Postpartum maternal morbidity in Jos, North-Central Nigeria

Mutihir, Josiah; Utoo, BT

doi:10.4103/1119-3077.79238

Cited by 33 publications

(46 citation statements)

References 18 publications

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“…This is congruent with figures of studies from Jos [18] and Ile Ife, Nigeria [6]. Repeated pregnancy and delivery is a risk factor implicated in retained placenta [20].…”

Section: P-valuesupporting

confidence: 80%

“…Haemorrhage was severe enough to warrant blood transfusion in 33 (27.7%) of patients in the study population. This finding is similar to some studies in Nigeria [9] [16] [18]. However, only 10% of the retained placenta group in a large Norwegian cohort study were transfused [25].…”

Section: P-valuesupporting

confidence: 78%

“…An incidence of 0.8% was reported in Jos North-Central Nigeria [18], while a relatively lower incidence of 0.6% was reported in Saudi Arabia [8]. This slight difference may be due to the difference in the number of unbooked pregnant women who delivered outside the hospital unsupervised and subsequently present to the hospital with complications of retained placenta.…”

Section: P-valuementioning

confidence: 69%

See 2 more Smart Citations

Socio-Demogrphic Profile and Complications of Patients with Retained Placenta in a Tertiary Centre, South-South Nigeria

Iklaki¹,

Emechebe²,

Njoku³

et al. 2016

OALib

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Retained placenta is a life threatening emergency and a major cause of primary postpartum haemorrhage and maternal morbidity in the developing world. Objectives: To determine the sociodemographic characteristics and complications in patients presenting with retained placenta in this centre. Materials and Method: This was a retrospective study of all cases of retained placenta managed at the UCTH from January 1st 2008 to December 31st 2012. The case records of these patients were retrieved and analysed using Epi info 3.3.2. Results: There were 138 patients with retained placenta during the period, giving an incidence of 1.02%. The mean age was 27.7 ± 4.6 years with a range of 17 -41 years. Majority of the cases of retained placenta occurred in the age group of 26 -30 years (37%); para 4 (36.1%); traders (48.7%) and unbooked (68.1%). Most patients delivered outside the hospital by unskilled birth attendants at churches, traditional birth attendants and patient's home (69.0%). Eleven (9.2%) patients had previous caesarean sections while 7 (5.9%) had placenta retention in the past. The complications observed were mostly primary postpartum haemorrhage 67 (56.3%) and anaemia 79 (66.4). Unbooked patients significantly had more primary postpartum haemorrhage (P-value = 0.0325) and anaemia (P-value = 0.0000) than the booked patients. Nineteen (16.0%) patients presented in shock out of which 1 died due to severe haemorrhagic shock, giving a case fatality rate of 0.8%. Conclusion: Poorly managed labour and delivery is the major cause of retained placenta. Therefore, supervised hospital delivery is paramount to reduce the observed complications.

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“…This is congruent with figures of studies from Jos [18] and Ile Ife, Nigeria [6]. Repeated pregnancy and delivery is a risk factor implicated in retained placenta [20].…”

Section: P-valuesupporting

confidence: 80%

Section: P-valuesupporting

confidence: 78%

Section: P-valuementioning

confidence: 69%

See 1 more Smart Citation

Socio-Demogrphic Profile and Complications of Patients with Retained Placenta in a Tertiary Centre, South-South Nigeria

Iklaki¹,

Emechebe²,

Njoku³

et al. 2016

OALib

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“…5 According to the study of Mutihir JT et al, the commonest early puerperal complication was fever (56.1%) followed by perineal pain, abdominal pain, breast engorgement and secondary PPH. 17 The findings of in the present study differ from the above large studies. This could be due to increasing number of institutional deliveries and awareness regarding hygiene in patients.…”

Section: Discussioncontrasting

confidence: 57%

Medical complications of puerperium: a single center observational study

et al. 2018

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Background: Puerperium is of 6 weeks after delivery, when body reverts back to its original non-pregnant state. This period holds its own set of medical issues with frequent occurrence of gynaecological complaints like hematoma, bleeding, painful discharge and many medical issues like pyrexia, mastalgia, coagulation disorders and depression. The management of all these problems is further complicated by consideration of lactation which prohibits use of many drugs. There are many studies available in international communities that analysed women in puerperium but the data from Indian subpopulation where most deliveries are conducted in government funded institutes is lacking. The current study was an observational single center study carried out at gynaecology department along with medicine and surgery department of a tertiary care hospital associated with a medical teaching institute for defining the epidemiological parameters of the puerperal maladies. Methods: 150 randomly selected pregnant subjects with otherwise uncomplicated pregnancies, both booked at our institute or referred at the time of delivery between January to July 2016 were included in the study. Both normal vaginal or assisted deliveries were considered irrespective of booking status. Patient not willing for consent, and patients reporting beyond 2 weeks of delivery were excluded. All patients were observed while in hospital and weekly thereafter till 6th week and detailed gynaecological, medical and psychiatric evaluation was carried out by a multidisciplinary team. Detailed evaluation of cause was carried out in all cases of pyrexia, pain or other objective symptoms and analysis of depression was done. All data were collected and analysed by spss 22.0 at the end of 6 weeks. Results: Of the 150 patients studied, 40% had caesarean delivery while 60% had normal vaginal delivery with or without episiotomy. The most common complications noted during puerperium were wound discharge (10.67%), perineal pain (10%), fever (15%) and Mastalgia & Mastitis (13%). Depression was diagnosed in 6% of the studied cases. Cause of fever was mastitis/breast abscess in 30%, Urinary tract infection in 24%, Malaria in 7% and puerperal sepsis in 12% cases, in rest of the cases the cause of fever could not be found. The puerperal complication rate was more in LSCS 22.95% as compared with vaginal deliveries 14.6%. Conclusions: Puerperium remains an important aspect of pregnancy where the nature of complications differs totally from those seen during antenatal period. Our study suggests that most important complications in puerperium are purulent discharge, perineal pain and pyrexia. Depression is a frequent occurrence in post-partum period and its early identification can benefit both maternal and child health. Fever in puerperium is fairly common Perineal infection, Breast infection, Urinary tract infection and Malaria being common causes. A vigilant multidisciplinary approach is required to optimally manage all these complications.

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“…For example, some sources included conditions existing before pregnancy in their definitions of maternal morbidity, whereas others excluded them. [7][8][9] Other sources classified nausea, a discomfort commonly experienced during pregnancy, as a type of morbidity; others defined maternal morbidity in terms of pregnancyassociated hospitalizations. 7,10 Given the challenges inherent in defining maternal morbidity, its epidemiological characteristics and the adequacy and accuracy of its measurement are, not surprisingly, unclear.…”

Section: Perspectivesmentioning

confidence: 99%