Eclampsia and pre-eclampsia are well-recognized causes of maternal neonatal mortality in low income countries, but never studied a district hospital. In order to get reliable data facilitate the hospital's obstetric audit retrospective medical record study was performed Ndala Hospital, Tanzania. All patients diagnosed with severe or eclampsia between July 2011 December 2012 were included. Medical records searched immediately following discharge death. General patient characteristics,...

Rupture of the gravid uterus is an obstetric catastrophe that associated with complications include massive blood loss, hysterectomy, and damage to genitourinary tract. It a serious complication high maternal perinatal morbidity mortality. We conducted retrospective review case notes (from 2003 2009) determine incidence, causes, foetal/maternal outcome among women diagnosis ruptured at Muhimbili National Hospital (MNH) in Dar es Salaam Tanzania. Case were retrieved from records department...

Antenatal care (ANC) is considered a cornerstone of reproductive health programmes, but many women face difficulties in accessing these services, particularly some sub-Saharan African countries, such as Tanzania. This study aimed to test ANC visit acceptability using mHealth system PANDA (Pregnancy And Newborn Diagnostic Assessment) the Mufindi district (Tanzania). We investigated pregnant and healthcare workers (HCWs) an intervention area compared with control area. An ad hoc questionnaire...

Background: Postpartum haemorrhage (PPH) is one of the main causes maternal death. In Tanzania, 25% deaths are result PPH. Gaps in practitioner knowledge prevention and management this issue may lead to severe complications Little has been documented about nurses' skills regarding PPH management. Objective: To determine factors influencing skill Dodoma Region, Central Tanzania. Method: A cross-sectional study was conducted involving 172 nurses working Dodoma, Data on sociodemographic...

For over three decades since its discovery in 1981, HIV/AIDS has continued to be a major public health concern affecting, both, social and economic development most developing countries, especially, the Sub-Saharan Africa.In Tanzania, for example, current survey found that 5.1 percent of those tested were HIV positive.Despite fact epidemic been, still is threat persons all ages, Abstract: Tanzania among countries with high prevalence World.Despite recent studies have suggested new infections...

Imperforate hymen is relatively rare but it the most frequently encountered obstructive anomaly of female lower genital tract. The clinical presentation vary significantly from patient to depending on age at diagnosis in cases missed early childhood and therefore made after puberty when present with haematocolpos, heamatometra.or both. When this happens, could even be tricky because may presents unlikely symptoms apart cryptomenorhoea like, urinary retention or bowel obstruction Here we a 16...

Ectopic pregnancy (EP) is a serious complication of early pregnancy. In low-income countries diagnosis EP difficult and it major contributor to maternal mortality. We aimed assess improve the diagnostic process women with EP.We conducted retrospective medical records study all confirmed in Ndala Hospital from 2010 2012. used data on demographics, symptoms, procedures, surgical findings, treatment post-operative status.Six thousand six hundred sixty-two gave birth hospital, 88 were diagnosed...

Abstract Background Globally, birth asphyxia is one of the leading causes neonatal death. In Tanzania, deaths are estimated to be 25 per 1000 live births and accounts for 31% those deaths. Method A cross-sectional study was conducted in 40 health centers within 7 districts Dodoma Region among nurses working maternity units. Simple random sampling used select participants. knowledge questionnaire performance skills checklist were assess nurses’ respectively. Chi-square binary logistic...

Preeclampsia and eclampsia are conditions which increase maternal foetal morbidity mortality worldwide. These ranked as the second leading cause of deaths. Nurses have a critical role in preventing managing preeclampsia. However, their knowledge has not been evaluated particularly among those working primary health facilities, where opportunities for continue education is limited.To assess on prevention management preeclampsia nurses care settings.Analysis baseline data from an intervention...

Limited scientific, evidence has so far described the interactions between socioeconomic factors and gap of inequalities in maternal healthcare utilization. This study assessed interaction wealth status education to identify women with greater disadvantage. analysis used secondary data from three most recent rounds (2004, 2010, 2016) Tanzania Demographic Health Survey (TDHS). Maternal utilization was based on six services (outcomes) which are i) booking during first trimester (bANC), ii) at...

Abstract Objectives To explore the long‐term (perceived) consequences of (severe pre‐)eclampsia in rural Tanzania. Methods Women were traced for this mixed‐methods study 6–7 years after diagnosis pre‐)eclampsia. Demographic and obstetric characteristics noted, blood pressure was recorded. Questionnaires used to assess physical mental health. The qualitative part consisted semi‐structured interviews (SSI). A reference group women without hypertensive disorders pregnancy. Results Of 74...

Preterm birth is a major cause of neonatal mortality, especially in low and middle income countries. Antenatal corticosteroid therapy for foetal maturation could have significant impact therefore often referred to as an important strategy reduce mortality. A recently conducted large multinational trial showed that antenatal corticosteroids can adverse effects countries, but this likely depend on the specific setting. In our hospital preterm only recognized patients with severe maternal...

Abstract Background The worldwide incidence of birth by Caesarean Section (CS) is rising. Many births after a previous CS are repeat surgery, either an elective or failed trial labour. Adhesion formation associated with increased maternal morbidity in patients CSs. In spite large-scale studies the relation between adhesion and surgical technique unclear. This study aims to assess neonatal mortality CSs rural hospital low-income country (LIC) analyse effect on adhesions. Methods A...

Gestational trophoblastic diseases (GTDs) may follow any form of pregnancy or a loss. Early detection GTDs is important, as some benign forms the disease progress into chemoresistant and metastatic disease. This study aimed at determining frequency among women experiencing first trimester loss associated patients' characteristics.This was cross-sectional that included 200 conveniently sampled who experienced from January to December 2019 Regional Referral Hospital in central Tanzania. The...

# Background After the introduction of maternal near-miss (MNM) criteria by World Health Organization (WHO), an adapted version for low-income countries was defined but has never been validated in a rural hospital this setting. Aim study to identify occurrence MNM both use WHO and sub-Saharan Africa (SSA) tool compare applicability versions. Methods This cross-sectional done between November 2019 July 2020 Ndala Hospital, Tanzania. All pregnant women within 42 days after giving birth or...

Abstract The objective of this study is to assess the effectiveness community-based nutritional intervention in reducing burden anaemia during pregnancy. Study design will be a cluster-randomized controlled trial. setting peri-urban wards Dodoma City. have two arms (the interventional and control arms). A total 400 pregnant women at second trimester recruited. consist four phases months for both namely: baseline, first follow-up end-line surveys. During each phase, participants from measured...

The physiological requirements for iron and folic acid in pregnancy are a significant challenge to achieve through normal dietary intake, especially low resource settings. World Health Organization recommends daily oral supplementation (IFAS) prevent maternal anaemia related adverse effects community settings where the prevalence of during is > 40%. objective this study was assess routine uptake prenatal iron-folic associated factors among pregnant women at peri-urban areas Dodoma City, Tanzania.

This study aimed to determine the prevalence of modes delivery and associated maternal newborn outcomes among singleton primigravidae in Iringa region Tanzania.A cross-sectional, analytical hospital-based was conducted 356 between April August 2018. Convenience sampling consecutive collection data using a face-to-face interviewer-administered questionnaire done.A total primigravid women with mean age 22.0 years (range: 15-49) participated study. The majority participants (73.0%, n = 250)...

Marriage is considered as the most important social institution and symbol of adulthood in Africa. However, trend divorce has increased alarmingly recent years. We explored constraints towards marital satisfaction by using Delphi technique with assumptions that couples are experts on their marriages. Participant’s panel included married heterosexual divided into two groups: men women couple’s panels. The group women’s 31 participants men’s contained 25 males. Then final stage, both groups...

Men can be essential sources of support in maternal health, even more so case severe acute morbidity (SAMM), affecting 1-2% childbearing women low-resource settings. In a qualitative study using semi-structured interviews, we explored the perspectives nine male partners who suffered from (pre-)eclampsia six to seven years earlier rural Tanzania. Male considered their role pivotal regarding finances, decision-making healthcare-seeking and family planning provided physical emotional support....

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