Risk factors for early and late failures following repair of urogenital fistulas.

Introduction And Hypothesis: In Sub-Saharan Africa, obstetric fistulas are a health crisis of extensive proportions. Although risk factors for failure are described, little data exist regarding differences in risk factors for early and late recurrences.

Methods: A retrospective cohort study was conducted to evaluate risk factors for fistula recurrence.

MedNav - helping midwives manage neonatal resuscitation in resource poor settings.

We set out to understand whether MedNav, a digital decision support tool, improves the quality of neonatal resuscitation practice in resource poor settings. A 6-month long trial in Uganda showed that adherence to good practice increased from a mean of 46% without MedNav to 94% with MedNav. The mean system usability score was self-assessed at 84.

Improving non-technical skills (teamwork) in post-partum haemorrhage: A grouped randomised trial.

Objective: To determine the effect of a decision support technology on teamwork and associated non-technical (NTS) and technical skills when teams manage post-partum haemorrhage (PPH) in the simulated environment.

Methods: Multidisciplinary (MDT) maternity teams were taught how to manage post partum haemorrhage. They were randomised to the intervention: using a decision support mobile digital platform or a control group.

Delivery room logbook - fact or fiction?

The delivery room logbook entries of Gimbie Adventist Hospital for a period of one month were monitored and compared with the actual number of births recorded on a separate worksheet for that period. The implications of the missing data were reviewed. This data was compared to a previous audit of the same design.

A case series of bleeding due to Leech infestation from the Gimbie region, Ethiopia.

We present a case series of patients who presented to Gimbie Adventist Hospital (GAH), Western Wollege, Ethiopia. GAH is located in the town of Gimbie in the Western Wollega province of Ethiopia, about 450 km west of Addis Ababa. Gimbie zone is 9 degrees north of the equator at 2000 m.