The Correlation between Placental Weight and Foetal Outcome in a Tertiary Health Facility in Southern Nigeria

2021 ◽  
Vol 10 (5) ◽  
Author(s):  
Emechebe CI
Keyword(s):  
Health Facility ◽  
Placental Weight ◽  
Southern Nigeria ◽  
Foetal Outcome

scholarly journals Health Facility Preparedness and Response to COVID-19: An Assessment of Employee Satisfaction in a Teaching Hospital in Southern Nigeria

2020 ◽  
Vol 6 (5) ◽  
pp. 242
Author(s):  
Esohe Olivia Ogboghodo ◽  
Joy Chinyere Nwaogwugwu ◽  
Otaniyenuwa Eloghosa Obarisiagbon ◽  
Orezimena Temitope Omo-Ikirodah ◽  
Edith Imuwahen Uwugiaren ◽  
...  
Keyword(s):  
Health Facility ◽  
Teaching Hospital ◽  
Employee Satisfaction ◽  
Southern Nigeria

scholarly journals Caregivers’ burden of caring for children with chronic illnesses at a tertiary health facility in southern Nigeria

2021 ◽  
Vol 10 (1) ◽  
pp. 105-114
Author(s):  
Gracia Ker Eke ◽  
Nsirimobu Ichendu Paul
Keyword(s):  
Chronic Diseases ◽  
Health Facility ◽  
Tertiary Care ◽  
Well Being ◽  
Chronic Illnesses ◽  
P Value ◽  
Cross Sectional Survey ◽  
Southern Nigeria ◽  
General Strain ◽  
Children With Chronic Illnesses

Background: The responsibilities perceived by caregivers of children with chronic diseases can impose significant burden on their physical, emotional and mental well-being. Objective: To explore the burden of caregivers of children with chronic illnesses at a tertiary-care health facility in southern Nigeria, in order to devise effective ways of reducing them. Methodology: It was a descriptive cross-sectional survey amongst parents/caregivers of children with chronic illnesses in the Children’s Outpatient clinics /wards and emergency room, who presented for care and/or follow-up visits between October and December 2020. A validated Caregiver Burden Scale (CBS) that assesses the level of burden in five domains: general strain, isolation, disappointment, emotional involvement and environment, was used to obtain data. Caregivers’ and the children’ socio-demographic characteristics were also ascertained and compared with the level of burden. Data were analyzed using SPSS version 25.0. A p-value of < 0.05 was considered significant. Result: A total of 109 caregivers completed the questionnaire. Half (n=55; 50.5%) of the caregivers were aged 30-39years; 88 (80.7%) were females; 58 (53.2%) had post-secondary education and 51 (46.8%) were self-employed. Of the 109 children studied, 70 (64.2%) were males and the commonest diagnosis was sickle cell anaemia (SCA) (n=62; 56.9%) followed by Human Immunodeficiency Virus (HIV) disease (n=35; 32.1%). The age at diagnosis was 1-5years in 70 (64.2%) of cases while 76 (69.7%) of them had received care for 1-5years. The mean caregiving burden score was highest in disappointment (2.0) and lowest in the domain of isolation (1.5), while the overall mean score was 1.7 (SD=0.6). There was a statistically significant relationship between the caregivers’ age and all the domains studied except the general strain, while the other socio-demographic variables had varying significance with the different domains of burden. Conclusion: Severe burden of caregiving was experienced by more caregivers in the domains of disappointment and general strain while the isolation domain experienced the lowest frequency of caregivers with severe burden. Improving social support and advocacy to stakeholders, including the government to take over the financing of medical expenses of children with chronic diseases will reduce the burden of care experienced by their caregivers.

scholarly journals Post-operative Paediatric Pain Assessment and Management at a Tertiary Health Facility, Southern Nigeria: Surgeons’ Perspectives and Practice

2020 ◽  
pp. 35-42
Author(s):  
G. K. Eke ◽  
P. E. Okoro
Keyword(s):  
Postoperative Pain ◽  
Health Facility ◽  
Postoperative Analgesia ◽  
Pain Assessment ◽  
Opioid Analgesics ◽  
Postoperative Pain Management ◽  
Assessment Tools ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Southern Nigeria

Introduction: Whereas advances in perioperative care of children continue to be made with increasing evidence-based practice for postoperative analgesia, inadequate relief of postoperative pain resulting in significant morbidity and mortality is still being reported. Objective: To appraise surgeons' perspectives and practice of paediatric post-operative pain assessment and management at a tertiary health facility in southern Nigeria. Methods: In this cross-sectional survey carried out between September and December 2019, a semi-structured and self-administered questionnaire was distributed to surgeons/trainees in departments/units where paediatric patients undergo both major and minor surgeries. Their perspectives and practice of postoperative pain assessment and management were analysed using SPSS version 20.0. Results: Seventy-nine respondents completed the survey, including 19(24%) consultants, 32(40.5%) senior registrars, and 22(27.9%) junior registrars. Two-third of respondents (n=51, 64.6%) had more than 10 years working experience post-graduation. Involving parents/caregivers to assess postoperative pain was the most common strategy used by respondents (n=69, 87.3%), and most of them (n=67, 84.8%) do not make use of any pain assessment tools.  Non-pharmacologic strategies for postoperative pain management were applied/prescribed sometimes (n=20, 25%) or rarely (n=20, 25%). Paracetamol and NSAIDs were the commonest non-opioid analgesics used while pentazocine was the commonly used opioid. Many respondents (n=66, 83.5%) had never prescribed morphine for postoperative analgesia in children. Seventeen percent of respondents do not prescribe postoperative analgesia to newborns. Conclusion: Findings of this study show that the practice in our institution falls short of the recommended multimodal approach to paediatric postoperative pain care. Development of standard protocols and training of providers of postoperative care are recommended.

scholarly journals Physicians’ Attitude towards Patients’ Spirituality at a Tertiary-Care Health Facility in Southern Nigeria

2021 ◽  
pp. 27-35
Author(s):  
G. K. Eke ◽  
N. Onodingene
Keyword(s):  
Clinical Practice ◽  
Pastoral Care ◽  
Health Facility ◽  
Health Care Professionals ◽  
Work Experience ◽  
Tertiary Care ◽  
Spiritual Needs ◽  
Religious Leader ◽  
Cross Sectional Survey ◽  
Southern Nigeria

Background: It has been shown that patients would like to discuss their spiritual beliefs with their physicians and that they have spiritual needs which are often under addressed by health care professionals. Whereas, addressing those needs in clinical practice is a component of the holistic care that every patient deserves, the attitude of physicians towards addressing them has not been ascertained in our environment. Objectives: To explore physicians' attitude and self-reported behavior towards patients’ spirituality in clinical practice at a tertiary health facility in Southern Nigeria. Methods: In this cross-sectional survey carried out between August and November 2020, a semi-structured and self-administered questionnaire was completed by the participating physicians which were of various ranks and working in various departments of the hospital. Their attitude towards their patients’ spirituality in clinical practice and self-reported behavior were analyzed using SPSS version 25.0. Results: A total of 200 physicians participated in the study, 90% of them were residents of various cadres, two-third (n=122; 61%) had less than 10 years work experience. Majority of respondents (n=163; 81.5%) considered it appropriate to make inquiries about their patients’ spirituality and less than half of them (n=98; 49%) were aware that there is a religious leader in the hospital who offers pastoral care. Half of the respondents (n=104; 52%) reported they rarely take spirituality history of patients, 18 (9%) often pray with the patient while 100 (50%) rarely refer patients for pastoral care. Insufficient time was the most frequent barrier to discussing spiritual issues with patients. However, only 5 (2.5%) respondents were able to name 3 common tools a health worker can use to assess patients’ spiritual needs. Conclusion: Physicians enquiry into patients’ spirituality was inconsistent, and there were gaps between their attitudes to discussing these issues with their patients and its practice. Incorporating spiritual care courses into physicians’ training is recommended to overcome the barriers to both patient and physician spiritual inquiry.

Hand hygiene practices among doctors in a tertiary health facility in southern Nigeria

2013 ◽  
Vol 15 (2) ◽  
pp. 96 ◽  
Author(s):  
VivianOssaidiom Omuemu ◽  
EsoheO Ogboghodo ◽  
RosemaryA Opene ◽  
Phebe Oriarewo ◽  
Orezimena Onibere
Keyword(s):  
Hand Hygiene ◽  
Health Facility ◽  
Hygiene Practices ◽  
Southern Nigeria

Choices and determinants of delivery location among mothers attending a primary health facility in Southern Nigeria

2020 ◽  
Vol 27 (1) ◽  
pp. 42 ◽  
Author(s):  
OfonimeEffiong Johnson ◽  
PreciousChizaram Obidike ◽  
MiriamUzezi Eroh ◽  
AbasionoAugustine Okpon ◽  
EmmanuelImeh Bassey ◽  
...  
Keyword(s):  
Health Facility ◽  
Primary Health ◽  
Southern Nigeria ◽  
Delivery Location ◽  
Primary Health Facility

scholarly journals The Correlation between Placental Weight and Foetal Outcome in a Tertiary Health Facility in Southern Nigeria

2021 ◽  
pp. 27-34
Author(s):  
C. I. Emechebe ◽  
E. Ekanem ◽  
J. T. Ukaga ◽  
C. O. Njoku
Keyword(s):  
Birth Weight ◽  
Weight Ratio ◽  
Well Being ◽  
Placental Weight ◽  
Critical Examination ◽  
P Value ◽  
Maternal Complications ◽  
Cross Sectional ◽  
Foetal Outcome ◽  
The Mean

Background: Placenta is a vital feto-maternal organ for promoting pregnancy, foetal growth and development. Placenta varies in weight, size, thickness, form and consistency. The weight of the placenta is functionally significant because it is related to villous surface area and foetal metabolism. Gross examination of placenta after delivery may provide a useful insight into foetal weight, newborn and maternal complications of pregnancy. Objectives: To determine the mean placental weight in our environment and also, to determine the correlation between the placental weight and neonatal outcome in term pregnancies in Calabar. Materials and Methods: This was a cross-sectional study of 300 women conducted at University of Calabar Teaching Hospital (UCTH). Participants in the study were women with singleton pregnancies who delivered either by vaginal delivery or caesarean section at term. Examination and weighing of placenta were done at delivery for placental weight. Foetal outcome that were recorded included birth weight, sex, length of the newborn and Apgar score at 5th minute. Maternal age, marital status and parity were also obtained. Data obtained were analyzed using the statistical package for Social Sciences (SPSS) version 20. Level of significance was set at p-value less than 0.05. Data were presented in tables and graph. Results: The mean placental weight was 652 ±152g and ranged from 250g-1,200g. The mean foetal birth weight was 3.309 ±0.522kg and ranged from 2.0-5.9kg. The mean placental weight to birth weight ratio was 1: 5.08. The mean gestational age at delivery was 38.94 ±1.33weeks while the mean length of the neonate was 49.79 ±2.66cm. There was a corresponding increase in placental weight with increase in neonatal birth weight and length of the neonate. Conclusions: Placental weight was positively correlated with birth weight and length of the neonate. Critical examination and weighting of the placenta immediately after delivery should be done to determine the well being of the newborn.

Sign in / Sign up

Export Citation Format

Share Document