Background. One-third to two-thirds of operated patients in low-income countries acquire surgical site infection, which is nine times higher when compared to high-resource countries. Identifying the incidence and risk factors that contribute to surgical site infection following cesarean delivery is a step ahead for preventing and reducing the problem. Nonetheless, the distribution of the problem in Addis Ababa, where the rate of cesarean delivery is relatively high compared to other parts of the country, is under investigation. Objective. The aim of this study is to assess the incidence of surgical site infection among cesarean deliveries and factors associated with it in selected governmental hospitals found in Addis Ababa, Ethiopia, in 2019. Method. A hospital-based prospective cohort study design was employed to follow 175 women, who gave birth by cesarean delivery in selected government hospitals in Addis Ababa, from March 11 to April 9, 2019. Convenience sampling method was used to select study units from the randomly selected hospitals. Descriptive statistics were run for determining the rate of cesarean delivery surgical site infection. Presence and degree of association between outcome and independent variables were computed through bivariate logistic regression analysis and factors that had p<0.2 significance level in the bivariate logistic regression analysis were considered in the multivariable logistic regression analysis. Result. From 166 participants who completed 30-day follow-up, 25 (15%) of the participants developed surgical site infection. Age, gestational age, duration of operation, and ≥5 vaginal examinations showed a significant association with the outcome variable with AOR (95% CI) of ((AOR = 1.504, 95% CI: (1.170 – 1.933, p=0.001))), ((AOR = 0.019, 95% CI: (0.001 – 0.291, p=0.004))), ((AOR = 1.108, 95% CI: (1.025 – 1.197, p=0.009))), and ((AOR = 13.076, 95% CI: (1.018 – 168.002, p=0.048))), respectively. Conclusion and recommendation. Surgical site infection rate is higher and certain associations lost due to small sample size. Further interventional studies with vast sample size are recommended.
Background Repeat induced abortion refers to a condition in which a woman has at least one previous history of induced pregnancy termination. It bound in a vicious cycle with repeat unintended or unplanned pregnancy and remains rising concern, particularly for developing countries. Objectives This study was aimed to explore reasons and lived experiences of women, who undergone repeat induced abortion; in Wolaita Sodo town, Southern Ethiopia. Methods and Materials: A phenomenological qualitative study approach was conducted from February 15-March 22, 2021 among women in Wolaita Sodo town. Twelve women between 17 and 35 years old, who had at least one previous abortion were selected using purposive sampling. In-depth interview (IDI) using semi-structured interview guide was conducted. Data were audio recorded, transcribed verbatim and translated in to English and imported to ATLAS.ti8 software for coding. Code book development, peer debriefing, multiple coders and audit trials applied to maintain rigor of the data and analysis was done deductively. Result The study found reasons of repeat induced abortion among women at maternal, partner and family, healthcare and educational institution, community and policy level. It also looked into the effects of induced abortion from the standpoint of women. Economic issues, fears about contraceptive side effects, and a desire to limit the number of children were stated as reasons. Conclusion Study revealed multiple reasons for repeat induced abortion in holistic manner; and presented key emotional and physical effects of abortion and unintended pregnancy. Based on the findings, multiple interventions at individual, community and organizational levels; and strong law enforcement on criminals of rape are needed in order to avoid or minimize the reasons and negative consequences of repeat induced abortion.
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