Indications and Feto-Maternal Outcomes of Caesarean Section at University Calabar Teaching Hospital: A Six Year Review (Published)
Caesarean section is one of the most common surgical procedures. With an increasing prevalence of caesarean section globally, periodic review is pertinent in order to determine the prevalence, indications and outcomes in our environment.The delivery records in the maternity unit of UCTH between 1st January 2013 and 31st December, 2018 were reviewed and relevant data obtained. Data were analyzed and presented as percentages.Caesarean section was the commonest major obstetric operation in university of Calabar Teaching Hospital over the period under review with a rate of 38.8%.The commonest indication being repeat caesarean section which accounted for 29.5% followed by Cephalo-pelvic disproportion (CPD) 17%. A total of 78% clients had emergency caesarean section while 22% of the caesarean sections were elective cases. The study demonstrated a high caesarean section rate in UCTH, Calabar (38.8%). Intensive effort should be invested towards reducing the prevalence by reducing the rate at which primary Caesarean section is performed. This can be achieved by encouraging operative vaginal deliveries; vaginal breech deliveries and vaginal birth after caesarean section to stem the tide of increasing caesarean section rate.
Keywords: Antenatal Care, Calabar, caesarean section, obstructed labour
Assessment of MIS Management of Fund in Health Information Management System in General Hospital, Calabar (Published)
The study examines the “Assessment of mismanagement of fund in Health Information Management system on Health care delivery: A case study of General Hospital, Calabar”. Three specific objectives were developed as follows: (i) To assess impact of mismanagement of fund in Health Information Management system in General Hospital, Calabar (ii) Find out the causes and effect of mismanagement of fund in Health Information Management system in General Hospital, Calabar (iii) To know the Challenges of Health Information management in mismanagement of fund in General Hospital Calabar. The sample for the study consisted of 100 respondents which were randomly selected from 10 Health Information Managers, 10 Doctors, 30 Nurses, 5 Medical Laboratory, Pharmacist 5 and 40 patients respectively from University of Calabar Teaching Hospital. The results show there are impact of mismanagement of fund in Health Information Management system in General Hospital, Calabar as proved in hypothesis 1. It was affirmed that there are causes and effect of mismanagement of fund in Health Information Management system in General Hospital, Calabar as proved in hypothesis 2. It was equally revealed that there are Challenges of Health Information management in mismanagement of fund in General Hospital Calabar as proved in hypothesis 3. It was recommended that: (i).That Government should ensure routine auditing in Health Information Management (ii) that Hospital management should ensure that all monies collected are retired properly (iii) that Health Information professionals should not be involved in mismanagement of fund because it is against our professional ethics and practice
Keywords: Calabar, General Hospital, fund health information management system, mis- management
Management Outcome of Uterine Fibroids in Pregnancy in a Secondary Health Facility in Calabar, South-South Nigeria (Published)
Uterine fibroid is the commonest benign tumors of the uterus and may lead to several complications in pregnancy. The objective was to determine the maternal and foetal outcome of fibroids in pregnancy. This prospective study was conducted in Nigerian Navy Hospital, Calabar over 2 year among women with fibroids in pregnancy. Result showed that a total of 889 women booked for antenatal care during the period, of which 72 had fibroids in pregnancy giving the incidence of 8.1%. Majority of the women were within the age group of 30-39 years 39(54.2%) and nulliparae 32(44.4%). A total of 3(4.2%) had 1st trimester miscarriages, 4(5.2%) had preterm delivery, 22(30.6%) had spontaneous normal vaginal delivery at term while 37(51:3%) had caesarean section. In conclusion, uterine fibroid is a common finding in pregnancy and the manifestation varies depending on their size and site. Pregnancies with uterine fibroid are high risks and are commonly associated with complications such as caesarean sections, primary post partum haemorrhage, miscarriage and preterm labour.
Keywords: Calabar, Uterine fibroids, caesarean section, miscarriage, pregnancy