Background. Episiotomy is the most common obstetric procedure, performed when the clinical circumstances place the patient at a high risk of high-degree laceration. However, episiotomy should be done with judicious indication to lower perineal laceration with fewer complications. Despite its adverse effects, the magnitude of episiotomy is increasing due to different factors. Therefore, this study is aimed at determining the recent magnitude of episiotomy and at identifying associated factors among women who gave delivery in Arba Minch General Hospital, Southern Ethiopia. Methods. An institution-based cross-sectional study was conducted from December 15, 2018, to January 30, 2019. A systematic random sampling technique was used to select study participants. A semistructured questionnaire was used to collect data. This was supplemented with a review of the labor and delivery records. Binary and multivariable logistic regression analyses were performed to identify factors associated with the magnitude of episiotomy. P value ≤ 0.05 was used to determine the level of statistically significant variables. Results. The magnitude of episiotomy was found to be 272 (68.0%) with 95%CI=64.0‐72.5. Women who attended secondary education [AOR=10.24, 95%CI=2.81‐37.34], women who attended college and above [AOR=4.61, 95%CI=1.27‐16.71], birth weight≥3000 g [AOR=4.84, 95%CI=2.66‐8.82], primipara [AOR=4.13, 95%CI=2.40‐7.12], being housewife occupants [AOR=3.43, 95%CI=1.20‐9.98], married women [AOR=2.86, 95%CI=1.40‐5.84], and body mass index<25 kg/m2 [AOR=2.85, 95%CI=1.50‐5.44] were independent variables found to have significant association with episiotomy. Conclusion. The magnitude of episiotomy was 68.0% which is higher than the recommended practice by WHO (10%). The study participants’ occupational status, marital status, educational status, parity, birth weight, and BMI were significantly associated with the magnitude of episiotomy in the study area. Therefore, to reduce the rate of episiotomy, it is better to have periodic training for birth attendants regarding the indication of episiotomy.
A case series study was conducted between December 2009 and April 2010 at the donkey sanctuary and SPANA clinics in Bishoftu town to determine the major causes of equine colic. During the study period a total of 121 (9.1%) episodes of colic were recorded in a population of 1336 equine (800 horses, 500 donkeys and 36 mules). From the total cases 93 (11.6%) and 28 (5.6%) were horses and donkeys, respectively. No mule was observed with colic problem. The proportion of colic cases in horses was significantly (p= 0.0003) higher than that of donkeys. The major risk factors found associated with colic were feed change, parasite infestation and poor deworming history, enteroliths, heavy work, age and dental abnormalities (P<0.05) in the cases. Physical and clinical examination of the colic cases showed elevated respiratory and pulse rates, congested mucous membrane, increased mean of PVC-value, decreased appetite, abdominal distension, poor body condition, intermittent and continuous abdominal pain and dullness. Donkey were more commonly affected with impaction colic (78.6%) and less commonly with flatulent colic (21.4%). The most important colic identified in horses was spasmodic colic (66.7%) followed by impaction colic (25.8%) and undefined colic (7.6%). In conclusion, improving feeding management, implementing parasite control strategies and raising the awareness of the owners of equids are needed in order to prevent the impact of the diseases on equine production.
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