BackgroundSurgical Site infections are the second most frequently reported infections of all nosocomial infections among hospital patients. Among surgical patients in obstetrics, Surgical Site Infections were the most common nosocomial infections and the rate is higher in sub-Saharan Africa. There has not been a study which documented the extent of the problem in the study area; hence the objective of this study was to determine the surgical site infection rate among women having surgery for delivery in obstetrics of Jimma University Specialized Hospital (JUSH) from April 1, 2009 to March 31, 2010.MethodsA prospective descriptive study design was conducted with the aim of determining the surgical site infection rate on all 770 women who had surgery for delivery from April 1, 2009 to March 31, 2010 in obstetric ward of the Hospital. Data on history of the patient, patient specific demographic information on potential risk factors and the occurrence of Surgical Site infections in the first 30 days following surgery were collected using pretested data collection form. In addition, relevant data were also abstracted from the operation logbook of the cases. Then data were cleaned, edited and fed to computer and analyzed using SPSS for window version 16.0. Finally Statistical test for significance was employed using chi-squared (X 2) where appropriate at 5% level of significance.ResultsThe mean (±SD) of the subjects' age was 26(±7) years and the majority of the women were from the rural areas (72.7%). The overall surgical site infection rate was 11.4%. Of those who had surgical site infections, 64.8% had clean-contaminated wound and 35.2% had contaminated /dirty wounds. Wound class at time of surgery has a statistically significant association with Surgical Site infections (p <0.001).The Surgical Site infections rate was similar for cesarean section and abdominal hysterectomy but higher for destructive delivery under direct vision. Majority of the operations were made for emergency Obstetric conditions (96.6%) and the Surgical Site Infections rate was two times higher compared to that of elective surgery. Chorioamnionitis, presence of meconium, large intraoperative blood loss and Perioperative blood transfusion were associated with increased severity of SSIs with p < 0.001. Absence of antenatal care follow up was also associated with increased severity of Surgical Site Infections.ConclusionIt has been revealed that Surgical Site Infections rates are higher than acceptable standards indicating the need for improving Antenatal care, increasing the number of skilled birth attendants at the local clinics, increasing basic and comprehensive emergency obstetric care services, applying improved surgical techniques and improving infection prevention practices to decrease infection rate to acceptable standard.

Abstract:In Ethiopia, the levels of maternal and infant mortality and morbidity are among the highest in the world.Community based studies about safe delivery service utilization are not enough. As per the few studies done, professional assisted delivery is low in the country and particularly in Tigray region where the study was conducted. Community based cross sectional both quantitative and qualitative study were conducted in subworeda Egela, Northern Ethiopia on assessment of safe delivery service utilization and associated factors in mothers of childbearing age. The data for the quantitative method was collected using a pretested structured questionnaire on a sample of 380 mothers. The qualitative data were collected by FGDs with mothers of childbearing age, with the administrative bodies in the Subworeda and health professionals. The data were entered and analyzed using SPSS 16.0 and the appropriate statistical methods was used in the presentation, test of significant associations of variables at CI of 95%. The study revealed that 10.3% of the women deliver in health institution. 25% of the urban and 6.3% of the rural women deliver at health institutions. The socio-demographic variables s, obstetric factors, ANC attendance, TT vaccination & distance of health institution, were significantly associated with institutional delivery. In general this study revealed that the proportion of births delivered in the health institutions were unsatisfactory. The socio-demographic, obstetric and health service factors like distance of health institution were determinant factors. Therefore, establishing centers for emergency obstetric care other than the health center in accessible areas, providing health education for women of childbearing age by focusing on the Multi-para are the possible solutions should be recommended.

BACKGROUND: - Postnatal care is care (PNC) given to mother and new born within first 42 days of delivery. Lack of care in this period may result in disability even death of either of mother or newborn or both. The aim of this study was to determine postnatal service utilization and associated factors among women, who gave birth in the last 12 months prior to May, 2019.METHODS: Community based cross-sectional study was conducted on 420 women who had given birth prior to May 1 to June 30, 2019(study period). The 17 kebeles of Jimma town is grouped into three similar groups based on occupation of majority of population. Three kebeles were randomly selected from each group. Data was collected using a pretested structured questionnaire. Descriptive statistic, such as frequencies, proportions and means were calculated. In bivariate logistic regression variables with p-value less than 0.25 were selected for multiple logistic analyses and multiple logistic regression was conducted. Finally significantly associated variables were declared at p value less than 0.05.Result:-This study showed that prevalence of postnatal care utilization was 59.5%. Mothers who knew at least one danger signs which comes after delivery (AOR=11.5,(95%CI:5.56,22.7),who attended ANC (AOR=5.4, 95%CI:2.7,11.3 ), who get counseled to attend PNC ( AOR=14.9% CI :6.1,31.4),who attended at least primary school (AOR=2.3 ,95% CI:1.75,7.0),who did not travel more than 30 minutes to reach health facility(AOR=6.8,95% CI 3.4, 13.6 and those having more family size were more likely utilized postnatal service than their counterpartConclusions: - In this study utilization of postnatal care service was very far behind national target (which is 95% at the end of 2020, health sector transformational plan). Awareness about danger signs, educational status of the mother, counseling to attend to attend postnatal care, distance from health facility and family size were strongly associated with PNC utilization.

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Twin pregnancy carries higher foetal and neonatal complications. This situation is worse in Sub-Saharan Africa due to lack of well-equipped perinatal complications are limited in Ethiopia. Thus, this study aimed to fill this gap. A hospital-based cohort study was conducted in Jimma University Specialized Hospital on 144 twin deliveries and 288 singleton deliveries from December 2012 to November 2013 in obstetrics ward of Jimma university specialized hospital. Data were collected through face face interview by using structured-questionnaire and analyzed by SPSS V.20.0. The relative risks of twin deliveries were higher for the occurrence of low birth weight, need for neonatal intensive care unit admissions, early neonatal deaths and preterm births as compared with singleton deliveries. Unique foetal complications like both twin deaths, co discordant twin and gross congenital malformation were common in twin deliveries conclusion, women with twin pregnancy were at a higher risk of ante foetal and neonatal complications. Therefore, the mother during pregnancy, labour and delivery, and both for the mother and her new born during postpartum period.