Return for postnatal check: current situation in a Nigerian tertiary health institution

Objective: This study aims to determine the current prevalence of postnatal clinic attendance among parturients who delivered in a Nigerian teaching hospital.Methods: A two year review of obstetric record of women who delivered in the hospital from July 2010 to June 2012 and were scheduled to attend Postnatal Clinic was done. The list was cross checked with the postnatal clinic record to know patients who kept their appointment by attending the clinic. A frequency table was generated and data were analyzed.Results: In the first year, out of 1267 women 264 (20.8%) returned for postnatal clinic. During the second year, 1651 women delivered in the hospital while 759 (46.0%) came back for postnatal clinic. Aggregate prevalence of postnatal clinic attendance among the parturients was 35.1%.Conclusion: Most parturients who had hospital delivery do not return for postnatal clinic in our environment.Keywords: delivery, postnatal, clinic, attendanceTrop J Obstet Gynaecol, 30 (1), April 201

Reshaping maternal services in Nigeria: any need for spiritual care?

BACKGROUND:High maternal and perinatal mortalities occur from deliveries conducted in prayer houses in Nigeria. Although some regulatory efforts have been deployed to tackle this problem, less attention has been placed on the possible motivation for seeking prayer house intervention which could be hinged on the spiritual belief of patients about pregnancy and childbirth. This study therefore seeks to determine the perception of booked antenatal patients on spiritual care during pregnancy and their desire for such within hospital setting.METHOD:A total of 397 antenatal attendees from two tertiary health institutions in southwest Nigeria were sampled. A pretested questionnaire was used to obtain information on socio-demographic features of respondents, perception of spiritual care during pregnancy and childbirth; and how they desire that their spiritual needs are addressed. Responses were subsequently collated and analyzed.RESULTS:Most of the women, 301 (75.8%), believe there is a need for spiritual help during pregnancy and childbirth. About half (48.5%) were currently seeking for help in prayer/mission houses while another 8.6% still intended to. Overwhelmingly, 281 (70.8%) felt it was needful for health professionals to consider their spiritual needs. Most respondents, 257 (64.7%), desired that their clergy is allowed to pray with them while in labour and sees such collaboration as incentive that will improve hospital patronage. There was association between high family income and desire for collaboration of healthcare providers with one's clergy (OR 1.82; CI 1.03-3.21; p?=?0.04).CONCLUSION:Our women desire spiritual care during pregnancy and childbirth. Its incorporation into maternal health services will improve hospital delivery rates

Theory of Electrical Machines

Elizade University, Ilara-Mokin, Ondo Stat

Combined Foley's catheter with vaginal misoprostol for pre-induction cervical ripening: a randomised controlled trial

Combined Foley's catheter and vaginal misoprostol provide a shorter duration to the achievement of cervical ripening