W248 ECLAMPSIA, PATIENT CHARACTERISTICS AND CONTRIBUTION TO MATERNAL AND PERINATAL MORBIDITY AND MORTALITY: A THREE YEAR REVIEW AT THE JOS UNIVERSITY TEACHING HOSPITAL, NIGERIA

Background: Preeclampsia is a pregnancy specific multisystem disease and it is associated with increased maternal and perinatal morbidity and mortality. Any factor(s) which could reliably predict the likelihood of serious complications would be very valuable in predicting the associated adverse outcome. Objective of this study compare maternal and fetal outcomes of preeclamptic patients with normotensive control in Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Nigeria.Method: This was a 4-year retrospective case-control study of the pregnancy outcomes among preeclamptic and normotensive women managed in our facility between 1st January 2012 and 31st December 2015. Data analysis was done using Epi Info software 7.2.1.Results: During the study period there were 6,585 deliveries among which 92 of the patients were managed for preeclampsia. This gives a prevalence of 1.4% or 14 per 1000 deliveries. There was no difference in the age and parity of the control. Most of the preeclamptic patients managed over the study period were unbooked for antenatal care in the facility (p value <0.0001). Preeclamptic patients were more likely to be delivered preterm (p value was <0.0001), and by caesarean section compared to the control. They were also more likely to have babies with low birth weights and poorer fetal outcomes. There was no difference in maternal mortality between both groups.Conclusion: Preeclampsia is associated with the unbooked status and poorer perinatal outcome compared with normotensive women. There is need to encourage women to book for antenatal care for prompt identification and management of these women.

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Morbidity and Mortality among Patients Referred from District Hospitals to Butare University Teaching Hospital Chub/Obgyn Department in Post-Partum and Post-Operative Period

International Journal of Current Microbiology and Applied Sciences ◽

10.20546/ijcmas.2016.507.013 ◽

2016 ◽

Vol 5 (7) ◽

pp. 135-147

Author(s):

E. Habimana ◽

J. B. Kalibushi ◽

J. Ndoli ◽

C. Bayingana

Keyword(s):

Teaching Hospital ◽

Post Partum ◽

Morbidity And Mortality ◽

University Teaching ◽

Post Operative Period ◽

District Hospitals

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Pattern of morbidity and mortality of newborns admitted into the sick and special care baby unit of Enugu State University Teaching Hospital, Enugu state

Nigerian Journal of Clinical Practice ◽

10.4103/1119-3077.130238 ◽

2014 ◽

Vol 17 (3) ◽

pp. 346 ◽

Cited By ~ 20

Author(s):

DIC Osuorah ◽

U Ekwochi ◽

IK Ndu ◽

IC Nwokoye ◽

OU Ezenwosu ◽

...

Keyword(s):

Teaching Hospital ◽

Special Care ◽

Morbidity And Mortality ◽

University Teaching ◽

State University ◽

Special Care Baby Unit ◽

Enugu State

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An audit of patient attendance, morbidity and mortality seen in 2008 at the University Teaching Hospital in Lusaka, Zambia

Injury Prevention ◽

10.1136/ip.2010.029215.738 ◽

2010 ◽

Vol 16 (Supplement 1) ◽

pp. A207-A207

Author(s):

R. E. Mtonga

Keyword(s):

Teaching Hospital ◽

Morbidity And Mortality ◽

University Teaching ◽

The University ◽

Patient Attendance

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Inpatient morbidity and mortality after adult spinal deformity surgery in teaching versus nonteaching hospitals

Journal of Neurosurgery Spine ◽

10.3171/2015.11.spine151021 ◽

2016 ◽

Vol 25 (1) ◽

pp. 15-20 ◽

Cited By ~ 17

Author(s):

Rafael De la Garza-Ramos ◽

Amit Jain ◽

Khaled M. Kebaish ◽

Ali Bydon ◽

Peter G. Passias ◽

...

Keyword(s):

Teaching Hospital ◽

Spinal Deformity ◽

Adult Spinal Deformity ◽

Patient Characteristics ◽

Morbidity And Mortality ◽

Teaching Hospitals ◽

Multivariable Logistic Regression Analysis ◽

Complication Rates ◽

Nonteaching Hospital ◽

Hospital Group

OBJECTIVE The goal of this study was to compare inpatient morbidity and mortality after adult spinal deformity (ASD) surgery in teaching versus nonteaching hospitals in the US. METHODS The Nationwide Inpatient Sample was used to identify surgical patients with ASD between 2002 and 2011. Only patients > 21 years old and elective cases were included. Patient characteristics, inpatient morbidity, and inpatient mortality were compared between teaching and nonteaching hospitals. A multivariable logistic regression analysis was performed to examine the effect of hospital teaching status on surgical outcomes. RESULTS A total of 7603 patients were identified, with 61.2% (n = 4650) in the teaching hospital group and 38.8% (n = 2953) in the nonteaching hospital group. The proportion of patients undergoing revision procedures was significantly different between groups (5.2% in teaching hospitals vs 3.9% in nonteaching hospitals, p = 0.008). Likewise, complex procedures (defined as fusion of 8 or more segments and/or osteotomy) were more common in teaching hospitals (27.3% vs 21.7%, p < 0.001). Crude overall complication rates were similar in teaching hospitals (47.9%) compared with nonteaching hospitals (49.8%, p = 0.114). After controlling for patient characteristics, case complexity, and revision status, patients treated at teaching hospitals were significantly less likely to develop a complication when compared with patients treated at a nonteaching hospital (OR 0.89; 95% CI 0.82–0.98). The mortality rate was 0.4% in teaching hospitals and < 0.4% in nonteaching hospitals (p = 0.210). CONCLUSIONS Patients who undergo surgery for ASD at a teaching hospital may have significantly lower odds of complication development compared with patients treated at a nonteaching hospital.

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Eclampsia at the university of Abuja teaching hospital: a ten-year review

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20194307 ◽

2019 ◽

Vol 7 (10) ◽

pp. 3767

Author(s):

Malachy Emeka Ayogu ◽

Kate Ifeoma Omonua ◽

Miriam Chinelo Ayogu ◽

Miriam Chinelo Ayogu

Keyword(s):

Social Sciences ◽

Teaching Hospital ◽

Mode Of Delivery ◽

Presentation Mode ◽

Morbidity And Mortality ◽

Perinatal Morbidity ◽

Basic Form ◽

Multisystem Disease ◽

Socially Disadvantaged ◽

The University

Background: Worldwide, eclampsia remains one of the major causes of maternal and perinatal morbidity and mortality. Pre-eclampsia/eclampsia is a multisystem disease and despite extensive research, no definitive etiology has been identified. This disease therefore continues to pose a challenge in obstetric practice, especially in developing countries like ours. We therefore set out to determine the prevalence, associated factors, and outcome of eclampsia at the University of Abuja Teaching Hospital, Abuja, Nigeria.Methods: A descriptive retrospective review of cases of eclampsia managed at the University of Abuja Teaching Hospital, Abuja over a 10-year period. The case notes of these women were retrieved, and relevant data obtained included age, parity, booking status, type of eclampsia, gestational age at presentation, mode of delivery, maternal and perinatal outcome variables. Data was analysed using the statistical package for social sciences (SPSS Inc, Chicago) version 20 and outcome variables represented in simple percentages.Results: Of the 22,945 deliveries conducted during that period, 257 cases of eclampsia were managed, putting the prevalence of eclampsia at 1.12%. Of these, 90.5% were unbooked, 67.6% were primigravidae and 88.2% were below 30years of age. Antepartum eclampsia was the commonest form, occurring in 67.6% of the patients. Caesarean section was the mode of delivery in 82.2% of cases. Maternal and perinatal mortality were 4.6% and 11.1% respectively.Conclusions: Eclampsia is still a major cause of maternal and perinatal morbidity and mortality in our environment. One intervention to reduce its impact is education on the importance of antenatal care attendance. It’s also pertinent that this basic form of care be made more affordable and more easily accessible to those women who are socially disadvantaged.

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