Decision-intervention interval in ruptured uteri in Ile-Ife, Nigeria
| Autor: | O.B. Fasubaa, Solomon O. Ogunniyi, F.O. Dare, U. Onwudiegwu, Ernest O. Orji |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
medicine.medical_specialty
Time Factors Sterilization Tubal Cross-sectional study medicine.medical_treatment Decision Making Population Nigeria Hysterectomy Health Services Accessibility Hospitals University Uterine Rupture Pregnancy Infant Mortality medicine Humans Childbirth Practice Patterns Physicians' Birth Rate education Retrospective Studies education.field_of_study Obstetrics business.industry Patient Selection Mortality rate Infant Newborn Pregnancy Outcome Retrospective cohort study General Medicine medicine.disease Uterine rupture Pregnancy Complications Cross-Sectional Studies Maternal Mortality Treatment Outcome Female business |
| Zdroj: | East African Medical Journal; Vol 79, No 9 (2002): ; 496-497 |
| ISSN: | 0012-835X |
| DOI: | 10.4314/eamj.v79i9.9123 |
| Popis: | Objective: To determine the decision-intervention interval in ruptured uterus with a view of overhauling the management strategy thereby improving the maternal and perinatal outcome. Design: Cross-sectional survey based on secondary data done between 1990-1999. Setting: Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Nigeria. Subjects: One hundred and two consecutive women who had uterine rupture. Results: The decision-surgical intervention interval ranged from 30 minutes to 4.5 hours. The major reason for delay was unavailability of compatible blood (88.2%), followed by lack of electricity (4.9%), unsterile instruments (3.9%), waiting for ambulance to get senior obstetricians (2.9%), delay in arrival of anaesthetist (1.9%) and neonatologists (1.9%). The peri-natal mortality rate (PNMR) was 843 per 1000 total births and maternal mortality rate (MMR) 4902 per 100,000 births. Conclusion: The maternal and perinatal outcome in uterine rupture would be improved by early diagnosis and avoidance of preoperative delay through availability of essential obstetric services. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|