Dr. Ngadaya - Academia.edu (original) (raw)
Medicine, Project Management, Medical Research
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Introduction: It is challenging to predict fetal macrosomia before delivery. This study aimed at ... more Introduction: It is challenging to predict fetal macrosomia before delivery. This study aimed at assessing predictors of fetal macrosomia at Iringa Regional Referral Hospital in Tanzania from June to December 2020. Method: An unmatched case-control study with 216 participants of whom 72 were cases-women who delivered babies weighing ≥ 4000g-and 144 were controls-women who delivered babies weighing 2500g to 3499g. The purposive sampling technique described below was employed to recruit both controls and cases. SPSS version 25 software program was used for data entry and analysis. Results: Of the 216 participants, 116 (53.7%) were aged between 25-34 years (standard deviation 6.0). The majority of 132 (61.1%) delivered at a gestational age of 37-39 weeks + 6 days of whom 17 (23.6%) were cases and 115 (79.86%) were controls. The predictors of fetal macrosomia were advanced gestation age (AOR=8.10, 95% CI 3.66-17.91, p=<0.0001) and diabetes mellitus during pregnancy (AOR =14.94, 95% CI 1.60-39.91, p= 0.0178). Conclusion: Women with higher gestational age and gestational diabetes mellitus are at an increased risk of delivering a baby with macrosomia at Iringa Regional Referral Hospital. An early plan for the mode of delivery, such as labour induction, will aid the prevention of advanced gestational age. Ensuring a healthy diet and physical exercises in our communities will help to reduce diabetes mellitus and hence fetal macrosomia.
Purpose: Women who deliver macrosomic or big baby have been observed to sustain adverse maternal ... more Purpose: Women who deliver macrosomic or big baby have been observed to sustain adverse maternal and fetal outcomes such as prolonged labor, perineal tears, uterine rupture, postpartum hemorrhage, maternal and neonatal deaths. The study aimed at assessing predictive factors associated with fetal macrosomia at a tertiary hospital in Tanzania.Methods: This was an analytical quantitative study that used a case-control study design in which cases were women who delivered babies weighing ≥ 4000g while controls were those who delivered babies weighing 2500g to 3500g. Purposive sampling technique was employed to recruit both controls and cases 216 participants. This was an unmatched case control study. A structured questionnaire was used for the data collection. SPSS version 25 software program was used for data entry and analysis.Results: The identified predictors associated with fetal macrosomia at Iringa Regional Referral hospital were advanced gestation age (AOR=8.16, CI 3.49-19.03, p=...
Introduction: It is challenging to predict fetal macrosomia before delivery. This study aimed at ... more Introduction: It is challenging to predict fetal macrosomia before delivery. This study aimed at assessing predictors of fetal macrosomia at Iringa Regional Referral Hospital in Tanzania from June to December 2020. Method: An unmatched case-control study with 216 participants of whom 72 were cases-women who delivered babies weighing ≥ 4000g-and 144 were controls-women who delivered babies weighing 2500g to 3499g. The purposive sampling technique described below was employed to recruit both controls and cases. SPSS version 25 software program was used for data entry and analysis. Results: Of the 216 participants, 116 (53.7%) were aged between 25-34 years (standard deviation 6.0). The majority of 132 (61.1%) delivered at a gestational age of 37-39 weeks + 6 days of whom 17 (23.6%) were cases and 115 (79.86%) were controls. The predictors of fetal macrosomia were advanced gestation age (AOR=8.10, 95% CI 3.66-17.91, p=<0.0001) and diabetes mellitus during pregnancy (AOR =14.94, 95% CI 1.60-39.91, p= 0.0178). Conclusion: Women with higher gestational age and gestational diabetes mellitus are at an increased risk of delivering a baby with macrosomia at Iringa Regional Referral Hospital. An early plan for the mode of delivery, such as labour induction, will aid the prevention of advanced gestational age. Ensuring a healthy diet and physical exercises in our communities will help to reduce diabetes mellitus and hence fetal macrosomia.
Purpose: Women who deliver macrosomic or big baby have been observed to sustain adverse maternal ... more Purpose: Women who deliver macrosomic or big baby have been observed to sustain adverse maternal and fetal outcomes such as prolonged labor, perineal tears, uterine rupture, postpartum hemorrhage, maternal and neonatal deaths. The study aimed at assessing predictive factors associated with fetal macrosomia at a tertiary hospital in Tanzania.Methods: This was an analytical quantitative study that used a case-control study design in which cases were women who delivered babies weighing ≥ 4000g while controls were those who delivered babies weighing 2500g to 3500g. Purposive sampling technique was employed to recruit both controls and cases 216 participants. This was an unmatched case control study. A structured questionnaire was used for the data collection. SPSS version 25 software program was used for data entry and analysis.Results: The identified predictors associated with fetal macrosomia at Iringa Regional Referral hospital were advanced gestation age (AOR=8.16, CI 3.49-19.03, p=...