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  1. Article ; Online: Association between time of delivery and poor perinatal outcomes -An evaluation of deliveries in a tertiary hospital, South-east Nigeria.

    Paul Eze / Lucky Osaheni Lawani / Chukwuemeka Ikechi Ukaegbe / Okechukwu Bonaventure Anozie / Chukwuemeka Anthony Iyoke

    PLoS ONE, Vol 14, Iss 6, p e

    2019  Volume 0217943

    Abstract: Objectives Nigeria account for a significant proportion of adverse perinatal outcome. Nigerian studies assessing impact of time of delivery on perinatal outcome are scarce. This study evaluates any associations between time of delivery and perinatal ... ...

    Abstract Objectives Nigeria account for a significant proportion of adverse perinatal outcome. Nigerian studies assessing impact of time of delivery on perinatal outcome are scarce. This study evaluates any associations between time of delivery and perinatal outcome. Methods This was a cross-sectional study at the Federal Teaching Hospital, Abakaliki from 01 January 2016 to 30 June 2018. Data were analysed with IBM SPSS version 25.0. Results A total of 4,556 deliveries were analysed. Majority (72.2%) delivered on week days and 27.8% on weekends. Over 90% had 1st and 5th minutes Apgar scores ≥7. There was statistical difference in NICU admission between morning and evening hours (p = 0.009) but not between morning and night hours (p = 0.795). ENND during evening was twice higher (1.2%) than morning (0.5%); p = 0.047 and night hours (0.6%); p = 0.623.There was no difference in the risk of fresh stillbirths between morning and evening (p = 0.560), as well as morning and night hours (p = 0.75), there was also no difference in fresh stillbirths between week days and weekends (p = 0.895). There was no difference in low Apgar scores at 1st minute between morning and evening (p = 0.053) and night (p = 0.221), and between weekdays and weekends (p = 0.524). Similarly, there was no difference in low 5th minute Apgar scores between morning and evening (p = 0.165) and night (p = 0.944), as well as between week days and weekends (p = 0.529). However, ENND was twice (p = 0.085) and 1.3 times higher (p = 0.526) for evening and night hours respectively, while there was no difference between weekends and week days (p = 0.652). Conclusion NICU admission and ENND were commoner during evening hours. However, work hours did not affect the rate of stillbirth and low Apgar scores during weekdays and weekends. It is pertinent for each obstetric unit to identify and modify factors responsible for unfavourable outcomes during various shifts, with the aim of improving perinatal health.
    Keywords Medicine ; R ; Science ; Q
    Subject code 630
    Language English
    Publishing date 2019-01-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Pregnancy Outcome among Elderly Primigravidae

    Okechukwu Bonaventure Anozie / Johnbosco Emmanuel Mamah / Chidi U Esike / Obiora Godfrey Asiegbu / Lucky Osaheni Lawani / Justus Ndulue Eze / Robinson Chukwudi Onoh

    Journal of Clinical and Diagnostic Research, Vol 13, Iss 1, Pp QC01-QC

    A Five-year Review at Abakaliki, Ebonyi State, Nigeria

    2019  Volume 04

    Abstract: Introduction: Maternal age is an important determinant of pregnancy outcome and women aged 35 years or more at their first pregnancy are considered high risk pregnancy due to increased risk of feto-maternal morbidity and mortality. Aim: To evaluate the ... ...

    Abstract Introduction: Maternal age is an important determinant of pregnancy outcome and women aged 35 years or more at their first pregnancy are considered high risk pregnancy due to increased risk of feto-maternal morbidity and mortality. Aim: To evaluate the outcome of pregnancy in primigravid women who were aged 35 years and above. Materials and Methods: A five-year retrospective study among elderly primigravidae was conducted. The study assessed 78 booked primigravidae aged 35 years or more who delivered at the Federal Teaching Hospital Abakaliki from 1st January 2012 to 31st December 2016. Each elderly primigravida was matched with two primigravid women aged 20-25 years who delivered during the same period. Postnatal visit was also assessed. Results: During the study period, there were 11,329 deliveries and 78 of these were elderly primigravidae giving an incidence of 0.69% or 1:145 deliveries. The mean age of the elderly primigravidae was 36.28±1.20 years. The study group had more antepartum complications with anaemia, antepartum haemorrhage, hypertensive disorders of pregnancies, diabetes mellitus and preterm labour (p<0.05). Intrapartum complications such as poor progress of labour and cephalo-pelvic disproportion were also significantly higher. Almost half of the study group were delivered by caesarean section, the commonest indication being maternal request based on prolonged infertility (16.67%). The study group had higher incidence of preterm delivery and perinatal mortality of significant proportion. However, they were more likely to come for the 6th week postnatal visit 71.2% versus 32.1%. Conclusion: The problems of elderly primigravidae are still germane and relevant in present day obstetrics. Efforts should be intensified towards identifying this high-risk group with a view to take proactive measures aimed at minimising pregnancy related complications so as to achieve the best outcome for them and their babies.
    Keywords advanced maternal age ; maternal morbidity ; parturient ; perinatal complications ; reproductive outcome ; Medicine ; R
    Subject code 610
    Language English
    Publishing date 2019-01-01T00:00:00Z
    Publisher JCDR Research and Publications Private Limited
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Knowledge, Attitude and Practice of Healthcare Managers to Medical Waste Management and Occupational Safety Practices

    Okechukwu Bonaventure Anozie / Lucky Osaheni Lawani / Justus Ndulue Eze / Emmanuel Johnbosco Mamah / Robinson Chukwudi Onoh / Emeka Onwe Ogah / Daniel Akuma Umezurike / Rita Onyinyechi Anozie

    Journal of Clinical and Diagnostic Research, Vol 11, Iss 3, Pp IC01-IC

    Findings from Southeast Nigeria

    2017  Volume 04

    Abstract: Introduction: Awareness of appropriate waste management procedures and occupational safety measures is fundamental to achieving a safe work environment, and ensuring patient and staff safety. Aim: This study was conducted to assess the attitude of ... ...

    Abstract Introduction: Awareness of appropriate waste management procedures and occupational safety measures is fundamental to achieving a safe work environment, and ensuring patient and staff safety. Aim: This study was conducted to assess the attitude of healthcare managers to medical waste management and occupational safety practices. Materials and Methods: This was a cross-sectional study conducted among 54 hospital administrators in Ebonyi state. Semi-structured questionnaires were used for qualitative data collection and analyzed with SPSS statistics for windows (2011), version 20.0 statistical software (Armonk, NY: IBM Corp). Results: Two-fifth (40%) of healthcare managers had received training on medical waste management and occupational safety. Standard operating procedure of waste disposal was practiced by only one hospital (1.9%), while 98.1% (53/54) practiced indiscriminate waste disposal. Injection safety boxes were widely available in all health facilities, nevertheless, the use of incinerators and waste treatment was practiced by 1.9% (1/54) facility. However, 40.7% (22/54) and 59.3% (32/54) of respondents trained their staff and organize safety orientation courses respectively. Staff insurance cover was offered by just one hospital (1.9%), while none of the hospitals had compensation package for occupational hazard victims. Over half (55.6%; 30/54) of the respondents provided both personal protective equipment and post exposure prophylaxis for HIV. Conclusion: There was high level of non-compliance to standard medical waste management procedures, and lack of training on occupational safety measures. Relevant regulating agencies should step up efforts at monitoring and regulation of healthcare activities and ensure staff training on safe handling and disposal of hospital waste.
    Keywords health hazard ; healthcare workers ; medical waste disposal ; occupational exposure ; Medicine ; R
    Language English
    Publishing date 2017-03-01T00:00:00Z
    Publisher JCDR Research and Publications Private Limited
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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    Inter-library loan at ZB MED

    Your chosen title can be delivered directly to ZB MED Cologne location if you are registered as a user at ZB MED Cologne.

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