RESUMEN
Background: Caesarean section is one of the commonly performed surgical procedure in obstetric care. High caesarean section rate may have implications due to cost, complications for mothers and child
Objective: To determine the frequency of caesarean section at tertiary care hospital
Methodology: In this cross sectional study sample size was 600 patients out of 363 underwent caesarean section. The data was collected from two institutions, Shahida Islam Teaching Hospital and District Headquarter Lodhran. All cases of institutional deliveries [booked and un-booked] via caesarean section during the defined study period were recorded as an inclusion criteria while there was no exclusion criteria. Data was collected based on non-probability convenient sampling method. A statistical analysis of collected data was done through SPSS software version 21
Results: In this study, it was found that the rate of caesarean section was 60.5% and 62% were elective Caesarean Section cases
Conclusion: The frequency of caesarean section is very high in our tertiary care hospital
RESUMEN
Background: Needle stick injuries remains potential source of transmission of infections
Objective: To determine the prevalence of needle stick injuries among doctors and nurses working in Sheikh Zayed Hospital Rahim Yar Khan
Methodology: This cross sectional study was conducted from 1[st] June to 31[st] December 2014. All the nurses and medical officers who were listed in the medical superintendent office of the Sheikh Zayed Hospital Rahim Yar Khan were included in the study. A structured, self administered questionnaire was designed to describe the occurrence of needle-stick injuries among respondents. The questionnaire sought information about socio-demographic characteristics such as age, sex, marital status and years of experience. The questionnaire also included information about the frequency of being stuck by a needle or a sharp instrument while at work during the last six months. A yes/no response were used to assess whether the doctor/nurse reported the injury. The participants were asked about the reasons of needle stick injuries and how they managed the incident. Data analysis was performed using SPSS, version 17. The chi-square test was used to assess the association between duration of service and needle stick injuries
Results: Total of 308 health care workers [HCWs] participated in this study which included 173 medical officers and 135 nurses. About half of the medical officers were in the age category of 30 to 39 years while half of the nurses in 20 to 29 years of age. Among these HCWs 27.8% medical officers and 25.2% nurses had above 10 years of work experience. Needle stick injury was reported by 22.54% doctors and 37.78% nurses in the past six months and it was found significantly higher among nurses as compared to doctors [p=0.001]. Among perceived reasons of needle stick injuries the most frequently reported reason was workload [48.7% doctors, 56.9% nurses] followed by Recapping of needle [30,8% doctors, 21.6% nurses], hurriedness [12.8% doctors, 13.7% nurses] and non-cooperation of patient [7.7% doctors, 7.8% nurses]. After needle stick injury only 38.5% doctors and 25.5% nurses washed it with disinfectant. Duration of service was significantly associated with needle stick injury among doctors [p=0.000] and nurses [p=0.000]
Conclusion: In summary, we conclude that the frequency of Needle stick injury among Health Care Workers is high and duration of service was significantly associated with needle stilck injuries