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1.
Niger. j. med. (Online) ; 19(4): 441-446, 2010.
Article in English | AIM | ID: biblio-1267372

ABSTRACT

Background: Early pregnancy losses are a source of deep emotional trauma to any woman; her family and the attending Gynaecologist. This study evaluated the prevalence; pattern and management outcomes of such losses at a tertiary Health Institution. Methods: Data of all women who suffered early pregnancy losses between 1st January; 2002 and 31st December; 2004; were reviewed in a descriptive study. Information obtained from their case notes which related to the early pregnancy event; their socio demographics; obstetric history and management outcomes were collated. Univariate analysis was performed and frequency tables and figures were constructed where appropriate. Results: Early pregnancy losses comprised miscarriages; molar pregnancy and ectopic gestations accounted for 32.1of all gynaecological admissions during the period. Miscarriages were the commonest diagnosis and incomplete abortion constituted the bulk of this. Women of all parities were involved but rate of loss increased down the socio economic class strata. Majority were unbooked. A maternal mortality rate of 1.8attended all forms of early pregnancy losses during the period. Conclusion: Early pregnancy loss constitutes a major gynaecological problem in our centre. Health care providers must institute prompt and appropriate clinical management for a good clinical outcome


Subject(s)
Abortion , Abortion/diagnosis , Gestational Age , Hospitals , Pregnancy , Socioeconomic Factors , Universities
2.
Niger. j. med. (Online) ; 17(2): 399-402, 2008.
Article in English | AIM | ID: biblio-1267240

ABSTRACT

Background: Some vital health statistics are usually necessary in planning and execution of certain health policies and programmes. This is especially important in an obstetric unit where reduction of maternal and perinatal mortality have become yardstick for achieving some aspects of the Millennium Development Goal. Nigeria. Method: A review of Obstetric records in the Department of Obstetrics and Gynaecology; EBSUTH; Abakaliki; over a three-year period (January 2001-December 2003 was done. Results: A total 1660 deliveries were conducted during the review period. Of these; 82.2were registered for antenatal care. Caesarean section rate was; 17.8; instrumental deliveries 2.1while 0.5had destructive operations.. Teenage pregnancy and grandmultiparity accounted for 6.0and 15respectively. Sixteen. Percent of the babies were of low birth weight while 4.5were macrosomic. Maternal mortality ratio and perinatal mortally rate were 3;392 per 100;000 and 86.3 per 1;000 respectively. Conclusion: Some of the vital obstetric indices were still within the range comparable to other centers. Grandmultiparity contributed a significant proportion of the cases and this calls for aggressive family planning campaigns. Maternal and perinatal mortality rates were outrageous. It is suggested that periodic review of some vital obstetric indices will pinpoint priority areas and help health policy makers and implementers provide the basic rudiments of safe motherhood initiative to our women


Subject(s)
Health Status Indicators , Hospitals , Obstetrics , Teaching
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