Papers by Endalkachew Mekonnen
Ethiopian Journal of Reproductive Health, Jan 22, 2020
Spontaneous heterotopic pregnancy is an uncommon condition that may result in maternal morbidity ... more Spontaneous heterotopic pregnancy is an uncommon condition that may result in maternal morbidity and mortality when not diagnosed early. In our case, a patient with severe pelvic pain and poor general condition presented to the emergency obstetric clinic and underwent transvaginal ultrasonography to find alive 7-week (crown-rump length: 6.5 mm) right-tubal pregnancy along with a live 7-week (crown-rump length: 8.2 mm) intrauterine pregnancy. Emergency laparotomy was performed due to the acute abdomen characterized by hemoperitoneum. And in term delivery was performed for the unharmed intrauterine pregnancy. Even if intrauterine pregnancy is detected in a patient presenting with abdominal pain, the possibility of heterotopic pregnancy should always be kept in mind and ruled out. Here we describe a case of spontaneous heterotopic pregnancy presenting with symptoms of acute abdomen in the light of the relevant literature.
Journal of Case Reports and Medical History
Rudimentary horn pregnancy is rare but a life-threatening complication. It usually diagnosed duri... more Rudimentary horn pregnancy is rare but a life-threatening complication. It usually diagnosed during second trimester after it ruptured. Early diagnosis and management may decrease the morbidity and mortality associated with it. This case report strengthens the diagnosis and management challenges and difficulties on a rudimentary horn pregnancy. An emergency laparotomy was performed and ruptured left rudimentary horn pregnancy was diagnosed. The patient transfused blood products and discharged after third post-operative days.
RESUMEN: Un hueso craneal muy poco estudiado en anatomía veterinaria comparada es el palatino. En... more RESUMEN: Un hueso craneal muy poco estudiado en anatomía veterinaria comparada es el palatino. En nuestro estudio, realizamos la comparación de este hueso entre la oveja (Ovis aries L., 1758) y la cabra (Capra hircus L., 1758), a partir de una muestra de 36 y 17 cráneos respectivamente, y utilizando métodos de morfometría geométrica. Se eligieron un total de 32 puntos (4 hitos y 28 semi-hitos) para analizar la lámina horizontal del hueso palatino. Se reflejaron diferencias estadísticamente significativas tanto para el tamaño como para la forma. En Capra se denota una clara expansión lateral del hueso y rostral y una contracción central, con un acercamiento relativo de los forámenes palatinos, mientras que en Ovis los forámenes están más lateralmente alejados. A nuestro parecer, esta mayor anchura y longitud de la lámina horizontal en Capra se explicaría por una mayor capacidad de frotación del alimento en relación a Ovis.
BMC Women's Health, 2019
Background Unsafe abortion remains a reality for many Ethiopian women and will remain so until sa... more Background Unsafe abortion remains a reality for many Ethiopian women and will remain so until safe abortion is more accessible across the country. The house of representatives of Federal Democratic Republic of Ethiopia (FDRE) revised the abortion law and Ministry of Health (MoH) of FDRE developed a revised technical and procedural guideline for safe abortion services in Ethiopia; emphasizing the need to increase knowledge and practice of health service providers on safe abortion care (SAC) and access to safe terminations of pregnancy at high standard and quality. Methods A facility based descriptive cross-sectional study using structured self-administered questionnaire was conducted between July and August 2015. A total of 405 mid-level providers (MLPs) including midwives, clinical nurses and health officers were included from 30 randomly selected health centers in Addis Ababa. SPSS version-21 was used for data entry, cleaning and analysis. The results were presented using frequenc...
Gynecology & Obstetrics, 2015
Understand the definition of and importance of identifying spontaneous heterotopic pregnancy. 2. ... more Understand the definition of and importance of identifying spontaneous heterotopic pregnancy. 2. To be able to identify cases in which heterotopic pregnancy must be considered. 3. Understand the utility of laparoscopy in treatment of heterotopic pregnancy.
BMJ Open, 2020
ObjectiveTo assess where the delays occur in the referral chain of most maternal health outcomes ... more ObjectiveTo assess where the delays occur in the referral chain of most maternal health outcomes in Addis Ababa, Ethiopia, based on the three-delay model.DesignThe study was a facility-based, cross-sectional study.SettingTwo public and tertiary hospitals in Addis Ababa.ParticipantsAll pregnant women who were referred only for labour and delivery services after 28 weeks of gestation between December 2018 and February 2019 in Zewditu and Gandhi Memorial Hospitals.Primary and secondary outcome measuresThe primary outcome was the type of delays, from the three-delay model, which met operationally defined time. The secondary outcome was maternal health outcomes based on the three-delay model.ResultsA total of 403 pregnant women referred for delivery to the study hospitals were included in the study. Three-fourths (301, 74.7%) of the referred pregnant women experienced the third delay (delay in receiving appropriate care); 211 (52.4%) experienced the first delay (delay in making a decisio...
Clinical Journal of Obstetrics and Gynecology
Objectives: We analyzed the indications of cesarean section (CS) using Robson Ten-Group. Classifi... more Objectives: We analyzed the indications of cesarean section (CS) using Robson Ten-Group. Classification Systems (RTGCS) and comparison between private and public health facilities in Addis Abeba hospitals, Ethiopia, 2017. Methods: Facility-based retrospective cross-sectional study was carried out between January 1 and December 31, 2017, including 2411 mothers who delivered by CS were classified using the RTGCS. Data were entered into SPSS version 20 for cleaning and analyzing. Binary logistic regression and AOR with 95% CI were used to assess the determinants of the CS. Results: The overall CS rate was 41% (34.8% and 66.8% in public & private respectively, p < .0001). The leading contributors for CS rate in the private were Robson groups 5,1,2,3 whereas in the public 5,1,3,2 on descending order. Robson group 1 (nulliparous, cephalic, term, spontaneous labor) and group 3 [Multiparous (excluding previous cesarean section), singleton, cephalic, ≥ 37 weeks’ gestation& spontaneous lab...
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Papers by Endalkachew Mekonnen