| Autor: |
Olukoya, A.A, Ogunyemi, M.A, Akitoye, C.O, Abudu, O, Tijani, M.A, Epoyun, A.O, Ahabue, C.E, Shaba, O |
| Zdroj: |
International Journal of Gynecology and Obstetrics; November 1997, Vol. 59 Issue: 1, Number 1 Supplement 2 pS67-S74, 8p |
| Abstrakt: |
Preliminary studies:A 1991 inventory at the State Hospital, Ota, in Ogun State, Nigeria, showed inadequate surgical equipment, drugs, blood and power supply. A time–motion study indicated substantial delays in receiving obstetric care. Interventions:In 1994, medical officers and midwives were given refresher courses in emergency obstetric skills. In 1995, the surgical theater, labor ward and laboratory were provided with the necessary supplies and equipment. A reliable electrical supply was set up, but problems were encountered in establishing blood services. Subsequent community interventions focused on improving access and reducing delay in seeking care. Results:The annual number of women with complications seen, which had been declining — from 123 in 1992 to 55 in 1994 — increased to 91 in 1995. Case fatality rate (CFR) due to major direct obstetric complications did not change appreciably, i.e. it was 6.6% in 1995, as compared with 7.3%, 8.3% and 7.3% for the years 1992–1994, respectively. Costs:The cost of hospital improvements was approximately US $46 000. Conclusions:The facility improvements were completed only recently in mid-1995. It is hoped that improved services will result in reductions in CFR and motivate more women with complications to seek hospital care, despite difficult economic conditions prevailing in Nigeria.© 1997 International Federation of Gynecology and Obstetrics |
| Databáze: |
Supplemental Index |
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