scholarly journals Predictors of poor maternal and perinatal outcome among singleton maternal delivery referral cases to the obstetrics unit of a tertiary health facility in Port Harcourt, Nigeria

Author(s):  
Peter A. Awoyesuku ◽  
Dagogo A. Mac Pepple

Background: The high maternal and perinatal mortality rates in Nigeria continue to be issues of concern. That antenatal care improves both perinatal and maternal outcomes is now well established. The study seeks to identify the predictors of poor maternal and perinatal outcome among singleton maternal delivery cases referred to Rivers State University Teaching Hospital (RSUTH).Methods: A longitudinal study was employed; the patients referred to RSUTH were followed up to ascertain maternal and neonatal outcomes. A sample size of 460 was used. Selection of cases was done by systematic sampling. Data obtained in the study were demographic, obstetric and perinatal findings. Maternal and perinatal outcome were dichotomized into poor and good outcomes. Bivariate and multivariate analyses were performed using SPSS version 20.0.Results: A total of 460 cases were recruited. The mean age±SD was 28.7±4.6 years. There was poor maternal outcome in 65 (14.1%) and poor perinatal outcome in 291 (63.3%). There was one maternal death (rate 0.2%), perinatal mortality rate was 26.5%, low birth-weight rate was 6.3% and asphyxia rate was 23.3%. There is an association of multiparity and unbooked status with poor maternal outcome, while poor perinatal outcome was influenced by unbooked status.Conclusions: Perinatal and maternal mortality were high amongst all referral cases. There is a positive correlation of multiparity with poor maternal outcome and between unbooked status and an increased risk of both maternal and perinatal adverse outcomes.

Author(s):  
Owhorchukwu Amadi- Wali ◽  
Chinyere Amadi- Wali ◽  
Allwell Sunny Njigwum

Aims: The study investigated the presence of entities causing diarrhea (Shigella & Salmonella) from some selected seafood. Study Design:  The study adopted a completely randomized experimental Design. Place and Duration of Study: Department of Medical Microbiology, Rivers State University Teaching Hospital (RSUTH), between January 2020 and February 2020. Methodology: Simple random technique was employed to collect sufficient quantities of five different fresh raw seafoods (shrimp, periwinkle, crab, sardine fish and mudskipper) across fish harbors and fish markets (Nembe waterside, Abonema Wharf and 1 Fish Market) in Port Harcourt, and were evaluated for bacteriological quality. Sample collection was a cross-sectional type. The isolation and identification of isolates were done according to standard bacteriological analytical methods. The study employed Frequency counts, percentages and one- way ANOVA statistics, and the analysis was done using SPSS version 23. Although, one-way ANOVA statistics was used to test the hypothesis of the study at 0.05 level of significance, while Tukey’s test was used for ranking means. Results: The finding showed that 53 percent of the isolates (i.e. 8 out of 15 isolates) were characterized as Salmonella and Shigella. Also, the result shows that all the seafood evaluated contain unacceptable levels of Salmonella and Shigella contamination, which ranged from 1.79 x107 CFU/g to 2.96 x107CFU/g. The level of contamination found in the selected seafood is shown in descending order from the highest to the lowest: Sardine> Periwinkle> Shrimps> Mudskipper> Crab. More so, result from the hypothesis showed that there was a significant mean difference in the Salmonella and Shigella count amongst selected seafood (P < .001). Conclusion: The results of this study constitute an indicator of fecal contamination in selected seafood from fish markets in Port Harcourt. Amongst others, it was recommended that Government should enforce laws discouraging the dumping of untreated waste into water bodies.


Author(s):  
Mandu A. March ◽  
Hannah A. Vaikosen ◽  
Enye A. Akporoghene

The study investigated information needs and seeking behaviour of nurses at Rivers State University Teaching Hospital (RSUTH), Port Harcourt. It adopted a descriptive research survey. The population of the study was 352 nurses at RSUTH from which a sample 100 was drawn. Self-structured questionnaire was used. The questionnaire included a four point likert scale (4-1). Out of 100 copies of the questionnaire administered, 94 were found valid for analysis. Data was analysed using simple percentages and mean score. The findings of the study showed that nurses needed information on drugs therapy, diagnostic, patients’ management and personal development. The factors that motivated their information seeking include working environment, patients’ care, professionalism and personal development. To satisfy their curiosity, they consulted different sources of information including colleagues, internet and textbook. It also showed that nurses had a negative perception about library and information services in meeting their information needs. Inadequate information resources in the library, inadequate information retrieval skills and closed access were some of the challenges they faced when seeking for their information needs. However, they suggested training of nurses and provision of standard library for the nurses. It was recommended among other things that the library should be well equipped to meet the information needs of the nurses also the nurses should acquire information retrieval skills to enable them access information resources on the internet and databases. Keywords:  Information needs, Information seeking behaviour, Nurses, Rivers, Health information


Author(s):  
P. C. Nnadi ◽  
B. B. Otene ◽  
Nwiisator David-Sarogoro

This study was carried out to examine the distribution of plant species in Rivers State University campus at different locations at the Rivers State University Nkpolu-Oroworukwo Port Harcourt Nigeria. The general objective of this study was to examine the Ecological distribution of plant species in Rivers State University campus at different locations. The specific objective was to determine the species abundance of various plants in the study area and also to examine the ecological diversity of tree species in the various groups. The study area was divided into three groups (stations) with the various plants species identified and recorded. Data gotten from the field was analyzed using descriptive statistic and some ecological indices such as Margalef, Mehinick, Shannon diversity, Shannon Wiener, Evenness/Equitability and Simpson dominance.  A total of one thousand Sixty-nine (1069) individual plant were identified with 16, 17 and 12 species in stations 1-3 respectively. The highest individual plants (561) were observed in station 1 while the least (87) were observed in station 3. The mean values of stations 1 and 2 were significantly and statistically different from site 3 at p<0.05. The results obtained showed some dominant species to include Elaeis guincensis, Polyaithia longifolia, Pinus spp, Gmelina arborea, Wodyetia bifareata, Citrus sinensis, Cocos nuciferia while others were the least dominant species found in the study area. The Margalef, Mehinicks and Shannon Wiener values were consistently highest in station 2 but lowest in station 3.  Human disturbances had negative impact on tree species abundance especially in site 3. It is therefore recommended that management interventions are necessary in other to stop indiscriminate felling of the various trees species that made up the different groups.


2005 ◽  
Vol 5 (9) ◽  
pp. 01-21
Author(s):  
Alexander Hart ◽  
◽  
Oboh CA ◽  
Barimalaa IS ◽  
TG Sokari

Concentrations of the trace metals lead, iron, copper and zinc were estimated in crops harvested in some oil prospecting locations in Rivers State, Nigeria. The locations were; Agbada-Aluu (AA), Ebocha (EB), Idu Ekpeye (IE), Obagi (OB) and Trans Amadi Layout (TA), with the Teaching and Research Farm of Rivers State University of Science and Technology, Port Harcourt as control. Crops investigated were cassava (Manihot esculenta), cocoyam (Colocasia esculenta), okra (Hibiscus esculentus), pumpkin leaves (Telfairia occidentalis) and waterleaf (Talinum traingulare). Results of the mean lead concentrations were from 1.1µg/g in cocoyam to 9.1 µg/g in okro, showing higher trends in the industrialized areas. While cocoyam had the lowest lead concentration, the concentration rest of the crops did not differ significantly from one another. Crops from locations TA, OB, IE and EB had significantly higher concentrations of lead, although IE, AA and TF were not significantly different from one another. Mean concentrations of iron were between 40 µg/g in cassava from TF, and 651 µg/g in pumpkin leaves from TA - the industrial base of Rivers State - reflecting a high level of pollution from the various industries in that location. Differences in concentration of iron in crops showed pumpkin leaves to have the highest level of iron, followed by the other green vegetables – waterleaf and okra - although no significant differences occurred between okra, cocoyam and cassava. Copper concentrations were between 4.4 µg/g in cocoyam from locations TF and 23 µg/g in pumpkin leaves from TA. Pumpkin leaves had the highest concentrations of copper, followed by okra, then waterleaf, with cocoyam and cassava having the least significant levels. Zinc concentrations in crops were between 29 µg/g in cocoyam from TF to 240 µg/g in pumpkin leaves from EB. Pumpkin leaves and okra contained the highest levels of the metal, followed by waterleaf, then cassava and finally cocoyam. In terms of location, TA, OB and EB had the highest concentrations in crops, the least occurring in TF and AA. These results reflect higher concentrations of metals in crops from the industrialized locations, with the green vegetables, particularly pumpkin leaves, having the highest uptake, while cocoyam invariably had the least. These findings give cause for concern, particularly as heavy metals are bio-accumulative in the system and portend a serious health risk to man and animals.


Author(s):  
P. A. Awoyesuku ◽  
D. A. Macpepple ◽  
B. O. Altraide ◽  
D. H. John

Background: Infection with hepatitis B (HBV) and human immunodeficiency virus (HIV) are global public health problems. These infections during pregnancy increase the risk of maternal morbidity and mortality, and also pose a risk to the fetus due to mother to child transmission. Objective: To determine the prevalence of seropositive HIV and HBsAg cases amongst pregnant women at the Rivers State University Teaching Hospital (RSUTH). Methodology: A retrospective review of hospital and laboratory records of all pregnant women booked at RSUTH in two years, from May 2017 to April 2019, was carried out. Data on patients’ age, parity and educational level and reactivity of HIV and HBsAg test at booking were retrieved using structured proforma and analyzed using Epi Info Version 7. Test for significance using Chi-square was set at a significant level of P<0.05. Results: 3560 patients had HIV and HBsAg screening out of which 148 (4.2%) and 9 (0.3%) respectively were positive. The comorbidity rate in this study was 0.06%. The mean age was 31.5±4.7 years and the mean gestational age at booking was 22.1±6.8 weeks. There was no significant relationship between their age (χ2 = 2.690, p-value=0.442) and parity (χ2 = 3.759, p-value = 0.145) with HIV seropositivity, but these were significant for HBsAg (χ2 = 13.691, p-value = 0.003) (χ2 = 13.121, p-value=0.001).  Educational status was significant for HIV (χ2 = 16.188, p-value=0.000) but not for HBsAg (χ2 = 0.229, p-value=0.892). Conclusion: The seroprevalence rate of HIV and HBsAg in this study were low. HIV seroprevalence was significantly affected by lower education, while HBsAg seroprevalence was significantly affected by younger maternal age and nulliparity. Continued screening of pregnant women for these infections remains valuable and further community-based studies to identify risk factors are recommended.


Author(s):  
S. Eli ◽  
D. G. B. Kalio ◽  
K. E. Okagua ◽  
A. A. Aloku ◽  
B. O. A. Atraide ◽  
...  

Background: The prevalence of diabetes mellitus (DM) have tripled from 1980 till date as a result of many factors of which obesity/excessive weight gain is a closely related factor of DM. There are many adverse challenges of DM in pregnancy with its associated fetal and maternal consequences. Aim: To determine the prevalence of DM in pregnancy amongst antenatal clinic (ANC) at booking at the Rivers State University Teaching Hospital (RSUTH). Methods: It was a cross sectional study of ANC attendees at booking at the RSUTH. Simple random sampling method was used. The Information was coded and analyzed using SPSS version 25. Results: A total of 99 pregnant women were recruited at booking in the ANC of the RSUTH. The mean age was 32.2 years and the modal parity was 1.0.The number of ANC attendees with weight equal to or greater than 90 Kg were 21 (21.2%), number with weight greater than equal to 90 Kg with glucose in urine were 10 (10.1%) Three (3.0%) of the subjects were known diabetic whereas 12 (12.1%) had family history of DM. Conclusion: The study revealed the prevalence of DM amongst ANC attendees at the RSUTH as 3.0%. There was corresponding glycosuria in 10.1% of the ANC attendees. ANC attendees had family history of DM were 12.1%. Advocacy is needed to educate the populace on the predisposing factors of DM and its adverse effect on maternal and child health.


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