Indications and Rate of Cesarean Delivery in Primigravida in Kogi State Specialist Hospital, Lokoja, Nigeria
Issue:
Volume 10, Issue 5, September 2022
Pages:
217-220
Received:
1 August 2022
Accepted:
16 August 2022
Published:
5 September 2022
DOI:
10.11648/j.jgo.20221005.11
Downloads:
Views:
Abstract: Primary caesarean delivery rate is on the increase among primigravida. The indications and rate of cesarean delivery varies among hospitals, but the outcome is good for both mother and baby with early diagnosis and intervention. The aim of the study was to asses indications and rate of cesarean delivery in primigravida in Kogi State Specialist, Hospital, Lokoja, Nigeria. The study was a prospective evaluation of the demographic characteristics of patients, types of cesarean delivery, indications, rate and outcome of cesarean delivery in primigravida in Kogi State Specialist Hospital, Lokoja, Nigeria between December 15, 2020 and December 14, 2021. Data collected were analysed using SPSS window version 20.0 statistical package. A total of 491 deliveries were recorded, out of these 113/491 (23.01%) cesarean deliveries were performed. The rate of cesarean deliveries in primigravida was 36/113 (31.9%), obstructed labour 18/36 (50.0%) was the commonest indication for cesarean delivery in primigravida and 30/36 (83.3%) of cesarean delivery in primigravida had no complication. The rate of cesarean delivery in primigravida due to obstructed labour in this study is high, however the early outcome is good and safe for both maternal and fetal health. Cesarean delivery therefore remains one of the means for reducing maternal and perinatal morbidity and mortality in Nigeria especially among the primigravida where decision making for primary cesarean delivery has a far reaching consequences in the productive health of women. It will be nice if future study will look at ways to prevent the prevalence of cephalopelvic disproportion, a Feto-Maternal problem common among our primigravida.
Abstract: Primary caesarean delivery rate is on the increase among primigravida. The indications and rate of cesarean delivery varies among hospitals, but the outcome is good for both mother and baby with early diagnosis and intervention. The aim of the study was to asses indications and rate of cesarean delivery in primigravida in Kogi State Specialist, Hos...
Show More
Maternal Morbidity Associated to Exposure to Trace Elements in Lubumbashi
Cham Lubamba Chamy,
Mwembo Tambwe Albert,
Ngwe Thaba Jules,
Kakudji Luhete Prosper,
Mpoyo Wembonyama,
Mukendi Mutshimbe Richard,
Momat Kitenge Felix,
Kimbala Shimpiko Julien,
Nsambi Bulanda Jospeh,
Malonga Kaj Francoise,
Kaniki Tshamala Arthur,
Kinekinda Kalume Xavier,
Kalenga Muenze Kayamba,
Kakoma Sakatolo Zambeze
Issue:
Volume 10, Issue 5, September 2022
Pages:
221-230
Received:
27 August 2022
Accepted:
9 September 2022
Published:
27 September 2022
DOI:
10.11648/j.jgo.20221005.12
Downloads:
Views:
Abstract: Background: Pregnant women are exposed to toxic trace elements (TE) from mining plants. The aim of this study was to determine the incidence of morbid conditions among pregnant women and their relations to blood’s concentration of TE and their exposure factors in Lubumbashi. Methodology: A prospective cohort study of 378 mothers and 378 newborns exposed to TE was conducted from November 30, 2018, to May 30, 2019. The groups were constituted whether the TE concentration was higher or lower than the reference value. (Determined by ICP- OES Optima 8300 at the laboratory of the OCC/Lubumbashi). Correlation between the morbid conditions in the two groups and with each exposure factors by calculating chi square and the relative risk were obtained. (p ˂ 0.05) Results: Among pregnant women 61.4% had malaria, 47.6% anemia, 21.2% hypertension, 11% IUGR newborns and 8.7% a premature birth. Geophagia increased two times the risk of anemia [RR: 2.127 (1.410-3.209)] and hypertension [RR: 1.958 (1.177-3.259)]. The proximity to mining plants increased three times the risk of anemia [RR: 2.887 (1.830-5.554)] and hypertension [RR: 3.126 (1.876-5.208)]. The use of well water for drinking and housework increased two times the risk of hypertension [RR: 2.308 (1.385-3.845)] and IUGR newborn [RR: 1.752 (1.232-2.490)]. Biomass used for cooking increased three times the risk of hypertension [RR: 3.204 (1.114-9.212)]. Women working in mining plants had two times the risk of malaria: [RR 1.725 (1.145-2.599)]. Women whose husband worked in mining plants had three times the risk of premature birth [RR: 3.204 (1.552-6.616)]. High lead concentration increased five times the risk of anemia [RR: 4.63 (2.933-7.310)]; height times the risk of hypertension [RR: 8.170 (4.657-14.333)]; three times the risk of a IUGR newborn [RR: 2.601 (2.078-3.256)]. The linear correlation between lead and maternal hemoglobin was negative (r -0.335). High maternal concentration of cobalt, arsenic and cadmium increased two times the risk of hypertension. High maternal magnesium and high neonate cadmium concentrations increased two times the risk of premature births. High neonate lead, cobalt, zinc, and magnesium’ concentrations increased two times the risk of maternal anemia. But high neonate selenium concentration reduced to 60% [RR: 0.59 (0.360-0.978)] this risk. Low neonate selenium concentration increased four times the risk of IUGR neonate [RR: 4.116 (2.004-8.452)]. Conclusion: High concentration of toxic TE and low concentration of some essential TE in the blood of pregnant women are associated to morbid conditions such as anemia, malaria, maternal hypertension, IUGR and prematurity.
Abstract: Background: Pregnant women are exposed to toxic trace elements (TE) from mining plants. The aim of this study was to determine the incidence of morbid conditions among pregnant women and their relations to blood’s concentration of TE and their exposure factors in Lubumbashi. Methodology: A prospective cohort study of 378 mothers and 378 newborns ex...
Show More
Sociodemographic Attribute and Clinical Outcomes of Ectopic Pregnancy Managed in a Tertiary Hospital in Southern Nigeria
Kehinde Osazee,
Peter Waibode Alabrah,
Chidinma Joy Anya
Issue:
Volume 10, Issue 5, September 2022
Pages:
231-235
Received:
2 September 2022
Accepted:
4 October 2022
Published:
21 October 2022
DOI:
10.11648/j.jgo.20221005.13
Downloads:
Views:
Abstract: The most frequent gynaecological emergency is ectopic pregnancy, and it has high rates of maternal morbidity and mortality particularly when intervention is delayed. This study focused on the socio-demographic attributes and clinical outcomes of patients managed for ectopic pregnancy at the University of Benin Teaching Hospital (UBTH), Benin City, Nigeria. All cases of ectopic pregnancy in UBTH from January 2017 to December 2019 were retrospectively studied. Information on their presentation, clinical management and outcomes of treatment were retrieved from the hospital records library, ward registers, departmental computerized data set and theatre records. The data was analyzed using SPSS version 22. There were 6738 deliveries, 2365 gynaecological admissions and 141 cases of ectopic pregnancy in the period under review. Ectopic pregnancy (EP) constituted 2.1% of all deliveries and 5.97% of all gynaecological admissions. The peak age of incidence was 25 – 29 years. The majority of the patients (58.2%) were single and they were mostly undergraduates (41.8%). The majority (81.6%) presented with ruptured ectopic pregnancy. Shock was the commonest presentation (59.1%), and 60.1% had a blood transfusion. Salpingectomy was the mainstay of treatment (86.3%). For the unruptured cases selected for medical management, the success rate was 84.2%. Ectopic pregnancy is a common gynaecological emergency and still poses a major challenge due to late presentation. Previous induced abortion and pelvic inflammatory disease are the major risk factors for EP. Increasing awareness of prevention, early presentation, and risk of morbidity and mortality will help to reduce this scourge.
Abstract: The most frequent gynaecological emergency is ectopic pregnancy, and it has high rates of maternal morbidity and mortality particularly when intervention is delayed. This study focused on the socio-demographic attributes and clinical outcomes of patients managed for ectopic pregnancy at the University of Benin Teaching Hospital (UBTH), Benin City, ...
Show More
