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Assessing Strategies of Obstetric Fistula Management by Nurses/Midwives of Yaoundé Central Hospital and University Teaching Hospital

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Open Journal of Obstetrics and Gynecology 2023年第7期13卷 1210-1233页

作者： Dobgima Walter Pisoh Takang William Ako Bassong Yves pierre Tah Nji Joy Mah Achuo Ascensius Mforteh Tameh Theodore boten bouyom pierre merlin Helen Kuokuo Kimbi Department of Clinical Sciences Faculty of Health Sciences The University of Bamenda Bamenda Cameroon Department of Biomedical Sciences Faculty of Health Sciences The University of Bamenda Bamenda Cameroon

Every minute, a woman dies in pregnancy, and for every woman who dies 20 - 30 others will survive with morbidity, one of which is obstetrical fistula. Women who suffer from obstetric fistula experience continuous incontinence of urine and/or stool, stigma, social isolation and associated health problems. The World Health Organization estimates that there are currently more than 2 million women living with untreated obstetric fistula mostly in sub-Saharan Africa and South-East Asia, as well as in various other parts of the world. Caring for fistula patients and nursing them back to full physical and mental health can be one of the most challenging and also rewarding tasks undertaken by nurses. The surgery cannot succeed without proper pre-, peri- and post-operative care. The patients undoubtedly recover better with high-quality care—meaning the truly holistic, generous, and selfless care of a nurse who has the skills, understanding and determination to help these very vulnerable patients. Objective: This research seeks to assess the strategies of obstetric fistula management by nurses/midwives of Yaoundé central hospital and CHU by exploring the care they offer to clients pre-operatively, post-operatively, and when they are discharged from the hospital. Achieving Millennium Development Goal (MDG) 3 still remains a challenge to the developing countries although maternal mortality reduction is a priority agenda of each country. Methodology: This retrospective cross-sectional descriptive study design employed a sample of 100 nurses/midwives on active service, and who have at least managed a case of obstetric fistula. A quantitative questionnaire was used to collect data, which was analyzed using SPSS version 23. Results: The study proved a highly significant difference between management and qualification, with a p-value of 0.002. Also, it showed that there was a statistically significant difference between longevity of service and management with a p-value of 0.001. A

关键词： Obstetric Fistula Management Midwives Nurses

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The Prevalence Outcome and Associated Factors of Teenage Pregnancy in the Bamenda Health District

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Open Journal of Obstetrics and Gynecology 2023年第7期13卷 1163-1183页

作者： Takang William Ako Dobgima Walter Pisoh Nguemaim Flore Kwangfis Richard Nemline Achuo Ascensius Mforteh Tameh Theodore boten bouyom pierre merlin Robert J.I. Leke Department of Clinical Sciences Faculty of Health Sciences The University of Bamenda Bamenda Cameroon Department of Biomedical Sciences Faculty of Health Sciences The University of Bamenda Bamenda Cameroon Department of Obstetrics and Gynaecology Faculty of Medicine and Biomedical Sciences University Yaounde 1 Yaounde Cam-eroon

Teenage pregnancy is a common public health problem worldwide because teenagers in general are ill-prepared to deal with the burden of pregnancy. Sub-Saharan Africa has the highest burden of teenage pregnancy precisely in the west and central Africa;in Cameroon, about 12% of all births are to teenage mothers. Complications from pregnancy and childbirth are the leading cause of death among girls aged 15 to 19. Though the trend of teenage pregnancy tends to decrease in most parts of the world, this is not the case in our setting. The main aim of this study was to determine the prevalence, outcomes and the associated factors of teenage pregnancy in the Bamenda Health District (BHD). Materials and Method: This was a hospital-based cross-sectional descriptive and analytic study carried out at the maternity and postnatal units of the Bamenda Regional Hospital and the Nkwen Medicalised Health Center. A consecutive non-probabilistic sampling technique was used to recruit participants. A pretested questionnaire was used to collect information from the participant. Data was analysed using the software SPSS version 23. Bivariate logistic regression was used to test for associations. Statistical significance was set at p-value less than 0.05. Result: A total of 325 participants were recruited of which 44 were teenagers. The mean age of the participants was 25.02 ± 0.257 years. The mean age of teenagers was 17.49 ± 0.63 years, and mean adult age was 28.43 ± 5.64 years. The youngest participant was 15 years. Teenagers were significantly more likely to prematurity (OR = 0.14;95% CI = 0.06 - 0.31;PV = 0.001), Low birth weight among teenagers (OR = 0.077;95% CI = 0.03 - 0.21;PV = 0.001), Still birth;OR = 0.07;95% CI = 0.01 - 0.86;PV = 0.03) Neonatal admission also high among teenagers (OR = 0.172, 95% CI = 0.08 - 0.39, PV = 0.001) compared to the babies of their adult counterpart. The rate of caesarean section and episiotomy was high among adult deliveries (21.7%). Conclusion: There

关键词： Adolescent/Teenage Pregnancy Prevalence Outcomes Associated Factors Bamenda Health District

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Prevalence and Adverse Pregnancy Outcomes Associated with Maternal Obesity in the Bamenda Regional Hospital

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Open Journal of Obstetrics and Gynecology 2023年第4期13卷 712-727页

作者： Dobgima Walter Pisoh Ngek Edwin Foinsok Loveline Lum Niba Tameh Theodore Achuo Ascensius Mforteh boten bouyom pierre merlin Takang William Ako Dohbit Sama Julius Department of Clinical Sciences Faculty of Health Sciences The University of Bamenda Bambili Cameroon Department of Public Health Faculty of Health Sciences The University of Bamenda Bambili Cameroon Department of Obstetrics and Gynaecology Faculty of Medicine and Biomedical Sciences University of Yaounde I Yaounde Cameroon

Introduction: Obesity is one of the most common problems of reproductive age women and has been associated with diverse adverse pregnancy outcomes. Its prevalence in pregnancy is estimated at 14% in Cameroon. Objective: The main objective of this study was to determine the adverse pregnancy outcomes associated with obesity in the Regional Hospital Bamenda. Methodology: This was a hospital-based cross-sectional study. We recruited 283 participants and their BMIs were used to classify them as underweight ( - 24.9), overweight (25 - 29.9) and obese (≥30). Ethical clearance, administrative authorisation and consent of participants were obtained. Data was collected using a pretested questionnaire. We collected data on sociodemographic characteristics, anthropometric characteristics, and adverse pregnancy outcomes. Data was analysed using Microsoft Excel version 2010. Fisher’s test was used to determine relative risk on bivariate logistic regression. P-values < 0.05 were considered statistically significant. Results: Most participants were in the age group 20 - 34 years, and were multigravida and multipara. The prevalence of maternal obesity was 31.4%. Obesity was associated with an increased risk of hypertensive disorders [RR: 7.7, 95% CI (2.13 - 42.39), p = 0.0003], caesarean section [RR: 2.9, 95% CI (1.11 - 4.01), p = 0.017] and macrosomia [RR: 7.3, 95% CI (3.03 - 19.61), p Conclusion: Maternal obesity is associated with hypertensive disorders, caesarean section and macrosomia.

关键词： Maternal Obesity Pregnancy Outcome

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