Papers by John L . R . Elioba
IJRCOG20242784, 2024
Background: Obstructed labor is regarded as one of the major causes of maternal morbidity and mor... more Background: Obstructed labor is regarded as one of the major causes of maternal morbidity and mortality, particularly in environments with minimal resources, including Uganda. We aimed to determining the prevalence and predictors of electrolyte derangement among women with obstructed labor delivering from Referral Hospitals in western Uganda. Methods: We conducted a cross-sectional study from labor suits of Hoima and Fortportal regional referral hospitals from May to August 2023. 295 mothers were consecutively recruited and structured questionnaire was used to get data used for analysis. Descriptive statistics followed by binary logistic regression were conducted to achieve the study objectives using Stata version 14.2. Results: Out of 295 respondents, 182 (62%) had electrolyte derangement. The most common pattern of electrolyte derangement was hyponatremia 138 (43%) followed by hypocalcaemia 67 (21%). Primary level of education (OR=0.4; 95%CI: 0.199-0.752; p=0.045), fasting in labor (OR=4.2; 95%CI: 2.281-7.996; p=<0.001) and herbal medicine use in labor (OR=4.3; 95%CI: 1.875-9.924, p=0.001) were independently associated with electrolyte derangement. Conclusions: The prevalence of electrolyte derangement was high compared to the reported national prevalence. Hyponatremia was the most common pattern of electrolyte derangement. Herbal medicine uses in labor, fasting during labor and maternal education were predictive for electrolyte derangement. There is a need for routine assessment of electrolytes in patients with obstructed labor. Attempts to correct hyponatremia should be made in a situation where electrolyte assessment cannot be done.
IJRCOG20243611, 2024
The overlap of symptoms between epilepsy and eclampsia can complicate the diagnosis and managemen... more The overlap of symptoms between epilepsy and eclampsia can complicate the diagnosis and management of convulsions in pregnancy, especially in low-resource settings. This case report details the challenges faced in diagnosing and managing a primigravida woman with a known history of epilepsy who presented in labor with an intrauterine fetal demise (IUFD) at Yei State hospital, South Sudan. After two generalized seizures, despite initially normal blood pressure, a diagnosis of atypical eclampsia was made. Life-saving decisions were taken, including emergency cesarean section (CS) under ketamine, highlighting the complexities of managing convulsions during pregnancy in resourcelimited environments.
International journal of reproduction, contraception, obstetrics and gynecology, Nov 27, 2023
Background: Short birth interval continues to increase in sub-Sahara Africa of which Uganda is pa... more Background: Short birth interval continues to increase in sub-Sahara Africa of which Uganda is part. If all birth-topregnancy intervals were spaced at least 2 years apart as recommended by the world health organization, most underfive deaths would be avoided. We aim at determining the predictors of short birth interval among women of reproductive age at tertiary hospitals, Uganda. Methods: A cross-sectional study involving 325 women of reproductive age attending the young child clinic at Fortportal Regional Referral Hospital was conducted from July 2022 to October 2022. Interviewer-administered questionnaires were used to obtain data used for analysis. Descriptive statistics followed by binary logistic regression were conducted to achieve the study objectives using SPSS version 22.0. Results: Out of 325 participants, 94 (29%) had short birth interval. Maternal age (OR=3.4, 95% CI: 1.15-10.13; p=0.02), no previous pregnancy planning (OR=3.4, 95% CI: 1.23-9.41; p=0.01), duration of breastfeeding less than 12 months (OR=1.9, 95% CI: 0.06-0.58; p=0.003), less or equal to 4 antenatal care visits (OR=8.7, 95% CI: 3.19-23.80; p≤0.001) and not using postpartum contraceptives (OR=5.7, 95% CI: 1.64-19.81; p=0.006) were independently associated with short birth interval. Conclusions: The prevalence of short birth interval is still high in Uganda as compared to global report. The predictor factors of short birth interval include maternal lack of pregnancy planning, low number of antenatal care visits, breastfeeding for less than 12 months and lack of postpartum contraceptive use. Women of reproductive age should routinely be educated about child spacing by healthcare workers.
AIDS-Is a disease in which there is a severe loss of body's cellular immunity. Confidentiality-ob... more AIDS-Is a disease in which there is a severe loss of body's cellular immunity. Confidentiality-obligation not to reveal information of a youth without his/her consent Counseling-A person is allowed to talk about their problems and feelings in a confidential and dependable environment. Discrimination-is an action that results from stigma. It occurs when a distinction is made against persons that result in their being treated unfairly on the basis of HIV/AIDS status. This does not only occur to the infected persons but also to their families, relatives and friends. Ethics-Is the moral principles that govern a person's behavior or the conducting of an activity HIV-Is a virus that attacks the body immune system causing AIDS Informed consent-an agreement the youth makes with the researcher after having received and understood the purpose of the exchange of information. Morbidity-The condition of being diseased Mortality-The state of being subject to death Participant-A person who takes part in something Stigma-Stigma refers to the negative thoughts about a person or group based on prejudiced. Student-Is a learner or someone who attends an educational institution Utilization-The action of making practical and effective use of something Voluntary-Done, given or acting of one's own free will. Voluntary implies freedom and spontaneity of choice or action without external compulsion Voluntary Counseling and Testing-Process whereby a person undergoes counseling to enable him/her make an informed choice about being tested for HIV. This decision must be entirely the choice of the individual and must be assured that the process is confidential. xiv Youth-Is the time of life when one is young, but often means the time between childhood and adulthood. Any persons aged between 15-24 years, (MoH, 2004)
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Papers by John L . R . Elioba