Modern Contraceptive Use and Associated Factors among Reproductive Age Group Women in three Peri-Urban Communities in Central Ethiopia

Introduction: - Amongst the family planning program is the use of modern contraception. It is one of the key fundamentals of health services whose benefits are wellbeing’s of mothers, husbands, families, and their country in general. According to the world fertility rate report 2015, Ethiopia is expected to achieve a TFR of 2.4 children per woman between the years 2025-2030. Objective: - the principal objective of the current study was to determine the prevalence of modern contraception use and factors that affect utilization. Methods: - a quantitative community based cross-sectional study was done in three peri-urban communities of Batu, Eastern Shewa zone of Oromia region of Ethiopia from October to November 2017. A total of 351 women in the reproductive age group were interviewed with a questionnaire in the form of a house-to-house survey. Statistical analysis was done using the statistical package for social sciences (SPSS) software version 21.0. Results: - the study showed that the contraception prevalence was 37.9%. Forty-seven percent of the users were in the age group 21-29. Knowledge, formal education and religion were associated with contraception utilization. It was found that knowledge and formal education were the enhancing factors for utilization whereas the Muslim religion was an inhibiting factor for modern contraceptive use. Conclusion: - the contraceptive prevalence was higher than the national result for the rural community but lower than the urban community was. Both governmental and non-governmental organizations should continue the good work of building community awareness of modern contraceptive methods. Keywords: - Contraceptives, knowledge, attitude, practice, Bat

Factors Associated with Apgar Score among Newborns Delivered by Cesarean Sections at Gandhi Memorial Hospital, Addis Ababa

Background. Newborns can be assessed clinically using the Apgar score test to quickly and summarily assess the health of newborn physical condition immediately after delivery and to determine any immediate need for extra medical or emergency care. This study is aimed at assessing factors associated with Apgar score among newborns delivered by cesarean sections and factors associated with Apgar score. Method. Institutional-based cohort study design was conducted. All eligible study participants were included. Training was given for data collectors and supervisors. Regular supervision and follow-up was made. Data was entered into Epi Info version 7 computer software by investigators and was transported to SPSS version 20 computer program for analysis. Bivariate and multivariate analysis was used to identify factors associated with Apgar score. Result. A total 354 newborn babies were included into the study. Majority of baby had low Apgar score at one minute and high Apgar score at five minutes. About 30.2% of newborn baby had Apgar score below seven minutes. On the other hand, about 12.8% of all newborns had low Apgar score at five minutes. It had been found that those neonates who were born when skin incision to delivery time is greater than three minutes were about fourfolds more likely to have low Apgar score than those who were born when skin incision to delivery time is less than three minutes (AOR 3.645) (95% CI (0.116-26.421)). Conclusion. Newborn babies have a low Apgar score at one minute as compared to five minutes. But low Apgar score at five minutes has long-term sequel. Therefore, it is very important to reduce factors associated with low Apgar score at both minutes

Effect of Laryngeal Mask Airway Insertion on Intraocular Pressure Response: Systematic Review and Meta-Analysis

Background. Use of laryngeal mask airway as an alternative to the endotracheal tube has attracted the attention of several workers with regard to intraocular pressure changes. However, the previous studies have reported different results while comparing intraocular pressure, following insertion of laryngeal mask airway or the endotracheal tube. Therefore, this systematic review and meta-analysis was aimed to generate the best possible evidence on the intraocular pressure response to endotracheal tube intubation and laryngeal mask airway insertion. Methods. Electronic databases like PubMed, CINAHL, EMBASE, Google Scholar, Cochrane library databases, and Mednar were used. All original peer-reviewed papers which reported the mean and standard deviation of IOP before and after airway instrumentation in both groups were included. Two reviewers independently extracted the data using a standardized data extraction format for eligibility and appraised their quality. Data were analyzed using the STATA version 14 software. The pooled standard mean difference was estimated with the random-effect model. Heterogeneity between studies was assessed by the I2 statistics test. A subgroup analysis was done to assess the source of variation between the studies. Result. A total of 47 research papers were reviewed, of which, six studies were finally included in this systematic review and meta-analysis. The overall pooled standard mean difference of intraocular pressure was 1.30 (95% CI, 0.70, 1.90), showing that LMA insertion is better than ETT intubation to maintain stable intraocular pressure. A random-effect model was employed to estimate the pooled standard mean differences due to severe heterogeneity (I2 79.45,  p ≤ 0.001). Conclusion. The available information suggests that the LMA provides lesser intraocular pressure response in comparison with the conventional tracheal tube