Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria · 2008
Retained placenta aspect of clinical management in a tertiary health institution in Nigeria.
СтатьяНазвание и аннотация: Перевод в очереди
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Agwu U M, Umeora O U J, Ejikeme B N, Egwuatu V E
Аннотация
BACKGROUND: Retained placenta is a significant cause of postpartum haemorrhage, maternal morbidity and occasionally mortality. This study assessed the clinical presentation, management and outcomes of retained placenta at the Ebonyi State University teaching Hospital.
METHOD: Analysis of records relating to retained placenta managed in the hospital over a three year period (August 2003 to July 2006.
RESULTS: The incidence of retained placenta was 0.22% (1 in 456 vaginal deliveries). Eleven (32.4%) patients were admitted with retained placenta following home delivery. Two (5.6%) delivery in a peripheral hospital, 6 (17.7%) delivered in a. Health center and 2 (5.9%) delivered in a maternity home. Preterm deliveries accounted for 17.7% of the cases. Eighteen parturient were admitted in shock. One patient had hysterectomy for adherent placenta.
CONCLUSION: Improved peripatum services, education on the dangers of unsupervised home deliveries, women empowernment and prompt referral for emergency obstetrics care will reduce the associated mortality and morbidity.
METHOD: Analysis of records relating to retained placenta managed in the hospital over a three year period (August 2003 to July 2006.
RESULTS: The incidence of retained placenta was 0.22% (1 in 456 vaginal deliveries). Eleven (32.4%) patients were admitted with retained placenta following home delivery. Two (5.6%) delivery in a peripheral hospital, 6 (17.7%) delivered in a. Health center and 2 (5.9%) delivered in a maternity home. Preterm deliveries accounted for 17.7% of the cases. Eighteen parturient were admitted in shock. One patient had hysterectomy for adherent placenta.
CONCLUSION: Improved peripatum services, education on the dangers of unsupervised home deliveries, women empowernment and prompt referral for emergency obstetrics care will reduce the associated mortality and morbidity.