We Asked the Experts: The Tropical Surgeon: Everywhere in Chains But Not Imprisoned

Ubom, Akaninyene Eseme; Sowemimo, Oluwaseun; Ng’ayu, Nyawira Wahome

doi:10.1007/s00268-021-06396-7

Cited by 2 publications

(1 citation statement)

References 8 publications

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“…12 These findings have serious implications regarding the cost of surgery, especially where the cost burden is borne by the patient herself. 14 The cost of cross-matching one unit of blood in our hospital is US $8.40. This is a significant expense, especially where 70% of the population live on <US$ 1 per day.…”

Section: Discussionmentioning

confidence: 99%

Blood reservation and utilisation practice for Caesarean section in Ilorin, Nigeria

et al. 2022

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Most blood units routinely cross-matched for patients undergoing Caesarean section (CS) in Nigeria are not used for transfusion. Over-ordering increases blood wastage, blood bank running costs, surgery costs and waiting times. A one-year review of all CS performed in the University of Ilorin Teaching Hospital (UITH), Nigeria, was thus conducted to evaluate blood reservation and utilisation practice. Efficiency of blood utilisation was evaluated using a cross-match to transfusion (C/T) ratio, transfusion probability (TP) and transfusion index (TI). The overall C/T ratio, TP and blood wastage were, respectively, 3.1, 24.6%, and 68%, indicative of inefficient blood utilisation. Establishing a Maximal Surgical Blood Order Schedule (MSBOS), which estimates the units of blood required for specific CS indications, is recommended to minimise blood over-ordering. Blood grouping alone should be done for patients at low risk for transfusion. For moderate risk patients, blood type and screen without cross-matching should be done, reserving cross-matching for high-risk patients.

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Section: Discussionmentioning

confidence: 99%

Blood reservation and utilisation practice for Caesarean section in Ilorin, Nigeria

et al. 2022

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The role of clinical exchange programs in postgraduate obgyn training: A case‐study of the FIGO‐WATOG One World Exchange

Ubom,

Topcu,

Ogbuagu

et al. 2024

Intl J Gynecology & Obste

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ObjectiveTo evaluate the role of clinical exchange programs in postgraduate obgyn training using the International Federation of Gynecology and Obstetrics (FIGO)–World Association of Trainees in Obstetrics and Gynecology (WATOG) One World Exchange (OWE), a clinical exchange program held in France in October 2023, as a case‐study.MethodsThis was a cross‐sectional study. A 31‐item structured questionnaire designed with Google Forms was electronically distributed to the 51 obgyn postgraduate trainees (OWE fellows) who participated in the OWE, to collect information about the exchange. Collected data was analyzed using IBM Statistical Product and Service Solutions (SPSS) Statistics for Windows.ResultsThe survey response rate was 68.6%. The mean age of the respondents was 33.0 ± 4.0 years. Majority of the them were females (26, 74.3%), married (19, 54.3%), at least in their third year of training (30, 85.7%) and from Africa (11, 31.4%). During the period of the exchange program, fellows observed various obstetric and gynecologic procedures, including open and minimal access procedures, with more than one‐fifth (8, 22.9%) of them reporting that they were allowed to assist in some of these procedures. The fellows noted salient differences in practice between their exchange hospitals and their home countries. An overwhelming majority (30, 85.7%) of the fellows believed the OWE was beneficial and would positively impact their clinical practices back in their home countries.ConclusionClinical exchange programs like the OWE provide valuable benefits in improving the clinical knowledge and skills of postgraduate obgyn trainees.

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We Asked the Experts: The Tropical Surgeon: Everywhere in Chains But Not Imprisoned

Cited by 2 publications

References 8 publications

Blood reservation and utilisation practice for Caesarean section in Ilorin, Nigeria

Blood reservation and utilisation practice for Caesarean section in Ilorin, Nigeria

The role of clinical exchange programs in postgraduate obgyn training: A case‐study of the FIGO‐WATOG One World Exchange

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