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Introduction A congenital anomaly (CA) is an anatomical, physiological, and metabolic defect of newborns that might be recognized during pregnancy, delivery, or later in life. CAs are structural and/or functional defects that have a significant physical, metabolic, mental, and developmental health of the child, as well as affected social and cosmetic consequences for the child, and require surgery or medical treatment. Methods An institution‐based retrospective cross‐sectional study was done among 3427 newborn mother registration charts. Data were collected using pretested, structured questionnaires by chart review, which was coded, checked, and entered into EpiData software version 4.6, then exported to Statistical Package for Social Science software version 25 for further analysis. Bivariable analysis was done to see the crude significant relation of each independent variable with the dependent variable. p values at <0.25 during the bivariable analysis were entered into multivariable analysis to see the net effect of confounding variables. Adjusted odds ratios (AORs) with 95% confidence intervals (CIs) were reported. Finally, the variable p value <0.05 was declared as statistically significant. Result The overall birth prevalence of CAs was 27 per 1000 births. The most commonly observed anomalies included central nervous system, orofacial clefts, and Down syndrome, with prevalence of 13, 8, and 7 per 1000 births, respectively. Factors significantly associated with CAs were rural area reside (AOR: 5.2, 95% CI: 1.98–13.68), women with no formal education (AOR: 7.8, 95% CI: 2.93–20.98), history of CAs (AOR: 3.08, 95% CI: 1.28–7.38), exposure of pesticide (AOR: 8.9, 95% CI: 3.54–22.63), and lack of folic acid supplementation during pregnancy (AOR: 2.52, 95% CI: 1.17–5.43). Conclusion CAs remain a substantial public health concern in the Central Ethiopia region. Strengthening antenatal care services, promoting periconceptional folic acid supplementation, and minimizing maternal exposure to environmental risk factors may reduce the prevalence.

Maternal surgical site infection after cesarean delivery is a clinical problem which contributes to significant morbidity and mortality. In Ethiopia admissions following cesarean section due to surgical site infection have been routine activities of health care institutions but there is limited scientific evidence on both the magnitude of the problem and factors associated with it making prevention mechanisms less effective. Therefore, this study aimed to assess magnitude and risk factors of post-cesarean section surgical site infection at primary hospitals of East Gojjam Zone, Northwest Ethiopia. Institution-based cross sectional study with retrospective chart review was conducted from September 10-30 /2020 at 3 randomly selected primary hospitals of east Gojjam zone. The data were entered in Epi data version 3.1 and exported to Statistical Package for Social Science Software version 26. Post-cesarean section surgical site infection was measured based on disease classification and definition of the term by Center for Disease Control and Prevention. After checking for presence of multicollinarity, presence and degree of association of factors with outcome variable were computed through logistic regression analysis. Factors with P value ≤ 0.2 in bi-variable logistic regression analysis were included in the multivariable logistic regression analysis and those variables with P-value of <0.05 in multivariable analysis were considered statistically significant. From 622 medical records of women who underwent cesarean section, 77 (12.4%) of them developed surgical site infection. Rural residence [(AOR = 2.30, 95%CI: (1.29, 4.09)], duration of labor greater than 24hrs [(AOR = 3.48, 95%CI: (1.49, 8.09)], rupture of membrane>12hrs[(AOR = 4.61,95%CI:(2.34,9.09)], hypertension[(AOR = 3.14,95%CI:(1.29,7.59)] and preoperative Hematocrit ≤30%[(AOR = 3.22,95%CI:(1.25,8.31)] were factors significantly associated with post-cesarean section surgical site infections. Magnitude of post-cesarean section surgical site infection was a significant problem in primary hospitals. Minimizing prolonged labor; minimize early rupture of membrane, properly managing patients with comorbidities like hypertension, strengthen prophylaxis and treatment for anemia during antenatal care and raising awareness for rural residents can reduce the problem. Zonal police makers should give emphasis to reduce its burden.

Background. Continuum care is a basic package approach for women to receive essential services throughout pregnancy, childbirth, and postpartum, and it is critical for women and their infants’ survival and well-being. Although it is an effective strategy for improving maternal and child health, it has not been implemented adequately in less developed countries, primarily in sub-Saharan Africa, including Ethiopia, where 55% of women have been dropped out from the continuum of care. Therefore, this study is aimed at assessing maternity continuum care completion and its associated factors within northwest Ethiopia, 2020. Materials and Methods. A community-based cross-sectional study design was considered among 504 women from March 10 to March 30, 2020, using pretested and structured questionnaires administered via face-to-face interviews. To select study participants, a simple random sampling technique was used. Data were coded, checked, and entered into EpiData software (V. 4.2), then transferred to SPSS (V. 25) for further analysis. A bivariable analysis with 95% CI was performed, and variables with P 0.25 during binary logistic regression were entered into a multivariable analysis to assess predictors’ independent effect. Results. About 177 (37.6%) women completed maternal continuum care. Women with secondary education and above (AOR=2.75, 95% CI 1.42-5.32), urban residence (AOR=2.45, 95% CI 1.35-4.45), using ambulance transport (AOR=3.96, 95% CI 2.19-7.19), mass media exposure (AOR=3.64, 95% CI 2.02-6.56), and distance from health facilities (AOR=3.22, 95% CI 1.84-5.63) showed significant positive associations with completion of maternity continuum care. Conclusion. However, a higher proportion of mothers completed the continuum of maternity care in the district than Ethiopian Demographic and Health Survey 2016 (9.1%); further interventions are compulsory to reach the acceptable level. Hence, comprehensive awareness-raising, education, and promotion activities at the community and health facility levels and empowering women in health care and decision-making backing to expand the completion of maternity continuum of care are necessary.

Immediate postabortion family planning uptake refers to the initiation and use of contraceptive methods immediately after an abortion treatment to prevent subsequent unintended pregnancy. Women should wait at least 6 months after having an abortion before becoming pregnant again, according to WHO recommendations, even if they are eager to have a child immediately. Despite this evidence, many postabortion clients leave healthcare institutions without receiving family planning advice or services. Thus, this study was aimed at assessing the immediate postabortion family planning uptake and associated factors among women seeking abortion services. An institution-based, multicenter cross-sectional study was conducted among 402 women seeking abortion services in East Shewa Zone healthcare facilities from March 20 to May 25, 2022. A systematic sampling technique was employed to get a representative sample. Data were entered into EpiData Version 4.1 and then exported to Statistical Package for Social Science Version 26 for analysis. Bivariate and multivariable analyses were done to identify variables associated with the level of immediate postabortion family planning uptake in the binary logistic regression model. Statistical significance was declared at  value < 0.05. Finally, tables, graphs, and narration were used to present the findings. In this study, the overall immediate postabortion contraceptive uptake was 70.1% (95% CI: 65.4, 74.6). Being single (AOR = 4.0; 95% CI: 1.8, 8.0), educational status (AOR = 3.7; 95% CI: 1.4, 9.7), service received at public facility (AOR = 3.0; 95% CI: 1.5, 6.1), previous information about family planning (AOR = 2.1; 95% CI: 1.2, 3.9), previous use of contraceptive method (AOR = 5.4; 95% CI: 2.9, 9.9), and postabortion family planning counseling (AOR = 5.7; 95% CI: 3.1, 10.4) were significantly associated with immediate postabortion family planning uptake. In this study, 29.9% lacked postabortion family planning uptake. Being single, educational status, service received at a public facility, previous information about family planning, previous use of a contraceptive method, and postabortion family planning counseling showed significant associations with immediate postabortion contraceptive uptake. Therefore, it is necessary to establish effective educational awareness and counseling aimed at promoting postabortion modern family planning uptake among the abortion service-seeking women.

Background Premenstrual syndrome (PMS) is used to describe physical, cognitive, affective, and behavioral symptoms that affect young and middle-aged women occurring cyclically during the luteal phase of the menstrual cycle. Despite the considerable prevalence and impact of PMS on individuals, their families and communities that interferes with the development of nations, many professionals are still unaware of it and little attention has been given in developing countries like Ethiopia, especially for university students. Therefore, this study was aimed for assessing the magnitude of premenstrual syndrome, associated factors and coping mechanisms among Wolkite university female regular students, 2021. Methods Institutional-based cross sectional study was conducted among Wolkite University regular female students from June 15/10/2021 to 30/10/2021 by using simple random and multistage with systematic random sampling technique to select the study participants (n = 591). Data were collected using a self-administered, pre-tested, semi-structured questionnaire. Premenstrual syndrome scales comprised of 40 questions with three sub-scales were used to determine Premenstrual syndrome. Data were cleaned, coded and entered into Epi-data version-3.1, and analyzed using SPSS software version 25. Descriptive statistics were computed for independent variables as well as for coping mechanisms and presented in narration, tables and graphs. Analytic analysis schemes including bi-variable and multivariable logistic regression were computed to identify factors associated with premenstrual syndrome and those variables with a P value of < 0.05 in multivariable analysis were declared as statistically significant. Result From the total of 631 study subjects, only 591 had completed the questionnaire, giving a response rate of 93.7%. From 591 study participants, 224 (37.9%) [95% CI: (34, 40.9)] of them had premenstrual syndrome. Abdominal cramp (78.8%), depression (73.3%) and fatigue (72.9%) were frequent premenstrual symptoms experienced by students. Having family history of PMS [AOR: 4.05; 95% CI: (2.49, 6.58)], no history of sexual intercourse [AOR: 2; 95% CI: (1.12, 3.47)], severe menstrual pain intensity [AOR: 3.09; 95% CI: (1.58, 6.05)], irregular menstrual cycle [AOR: 2.26; 95% CI: (1.41, 3.62)], early age of menarche (< 13 years) [AOR: 2.64; 95% CI: (1.34, 5.19)], long duration of menses (≥ 7 days) [AOR: 3.56; 95% CI: (1.53, 8.37)] and using many pads (> 8) during menstruation [AOR: 4.44; 95% CI: (2.16, 9.12)] were factors significantly associated with premenstrual syndrome. 93.4% of students apply at least one coping mechanism for premenstrual symptoms, of which; taking rest (67.6%) and sleeping (60.7%) were common strategies. Conclusion In this study, premenstrual syndrome was found to be a problem of many students. Abdominal cramp, depressed feeling and fatigue were the predominant premenstrual symptoms experienced by students. Taking rest and sleeping were mostly applied by students as a coping mechanism. Family history of PMS, no history of sexual intercourse, intense menstrual pain, use of many pads during menstruation, irregular menstrual cycle, early menarche, and long duration of menses were found to be predictors of premenstrual syndrome. PMS needs great attention as part of the health care service in Ethiopia by involving all stockholders, including policy makers and health care professionals, to reduce its impact on the academic performance of university students.

Introduction Female sexual dysfunction is commonly neglected, under-investigated, and under-treated in Ethiopia. Therefore, this study aimed to determine the prevalence and its associated factors of female sexual dysfunction among reproductive-aged women at Gurage zone hospitals, in southern Ethiopia. Methods An institutional-based cross-sectional study was conducted among 424 reproductive-age group women. A systematic random sampling method was employed and structured questionnaires were used to collect the data through a face-to-face interview. Data were entered into EpiData version 4.6 and analyzed by SPSS version 25.0. Descriptive statistics, and bivariable, and multivariable logistic regression were conducted. Statistical significance was declared at a p -value of < 0.05. Result Four hundred two participants completed the interview with a response rate of 94.8%. Arousal dysfunction 91.0% and pain during sexual intercourse 39.3% were the most and the least prevalent domains of female sexual dysfunction respectively. Overall 32.1% of the respondents had female sexual dysfunction. Body mass index (AOR = 3.6; 95% CI: 1.2, 10.8), history of pelvic surgery (AOR = 3.5; 95% CI: 1.3, 9.2), marriage satisfaction (AOR = 3.9; 95% CI: 1.4, 1o.6), a satisfaction of spouses’ sex ability (AOR = 3.1; 95% CI: 1.2, 8.5), breastfeeding (AOR = 3.3; 95% CI: 1.6, 7.0), and mode of delivery [vaginal delivery with tear and episiotomy (AOR = 3.7; 95% CI: 1.6, 8.8), instrument assisted vaginal delivery (AOR = 7.0; 95% CI: 1.2, 39.8)], were statistically associated with female sexual dysfunction. All-encompassing professional counseling addressing psychological and interpersonal acts and weight management interventions are needed for couples to maintain sexual functioning. Plain language summary Four hundred two participants completed the interview making the response rate 94.8%. About 247 (61.4%) respondents were under the age of 30 with a mean age of 28.14 ± 6.33 years. Arousal dysfunction was the most prevalent 366 (91.0%) domain of female sexual dysfunction while pain during sexual intercourse 158 (39.3%) was the least reported domain of female sexual dysfunction. Overall, in this study about 129 (32.1%) of the respondents had female sexual dysfunction. Body mass index, history of pelvic surgery, marriage satisfaction, satisfaction of spouses’ sex ability, breastfeeding7, and mode of delivery were statistically associated factors with female sexual dysfunction in multivariable analysis. All-encompassing professional counseling that addresses psychological and interpersonal acts and the importance of weight management interventions is needed for couples to maintain sexual functioning.

ObjectiveThis study aimed to assess the informed consent practice process and associated factors among healthcare workers for major surgical procedures at Gurage zone hospitals, in 2022.Methods and materialsInstitution-based cross-sectional study was employed.SettingsThis study was conducted in Gurage zone hospitals.ParticipantsAll healthcare workers who have been working in Gurage zone hospitals of surgical, operation rooms and obstetrics/gynaecology wards had exposure to patients who had undergone surgery during the study periodOutcomeThe primary outcome of the study was the practice of informed consent practice among healthcare workers in Gurage zone hospitals.ResultA total of 448 study participants were involved in this study giving a response rate of 98%. The mean (±SD) age of the study participants was 29.16 (±4.06) years. The mean score of study participants towards the surgical informed consent was 19.5, and 260 (58%, 95% CI: 53.7, 62.5) of them had good practice in the surgical informed consent. In multivariable logistic analysis model, factors like favourable attitude towards informed consent 2.4 (1.556, 3.596), work experience participants 4.9 (2.8, 8.7), adequate knowledge of informed consent 2.5 (1.6, 3.9) and communication challenge 1.6 (1.07, 2.50) were independently associated with the practice of informed consent at a p value of <0.05.ConclusionMore than half of healthcare providers had good practice towards the surgical informed consent process. The practice of informed consent is low, and it is better to work on healthcare providers’ in-service training, knowledge and attitude towards informed consent.

ObjectiveThe maternal continuum of care is a cost-effective intervention to prevent pregnancy and childbirth-related maternal and neonatal mortality and morbidity. This study aimed to investigate the prevalence of completion of the maternal continuum of care and its association with antenatal care (ANC) attendance during previous pregnancy among women in rural kebeles of Gurage Zone, Southwest Ethiopia.DesignA community-based cross-sectional study.SettingThe study took place in 12 rural kebeles of the Gurage Zone from 1 April 2022 to 12 May 2022.ParticipantsRandomly selected 497 women who gave birth in the previous 12 months in rural kebeles of the Gurage Zone.OutcomeThe outcome of this study was the prevalence of completion of the maternal continuum of care.ResultsOverall, the prevalence of completion of the maternal continuum of care was 15.5% (95% CI: 12.55% to 18.9%). After adjusting for potential confounders, having ANC attendance during a previous pregnancy (adjusted OR (AOR): 2.01; 95% CI: 1.07 to 3.76) was positively associated with the completion of the maternal continuum of care. In addition, having access to ambulance service as a means of transportation (AOR: 6.01; 95% CI: 3.16 to 11.39) and exposure to mass media (AOR: 2.43; 95% CI: 1.27 to 4.68) were positively associated with completion of the maternal continuum of care.ConclusionThe prevalence of completion of the maternity continuum of care was unacceptably low in this study. This result indicates that the women did not receive the maximum possible health benefit from existing maternal healthcare services. The completion of the maternal continuum of care was affected by ANC attendance in a previous pregnancy. Therefore, interventions that can strengthen ANC are crucial in the maternal continuum of the care pathway.

Background Obstructive sleep apnea is a syndrome characterized by recurrent partial, or complete upper airway collapse during sleep. Although obstructive sleep apnea is common in type 2 diabetes mellitus, the majority of patients remain undiagnosed because of the prohibitive cost of the test and paucity of the sleep clinic, especially in developing nations. The study aimed to assess high-risk obstructive sleep apnea and its associated factors among type 2 diabetes mellitus patients at Wolkite University Specialized Hospital. Methods A Hospital - based comparative cross-sectional study was employed from October 15 to December 5, 2021, among 204 participants. Data collection was done by semi-structured interviewer-administered questionnaires. Data was entered into the Epi data version 4.6 and exported to SPSS version 25.0 for analysis. Independent t-test and chi-square test were used to compare continuous and categorical variables accordingly. Binary and multiple logistic regression analysis was used to assess factors associated with high-risk obstructive sleep apnea. Statistical significance was set at P-value < 0.05. Results A total of 204 participants with an equal proportion of the two groups were included with a 100% response rate. About 56.9% of the participants were males. The mean age of type 2 diabetes mellitus patients was 57.1 (± 12.0) years and the non-diabetic group was 55.3 (± 10.9) years. The prevalence of high-risk obstructive sleep apnea among type 2 diabetes mellitus was 42.2%, and that of non-diabetics was 13.7% (p < 0.001). Age (AOR: 1.13; 95%CI: 1.04, 1.22), neck grasp (AOR: 6.48; 95%CI: 1.56, 26.96), waist circumference (AOR: 4.44; 95%CI: 1.12, 17.61) and the presence of diabetes-related complications (AOR: 4.18; 95%CI: 1.13, 15.43) were independently associated with high-risk obstructive sleep apnea among type 2 diabetes mellitus patients. Conclusion The prevalence of high-risk obstructive sleep apnea among type 2 diabetes mellitus was higher with a significant difference from their comparison group. Age, neck grasp, waist circumference, and diabetes-related complications were significantly associated with high-risk obstructive sleep apnea among type 2 diabetes mellitus patients. Therefore, type 2 diabetes mellitus patients should be screened for obstructive sleep apnea in the early course of their follow-up to take preventive measures and early treatments.

Introduction Globally, 17.7% of under‐5 mortality and 36.1% of neonatal mortality occur due to preterm birth complications. Ethiopia is one of the top 10 countries with the highest neonatal mortality. Data on survival status and predictors of mortality among preterm neonates in Ethiopia remain limited. This study aimed to assess the survival status and predictors of mortality among preterm neonates admitted to the neonatal intensive care units of public hospitals in Central Ethiopia. Methods A facility‐based prospective cohort study was conducted among 347 preterm neonates admitted to the neonatal intensive care units in selected public hospitals from October 1, 2022, to June 28, 2023. All admitted preterm neonates were enrolled. Data were collected using a structured questionnaire. The Kaplan–Meier curve was used to estimate the mean survival time and cumulative survival probability. To declare the associations, the Cox proportional hazards model was used to identify mortality predictors with adjusted hazard ratios with 95% confidence interval (CI) and p value. Results Of 347 preterm newborns, 104 (29.97%) died, resulting in an incidence rate of 39.88 (95% CI: 32.90–48.33) fatalities per 1000 person‐day observations. Born from mothers with chorioamnionitis (AHR 3.89; 95% CI: 2.44, 6.18), born from mothers with gestational diabetes mellitus (GDM) (AHR 2.01; 95% CI: 1.27, 3.17), Apgar score at fifth minute less than 7 (AHR 1.87; 95% CI: 1.04, 3.36), having respiratory distress syndrome (RDS) (AHR 2.03; 95% CI: 1.14, 3.61), receiving kangaroo mother care (KMC) (AHR 1.86; 95% CI: 1.18, 2.94), and born less than 32 weeks of gestation (AHR 2.52; 95% CI: 1.27, 3.17) were significant predictors of mortality. Conclusions Around one‐third of preterm neonates died. Improving the survival status should emphasize high‐risk neonates, with low fifth‐minute Apgar scores, having RDS, not receiving KMC, and neonates born to mothers with chorioamnionitis or GDM. Background:  17.7% of global under‐five deaths and 36.1% of neonatal deaths are due to preterm birth complications. Ethiopia ranks among the top 10 countries with the highest neonatal mortality. Study Objective: To assess survival status and identify predictors of mortality among preterm neonates in NICUs of public hospitals in Central Ethiopia. Study Design and Methods: Design: Facility‐based prospective cohort study Period: Oct 1, 2022–June 28, 2023 Sample: 347 preterm neonates Analysis: Kaplan–Meier curve for survival analysis Cox proportional hazards model for identifying predictors (AHR, 95% CI) Key Findings: Mortality rate: 29.97% (104 deaths) Incidence rate: 39.88 deaths per 1000 person‐days Significant predictors of mortality: Chorioamnionitis (AHR 3.89) Gestational diabetes mellitus (GDM) (AHR 2.01) Apgar <7 at 5 min (AHR 1.87) Respiratory distress syndrome (RDS) (AHR 2.03) No Kangaroo Mother Care (KMC) (AHR 1.86) Gestational age <32 weeks (AHR 2.52) Conclusion: ∼1 in 3 preterm neonates died. Focused interventions are needed for high‐risk groups, especially those with: Low Apgar scores RDS No KMC Born <32 weeks Maternal infections (chorioamnionitis) Maternal GDM.