Browsing by Author "Namutebi, Elizabeth"
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Item Interventions for male involvement in pregnancy and labour: A systematic review(African Journal of Midwifery and Women's Health, 2015-02-19) Ayebare, Elizabeth; Mwebaza, Enid; Mwizerwa, Joseph; Namutebi, Elizabeth; Kinengyere , Alison Annet; Smyth, RebeccaMale involvement in pregnancy and labour care has been shown to improve maternal and newborn outcomes. Nevertheless, it continues to be low, especially in low income countries. Several interventions have been suggested for supporting male involvement in reproductive health and maternity care, but no assessment has been made in terms of their effectiveness. The objective of this review was to summarise and evaluate the current evidence related to male partner involvement in maternal health. Three databases were searched electronically. This review included two randomised controlled trials and two observational studies. Two interventions emerged from the review: facility-based couple health education and workplace-based health education. These interventions showed positive outcomes regarding the presence of partners during antenatal visits, postpartum visits, childbirth, and the initiation of breastfeeding within one hour of birth among others. More rigorous research is needed into strategies for, and the effect of, including men in maternal and newborn health.Item Partograph initiation and completion: a criteria-based audit study in Uganda(African Journal of Midwifery and Women's Health, 2017-06-18) Namwaya, Ziidah; Ayebare, Elizabeth; Muwanguzi, Sarah; Namutebi, Mariam; Birungi,Susan; Namutebi, Elizabeth; Mwebaza, Enid; Smyth, RebeccaAlthough it is a cost effective tool in labour management, the partograph is not always used appropriately. The aim of this audit was to assess the initiation and completion of the partograph for women in labour at Mulago Hospital. A criteria-based audit was conducted, using patients’ files and delivery records from February to May 2016. A checklist was used to gather data and descriptive statistics computed. Of 7170 files, 256 (3.57%) had the partograph initiated. The recording of maternal wellbeing was low. For example, pulse was recorded in 20% of cases and blood pressure in 35%. Recording of vaginal examination results was 90% on admission but reduced to 57% in the first stage of labour. Similarly, recording of fetal heart rate in the first stage of labour was 62%. Partograph initiation was unacceptably low. Maternal well-being documentation was generally low compared to the set standard. There is need to strengthen the use of a partograph to improve care during labour