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EMERGENCY OBSTETRIC REFERRALS AT A UNIVERSITY TEACHING HOSPITAL, NIGERIA

By S.N. OBI, B.C. OZUMBA and J.M OKARO

Abstract

Objective: To identify factors in our unbor~ked obstetric emergency cases that contribute tothe increase in maternal mortality.Design: A retrospective study.Setting: Maternity Ward. C!niversity of Nigcria Teaching Hospital, Enugu, Nigeria, betweenJanuary 1966 atid Dece~nher 1999.Subjects: Four hundred and thirty five cases of emergency obstetric referrals treated duringthe revicw period.Results: The incidence of unbookcd obstetric emtrgencics is 9.5 % and the high risk obstetricgroup, the prirnigra\ ida and grand multipdrour women constituted 63% of it. Majority(80%) of the patients hclonged to the lower so&-economic class and prolonged andobstructed lahour nerc the cnmnlonest mode of presentation. Source5 of referrals werehospital/clinics (46 I, maternity homes (23 5,). traditional birth attendants (TBAs)(l6% jand prayer house5 r 2.3 % j. There wrre obvious delays at the referral sources and most of thepatients presented in pour clinical states. Forty per cent of total maternal mortalily in thehospital were attributed tu unbookcd cases with haemorrhaye and sepsis being the majorcauses. Also pcrinatal rnortalitj uf 40.2% was recorded.Conclusions: Lack of ha& cducation and poverty are the major identifiable risk factors.Improving health carc fhcilitier;. female education, regular training counes for m~dicalpersonnel and tIimination of quacks are advocated

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Publisher: East African Medical Journal
Year: 2011
OAI identifier: oai:ojs.journals.uonbi.ac.ke:article/722
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