Obstetric Practices in Spiritual Churches in South Eastern Nigeria

Udoma, EJ; John, ME; Udosen, G. E.; Udo, AE

doi:10.4314/msjm.v3i2.11014

Cited by 7 publications

(10 citation statements)

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“…In south-south Nigeria, spiritual churches engage in maternity services even though they lack the facilities and their personnel lack the needed skill and expertise to conduct deliveries safely [20]. Curiously, when they are faced with dire complications, rather than refer patients to licensed maternity centres, they resort to faith-based interventions like prayers and worship [21]. The women are also prophetically warned to avoid delivery in hospital in order to avoid untimely death from the devil and wicked people [20].…”

Section: Discussionmentioning

confidence: 99%

Emergency peripartum hysterectomy in a tertiary hospital in southern Nigeria

Abasiattai¹,

Umoiyoho²,

Utuk³

et al. 2013

Pan Afr Med J

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IntroductionEmergency peripartum hysterectomy, a maker of severe maternal morbidity and near miss mortality is an inevitable surgical intervention to save a woman's life when uncontrollable obstetric haemorrhage complicates delivery. This study was conducted in order to determine the incidence, types, indications and maternal complications of emergency peripartum hysterectomy at the University of Uyo Teaching Hospital, Uyo, Nigeria.MethodsThe case records of all women who underwent emergency peripartum hysterectomy between 1st January 2004 and 31st December 2011 were studied.ResultsThere were 12,298 deliveries during the study period and 28 emergency peripartum hysterectomies were performed resulting in a rate of 0.2% or 1 in 439 deliveries. The modal age group of the patients was 26-30 years (35.7%), majority were of low parity (64.4%), while 17.9% attained tertiary level education. Half of the patients (50.0%) were unbooked while 14.3% were antenatal clinic defaulters. Extensive uterine rupture (67.8%) was the most common indication for emergency hysterectomy distantly followed by uterine atony with uncontrollable haemorrhage (17.9%). Subtotal abdominal hysterectomy was performed in 92.8% of the cases. The case fatality rate was 14.3% while the perinatal mortality rate was 64.3%.ConclusionEmergency peripartum hysterectomy is not uncommonly performed in our centre and extensive uterine rupture from prolonged obstructed labour is the most common indication. In addition, it is associated with significant maternal and perinatal mortality. There is need to enlighten women in our communities on the benefits of ANC and hospital delivery as well as the dangers of delivering without skilled attendance. Government should consider enacting legislation to discourage people or organisations who operate unlicensed maternity homes in our environment.

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Section: Discussionmentioning

confidence: 99%

Emergency peripartum hysterectomy in a tertiary hospital in southern Nigeria

Abasiattai¹,

Umoiyoho²,

Utuk³

et al. 2013

Pan Afr Med J

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“…People wittingly or unwittingly have allowed spiritual churches to attend to them in labour at little or no cost 181920. The trend of trial of vaginal birth after caesarean section (VBAC) and obstetric manoeuvres in breech presentation may be contributory.…”

Section: Discussionmentioning

confidence: 99%

Risk factors and perinatal outcome of uterine rupture in a low-resource setting

2013

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Background:Uterine rupture has continued to be a catastrophic feature of obstetric practice especially in the low-resource settings. This study determined the incidence, predisposing factors, treatment options and feto-maternal outcome of ruptured uterus.Materials and Methods:A 10-year retrolective study of all cases of uterine ruptures that were managed in Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria between 1st January, 2001 and 31st December, 2010 was undertaken. The proforma was initially used for data collection, which was transferred to a data sheet before entering them into the Epi-info software. Analysis was done using Epi info 2008 (version 3.5.1).Results:Out of 5,585 deliveries over the study period, 47 had uterine rupture, giving an incidence of 0.84% or 1 in 119 deliveries. All the patients were multiparous and majority (63.8%) was unbooked. Traumatic (iatrogenic) rupture predominated (72.1%). Uterine repair with (55.8%) or without (34.9%) bilateral tubal ligation was the commonest surgery performed. Case fatality rate was 16.3%, while the perinatal mortality rate was 88.4%. Average duration of hospitalization following uterine rupture was 10.3 days.Conclusion:Uterine rupture constituted a major obstetric emergency in the study hospital and its environs. The incidence, maternal and perinatal mortalities were high. The traumatic/iatrogenic ruptures constituted the majority of cases, hence, majority of the cases are preventable. There is therefore a dire need for education of our women on health-related issues, utilization of available health facilities, adequate supervision of labour and provision of facilities for emergency obstetric care.

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“…However, this study was conducted in thickly urban areas were most of the patients live. Also, some studies in a similar society such as ours, have shown that formal education may not change the faith of a highly educated woman [23,24].…”

Section: Discussionmentioning

confidence: 99%