The World Health Organization defines low birth weight （LBW） as a new born having a weight of less than 2,500 g at birth. Low birth weight is one of the major determinants of perinatal survival, infant morbidity and...The World Health Organization defines low birth weight （LBW） as a new born having a weight of less than 2,500 g at birth. Low birth weight is one of the major determinants of perinatal survival, infant morbidity and mortality as well as the risk of developmental disabilities and illnesses in future lives. WHO estimates that about 30 million low birth weight babies are born annually （23.4% of all births） and they often face short and long term health consequences. Whereas the global prevalence of LBW has slightly declined, the rate in many developing countries is still quite high. In Uganda, low birth weight among teenage mothers is a problem. Our study aimed to estimate the prevalence of and identify the factors associated with low birth weight among teenage mothers in New Mulago hospital. We conducted an analytical cross sectional study among teenage mothers who delivered from new Mulago Hospital Complex labour suite from August 2013 to August 2014. Trained interviewers, administered pre-tested questionnaires to consecutive mothers to obtain information on their socio-demographic characteristics, obstetric history and child factors. Odds ratios and P-values were calculated to determine the relationship between independent and dependent variables. We also used descriptive statistics for the quantitative data. A total of 357 teenage mothers were enrolled on the study. Their mean age was 18 years （Range 13-19）, majority, 98.4% aged 15-19 years. The prevalence of LBW was 25.5%. Pre-term delivery （OR 3.3032, P = 0.0001） and multiple pregnancies （OR 0.165, P = 0.039） were associated with LBW. Malaria, young maternal age and ANC attendance were not associated with LBW. Child factors such as birth order, congenital anomalies and sex of the baby were also not associated with LBW. The prevalence of LBW is high among teenage mothers, pre-term delivery and multiple pregnancies were associated factors with LBW. Health professional＇s need to address teenage maternal health. Health workers should encourage teenage mothers to attend focused antenatal care as recommended by the Uganda ministry of Health. A specialized maternal facility centre that is friendly for adolescent/teenage mothers is advisable so as to improve on completion rates and capture high risk teenage mothers early.展开更多
<strong>Background:</strong> Raised intraocular pressure (IOP) is a major risk factor for glaucoma. Hypertensive patients are at a risk of developing and progression of Open Angle Glaucoma (OAG) which is a...<strong>Background:</strong> Raised intraocular pressure (IOP) is a major risk factor for glaucoma. Hypertensive patients are at a risk of developing and progression of Open Angle Glaucoma (OAG) which is a major cause of blindness in the world. The aim of this study was to determine the prevalence of raised IOP and associated factors among hypertensive patients attending the hypertension clinic at Mulago National Referral Hospital in Uganda. <strong>Materials and Methods:</strong> A cross-sectional study was conducted from December 2018 to March 2019. Our sample comprised hypertensive patients recruited after obtaining consent. Participants were sampled consecutively and underwent both a general medical and ocular examination. A questionnaire was used to collect data on socio-demographic characteristics, ocular and medical factors. Data were entered into the computer using the statistical data package of Epidata version 3.1 and exported to STATA version 14 for analysis. <strong>Results:</strong> Of the 405 hypertensive study participants, mean age was 57.1 years (range 25 to 90 years, SD = 12.4 years). The overall prevalence of raised intraocular pressure was 11.6% (95% CI 8.8 - 15.1). The mean IOP among all participants was 15.2 mmHg (SD = 4.3) with a range of 3 - 34 mmHg. The factors with a statistically significant association with raised intraocular pressure after multivariate analysis were a positive family history of Glaucoma (OR 57, CI 10.33 - 315.34, P < 0.001) and Eye trauma (OR 7.84, CI 1.02 - 60.02 P = 0.047). <strong>Conclusions:</strong> The prevalence of raised intraocular pressure among hypertensive patients attending the hypertension clinic in Mulago National Referral hospital, Uganda was found to be high.展开更多
文摘The World Health Organization defines low birth weight （LBW） as a new born having a weight of less than 2,500 g at birth. Low birth weight is one of the major determinants of perinatal survival, infant morbidity and mortality as well as the risk of developmental disabilities and illnesses in future lives. WHO estimates that about 30 million low birth weight babies are born annually （23.4% of all births） and they often face short and long term health consequences. Whereas the global prevalence of LBW has slightly declined, the rate in many developing countries is still quite high. In Uganda, low birth weight among teenage mothers is a problem. Our study aimed to estimate the prevalence of and identify the factors associated with low birth weight among teenage mothers in New Mulago hospital. We conducted an analytical cross sectional study among teenage mothers who delivered from new Mulago Hospital Complex labour suite from August 2013 to August 2014. Trained interviewers, administered pre-tested questionnaires to consecutive mothers to obtain information on their socio-demographic characteristics, obstetric history and child factors. Odds ratios and P-values were calculated to determine the relationship between independent and dependent variables. We also used descriptive statistics for the quantitative data. A total of 357 teenage mothers were enrolled on the study. Their mean age was 18 years （Range 13-19）, majority, 98.4% aged 15-19 years. The prevalence of LBW was 25.5%. Pre-term delivery （OR 3.3032, P = 0.0001） and multiple pregnancies （OR 0.165, P = 0.039） were associated with LBW. Malaria, young maternal age and ANC attendance were not associated with LBW. Child factors such as birth order, congenital anomalies and sex of the baby were also not associated with LBW. The prevalence of LBW is high among teenage mothers, pre-term delivery and multiple pregnancies were associated factors with LBW. Health professional＇s need to address teenage maternal health. Health workers should encourage teenage mothers to attend focused antenatal care as recommended by the Uganda ministry of Health. A specialized maternal facility centre that is friendly for adolescent/teenage mothers is advisable so as to improve on completion rates and capture high risk teenage mothers early.
文摘<strong>Background:</strong> Raised intraocular pressure (IOP) is a major risk factor for glaucoma. Hypertensive patients are at a risk of developing and progression of Open Angle Glaucoma (OAG) which is a major cause of blindness in the world. The aim of this study was to determine the prevalence of raised IOP and associated factors among hypertensive patients attending the hypertension clinic at Mulago National Referral Hospital in Uganda. <strong>Materials and Methods:</strong> A cross-sectional study was conducted from December 2018 to March 2019. Our sample comprised hypertensive patients recruited after obtaining consent. Participants were sampled consecutively and underwent both a general medical and ocular examination. A questionnaire was used to collect data on socio-demographic characteristics, ocular and medical factors. Data were entered into the computer using the statistical data package of Epidata version 3.1 and exported to STATA version 14 for analysis. <strong>Results:</strong> Of the 405 hypertensive study participants, mean age was 57.1 years (range 25 to 90 years, SD = 12.4 years). The overall prevalence of raised intraocular pressure was 11.6% (95% CI 8.8 - 15.1). The mean IOP among all participants was 15.2 mmHg (SD = 4.3) with a range of 3 - 34 mmHg. The factors with a statistically significant association with raised intraocular pressure after multivariate analysis were a positive family history of Glaucoma (OR 57, CI 10.33 - 315.34, P < 0.001) and Eye trauma (OR 7.84, CI 1.02 - 60.02 P = 0.047). <strong>Conclusions:</strong> The prevalence of raised intraocular pressure among hypertensive patients attending the hypertension clinic in Mulago National Referral hospital, Uganda was found to be high.
