 And without much ado, I'd like us to go straight into the session and our presenter is called Sego. Sego Biazin holds an MSc in Maternity Health Nursing and is currently working at Jima University as a lecturer and researcher since 2018. He has also previously served as a graduate assistant in Midway Free. He also holds a BSC in Midway Free from Debrae Berhan University in Ethiopia. He has previously served as a clinical staff at Nygast Eleni, Mohammed Memorial General Hospital, where he provided maternity and child health interpartum and postnatal services. He has more than 15 published articles in internationally recognized journals and is a valued associate editor for the Pan-African Medical Journal, where he has served as a peer reviewer. In addition, he is a member of the Ethiopian Midway Free Association. Now Sego is going to make a presentation on maternal knowledge of fatal movement among third trimester pregnant women, Jima Medical Center, Jima Ethiopia 2022. Okay, over to you Sego, welcome. Okay, thank you, Miron, as we are currently for your priceless guidance through the times. As we welcome all the IDM participants. These days are special or unique days for us, especially for mid-life backgrounds because it enhance mid-life profession. After saying this, let me present my study finding about maternal knowledge regarding fatal movement among third trimester pregnant women at Jima Medical Center, Ethiopia, in 2022. This is about outline of the presentation. It contains introspection part, statement of problem, significance, objectives, material material, result finding, discussion, conclusion, acknowledgement as the end. It has a sample reference. As introspection, globally approximately 2 million stillbirths occur in the occur. Of these, 84% occur in the low and medium income countries. Sub-Saharan Africa are stillbirths rate of 7 times. When comparing to developing country in Sub-Saharan country, stillbirth rates account 21.7%. In developing country, it's accounts 31, 3.1 per 1,000 new births. Ethiopia has a stillbirth rate of 24.6 per 1,000 births, live births. It shows us a great in huge numbers. As introspection excessive or decreased fatal movement are associated with intrauterine fatalities and stillbirths, fatal movement assessment occurs when the mother perceives a decreased fatal movement. Women who perceive full or reduced fatal movement require further monitoring such as contraction stress test as well as biophysical profile test. These biophysical profile as well as contract stress test is required by measured by or monitoring by aid of ultrasound. It contains around 5 components. The first one is assessment of fatal movement, assessment of fatal tones, assessment of status of amniotic fluid, as well as fatal breathing. So by combining those 5 components, the health provider judge whether the fetus is well or not during intrauterine fatal life. The other advanced technique, the other advanced fatal movement surveillance technique is modified biophysical profile. It is the newest recommendation by WHO. It contains 2 components. The first one is length stress test and the second one is assessment of amniotic fluid, whether it is adequate or not. By combining those 2 components, the health providers decide the status of fatal well-being during intrauterine life. This picture shows that the first picture shows that fatal count chart. It is a simple chart by screening by mothers, pregnant mother by aid of simple guidance. The second picture shows that biophysical profile. As I said before, it contains 5 components. The first one is fatal breathing, amniotic fluid, fatal tones, fatal movement, as well as fatal amniotic fluid. By combining those 5 components, the health provider decides the status of fatal, anti-natal fatal surveillance. Most women are first away from their fatal movement within the 18 to 20 weeks of pregnancy. However, it is very dependent on parity. For multi-gravity or multi-para women, fatal movement feels earlier than preemie para. It occurs between 16 to 18 weeks of gestational life. For preemie para, they feel between 18 to 20 weeks. So the women feel the baby movement is very dependent on their gravity or their parity. Fatal movement counting is one parameter of anti-natal fatal surveillance. It has a vital role to pose or to target mortality rate due to stillbirth as well as prenatal death. Anti-natal fatal surveillance is a method of monitoring fatal breathing during tributaryl lives. As I said before, it is easy to conduct because it is conducted by mother itself as well as visible. There is not required any aid or doesn't require any advanced technology. As well as this self-screening emitted by pregnant mothers. Mutual fatal movement counts as according to WHO definitions, normal fatal movement count consider 10 to 12 hours. If she feels 10 fatal movement per 12 hours, it is considered as efficiency well. Monitoring fatal movement has a positive significance to reduce stibbers as well as bad obstetrics outcome. The WHO recommended or healthy pregnant women should be made aware of the importance of fatal movement during starting from third trimester and report if there is any complication to near ester centers as well as for their health care providers in order to get parts investigation and monitoring. The previous study conducted in United States, Canada, India and Indonesia, Nigeria and Egypt or maternal understanding of fatal movement was ranging from 10.32 to 52 percent. To our best knowledge, there is no study conducted in our country, Ethiopia or maternal knowledge of fatal movement. Beside of adequate knowledge about fatal movement monitoring, hard in avoiding intrauterine complication and also it determines timely decision seeking intervention. Beyond monitoring fatal well-being, it has a great role to timely decision seeking intervention. Therefore, the aim of this study to investigate maternal knowledge of fatal movement among third trimester pregnant women who attained MSH, that means maternal and child health service at Yuma Medical Centers. The first significant of this study is to give insight about maternal understanding or have it towards the symptoms of fatal surveillance. The second significant of this study is to input or one of indicators of quality health care service evidence for health care policy makers to determine strategy and implementation. As well as it is significant for baseline for future researchers. It has a significant baseline for future researchers or educators. The study was conducted at Yuma Medical Center. Yuma Towns is far from 352 kilometers from the capital city of Ethiopia, Yuma Medical Center is one of the primary for our hospital in serving southwestern part of the country. The Shabas Crossroads study was conducted from June 1 to July 13, 2022. The study participants or pregnant women who visited at Yuma Medical Center was considered as a source of population. Selected third trimester pregnant women who visited at Yuma Medical Center during the study period were the source, were the study population, some side determination by using single population proportion formula. By considering the following assumption, proportion assumed as 50% because there is no study conducted previously regarding maternal-norwegian-toir-based development. So we take 15% as a proportion and the standard value of a level of 0.95% of confidence interval, 1.96%, more generate 5% or 0.05%. After considering the 10% non-sponsored rate, the final sample size was 422. Sampling technique, a systematic random sampling technique was used to select a study participant. Legality criteria, voluntary third trimester pregnant women who visited at Yuma Medical Center during the data collection period were included in this study. Pregnant women who refused to participate in this study and those who were seriously ill and first trimester as well as second trimester pregnant women who were excluded from this study. Data collection tour and procedure, the strategy of questionnaire was adopted from Previous Conduct Study on similar research topic. The questionnaire consists of three parts. The first one is about social-homographical part, the second one is about statistics part and the third questionary part is about the knowledge part toward this fatal movement. Data were obtained from each study participants through face-to-face interview. Data quality assurance, the questionnaire was first prepared in English and then translated to local language, that means American, deaf and normal and pre-test was conducted prior to actual data collection. Three B.S.C. medias and one M.S.C. person who was recruited as a data collection and as a supervisor respectively. The two days training was provided for both data collectors as well as supervisors. The collected data was checked by for its completeness immediately after data collection. Data entry and analysis, the collected data were coded and entered into EP data verges 3.1 and exported into SPSS verges 25. Bivariate and multivariate logistic regression were performed to identify significant predictors or independent variables. In multivariate regression, predictor with p-value less than 0.05 were considered as statistical significant. Finally, the study findings were narrated using the text, table and figure. Ethical consideration, Ethical later was obtained from the Research Committee of School of Divery, Juma University. A permission later was obtained from Juma Medical Center. Verbal informed consent was obtained from each participant. All information obtained from the participant was used only for research purpose. Result finding and discussion out of 422 total explicit study participants. Only the 403 respondents were involved in the study and yielded 96% of respondents. The majority of respondents, that means 189 respondents were in the age group of 25 out of 31 years, more than 80% of participants had complete primary education. Around 2.3% of participants, that means 282 respondents were from urban resident. Regarding to marital status, more than 2.3% of participants were engaged or married. Of satisfactory, nearly 2.3% of respondents, that means 262 respondents had pregnant for more than 2 times, followed by a participant of 100 respondents had first time, were first time pregnant. 183 women were found between 28 out of 32 weeks of the station age. The majority of respondents, that means 376 respondents had history of antenatal care. More than 3.4% of respondents, that means 376 respondents were categorized under low risk pregnancy. The rest one categorized as high risk pregnancy, that means they have or they had previous, maybe they have previous obstetric complications like APH, PPH or any cesarean session history of CS. Nearly 1.3%, that means 122 or 30.2% of respondents had burnology regarding to their fatal movement count, the rest 70% of respondents had poor knowledge towards their fatal movement count. This study revealed that out of 405, total study participants, 122 respondents had good knowledge of fatal movement regarding to fatal amount counting. This study finding is a line with study conducted in Nigeria, revealed that 31.1% of respondents had good knowledge of decreased fatal movement, however it is higher than study conducted in Egypt, India as well as in India as a setting, respondent for a good knowledge of fatal movement patterns. The discrepancy maybe due to the variation in the study period, maybe due to variation in study area, some size as well as healthcare policy system. In contrast, this study finding was lower than study conducted in Nigeria as well as in Florida or United States, Canada shows that 52.9%, 83% and 47% of women had good knowledge of fatal movement counting respectively. The discrepancy, this discrepancy due to maybe study participants, study setting as well as sampling, sample size variation. The multivariate logistic analysis shows that a predictor including the residency, gestationality, pregnant status, that means complicated versus not complicated as well as healthcare provider where significantly associated with outcome variable, that means maternal knowledge toward this fatal movement count. The current study report, respondent who were come from urban resident were more likely to have a good knowledge relative to a participant who came from rural area. According to study finding, study participant from rural region where 71% more likely to have poor knowledge of fatal movement than respondent who came from urban residents. This is due to the fact that respondent who came from urban have a good health literacy and have a better chance to get health information from social media and internet as well as nearest health facility. Moreover, study participants of 32 out of 36 weeks of gestational age were 58 times more likely to have a good knowledge when comparing to respondent of 28 out of 32 gestational age in the midst of gestational. Respondent made adapt the pattern of fatal movement through pregnancy and not recognize a variation. So, respondent who have gestational age of 32 out of 36 may have more likely to have experience regarding to the fatal movement pattern. Women in the highest pregnancy group were more likely to have good knowledge about fatal movement counting when comparing to women who low risk or non-complicated. Women who had complicated case were five times more likely to have good knowledge than non-complicated mother. This variation is due to most of time high risk treatment women have a chance to get close intervention or inpatient care during hospital stay. The health care provider alert them about fatal movement counting through key count chapters. Furthermore, the present study revealed that pregnant women who received health care information from a media heart two times more likely to have a good knowledge of fatal movement than what from other health care providers. This due to the fact that the provision of maternal and child service through liver lead continuity of care has a good health seeking behavior and health literacy and maternal and no other outcomes. As a conclusion, this study finding reveals the maternal knowledge of fatal movement count was inadequate. It's a count 13 percent, so it is below 15 percent. So it is inadequate when comparing to the previous study. So the respondent and residency pregnancy status whether it is complicated or uncomplicated gestational age, as well as health care givers have a significant associated predictor with maternal knowledge of fatal movement pattern. So the health care provider and health care policy makers have to enhance maternal knowledge of fatal movement counting through mid-affair lead continuity of care. This all about the conclusion part. As acknowledgement, the author would like to thank the University of Jamaica Medical Center for providing permission to care out or to conduct this study and also our tank has extended to study participants, supervisors, as well as data collector for their contribution in this study. This is a sample reference that I have used during sleep preparation. Thanks for your attention. Thank you very much Sego. We really appreciate. Thank you for your well presented presentation. I have a few minutes just to ask some questions. I don't know whether we have any questions. We can receive one or two questions before we proceed on to the next session. If you have any questions, you can probably raise up your hand or type the question in the public chat. There is a question in the chat box. I don't know whether you're able to see it, but it reads, did the women know where to go if they noticed reduced movements? That's a question from Margaret Joe. Sego, you can answer that. Yeah, I have seen it. It is a great question. Nice question. I think the women know where to go if they notice reduced fetal movement. So the preparer oversight for if they perceived decreased fetal movement or excess fetal movement, they should be seek intervention, further intervention or monitoring by going to nearest as facility, nearest as facility to the center or hospital. Okay, thank you.