons for choosing to reinsert included satisfaction with the impla...
Source: African Journal of Reproductive Health - June 2, 2021 Category: African Health Authors: Ivana Beesham Jennifer Smit Shannon L Bosman Cecilia Milford Mala Panday Mags Beksinska Source Type: research
Bacterial vaginosis in pregnancy: prevalence and outcomes in a tertiary care hospital
Afr J Reprod Health. 2021 Feb;25(1):49-55. doi: 10.29063/ajrh2021/v25i1.6.ABSTRACTBacterial Vaginosis (BV) has recently emerged as a global health issue especially in pregnant women because of its adverse outcomes. Various studies have shown the impact of BV on both mother and baby as well as overall reproductive health of women. The study intended to assess the prevalence of BV in pregnant women visiting our hospital and estimate the risk of associated complications. A retrospective study was done on pregnant women who underwent vaginal swab for BV during the period January 2018- July 2019. BV was diagnosed by Nugent scor...
Source: African Journal of Reproductive Health - June 2, 2021 Category: African Health Authors: Vidya Bhakta Sadia Aslam Aseel Aljaghwani Source Type: research
Maternal mortality at the Korle Bu Teaching Hospital, Accra, Ghana: A five-year review
Afr J Reprod Health. 2021 Feb;25(1):56-66. doi: 10.29063/ajrh2021/v25i1.7.ABSTRACTMaternal death is a major global health issue with the highest impact in low-income countries. Despite some modest decline in the maternal mortality rates in Ghana since the 1990's, this has been below expectation. The aim of this study was to describe the trends and contributory factors to maternal mortality at the Korle Bu Teaching Hospital (KBTH), Accra, Ghana. We performed a retrospective chart review of all maternal deaths at KBTH from 2015 to 2019. Data were analyzed using SPSS version 23. A p-value of <0.05 was considered statistica...
Source: African Journal of Reproductive Health - June 2, 2021 Category: African Health Authors: Theodore K Boafor Michael Y Ntumy Kwaku Asah-Opoku Perez Sepenu Bernice Ofosu Samuel A Oppong Source Type: research