The significance of determining the distribution of blood group of patients prior to surgical procedures cannot be over-emphasized. This is because surgical patients may need blood transfusion pre-operatively, intra-operatively or post-operatively. The distribution of ABO blood group varies in different regions of the world. Aim: To determine the distribution of ABO blood group in surgical patients at the Rivers State University Teaching Hospital (RSUTH). Method: This was a one-year retrospective study of Surgical patients (Surgery and Obstetrics/Gynaecology departments) of the RSUTH. The patients comprised of all the consecutive cases of the surgeries in these departments for the period under review. Ethical clearance was obtained from ethical committee of the Rivers State Hospital Management Board. Structured profoma was used to extract information from patients’ case notes and analyzed using SPSS version 25. Result: A total of 370 patients were attended to pre-operatively. There were 146 (39.5%) males and 224 (60.5%) females. The mean age was 31 years. The age range was 22 years to 56 years. One hundred and ninety four (52.4%) were obstetrics and gynaecological surgeries while 176 (47.6 %) were non-gynaecological surgeries. The commonest indication for surgery was caesarean representing 126 (34.1%) of the subject. The distribution of blood was as follows O 233 (63.0%), A 66 (17.8%), B 56 (15.1%), AB 15 (4.1%). Sex distribution of blood group O comprised of 140 (37.9%) females had blood O while 93 (25.1%) were males. Conclusion: Our study revealed the most prevalent blood group in surgical patients as blood group as O (63.0%) and the least prevalent blood group was blood group AB. The prime reason for ascertaining blood group especially in surgical patients is for transfusion of compatible blood when the need arises.
Background: Many literature have reported that the first 14 weeks as recommendation for pregnant women to book for antenatal care. The World Health Organization (WHO) has recommended that pregnant women register for antenatal care (ANC) in the first 12 weeks of pregnancy or after two missed periods. However, there are challenges of late booking in the developing countries of the world due to illiteracy, socio-cultural beliefs, economy and religious ideologies. Aim: To determine the mean gestational age at booking amongst ANC attendees at Rivers State University Teaching Hospital (RSUTH), Port Harcourt, Rivers State, Nigeria. Method: The present cross-sectional and observational study was conducted after informed consent was given by antenatal clinic attendees. Antenatal women who attended antenatal clinic were recruited for the study during January to June 2019. Data was collected from the consented women using a pretested questionnaire. Data were expressed in absolute numbers and percentage scale. Permission for the study was obtained from the ethical committee of the Rivers State Hospital Management Board. The information was entered into a spread sheet and analyzed using SPSS Version 25. Result: A total of 500 questionnaires were distributed and 488 questionnaires retrieved. The mean age was 31.44 years and the modal parity was 0. For the educational status 357 (73.2%) had tertiary level, 126 (25.8%) had secondary level, 5 (1%) had primary level of education, while 5 (1%) of the respondents did not provide their educational status. The mean gestational age (GA) at booking was 19 weeks. Eighty one (16.6%) of the ANC attendees registered for ANC in the third trimester. Total number of ANC attendees that registered late for ANC were 414 (84.8%). Conclusion: The study revealed that majority of antenatal clinic attendees at the RSUTH registered late for ANC representing 84.8% of the pregnant women at booking. There is need to educate women of reproductive age to register early for ANC to prevent adverse maternal and perinatal outcome.
Background: Low back pain is a worrisome complaint amongst antenatal clinic attendees. Management of low back pain in pregnancy is multidisciplinary especially in chronic cases for patient’s satisfaction. Eighty five percent (85%) of women with low back pain in previous pregnancies will develop low back pain in the index pregnancy. Aim: To determine the prevalence of low back pain amongst antenatal clinic (ANC) attendees at the Rivers State University Teaching Hospital (RSUTH) and offer management modalities. Method: The study was a cross sectional study, involving 200 antenatal clinic attendees, drawn from the Rivers State University Teaching Hospital. Information was coded and analysed using SPSS version 25. Results: The mean age was 31.1years; the modal parity was Para 0. Twenty one (20.5%) of the antenatal clinic attendees were housewives, civil servants were 67 (33%) and 79 (39%) were self- employed. For the educational status 144 (72%) had tertiary level, 48 (24%) had secondary level, 4 (2%) had primary level of education, while 4 (2%) of the respondents did not provide their educational status. The prevalence of low back pain was 87 (43.5%). Seventy nine (91.8%) had low back pain lasting less than 6 months while 8 (9.2%) had low back pain lasting greater than 6 months or in previous pregnancies. None of those antenatal mothers were referred to orthopaedic surgeons. Conclusion: The study revealed the prevalence of low back pain amongst ANC attendees at the RSUTH to be 43.5%. In addition, the study revealed that no patient with low back pain had orthopaedic referral. The optimum management for ANC attendees with low back pain is multi-disciplinary involving the obstetricians, the orthopaedic surgeons, physiotherapist, nurses and social workers.
Background: Ectopic pregnancy is the most common cause of maternal mortality in the first trimester of pregnancy. Presentation is usually late especially in the developing countries of the world. Surgery is the preferred management modality compared to other management options because of challenges with monitoring in cases of un-ruptured ectopic pregnancies. The estimated global prevalence of ectopic pregnancy is 1-2%%. Aim: To determine the prevalence of ectopic pregnancy in surgical patients at the Rivers State University Teaching Hospital (RSUTH). Method: This study was a one-year retrospective research of Surgical (Surgery and Obstetrics/gynaecology departments) patients who had ectopic pregnancy at the RSUTH. The patients comprised of all the consecutive cases of the surgeries in these departments for the period under review. Permission for the study was obtained from the Head Department of obstetrics and gynaecology RSUTH. Structured profoma was used to extract information from patients’ case notes and analyzed using SPSS version 25. Result: The subjects for the study were 250, comprising of 98 (39.2%) males and 152 (60.8%) females. The age range was 22 years to 56 years. The mean age was 31 years of which 132 (52.8%) were obstetrics and gynaecological surgeries while 118 (47.2%) were non-gynaecological surgeries; 16 (6.4%) had ectopic pregnancy of which 12 (4.8%) were ruptured and 4 (1.6%) were unrutured. All the patients that had ectopic pregnancy had laparotomy with salpingectomy. Conclusion: The prevalence of ectopic pregnancy in surgical patients at the RSUTH was 6.4%. Majority of the patients present with ruptured ectopic pregnancy. All of the patients had surgical intervention (emergency laparotomy with salpingectomy).
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