British Journal of Medical and Health Research

As a practicing neurologist for many decades, I closely observed each patient, searching for signs of improvement or recovery. Each step in the healing process required time and effort, which could become exhausting, and I have always balanced hope and anxiety anticipating recovery for my patients. But successful outcomes were deeply rewarding. Now that I am 98, the tables are turned, and my daily challenge is to diagnose and treat myself, closely monitoring my own state of mind and the condition of my aging body. As I advised so many patients to do over my career, I adjust my diet, exercise habits, and outlook to sustain my health and my mood.

ABSTRACT Immediate postpartum hemorrhage (IPH) is one of the leading causes of maternal death in developing countries and is defined as blood loss of more than 500 ml within 24 hours of delivery. It is often aggravated by delays in recognition, management and referral of patients. This study aimed to determine the prevalence, causes and management modalities of IPH at the maternity ward of Savè Zone Hospital in 2025. We conducted a retrospective descriptive study over a period of 15 months. All records of women who gave birth in the maternity ward of the zonal hospital from January 2024 to March 2025 were included in the study. A total of 30 records of women who presented with HPPI were retained. Data were collected from medical records and analyzed descriptively with R software versions 4.4.2. Qualitative variables were expressed as percentages and quantitative variables as means with their standard deviations. Out of a total of 1169 deliveries recorded during the period, 30 women had Immediate Postpartum Hemorrhage, a prevalence of 2.56%. The average age of patients with postpartum hemorrhage is 27.13 years ± 6.40 years, with extremes of 17 and 44 years. The average gestation observed in this study was 3.56 ± 2.04, with extremes ranging from 1 to 8. The average parity is 3.06 ± 2.09. The average number of prenatal consultations (CPN) carried out by the women surveyed was 3.03 with a standard deviation of 2.14. 66.67% were referred from another health facility. Uterine atony is identified as the main cause of PPH, followed by birth canal trauma. The majority of patients are successfully managed with the use of oxytocics and other medical interventions. HPPI is a major obstetric emergency and remains one of the leading causes of maternal mortality. It occurs within 24 hours of delivery and requires rapid and effective management. Its prevention relies on active management of delivery and identification of risk factors. Keywords: HPPI; prevalence, associated factors; HZ Savè

ABSTRACT Anxiety is an emotional state that is generally caused by perception of the real or perceived danger that threatens the security of individual. The distinguish feature of generalized anxiety disorder is uncontrollable worry that lasts longer than six months and significantly impairs functioning. There is a considerable correlation between anxiety and overall quality of life, which includes social relationships, environmental wellness, psychological health, and physical health. The QOL of GAD patients is described in this study, along with the association between HAM-A and WHOQOL-BREF. The current study was a cross sectional study, the study performed by taking 120 samples. This study includes patients aged between 18-60 years and patients having GAD. This study excludes pregnant and lactating women. The peak number (85) of participants from (n=120) the study includes the age group between 20-40 years (71%). Upon distribution of data based on gender 72 (60%) were female and 48 (40%) were males. From our study majority of the patients were having moderate anxiety 40 (33.3%) when compared to other anxiety levels. From our study most of the people were experiencing a decline in QOL in psychological domain 38(31.6%), physical domain 34(28.3%), when compared to other domains. Patients from our study has significant correlation between HAM-A and WHOQOL-BREF shows that mild-moderate anxiety primarily affects the physical domain while severe-very severe anxiety significantly impacts the psychological domain. Our study included 120 patients with GAD which predominantly affects young adults aged between 20-30 years and females being more impacted than males. Our study concluded that according to the HAM-A, most patients exhibited mild-moderate anxiety levels and whereas based on WHOQOL-BREF, majority of the patients are having impairment in physical and psychological domain when compared to other domains. Keywords: Generalized Anxiety Disorder, Quality of Life, HAM-A, WHOQOL-BREF.