ABSTRACT
Background: The Obstetric outcome of the patients who receive antenatal care and deliver at the Irrua Specialist Teaching Hospital is reasonably satisfactory. Our major challenges arise from unbooked emergencies. The aim of this study was to determine the frequency of unbooked patients in the Irrua Specialist Teaching Hospital; their clinical presentation; their demographic characteristics as well as their obstetric outcome. Methods: A structured proforma was used to collect relevant information over a one-year period from patients' case notes; theatre records and labour ward records. Results: During the study period; unbooked patients constituted 14.7of all deliveries. They had a higher proportion of teenagers (p
Subject(s)
Delivery, Obstetric , Health Behavior , Hospitals , Patient Acceptance of Health Care , TeachingABSTRACT
Background: The Obstetric outcome of the patients who receive antenatal care and deliver at the Irrua Specialist Teaching Hospital is reasonably satisfactory. Our major challenges arise from unbooked emergencies. The aim of this study was to determine the frequency of unbooked patients in the Irrua Specialist Teaching Hospital; their clinical presentation; their demographic characteristics as well as their obstetric outcome. Methods: A structured proforma was used to collect relevant information over a one-year period from patients' case notes; theatre records and labour ward records. Results: During the study period; unbooked patients constituted 14.7of all deliveries. They had a higher proportion of teenagers (p
Subject(s)
Hospitals , Patient Acceptance of Health Care , TeachingABSTRACT
Objective: To document differences in characteristics and outcome between booked and unbooked patients with ruptured uterus. Methods : A 10 year retrospective comparative analysis of booked and unbooked patients with ruptured uterus at the Baptist medical center; Eku; Delta State. Results: The overall incidence of ruptured uterus was 1 in 271 deliveries while the incidence among booked and unbooked patients was 1 in 556 and 1 in 140 respectively. There were a statistically significant difference in number of booked patients with formal education beyond the primary level compared with the unbooked patients (p =0.0206; 95CI 1.92-14.79). A higher proportion ofbooked patientswith ruptured uterus had history ofprevious uterinescar. All the three maternal deathsoccure in theunbooked patients. The overallcasefatality rate for ruptured uterus was 23or 1 in 4.3. Conclusion : Booked and unbooked patients with ruptured uterus have different characteristics and outcome. Subsequent studies on ruptured uterus should disaggregate their data according to the booking category of the patients. This will assist in making effective intervention plans that will impact both groups