6 results on '"Ogu, Rosemary"'
Search Results
2. The increasing use of the WHO Safe Childbirth Checklist: lessons learned at the Yaoundé Gynaeco-Obstetric and Paediatric Hospital, Cameroon.
- Author
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Dohbit, Julius Sama, Woks, Namanou Ines Emma, Koudjine, Carlin Héméry, Tafen, Willy, Foumane, Pascal, Bella, Assumpta Lucienne, Ogu, Rosemary Nkemdilim, Angwafo III, Fru Fobuzshi, and Angwafo, Fru Fobuzshi 3rd
- Subjects
CHILDBIRTH ,MATERNAL mortality ,PREGNANCY - Abstract
Background: Safe childbirth remains a daunting challenge, particularly in low-middle income countries, where most pregnancy-related deaths occur. Cameroon's maternal mortality rate, estimated at 529 per 100,000 live births in 2017, is significantly high. The WHO Safe Childbirth Checklist (SCC) was designed to improve the quality of care provided to pregnant women during childbirth. The SCC was implemented at the Yaoundé Gynaeco-Obstetric and Paediatric Hospital to improve the quality of care during childbirth.Methods: This study was a retrospective study to determine the adoption rate of the SCC and its association with maternal (eclampsia, perineal tears, and postpartum haemorrhage) and neonatal (stillbirth, neonatal asphyxia and neonatal death) complications. Data were collected 6 months after the introduction of the SCC. Multivariate binary logistic regression was used to analyse the association between the use of the SCC and maternofoetal complications.Results: Out of 1611 deliveries conducted, 1001 records were found, giving a retrieval rate of 62%. Twenty-five records were excluded. During the study period, the checklists were used in 828 of 976 clinical notes, with an adoption rate of 84.8% and a utilization rate of 93.9% at 6 months. Severe preeclampsia/eclampsia was associated with the non-use of the SCC (2.1 vs 5.4%, p = 0.041). Stillbirth, neonatal asphyxia, and neonatal death rates were not significantly different between the checklist and non-checklist groups. However, for all neonatal outcomes, the proportion of complications was lower when the checklist was used.Conclusion: The use of the SCC was associated with significantly reduced pregnancy complications, especially for reducing the rates of severe pre-eclampsia/eclampsia. The use of the SCC increased to 93.9% of all deliveries within 6 months. We advocate for the use of the WHO Safe Childbirth Checklist in maternity units. [ABSTRACT FROM AUTHOR]- Published
- 2021
- Full Text
- View/download PDF
3. Community based interventions for the reduction of maternal mortality - the role of professional health associations, non-governmental organisations and community-based organisations in delta state, Nigeria
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Oseji Mininim and Ogu Rosemary
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Maternal Mortality ,Pregnancy ,Humans ,Nigeria ,Female ,Maternal Health Services ,General Medicine ,Societies, Medical - Abstract
This study was conducted to examine the contributions of professional health associations, non-governmental organisations, government ministries, and community-based organisations in implementing community-based interventions for the reduction of maternal mortality in Delta State Nigeria. It also seeks to demonstrate the challenge of coordinating activities of several stakeholders and quantifying the impact on reduction of maternal mortality.Various publications, reports, public presentations and policy documents on activities of professional health associations, non- governmental organisations, government ministries, and community-based organisations in Delta State of Nigeria were collected and analysed by the authors.Professional health associations, non-governmental organisations and community-based organisations in Delta State have contributed to the reduction of maternal mortality through advocacy, awareness creation, and sensitisation programmes on reproductive health using behaviour change communication materials. Participation in programmes organised by the Delta State Ministry of Health has also contributed to some positive outcomes. These include the successful implementation of Delta State Free Maternal Health Care Programme since November 2007 and increase in contraceptive utilisation.Professional health associations, non-governmental organisations, government ministries and community-based organisations have impacted positively in the quest for reduction of maternal mortality. The challenge is in coordination of interventions and tracking indicators to measure desired impact.
- Published
- 2015
4. Assessing the knowledge and skills on emergency obstetric care among health providers: Implications for health systems strengthening in Nigeria.
- Author
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Okonofua, Friday, Ntoimo, Lorretta Favour Chizomam, Ogu, Rosemary, Galadanci, Hadiza, Gana, Mohammed, Adetoye, Durodola, Abe, Eghe, Okike, Ola, Agholor, Kingsley, Abdus-salam, Rukiyat Adeola, Randawa, Abdullahi, Abdullahi, Hauwa, Daneji, Suleiman Muhammad, and Omo-Omorodion, Blessing Itohan
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OBSTETRICAL emergencies ,CLINICAL trial registries ,MEDICAL care ,MIDWIVES ,WOMEN'S hospitals ,UNIVARIATE analysis ,HEALTH facilities - Abstract
Objective: To assess the existing knowledge and skills relating to Emergency Obstetrics Care (EMOC) among health providers in eight referral maternity hospitals in Nigeria. Study design: A cross-sectional study of skilled health providers (doctors, nurses and midwives) working in the hospitals during the period. Setting: Six general hospitals (4 in the south and 2 in the north), and two teaching hospitals (both in the Northern part) of the country. Population: All skilled providers offering EMOC services in the hospitals during the study. Methods: A pre-tested self-administered questionnaire was used to obtain information relating to socio-demographic characteristics, the respondents’ knowledge and skills in offering specific EMOC services (as compared to standard World Health Organization recommendations), and their confidence in transferring the skills to mid-level providers. Data were analyzed with univariate, bivariate, binary and multinomial logistic regression analyses. Main outcome measures: knowledge and skills in EMOC services by hospital and overall. Results: A total of 341 health providers (148 doctors and 193 nurses/midwives) participated in the study. Averagely, the providers scored less than 46% in a composite EMOC knowledge score, with doctors scoring considerable higher than the nurses/midwives. Similarly, doctors scored higher than nurses/midwives in the self-reporting of confidence in carrying out specific EMOC functions. Health providers that scored higher in knowledge were significantly more likely to report confidence in performing specific EMOC functions as compared to those with lower scores. The self-reporting of confidence in transferring clinical skills was also higher in those with higher EMOC knowledge scores. Conclusion: The knowledge and reported skills on EMOC by health providers in referral facilities in Nigeria was lower than average. We conclude that the in-service training and re-training of health providers should be included in national policy and programs that address maternal mortality prevention in referral facilities in the country. Trial registration: Nigeria Clinical Trials Registry . [ABSTRACT FROM AUTHOR]
- Published
- 2019
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5. Association of the client-provider ratio with the risk of maternal mortality in referral hospitals: a multi-site study in Nigeria.
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Okonofua, Friday, Ntoimo, Lorretta, Ogu, Rosemary, Galadanci, Hadiza, Abdus-salam, Rukiyat, Gana, Mohammed, Okike, Ola, Agholor, Kingsley, Abe, Eghe, Durodola, Adetoye, and Randawa, Abdullahi
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DELIVERY (Obstetrics) ,MATERNAL mortality ,HEALTH facilities ,EVALUATION of medical care ,MEDICAL quality control ,MEDICAL personnel ,PATIENT-professional relations ,MEDICAL referrals ,PHYSICIANS ,POISSON distribution ,PREGNANCY ,PREGNANT women ,PRENATAL care ,QUALITY assurance ,REGRESSION analysis ,MIDWIFERY ,MORTALITY risk factors ,PREVENTION - Abstract
Background: The paucity of human resources for health buoyed by excessive workloads has been identified as being responsible for poor quality obstetric care, which leads to high maternal mortality in Nigeria. While there is anecdotal and qualitative research to support this observation, limited quantitative studies have been conducted to test the association between the number and density of human resources and risk of maternal mortality. This study aims to investigate the association between client-provider ratios for antenatal and delivery care and the risk of maternal mortality in 8 referral hospitals in Nigeria. Methods: Client-provider ratios were calculated for antenatal and delivery care attendees during a 3-year period (2011–2013). The maternal mortality ratio (MMR) was calculated per 100,000 live births for the hospitals, while unadjusted Poisson regression analysis was used to examine the association between the number of maternal deaths and density of healthcare providers. Results: A total of 334,425 antenatal care attendees and 26,479 births were recorded during this period. The client-provider ratio in the maternity department for antenatal care attendees was 1343:1 for doctors and 222:1 for midwives. The ratio of births to one doctor in the maternity department was 106:1 and 18:1 for midwives. On average, there were 441 births per specialist obstetrician. The results of the regression analysis showed a significant negative association between the number of maternal deaths and client-provider ratios in all categories. Conclusion: We conclude that the maternal mortality ratios in Nigeria's referral hospitals are worsened by high client-provider ratios, with few providers attending a large number of pregnant women. Efforts to improve the density and quality of maternal healthcare providers, especially at the first referral level, would be a critical intervention for reducing the currently high rate of maternal mortality in Nigeria. Trial registration: Trial Registration Number: NCTR91540209. Nigeria Clinical Trials Registry. Registered 14 April 2016. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
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6. Management of aplastic anaemia in pregnancy in a resource poor centre.
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John, Celestine Osita, Korubo, Kaladada, Ogu, Rosemary, Mmom, Chigozirim Faith, Mba, Alpheus Gogo, Chidiadi, Ezenwa-Ahanene, and Akani, Chris
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ANEMIA in pregnancy , *WOMEN , *TERTIARY care , *THERAPEUTICS - Abstract
Aplastic anaemia occurring in pregnancy is a rare event with life threatening challenges for both mother and child. We present a successful fetomaternal outcome despite the challenges in the management of this rare condition in a tertiary but resource poor centre. This is case of a 37 year old Nigerian woman G6P0+5managed with repeated blood transfusions from 28 weeks of gestation for bone marrow biopsy confirmed aplastic anaemia following presentation with weakness and gingival bleeds. She had a cesarean section at 37 weeks for pre-eclampsia and oligohydraminous with good feto-maternal outcome. She was managed entirely with fresh whole blood and received 21 units. Aplastic Anaemia in Pregnancy is a rare event with poor feto maternal prognosis. Successful management is possible with good multi-disciplinary approach and availability of supportive comprehensive obstetric care. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
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