Browsing by Author "Twizerimana, Hillary"

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    Association between Prior Chlamydia trachomatis Infection and Ectopic Pregnancy at a Tertiary Care Hospital in South Western Uganda
    (Obstetrics and gynecology international, 2018) Mpiima, Derrick Paul; Salongo, George Wasswa; Lugobe, Henry; Ssemujju, Augustine; Mulisya, Olivier Mumbere; Masinda, Abraham; Twizerimana, Hillary; Ngonzi, Joseph
    Increase in the number of ectopic pregnancy is attributed to increase in the incidence of pelvic infections. Chlamydia trachomatis is responsible for most of the sexually transmitted bacterial infections. If undetected and untreated, the infection can ascend to the upper genital tract and cause pelvic inflammatory disease (PID) and related sequelae (ectopic pregnancy and tubal factor infertility). To determine the association between prior Chlamydia trachomatis infection and ectopic pregnancy at Mbarara Regional Referral Hospital (MRRH). Methods. This was an unmatched case-control study carried out at MRRH involving 25 cases and 76 controls. Serological evidence of prior chlamydial infection was determined by testing for the presence of Chlamydia immunoglobulin G antibodies in their blood. Logistic regression was used to determine the association between prior Chlamydia trachomatis infection and also the factors associated with ectopic pregnancy. The significant level of <0.05 was used. Chlamydia antibodies were found in 60% of patients with ectopic pregnancy and 26.3% of the controls (). The presence of Chlamydia antibodies was associated with a fourfold risk of ectopic pregnancy.There was a strong association between prior Chlamydia trachomatis infection and ectopic pregnancy.
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    Older age and higher parity are associated with nonuse of the partograph at Mbarara Regional Referral Hospital, Uganda
    (International Journal of Gynecology & Obstetrics, 2019) Lugobe, Henry Mark; Kanyesigye, Hamson; Mpiima, Derrick; Ssemujju, Augustine; Masinda, Abraham; Mulisya, Olivier; Twizerimana, Hillary; Bajunirwe, Francis; Mugyenyi, Godfrey
    A retrospective review of medical records from mothers admitted to MRRH's postnatal ward between October 2016 and March 2017. Partograph use and whether it had been completed to standard were analyzed.Of 527 study participants, 409 (77.6%) records contained a partograph, of which only 17 (4.2%) had been completed to standard. Parameters most commonly completed to standard were monitoring of cervical dilatation (n=41, 10%), fetal heart rate (n=21, 5.1%), and uterine contractions (n=18, 4.4%). Age older than 30 years (prevalence ratio 1.73; 95% CI, 1.14–2.64) and parity greater than or equal to five (prevalence ratio 1.88; 95% CI, 1.19–2.98) were associated with nonuse of the partograph. Birth outcome was recorded in 98.8% (n=404) of partographs.Appropriate use of the partograph to monitor mothers in labor was extremely low; most common use was to record birth outcomes. Older mothers and those with higher parity were less likely to have their labor monitored using a partograph and should be targeted for partograph interventions.