Department of Obstetrics and Gynaecology: Recent submissions
Now showing items 81-100 of 181
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Prevalence, clinical presentation and factors associated with Uterine fibroids among women attending the Gynecology Outpatient Department at a large Referral Hospital in Southwestern Uganda
(East African Science, 2022)Background: Uterine fibroids are the most common benign female gynecologic tumors. There are multiple risk factors, including age and reduced fertility. There is however a paucity of data on disease burden and risk factors ... -
Minor gynecologic surgery: A review of the training experience and skill building opportunities for providers in low and middle income countries
(Open Journal of Obstetrics and Gynecology, 2014)Purpose: Minor gynecologic surgery is the cornerstone of gynecologic evaluation and intervention in countries with a well-established medical infrastructure. Surgical training and exposure to minor procedures are not ... -
Post-discharge infections and healthcare contact in ugandan women hospitalized for delivery
(American Journal of Obstetrics & Gynecology, 2017)Objectives: Postpartum infection is a common cause of pregnancy related morbidity. Data are lacking from resource-limited settings on post-discharge febrile morbidity and healthcare contact in women with in-hospital ... -
Surgical, Obstetric, and Anesthetic Mortality Measurement at a Ugandan Secondary Referral Hospital
(Anesthesia & Analgesia, 2021)Background: The health care systems of low-income countries have severely limited capacity to treat surgical diseases and conditions. There is limited information about which hospital mortality outcomes are suitable metrics ... -
Effect of early tranexamic acid administration on mortality, hysterectomy, and other morbidities in women with post-partum haemorrhage (WOMAN): an international, randomised, double-blind, placebo-controlled trial
(Lancet, 2017-04-26)Background: Post-partum haemorrhage is the leading cause of maternal death worldwide. Early administration of tranexamic acid reduces deaths due to bleeding in trauma patients. We aimed to assess the effects of early ... -
Risk factors for postpartum intrauterine device expulsion among women delivering at a tertiary Hospital in Uganda: a prospective cohort study
(Contraception and Reproductive Medicine, 2021)Background: Postpartum intrauterine device (PPIUD) use refers to intrauterine device (IUD) insertion after delivery but within 48 h of birth. In Uganda, the general use of modern methods of contraception is low with < 1% ... -
Placental decidual arteriopathy and vascular endothelial growth factor A (VEGF-A) expression among women with and without HIV
(The Journal of Infectious Diseases, 2021)Background: Women with HIV (WHIV) are at higher risk of adverse birth outcomes. Proposed mechanisms for the increased risk include placental arteriopathy (vasculopathy) and maternal vascular malperfusion (MVM) due to ... -
Implementing community-based human papillomavirus self-sampling with SMS text follow-up for cervical cancer screening in rural, southwestern Uganda
(Journal of Global Health, 2021)Background Self-collected HPV screening may improve cervical cancer screen¬ing coverage in low resource countries, yet data guiding implementation and fol¬low-up of abnormal results are sparse. Methods This is a prospective ... -
Chronic Placental Inflammation Among Women Living With HIV in Uganda
(ournal of Acquired Immune Deficiency Syndromes, 2020)Background: HIV-exposed, uninfected (HEU) children have poorer early-life outcomes than HIV-unexposed children. The determinants of adverse health outcomes among HEU children are poorly understood but may result from chronic ... -
Cesarean delivery in low- and middle-income countries: A review of quality of care metrics and targets for improvement
(Seminars in Fetal and Neonatal Medicine, 2021)Improving quality of care in low-and middle-income countries (LMICs) is a global priority, specifically around maternal and newborn care, where mortality and morbidity remain unacceptably high. Cesarean delivery is the ... -
Antenatal couples’ counselling in Uganda (ACCU): study protocol for a randomised controlled feasibility trial
(Pilot and Feasibility Studies, 2022)Background: Common avoidable factors leading to maternal, perinatal and neonatal deaths include lack of birth planning (and delivery in an inappropriate place) and unmet need for contraception. Progress has been slow because ... -
Altered Maternal Antibody Profiles in Women With Human Immunodeficiency Virus Drive Changes in Transplacental Antibody Transfer
(Clinical Infectious Diseases, 2022)Background: Human immunodeficiency virus (HIV)–exposed, uninfected (HEU) children have a higher risk of severe infection, but the causes are poorly understood. Emerging data point to altered antibody transfer in women with ... -
Post-discharge infections and healthcare contact in ugandan women hospitalized for delivery
(American Journal of Obstetrics & Gynecology, 2017)Objectives: Postpartum infection is a common cause of pregnancy related morbidity. Data are lacking from resource-limited settings on post-discharge febrile morbidity and healthcare contact in women with in-hospital ... -
Maternal anemia is associated with adverse obstetric, neonatal and placental outcomes in Mbarara, Uganda
(American Journal of Obstetrics & Gynecology, 2020)Objective: Maternal anemia is a significant risk factor for maternal morbidity and mortality, affecting 42% of pregnant women globally. In addition to increased risk of death from peripartum hemorrhage, anemic pregnant ... -
HIV Infection and risk of postpartum infection, complications and mortality in rural Uganda
(AIDS Care, 2018)HIV infection may increase risk of postpartum infection and infection-related mortality. We hypothesized that postpartum infection incidence and attributable mortality in Mbarara, Uganda would be higher in HIV-infected ... -
Cesarean delivery variation across facilities in Uganda
(American Journal of Obstetrics & Gynecolog, 2021-02)Objective: To describe caesarean delivery (CD) rates and their variability across health facilities and regions in Uganda. Study design: Using the 2018-2019 Ugandan Annual Health Sector Report, we extracted data on facility ... -
Inadequate Knowledge of Neonatal Danger Signs among Recently Delivered Women in Southwestern Rural Uganda: A Community Survey
(PLOS ONE, 2014-05-13)Background: Early detection of neonatal illness is an important step towards improving newborn survival. Every year an estimated 3.07 million children die during their first month of life and about one-third of these deaths ... -
Contraceptive use following unintended pregnancy among Ugandan women living with HIV
(PLoS ONE, 2018-10-25)Background: Preventing unintended pregnancy is critical for women living with HIV (WLWH) to safely achieve their reproductive goals. Family planning services should support WLWH at risk of repeat unintended pregnancies. ... -
Childhood bacterial meningitis in Mbarara Hospital, Uganda: antimicrobial susceptibility and outcome of treatment.
(African Health Sciences, 2001)Background: The recommended antibiotic treatment of bacterial meningitis has come under scrutiny following frequent reports of in-vitro resistance by the common causative organisms to penicillin and chloramphenicol. Objective: ... -
Page 1/12 Suboptimal Antiretroviral Drug Levels and Virologic Failures among PLHIV at a Rural Referral Hospital in South Western Uganda: A Descriptive Cross- sectional Study.
(Research Square, 2020-12-09)Background: Achieving favorable HIV treatment outcomes is a major challenge, particularly due to non- adherence and consequent sub-therapeutic plasma antiretroviral drug levels. This is often complicated by the development ...