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All Journal Unnes Journal of Public Health Diversity: Disease Preventive of Research Integrity
Olivier, Sundika Makengo
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Environmental Science Health Professions Medicine & Pharmacology Public Health

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Prevalence of Thyroid Dysfunction among Patients with Chronic Kidney Disease Attending Diagnostic Laboratory Services, Bulawayo, Zimbabwe Sibanda, Lindwe Angela; Olivier, Sundika Makengo; Yacoubou, Idi Doutchi; Kaka, Aboubacar Katiella; Salissou , Maibouge Tanko Mahamane
Diversity: Disease Preventive of Research Integrity Volume 5, Issue 1, August 2024
Publisher : Program Studi Kesehatan Masyarakat UIN Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/diversity.v5i1.49669

Abstract

Chronic kidney disease (CKD), can alter thyroid hormone production, distribution, and excretion. Thyroid dysfunctions like hypothyroidism, hyperthyroidism, and euthyroidism are identified in renal failure patients. This study aimed to determine thyroid dysfunction prevalence among CKD patients who attended Diagnostic Laboratory Services in Bulawayo from January to December 2023. The study was analytical cross-sectional and archival data collection methods were to gather information from 118 CKD patients who underwent both thyroid function tests and urea and electrolytes tests. A descriptive and analytical statistic test was used to determine the prevalence of thyroid dysfunction among CKD patients Chi square test was used to test association between thyroid’s dysfunction in CKD setting with various risk factors, P< 0.05 was considered as statistically significant. Thyroid dysfunction (TD) prevalence was 53%, increasing with CKD severity, with stage 3B having a high prevalence of 37%. Major types include subclinical hypothyroidism (11%), overt hypothyroidism (16%), and subclinical hyperthyroidism (4.2%), with 36% of females presenting with thyroid dysfunction as compared to 31% of males. Prevalence of thyroid dysfunction increased with an increase in age Majors risk factor for CKD in TD setting were hypertension, diabetes, and heart failure. In conclusion, there was a high prevalence of thyroid dysfunction (53%) among chronic kidney disease patients.
Risk Factors For Caesarean Section due to Cephalopelvic Disproportion at Sakubva Hospital in Mutare District Manicaland Zimbabwe Olivier, Sundika Makengo; Muchirewesi, David; Mukuzunga, Munyaradzi; Mahamane Salissou, Maiboge Tanko
Unnes Journal of Public Health Vol 13 No 1 (2024): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v13i1.68693

Abstract

Cephalopelvic disproportion ( CPD) is one of the commonest indication of caesarean section (CS) . Failure to recognize cephalopelvic before or during labor is associated with fatal complications on the pregnant mother and the foetus . The average caesarean rate at Sakubva district hospital from 2018 to 2020 was 36.4% which is higher above compared to the Zimbabwean national C/S rate of 6 % and the WHO recommended CS rate of 10-15 % . The present increase in CS at Sakubva district is alarming and is a major concern, hence there is need to investigate the major risk factor which could have influenced its rising. Therefore, the present study aimed to investigate the various risk factors associated with caesarean section with regard to CPD at Sakubva district hospital in 2021.An analytic cross-sectional study was used taking data from January to December 2021 to investigate risk factor associated with caesarean section due to cephalopelvic disproportion at Sakubva district Hospital. Data were collected from the theatre and delivery register where records of 1950 cases of CS (348 cases of CS due to CPD and 1602 cases CS with no CPD) in 2021 were conveniently selected. Quantitative data were analysed using Epi Info™ version 7.2.5.0 . The overall prevalence of caesarean section due to CPD was 18% and major risk factors associated with caesarean section due to CPD (P< 0.05) were maternal age ≤18 years (OR 2, 95% CI 2 - 3.5), primigravida (OR 1.6, 95% CI 1.2 -2.2), gestational age ≥40 weeks (OR 2.1, 95% CI 1.6 – 2.6) , being unreferred (OR 3, 95% CI 1.9 -4.6), residing in rural area (OR 2.9, 95% CI 2.2-3.7), ANC visit < 4 (OR 1.4, 95% CI:1.1- 1.8) maternal height ≤150 cm (OR 20.5, 95% CI :7.6-54.8). High prevalence of CS due to CPD was found in this study, significant risk factors associated were mainly maternal but not neonatal which could have adverse maternal and perinatal outcome therefore intervention such as proper antenatal screening of patient with risk factors and health education, training of health workers, use of partograph and timely CS is needed.
Co-Authors Kaka, Aboubacar Katiella Mahamane Salissou, Maiboge Tanko Muchirewesi, David Mukuzunga, Munyaradzi Salissou , Maibouge Tanko Mahamane Sibanda, Lindwe Angela Yacoubou, Idi Doutchi