12 results on '"Awol Yemane"'
Search Results
2. Heterotopic Pregnancy with Ipsilateral Adnexal Cyst Causing a Diagnostic Dilemma: A Case Report
- Author
-
Hale Teka, Awol Yemane, Mebrihit Gebremeskel, Birhanu A Kinfe, Sara Kiros, and Mizan Kidanu
- Subjects
General Medicine - Published
- 2023
- Full Text
- View/download PDF
3. War and Siege Halt Gynecologic Oncology Services for Women in the Tigray Region of Ethiopia: A Call to Action
- Author
-
Hale Teka, Awol Yemane, and Ephrem Berhe
- Subjects
Cancer Research ,Oncology - Abstract
This essay urges action in the aftermath of a war that destroyed the health care system, specifically women’s cervical cancer screening and treatment, in Tigray.
- Published
- 2022
4. Infectious Complications of Abortion
- Author
-
L Lewis Wall and Awol Yemane
- Subjects
Infectious Diseases ,Oncology - Abstract
This article reviews the infectious complications of abortion (both spontaneous and induced) and the management of this condition. The key points are: (1) Making abortion illegal does not reduce its incidence or prevalence; rather, it only makes abortions unsafe, increasing the likelihood of infectious complications. (2) Timely recognition of developing sepsis in the pregnant patient is critical. This requires constant vigilance and a high index of suspicion. (3) Rapid intravenous administration of broad-spectrum antibiotics targeted to the likely intrauterine source of infection as soon as sepsis is diagnosed is critical to prevent severe sepsis, septic shock, and multisystem organ failure. (4) The mainstay of treatment is prompt evacuation of any residual products of conception from within the uterine cavity under broad-spectrum antibiotic cover targeting the likely intrauterine source of infection. (5) Prompt engagement of specialists in both critical care and obstetrics-gynecology is necessary to optimize outcomes in patients with septic abortion.
- Published
- 2022
- Full Text
- View/download PDF
5. Reducing delays in seeking abortion among women who visit health facilities for safe abortion service in Mekelle City, Ethiopia: Pre-post interventional study
- Author
-
Awol Yemane Legesse, Mengistu Welday, Mengistu Hagazi, Mussie Alemayehu, Mache Tsadik, Ambachew Hailemicheal, Beyene Meressa, Daniel Gebre, and Hale Teka
- Abstract
ObjectivesThis study assessed the effect of health education on reducing the delay in seeking abortion in Mekelle health facilities, Tigray region, Ethiopia.DesignA pre-post interventional study design with sample size of 322 women.SettingThe study was conducted in 12 health facilities at Mekelle, Tigray, Ethiopia between February 1stthrough September 30th, 2020ParticipantsAll women who have attended safe abortion services in Mekelle health facilities during the time of the data collection period were the study population.InterventionWomen education on the Ethiopian abortion law, availability of abortion services, and optimal time of pregnancy termination using 1000 leaflets, 20 street posters for 3 months.ResultsCompared to the pre-intervention group, a much change in reducing the gestational age in weeks was observed in the post intervention period to terminate the pregnancy with 9.8 decrease per 100 respondents (95% CI 9.25 to 10.36) and a Cohen’s d value of 5.23 was found. Besides, there was statistically significant difference between the pre and post-intervention on the respondent knowledge on the possibility of termination pregnancy based on wish according to Ethiopian abortion law at a p-value of < 0.024.ConclusionsWomen’s health education on the availability of safe service and optimal gestational age for termination has led to a significant reduction of the delay in weeks with large effect size. Moreover, it brings a statistically significant difference on respondent knowledge of Ethiopian abortion law. We recommend further randomized contrail study involving three face delays of safe abortion service.
- Published
- 2022
- Full Text
- View/download PDF
6. Factors associated with discontinuation among long-acting reversible contraceptive users: a multisite prospective cohort study in urban public health facilities in Ethiopia
- Author
-
Getasew Sisay Mihretie, Solomon Mekonnen Abebe, Yeshiwas Abebaw, Leta Gedefa, Tadesse Gure, Birtukan Asmare Alemayehu, Demisew Amenu, Daniel Tadesse, Girma Abraham Fanta, Ferid Abbas Abubeker, Awol Yemane, Amanuel Desta G/Michael, Alula M Teklu, Mengistu Hailemariam Damtew, and Bisrat Girma
- Subjects
Contraception ,Pregnancy ,Contraceptive Agents, Female ,Humans ,Female ,General Medicine ,Ethiopia ,Health Facilities ,Prospective Studies ,Follow-Up Studies - Abstract
ObjectiveThe study aims to determine discontinuation among long-acting reversible contraceptive users at 3, 6, 9 and 12 months after initiation and its associated factors among new long-acting reversible contraceptive (LARC) users.DesignA facility-based multicentre prospective cohort study was conducted with a sample size of 1766 women.SettingThe study was conducted in five large cities of Ethiopia (Addis Ababa, Gondar, Mekelle, Jimma and Harar) between March 2017 and December 2018. Various referral hospitals and health centres that are found in those cities are included in the study.ParticipantsThe study population was all women who were new users of LARCs and initiated LARCs in our selected public health facilities during the enrolment period.InterventionsA pretested structured questionnaire was administered at enrolment and at 6 and 12 months to determine discontinuation proportion and factors associated with discontinuation.ResultFrom the total of 1766 women sampled for the study only 1596 (90.4%) participants completed all the questionnaires including the 12-month follow-up study. The overall proportion of discontinuation of LARCs at 12 months was 21.8% (95% CI 19.8 to 23.9). The overall discontinuation proportions at 3, 6, 9 and 12 months were 2.94%, 8.53%, 3.94% and 6.36%, respectively. Location of method initiation (adjusted HR (aHR)=5.77; (95% CI 1.16 to 28.69)) and dissatisfaction with the method (aHR=0.09; (95% CI 0.03 to 0.21)) were found to be the predictors of discontinuation among intrauterine contraceptive device users. Being satisfied with the method (aHR=0.21; (95% CI 0.15 to 0.27)), initiation after post abortion (aHR=0.48; (95% CI: 0.26, 0.89)) and joint decision with partner for method initiation (aHR=0.67; (95% CI: 0.50, 0.90)) were inversely associated with implant discontinuation.ConclusionThe majority of LARC users discontinue the method in the first 6 months after insertion and dissatisfaction with the method increased the likelihood of removal during the first year of LARC use.
- Published
- 2022
7. Obstetrics and gynaecology in an Ethiopian war zone
- Author
-
Awol Yemane, Hale Teka, Frewoini Tesfay, Hagos Gidey, Ashenafi Tekle, Ytbarek Tadesse, Mohammedtahir Yahiya, Habtom Tadesse, Birhane Amare, Fanos Gebru, Mulugeta G/Her, Selam Hailay, Tsega G/Mariam, Yibrah Berhe, and L. Lewis Wall
- Subjects
Obstetrics ,Gynecology ,Pregnancy ,Obstetrics and Gynecology ,Humans ,Female ,Ethiopia - Published
- 2022
8. Clinical presentation, maternal-fetal, and neonatal outcomes of early-onset versus late onset preeclampsia-eclampsia syndrome in a teaching hospital in a low-resource setting: A retrospective cohort study
- Author
-
Hale Teka, Awol Yemane, Hiluf Ebuy Abraha, Ephrem Berhe, Habtom Tadesse, Fanos Gebru, Mohammedtahir Yahya, Ytbarek Tadesse, Daniel Gebre, Marta Abrha, Bisrat Tesfay, Ashenafi Tekle, Tsega Gebremariam, Birhane Amare, Mohamedawel Mohamedniguss Ebrahim, Yibrah Berhe Zelelow, and Afework Mulugeta
- Subjects
Multidisciplinary - Abstract
Background Pre-eclampsia-eclampsia syndrome remains the leading cause of maternal and neonatal mortality worldwide. Both from pathophysiologic and clinical stand points, early and late onset preeclampsia are thought to be two different disease entities. However, the magnitude of preeclampsia-eclampsia and maternal-fetal and neonatal outcomes of early and late onset preeclampsia are not adequately investigated in resource-limited settings. This study sought to examine the clinical presentation and maternal-fetal and neonatal outcome of these two entities of the disease in Ayder comprehensive specialized hospital, an academic setting in Tigray, Ethiopia, from January 1, 2015—December 31, 2021. Methods A retrospective cohort design was employed. The patient charts were reviewed to see the baseline characteristics and their progress from the onset of the disease in the antepartum, intrapartum and postpartum periods. Women who developed pre-eclampsia before 34 weeks of gestation were defined as having early-onset pre-eclampsia, and those who developed at 34 weeks or later were identified as late-onset preeclampsia. We used chi-square, t-test and multivariable logistic regression analyses to determine differences between early- and late onset diseases in terms of clinical presentation, maternal-fetal, and neonatal outcomes. Results Among the 27,350 mothers who gave birth at the Ayder comprehensive specialized hospital, 1095 mothers had preeclampsia-eclampsia syndrome, with a prevalence of 4.0% (95% CI: 3.8, 4.2)]. Of the 934 mothers analyzed early and late onset diseases accounted for 253 (27.1%) and 681 (72.9%) respectively. Overall, death of 25 mothers was recorded. Women with early onset disease had significant unfavorable maternal outcomes including having preeclampsia with severity features (AOR = 2.92, 95% CI: 1.92, 4.45), liver dysfunction (AOR = 1.75, 95% CI: 1.04, 2.95), uncontrolled diastolic blood pressure (AOR = 1.71, 95% CI: 1.03, 2.84), and prolonged hospitalization (AOR = 4.70, 95% CI: 2.15, 10.28). Similarly, they also had increased unfavorable perinatal outcomes, including the APGAR score at the 5th minute (AOR = 13.79, 95% CI: 1.16, 163.78), low birth weight (AOR = 10.14, 95% CI 4.29, 23.91), and neonatal death (AOR = 6.82, 95% CI: 1.89, 24.58). Conclusion The present study highlights the clinical differences between early versus late onset preeclampsia. Women with early-onset disease are at increased levels of unfavorable maternal outcomes. Perinatal morbidity and mortality were also increased significantly in women with early onset disease. Therefore, gestational age at the onset of the disease should be taken as an important indicator of the severity of the disease with unfavorable maternal, fetal, and neonatal outcomes.
- Published
- 2023
- Full Text
- View/download PDF
9. War within a war: The challenges of providing gynecologic cancer care in the besieged Tigray region of northern Ethiopia
- Author
-
Hale, Teka, Awol, Yemane, and Ephrem, Berhe
- Subjects
Oncology ,Obstetrics and Gynecology - Published
- 2022
- Full Text
- View/download PDF
10. Determinants of Maternal and Neonatal Outcomes of Oligohydramnios After 37+0 Weeks of Gestation in Mekelle Public Hospitals, Northern Ethiopia
- Author
-
Hiluf Ebuy, Ermias Abate, Hale Teka, Tesfay Gebreezgabher, Awol Yemane, Hagos Gidey, and Yibrah Berhe
- Subjects
medicine.medical_specialty ,business.industry ,Obstetrics ,Neonatal outcomes ,Gestation ,Medicine ,Oligohydramnios ,business ,medicine.disease - Abstract
Background Oligohydramnios is a state of deficient amniotic fluid defined objectively using ultrasound measurements as single deepest vertical pocket less than 2 centimeters and/or amniotic fluid index less than 5 centimeters. It has been correlated with conditions that threaten both maternal and fetal health. The aim of this stuy is to assess determinants of adverse maternal and perinatal outcome in women with oligohydramnios after 37+0 weeks in Ayder Comprehensive Specialized Hospital and Mekelle General Hospital from April 1, 2018 – March 31, 2019.Methods This was prospective observational study. Total population purposive sampling method was employed to collect data prospectively. Result During the study period, there were a total of 10,451 deliveries, of which 273 were complicated with oligohydramnios, making the prevalence of term oligohydramnios 2.6%. The composite adverse perinatal and maternal outcomes were 38.1% and 89.4% respectively. Primigravidity, degree of oligohydramnios, presence of intrauterine growth restriction and postterm pregnancy were associated with adverse perinatal outcome. Degree of oligohydramnios and hypertensive disorders of pregnancy were found to be predictor of composite adverse maternal outcome. Conclusion Appreciation of determinants of composite adverse maternal and neonatal outcome can aid prompt interventions and mobilization of resources for resuscitation and early transfer to neonatal intensive care unit. Knowledge of determinants of maternal outcome can serve as a tool for patient counseling and for anticipation of maternal complications.
- Published
- 2020
- Full Text
- View/download PDF
11. Explaining LARCs discontinuity in Ethiopia: The experience of women who access contraceptives in selected public health facilities
- Author
-
Solomon Mekonnen Abebe, Getasew Sisay Mihretie, Daniel T Assefa, Awol Yemane Legesse, and Mikyas Abera
- Abstract
Background: Unintended pregnancy remains an important public health problem among teenagers and women in developing countries. Modern family planning methods, particularly Long Acting Reversible Contraceptives (LARCs), are highly effective in addressing the problem and its undesirable outcomes in maternal mortality. But dissatisfaction with contraceptives has contributed to their early discontinuation, but the reasons in Ethiopia are not adequately explored.Objective: This study aims to explore the main reasons of discontinuation of LARCs-use within one year of adoption in selected public health facilities in Ethiopia.Methods: Institution-based, multi-center prospective-cohort study design was used to identify the reasons of discontinuation among LARCs-users in Ethiopia. The study covered four university hospitals and health centers in Addis Ababa, Gondar, Mekelle and Jimma. The main study employed survey and in-depth interviews. But this article is based on qualitative data collected through in-depth interviews. It explored the decision-making processes involved in LARCs-discontinuation based on the experiences of 29 women aged 15-49 who did within a year of insertion. Interview data were thematically organized, coded and analyzed in light of the study objectives.Results: The study found women were sufficiently aware of the various types of contraceptives, including LARCs. Many of them experimented with different types before deciding on their choice. On LARCs, most were satisfied with its benefits while they also mentioned several reasons to discontinue its use including weight gain/loss, heavy menses, tiredness, reduced libido, desire to conceive and husbands’ disapproval. Their decisions to use or not use LARCs reflected the common cultural values about childbirth and myths on contraceptive use.Conclusions: The study found women use (or discontinue use) of contraceptives depends on their knowledge about their options, personal experience with side-effects, and the support from significant others, mainly husbands. As such, any campaign to promote family planning methods has to take into account the status of women in the Ethiopian society and cultural definition of their sexuality.
- Published
- 2020
- Full Text
- View/download PDF
12. Maternal near-miss and mortality in a teaching hospital in Tigray region, Northern Ethiopia
- Author
-
Hale Teka, Awol Yemane, Yibrah Berhe Zelelow, Habtom Tadesse, and Hadgay Hagos
- Subjects
Male ,Near Miss, Healthcare ,Hemorrhage ,General Medicine ,Pregnancy Complications ,Cross-Sectional Studies ,Maternal Mortality ,Pre-Eclampsia ,Pregnancy ,Sepsis ,Humans ,Female ,Ethiopia ,Hospitals, Teaching - Abstract
Objective: This study seeks to examine the prevalence of maternal morbidities and deaths in Ayder Comprehensive Specialized Hospital from 1 July 2018 to 30 June 2019. Methods: This was a cross-sectional study. Total purposive sampling method was employed to collect data prospectively using modified World Health Organization criteria for baseline assessment of maternal near-miss and mortality. Pregnant women or those who are within 42 days postpartum/any form of pregnancy termination that satisfy the inclusion criteria were enrolled. Results: A total of 691 mothers were recorded as having severe maternal complications. Out of these, 170 women developed severe maternal outcome, ending with 146 maternal near-miss cases and 24 maternal deaths. The maternal near-miss ratio and maternal mortality ratio were 28.5 per 1000 live births and 469.1 per 100,000 live births, respectively. The overall mortality index was 14%. The top underlying causes of severe maternal complications were the infamous triads of preeclampsia (n = 303, 43.8%), obstetric hemorrhage (n = 166, 24.0%) and sepsis (n = 130, 18.8%). About 62.5% of mothers who died were not admitted to intensive care unit. Conclusion: This study found that the infamous triads of preeclampsia, obstetric hemorrhage and sepsis persist as the commonest causes of severe maternal complications in the study area. A significant number of women with severe maternal outcome were not admitted to intensive care unit. It also highlights that the severe maternal complications, severe maternal outcome, maternal near-miss ratio and mortality index in the study area are disproportionately higher than the global average. These staggering numbers call for a system re-thinking at multiple junctures.
- Published
- 2022
- Full Text
- View/download PDF
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.