Department of Obstetrics and Gynaecology
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Recent Submissions
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Cervical amniotic fluid bacterial colonization, antibiotic susceptibility and associated factors among women with premature rupture of membranes at Mbarara Regional Referral Hospital, Southwestern Uganda
(Research square, 2023)Background: Bacterial colonization is a recognized cause of premature rupture of membranes (PROM), a predictor of poor maternal and fetal outcomes. Despite routine use of antibiotics in women with PROM, data on antibiotic ... -
Description and analysis of the emergency obstetric interfacility ambulance transfers (IFTs) to Kawempe National Referral Hospital in Uganda
(African Journal of Emergency Medicine, 2023)Introduction: In Uganda, 2% of women die from maternal causes with a mortality rate of 336 maternal deaths per 100,000 live births. According to the World Health Organization Uganda is one of the top three contributors to ... -
Experiences of referral with an obstetric emergency: voices of women admitted at Mbarara Regional Referral Hospital, South Western Uganda
(BMC Pregnancy and Childbirth, 2023)Background: Life-threatening obstetric complications usually lead to the need for referral and constitute the commonest direct causes of maternal deaths. Urgent management of referrals can potentially lower the maternal ... -
Early Detection and Bundled Treatment for Postpartum Hemorrhage.
(The New England Journal of Medicine., 2023-07-06)Postpartum hemorrhage is the leading cause of maternal death in developing regions, accounting for 20% of maternal deaths, most of which are preventable. This opportunity for prevention is evident by the decrease over time ... -
Factors Associated with the Uptake OF Cervical Cancer Screening Among HIV-Positive Women Attending Immune Suppressed Syndrome Clinic at Mbarara Regional Referral Hospital
(Reserach square, 2023)Purpose: This study determined the prevalence of precancerous cervical lesions, uptake of cervical cancer screening (CCS), and its associated factors among HIV-positive women attending the Immuno-Suppression Syndrome (ISS), ... -
Prevalence and risk factors for newborn anemia in southwestern Uganda: a prospective cohort study
(Research square, 2023)Introduction: The global prevalence of anemia in pregnancy is about 42%, and in sub-Saharan Africa, the prevalence of newborn anemia ranges from 25–30%. Anemia in newborn babies may cause complications such as delayed brain ... -
Trial of Labour after Caesarean Section in Sub-Saharan Africa: A systematic review and meta-analysis
(Authorea Preprints, 2023-01-14)Background: Intrapartum decision-making for women with a previous caesarean section (CS) is complex due to competing risks of trial of labour after cesarean (TOLAC) and elective repeat CS (ERCS). Objective: Determine rates ... -
Level of satisfaction with the learning environment and transition to employment among health professions graduates at a Ugandan medical school
(Research Square, 2023-06-16)Background: To ensure training quality, medical training institutions must provide adequate learning environment and prepare trainees for work but there is research paucity on the subject. We determined the level of ... -
Risk factors for postpartum maternal mortality and hospital readmission in lowand middle‑income countries: a systematic review
(BMC Pregnancy and Childbirth, 2023)Background: In low- and middle-income countries, approximately two thirds of maternal deaths occur in the postpartum period. Yet, care for women beyond 24 h after discharge is limited. The objective of this systematic ... -
Diagnosis and management of ureterovaginal fistula in a resource limited setting: a 12 years’ experience at four fistula surgery centers in Uganda
(Research square, 2023)Background: Ureterovaginal fistulae usually follow iatrogenic injury to the ureter during pelvic surgery. This manifests as urine incontinence and results in serious psychosocial effects to the women. Ureterovaginal fistulae ... -
Impact of Corona virus disease 2019 on antenatal care services in rural western Uganda; a retrospective study
(Research square, 2023)Introduction: The Coronavirus 2019 (COVID-19) outbreak poses an important threat to public health but also unique challenges to healthcare workers. The pandemic has resulted into redirection of funds and attention by ... -
Abdominal pregnancy with a live newborn in a low-resource setting: A case report
(A case report. Case Reports in Women's Health, 2023)Abdominal pregnancy is defined as pregnancy anywhere within the peritoneal cavity, exclusive of tubal, ovarian, or broad ligament locations. It is a rare form of ectopic pregnancy with high morbidity and mortality for both ... -
Bacterial isolates and antibiotic susceptibility among women with abnormal vaginal discharge attending the gynecology clinic at a tertiary hospital in south-western Uganda: A cross-sectional study
(Research square, 2023)Background: Abnormal vaginal discharge is a common complaint among women of reproductive age, affecting about a third of all women. In resource-limited settings where access to laboratory services is limited, treatment is ... -
Perception of medical students on their education environment: A quantitative study
(Research square, 2023)Background: Health care workforce is one of the six core components of a well-functioning and sufficient health system. The WHO highlights improving education and training of health workforce as one of the areas of focus ... -
Factors Associated With Changes in Alcohol Use During Pregnancy and the Postpartum Transition Among People With HIV in South Africa and Uganda
(Journal of the International Association of Providers of AIDS Care (JIAPAC), 2023)Identifying factors associated with alcohol use changes during pregnancy is important for developing interventions for people with HIV (PWH). Pregnant PWH (n=202) initiating antiretroviral therapy in Uganda and South Africa ... -
Acceptability of Phone-Based Communication Intervention by Healthcare Workers as an Adjunct to Routine Referral Form: A Qualitative Study in South Western Uganda
(Open Journal of Preventive Medicine, 2023-02-27)Introduction: A functional maternal referral system should encompass a feasible communication system between health facilities. In Uganda, the current paper-based patient referral form is associated with inadequate patient- ... -
Persistent hypertension at 3 months postpartum among women with hypertensive disorders of pregnancy at a tertiary hospital in Southwestern Uganda
(AJOG Global Reports, 2023)Background: Hypertension is a key contributor to the global epidemic of cardiovascular disease and is responsible for more deaths worldwide than any other cardiovascular risk factor. Hypertensive disorders of pregnancy, ... -
Correction: The interaction between antenatal care and abnormal temperature during delivery and its relationship with postpartum care: a prospective study of 1,538 women in semi‑rural Uganda
(BMC Pregnancy Childbirth, 2022)Background Postnatal care (PNC) is an important tool for reducing maternal and neonatal morbidity and mortality. However, what predicts receipt and maintenance in PNC, particularly events during pregnancy and the peripartum ... -
Abnormal obstetric shock index and associated factors among immediate postpartum women following vaginal delivery at a tertiary hospital in Southwestern Uganda
(Research square, 2022-12-30)Background Early recognition of haemodynamic instability after birth and prompt interventions are necessary to reduce adverse maternal outcomes due to postpartum haemorrhage. Obstetric shock Index (OSI) has been recommended ... -
The interaction between antenatal care and abnormal temperature during delivery and its relationship with postpartum care: a prospective study of 1,538 women in semi‑rural Uganda
(BMC Pregnancy and Childbirth., 2022)Background: Postnatal care (PNC) is an important tool for reducing maternal and neonatal morbidity and mortality. However, what predicts receipt and maintenance in PNC, particularly events during pregnancy and the peripartum ...