An audit of gynaecological procedures performed at Aminu Kano Teaching Hospital, Kano

Takai, Idris Usman; Yakasai, Ibrahim Adamu; Joy, Omeje Ifesinachi; Ugwa, Emmanuel Ajuluchukwu

doi:10.4103/2278-960x.161050

Cited by 5 publications

(15 citation statements)

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“…This study showed that MVAs were by far the commonest minor gynaecological operations done at our center, accounting for 41.0%. This is similar to findings by other studies accounting for 58.8% [34], 21.5% [30], The indication for MVA is mainly incomplete abortions [30] and the higher value reported in this study may not be unconnected to the high prevalence of uterine fibroid in our study population. Women in southern Nigeria are known for late marriages occasioned by longer years of educational pursuit.…”

Section: Iucd Insertionsupporting

confidence: 92%

Review of Gynaecological Diagnoses and Surgeries Performed at a Tertiary Health Facility in Niger-Delta of Nigeria from 2012-2017: Implications for Healthcare Planning and Budgeting

Awoyesuku

MacPepple

Altraide

et al. 2020

JAMMR

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Background: Gynaecological disorders are a particularly common cause of morbidity and mortality among women of reproductive age and a common cause of hospital presentation/admission and surgery. Objective: This study sought to review gynaecological diagnoses and surgeries performed in a tertiary health facility from 2012 to 2017 and its implication for healthcare planning and budgeting. Methodology: This was a retrospective review of all gynaecological diagnoses and surgeries seen in the Rivers State University Teaching Hospital (RSUTH) from 2012 to 2017. Data were retrieved using a proforma comprising of year, gynaecological diagnosis and gynaecological surgeries. Data obtained was entered into Microsoft Excel for descriptive analysis. Results: The proportion of clinic attendees declined from an average of 23% in the first three years (2012)(2013)(2014) to about 10% in the last three years (2015)(2016)(2017). The most common Awoyesuku et al.; JAMMR, 32(2): 1-10, 2020; Article no.JAMMR.54616 2 gynaecological diagnosis were uterine fibroid (33.3%), infertility 28.1% (primary 5.7%, secondary 22.4%), PID (5.9%), ovarian tumour (4.2%), secondary amenorrhea (3.4%) and pelvic malignancies (3.4%). The commonest major surgeries were myomectomy 441(33.7%), salpingectomy 345(26.4%), hysterectomy 168(12.8%) and cervical cerclage 122(9.3%). The commonest minor surgeries were manual vacuum aspiration 314(41.0%), examination under anaesthesia and biopsy 110(14.3%) and adhesiolysis for synechiae 97(12.6%). The duo of uterine fibroid and infertility made up 50%-70% of all gynaecological diagnoses. Conclusion: This study showed that there has been a steady decline in gynaecological consultations over the years. However, the duo of uterine fibroid and infertility made up half to three-quarter of all gynaecological diagnoses over the 6 years. Infertility and uterine fibroids have a long cause and effect association. Healthcare policies and budgeting should be increased towards tackling these conditions, especially the setting up of a fertility center to provide assisted reproductive technologies and laparoscopy to improve practice and patient outcome. Review Article

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Section: Iucd Insertionsupporting

confidence: 92%

Review of Gynaecological Diagnoses and Surgeries Performed at a Tertiary Health Facility in Niger-Delta of Nigeria from 2012-2017: Implications for Healthcare Planning and Budgeting

Awoyesuku

MacPepple

Altraide

et al. 2020

JAMMR

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“…9 The finding in this study that gynaecological emergencies are seen more in women of reproductive age are consistent with those done by Takai et al reported in Kano in which up to about 80% of the patients were of reproductive age group. 10 Similar findings have also been documented in other parts of the country. 11,12 The high incidence of gynaecological emergencies in these age groups is due to the fact that these conditions are mostly seen among women of reproductive age group and this age group is the peak reproductive age.…”

Section: Discussionsupporting

confidence: 76%

“…Values obtained were largely similar to those done in Kano by Takai et al and in Enugu by Okafor, with only mild variations occurring in the forms of abortion. 10,14 Variations were seen with the study done by Buowari in Kebbi. 15 There was some variation in the clinical and ultrasonographic findings in the frequency of the forms of abortion seen in this study.…”

Section: Discussionmentioning

confidence: 86%

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Spectrum of ultrasonographic findings in gynaecological emergencies in a Nigerian Tertiary Hospital

et al. 2023

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Background: Gynaecological emergencies are a common cause of morbidity and mortality among women of reproductive age group worldwide and can be life threatening. They can be easily managed if diagnosed early. Ultrasonography (USS) is a readily available and excellent diagnostic tool in the prompt and accurate diagnosis of these conditions. This is a comparative study aimed at evaluating the ultrasonographic findings in gynaecological emergencies and comparing with the clinical diagnosis. Methods: 400 patients presenting with suspected gynaecological emergencies at the National Hospital, Abuja were evaluated. The USS findings of these patients were recorded and matched with their socio-demographic parameters and the radiological diagnosis was then compared with the clinical diagnosis at presentation. Results: The mean age of participants was 34.2±7.5 years. Pregnancy related emergencies were the most common, making up 65.8%. Abortion was the most common emergency seen. Pregnancy related cases were commoner in the younger age group 20-39 years. A higher proportion of USS diagnosis for pregnancy related cases (96.7%) corresponded with the clinical diagnosis when compared to a smaller proportion for non-pregnancy related cases (80.6%), and this had significant correlation (x2=256.12, df=1, p<0.0001) Conclusions: USS evaluation of gynaecological emergencies as seen in this study, allows for quick and accurate diagnosis so that appropriate emergent care can be instituted to improve the outcome in these cases.

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“…1 Appropriate management of these have evolved over the period of time because of evidence-based medicine coalesced with a virtuous clinical assessment. All primary health care doctors ought to be well versed with skills to diagnose such emergencies in women for prompt referral to higher centres.…”

Section: Introductionmentioning

confidence: 99%

An audit of extra-uterine pregnancy in a tertiary care facility in Northern India

Marwah

Rani

Mishra

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Ectopic pregnancy is the most frequent lethal gynaecological predicament, befalling worldwide in all strata of reproductive women. It remains the leading cause of pregnancy-related first trimester deaths. Though prompt diagnosis has furthered a decline in associated morbidity, an upsurge has been seen in its prevalence owing to a rise in predisposing risk factors. The objectives of this study were to identify incidence, risk factors, and outcome in patients presenting with ectopic pregnancy in a tertiary care hospital.Methods: This two-year retrospective study was conducted in Department of Obstetrics and Gynecology in Vardhaman Mahavir Medical College and Safdarjung hospital, on patients presenting with a diagnosis of ectopic pregnancy (either ruptured or un-ruptured). The primary outcome was incidence of ectopic pregnancy. Secondary outcomes noted were demographic characteristics, predisposing risk factors, clinical presentation and management course in hospital. Data was recorded on a predesigned proforma and deciphered later.Results: Incidence of ectopic pregnancy was 0.82%. Significant causative factors were previous history of PID (29.28%), TB (21.4%), previous pelvic surgeries (18.57%) and preceding ectopic pregnancy (12.14%).Conclusions: Increase awareness and knowledge of risk factors amenable to modification and features will aid early diagnosis of extra-uterine pregnancy, besides planning conservative treatment if possible, and devising effective risk-reduction strategies.

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An audit of gynaecological procedures performed at Aminu Kano Teaching Hospital, Kano

Cited by 5 publications

References 0 publications

Review of Gynaecological Diagnoses and Surgeries Performed at a Tertiary Health Facility in Niger-Delta of Nigeria from 2012-2017: Implications for Healthcare Planning and Budgeting

Review of Gynaecological Diagnoses and Surgeries Performed at a Tertiary Health Facility in Niger-Delta of Nigeria from 2012-2017: Implications for Healthcare Planning and Budgeting

Spectrum of ultrasonographic findings in gynaecological emergencies in a Nigerian Tertiary Hospital

An audit of extra-uterine pregnancy in a tertiary care facility in Northern India

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