Prevalence, Factors, and Outcomes Associated With Late Presentation at Heath Facility During Labour in Sengerema District, Mwanza Tanzania. (Record no. 18454)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 04137nam a22003257a 4500 |
| 001 - CONTROL NUMBER | |
| control field | CUHAS/MPH/6000119/T/16 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | CUHAS/MPH/6000119/T/16 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20240418131015.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 210821b |||||||| |||| 00| 0 eng d |
| 028 ## - PUBLISHER OR DISTRIBUTOR NUMBER | |
| Source | Wurzburg Road 35, BMC Premises, Post Code: 33102: |
| Source | P. O Box 1464, Mwanza – Tanzania: |
| Source | Phone: +255 28 298 3384: |
| Source | Fax: +255 28 298 3386: |
| Source | Email: vc@bugando.ac.tz : |
| Source | www.bugando.ac.tz |
| 035 ## - SYSTEM CONTROL NUMBER | |
| System control number | CUHAS/MPH/6000119/T/16 |
| 040 ## - CATALOGING SOURCE | |
| Transcribing agency | ddc |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | English |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Halima A Mangiri |
| Dates associated with a name | [Female] |
| 9 (RLIN) | 22739 |
| Relator term | CUHAS/MPH/6000119/T/16 |
| 245 ## - TITLE STATEMENT | |
| Title | Prevalence, Factors, and Outcomes Associated With Late Presentation at Heath Facility During Labour in Sengerema District, Mwanza Tanzania. |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Place of publication, distribution, etc. | Mwanza, Tanzania: |
| Name of publisher, distributor, etc. | Catholic University of Health and Allied Sciences [CUHAS - Bugando] : |
| Date of publication, distribution, etc. | 2019 |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | xi; 60 Pages |
| Extent | Includes References and Appendices |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Abstract:<br/><br/>Background: Timely health facility (HF) delivery assisted by skilled health care professionals is one of the key interventions in reducing the burden of maternal and neonatal deaths. However, some pregnant women in labour may delay seeking health care services and/or delay reaching the HF during labour. Due to these delays. Pregnant women and newborns are at high risk of developing a number of maternal and fetal related complications.<br/>Objective: The aim of this study was to determine feta-maternal outcomes and factors associated with late presentation at HF during labour among women giving birth at Sengerema district: Mwanza. <br/><br/>Method: This is health facility base analytical cross-sectional study involving all pregnant women aged 15-50 years who arrived for delivery at selected HF and those delivered on way to HF in Sengerema district. Based on the cervix dilatation at the arrival. Participants were considered either early presentation when they arrived at 4-9cm cervical dilatation or late presentation when they arrived at full cervical dilation or delivered on the way to HF. Data were analyzed by STATA 3.2 <br/><br/>Results: The prevalence of late presentation is 22.2%. Mean gestation age at first ANC visit among late presenters is 21.3± 5.3 (OR=1.0; CI=1.0-1.1; P=0.037) and 78.3% women visited once OR=0.2; CI=0.6-0.9; P=0.033). Majority of delivering women who came late were below 37 weeks 69.4% (OR=2.9; CI=1.9-4.5; P=<0.001 ). Women who came late during delivery, 51.6% did not know the sign and symptoms of labor ( OR=2.8;CI =1.5-5.2; p= 0.001 0. 58.7% had precipitated labour ( OR=2.7;CI=18-4.0; P=<0.001) AND 71.8% were waiting labour to advance (OR=5.5;CI=3.7-8.1; P=<0.001). 52.4% of delivering women who came late feared obstetric intervention ( OR= 1.8;CI1.2-2.7; P=0.004) )and 76.9% did not prepare for delivery (OR=4.5;CI=1.1-18; P=0.039). 70.8% of delivering women who presented late did not having family member to accompany them to the HF (OR=2.7;CI=1.6-4.5; P=<0.001) and 68.2% were told to labour at home by family members (OR=0.5;CI=0.3-.=0.8; P=0.008). Of those who have poor family /social support 53.6% (142/265) presented late at HF (OR=1.6; CI=1.0-2.4; P=0.046).<br/><br/>Conclusion: Starting first ANC attendance at advanced gestation age and making less than four times is associated with late presentation. Individual factors like poor knowledge of labour, fast labour, fear of obstetric intervention, waiting labour to advance and inability to prepare for delivery are factors associated with late presentation at health facility. Others factors are sociocultural such as absence of a family member to accompany delivering women to the health facility and being told to labour at home by family members are reason for late presentation at health facility during labour. <br/><br/> <br/> |
| 654 ## - SUBJECT ADDED ENTRY--FACETED TOPICAL TERMS | |
| General subdivision | Public Health |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| 9 (RLIN) | 20137 |
| 9 (RLIN) | 20052 |
| 9 (RLIN) | 22740 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | ddc |
| Koha item type | POSTGRADUATE DISSERTATIONS |
| Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Collection | Home library | Current library | Shelving location | Date acquired | Total checkouts | Barcode | Date last seen | Price effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | 08/21/2021 | PD0315 | 08/21/2021 | 08/21/2021 | POSTGRADUATE DISSERTATIONS |