ObjectiveEarly postnatal care service usage in developing countries is one of the healthcare service usage problems among postnatal women, which is related to extensive maternal and neonatal complications and mortality. Identification of the prevalence of early postnatal care services usage and associated factors among postnatal women is imperative to develop intervention measures to mitigate their complications and public health impact, which is not well known in Ethiopia, particularly in the selected study area. Thus, this study aimed to assess the prevalence of early postnatal care services usage and associated factors among postnatal women of Wolkite town, southeast Ethiopia.DesignA community-based cross-sectional study design was conducted among 301 postnatal women from 15 May to 15 June 2021.MeasurementsData were collected using a pretested structured questionnaire. The collected data were cleaned and entered in EpiData V.3.1 and then exported to SPSS V.23 for analysis. Finally, a multivariate logistic regression model was fitted to identify the factors associated with early postnatal care services usage. The p value<0.05 was considered statistically significant.ResultsThe finding showed that the prevalence of early postnatal care services usage was 23.3% (95% CI 18.9% to 27.9%). Wanted pregnancy (adjusted OR (AOR)=4.17, 95% CI 1.93 to 9.03), had over four histories of pregnancy (gravida >4) (AOR=2.90, 95% CI 1.18 to 7.11) and had spontaneous vertex delivery (AOR=2.18, 95% CI 1.07 to 9.39) were statistically significant factors of early postnatal care service usage.ConclusionThis study has shown that the prevalence of early postnatal care services usage was slightly low when compared with other studies. Thus, community-based health promotion should be an important recommendation to increase early postnatal care service usage among postnatal mothers to improve the level of awareness of early postnatal check-up schedules; done by healthcare providers.

Background Ethiopia has still suffered the highest burden of neonatal morbidity and mortality. The World Health Organization's practical guide for the thermal protection of newborns recommends delaying the bathing of newborns for at least 24 h following delivery, as it is crucial to prevent neonatal mortality and morbidity and to achieve 2030 sustainable development goals. However, little is known about delayed newborn bathing practices in Ethiopia. Therefore, the purpose of this study was to assess early baby bathing practices and associated factors among postpartum women. Methods A mixed community-based cross-sectional study was conducted among a total of 582 postnatal mothers. A multistage sampling technique was used to select study participants. A pre-tested and structured questionnaire was used to collect data. The data was entered into Epi-Data version 4.2.0 and exported into SPSS version 23 for analysis. Three focus group discussions with postnatal mothers were used for qualitative data. A purposive sampling method was used. Thematic analysis was used for qualitative data. Bivariate and multivariate logistic regression analyses were used in the analysis. To declare statistically significant, p-values of .05 were used. Result This study revealed that 250 (43%) mothers were practicing early newborn bathing. Early baby bathing was associated with antenatal care (ANC) follow-up (AOR  =  5.1  =  .95% CI  =  (2.6–9.9)), having no recent complications during birth (AOR  =  1.9  =  95% CI  =  (1.02–3.6), having information about the time of baby bathing (AOR  =  6.02, 95% CI  =  (3.9, 9.3)), knowledge of hypothermia (AOR  =  3.3  =  95.6% CI (1.9–5.8), and poor knowledge about neonatal danger signs. Conclusion and Recommendation ANC follow-up, recent complications during birth, having information, knowledge about hypothermia, and neonatal danger signs were significantly associated with early baby bathing. Continuous health education on the appropriate time of baby bathing and neonatal danger signs and enhanced ANC service utilization are recommended.

Introduction: Vaginal birth after cesarean section is the term applied to a woman who undergoes vaginal delivery following cesarean section. It is the preferred method to decrease complications associated with repeated cesarean section delivery. Objectives This study aimed to assess factors associated with successful vaginal birth after lower uterine transverse cesarean section delivery and to validate the Flamm and Geiger score in the public hospitals of Bahir Dar city, Northwest, Ethiopia. Methods Health facility-based retrospective cross-sectional study was conducted from March 1–15/2021 among 345 mothers who gave birth by caesarian section from January 1/2020 to December 31/2020. The data was collected by a simple random sampling technique, entered into Epi data 3.1, and analyzed using SPSS 25.0 version. Logistic regression analyses were done to estimate the crude and adjusted odds ratio with a confidence interval of 95% and a P-value of less than 0.05 considered statistically significant. Results This study identified that 35.07% of the women had a successful vaginal birth after one lower uterine transverse cesarean section delivery and among them. Of the failed trial of labor, fetal distress (38.9%) and failed progress of labor (32.1%) were the main indications for emergency cesarean section. Maternal age ≤ 30 years, prior successful vaginal birth after cesarean section delivery, prior vaginal delivery before cesarean section, non-recurrent indication (fetal distress and malpresentation), ruptured membrane, cervical dilatation ≥ 4cm, cervical effacement ≥ 50%, and low station (≥ 0) at admission were associated with successful vaginal birth after one lower uterine transverse cesarean section delivery. For the Flamm and Geiger scores at a cut point of 5, the sensitivity and specificity were 73.6% and 86.6% respectively. Conclusion The successful vaginal birth after one lower uterine transverse cesarean section was low in the study area. When the total Flamm and Geiger score increases, the chance of successful vaginal birth after one lower uterine transverse cesarean section increases. We suggest emphasizing the careful selection of women for a trial of labor.

Introduction: Vaginal birth after cesarean section is the term applied to a woman who undergoes vaginal delivery following cesarean section. It is the preferred method to decrease complications associated with repeated cesarean section delivery. Objectives This study aimed to assess factors associated with successful vaginal birth after lower uterine transverse cesarean section delivery and to validate the Flamm and Geiger score in the public hospitals of Bahir Dar city, Northwest, Ethiopia. Methods Health facility-based retrospective cross-sectional study was conducted from March 1–15/2021 among 345 mothers who gave birth by caesarian section from January 1/2020 to December 31/2020. The data was collected by a simple random sampling technique, entered into Epi data 3.1, and analyzed using SPSS 25.0 version. Logistic regression analyses were done to estimate the crude and adjusted odds ratio with a confidence interval of 95% and a P-value of less than 0.05 considered statistically significant. Results This study identified that 35.07% of the women had a successful vaginal birth after one lower uterine transverse cesarean section delivery and among them. Of the failed trial of labor, fetal distress (38.9%) and failed progress of labor (32.1%) were the main indications for emergency cesarean section. Maternal age ≤ 30 years, prior successful vaginal birth after cesarean section delivery, prior vaginal delivery before cesarean section, non-recurrent indication (fetal distress and malpresentation), ruptured membrane, cervical dilatation ≥ 4cm, cervical effacement ≥ 50%, and low station (≥ 0) at admission were associated with successful vaginal birth after one lower uterine transverse cesarean section delivery. For the Flamm and Geiger scores at a cut point of 5, the sensitivity and specificity were 73.6% and 86.6% respectively. Conclusion The successful vaginal birth after one lower uterine transverse cesarean section was low in the study area. When the total Flamm and Geiger score increases, the chance of successful vaginal birth after one lower uterine transverse cesarean section increases. We suggest emphasizing the careful selection of women for a trial of labor.