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  1. Upgrading obstetric care at a secondary referral hospital, Ogun State, Nigeria.

    Article - En anglais

    Preliminary studies :

    • A 1991 inventory at the State Hospital,

    • Ota, in Ogun State,

    • Nigeria, showed inadequate surgical equipment, drugs, blood and power supply.

    A time-motion study indicated substantial delays in receiving obstetric care.

    Interventions 

    In 1994, medical officers and midwives were given refresher courses in emergency obstetric skills.

    In 1995, the surgical theater, labor ward and laboratory were provided with the necessary supplies and equipment.

    A reliable electrical supply was set up, but problems were encountered in establishing blood services.

    Subsequent community interventions focused on improving access and reducing delay in seeking care.

    Results 

    The annual number of women with complications seen, which had been declining - from 123 in 1992 to 55 in 1994 - increased to 91 in 1995.

    Case fatality rate (CFR) due to major direct obstetric complications did not change appreciably, i.e. it was 6.6% in 1995, as compared with 7.3%, 8.3% and 7.3% for the years 1992-1994, respectively.

    Costs : The cost of hospital improvements was approximately US $46000.

    Conclusions 

    The facility improvements were completed only recently in mid-1995.

    It is hoped that improved services will result in reductions in CFR and motivate more women with complications to seek hospital care, despite difficult economic conditions prevailing in Nigeria.

    Mots-clés Pascal : Prévention, Mortalité, Mère, Obstétrique, Hôpital, Amélioration, Equipement, Enseignement, Accouchement pathologie, Gestation pathologie, Homme, Femelle, Nigéria, Afrique

    Mots-clés Pascal anglais : Prevention, Mortality, Mother, Obstetrics, Hospital, Improvement, Equipment, Teaching, Delivery disorders, Pregnancy disorders, Human, Female, Nigeria, Africa

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0032505

    Code Inist : 002B30A03B. Création : 17/04/1998.