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|Title: ||Factors associated with complications during pregnancy in Kabarole District, Western Uganda: a case study of Holy Family Virika Hospital|
|Authors: ||Tumwine, Emmanuel|
|Issue Date: ||Dec-2009 |
|Abstract: ||The study was aimed at establishing the factors associated with complications during pregnancy in Kabarole district, Western Uganda. A retrospective cohort study was carried out using the medical records for the year 2005-2007. Analysis was done at univariate, bivariate and multivariate levels. At multivariate level, a complementary log-log model was fitted to establish the factors associated with complications.
The study identified the common complications as obstructed labour (17.0 percent), pelvic bleeding (7.6 percent), abnormal lie (5.1percent), abortion (4.8 percent), anemia (3.0) percent) and diabetes (2.5 percent).
The study revealed that clinical factors were the significantly associated with complications. More specifically, the study established malaria infections (p= 0.000) and sexually transmitted infections/diseases (p=0.002) as the most significant factors. Malaria infection was established to increase the risk of developing complications (RR=1.744, p=0.000). Pelvic inflammatory disease (RR= 2.75, p=0.000) and syphilis (RR= 1.382, p=0.020) were found to increase the risk of developing complications.
The study also showed that age at first pregnancy, number of pregnancies, and occupation were also fairly related with increase in complications.
The study therefore recommends that the ministry of health and other health organizations to control the spread of malaria through say, the use of treated mosquito nets and proper sensitization about the control of mosquito breeding. Effective case management for malaria illness and anemia should be emphasized.
ST1/Ds should be controlled through sensitization about their dangers. Proper treatment should be availed through villages since many people have limited access to urban areas. Prevention of STI/Ds should be encouraged through use of contraceptives as they were found reduce complications.|
|Description: ||A thesis submitted in partial fulfillment of the requirements for the award of the Master of Statistics Degree of Makerere University.|
|Appears in Collections:||Theses & Dissertations (ISAE)|
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