Caesarean Section at the Rivers State University Teaching Hospital, Southern Nigeria: A Five-year Review | Chapter 05 | New Horizons in Medicine and Medical Research Vol. 9

 This chapter looked at the occurrence, trend, and indicators of CS at the Rivers State University Teaching Hospital (RSUTH) in order to enhance management results.

Between January 1, 2015, and December 31, 2019, the RSUTH performed 5,598 caesarean sections (3699 emergency, 1899 planned). The data was analysed using IBM Statistical Product and Service Solutions (SPSS) version 25.0 Armonk, New York. There were 13,516 births and 5,598 instances of CS throughout the study period, resulting in a prevalence of 41.4 percent or 414 per 1000 deliveries. 66.1 percent of CS cases were emergency, while 33.9 percent were planned. There was an increase trend in CS across the review period. The participants' average age was 32.301.04 years (95 percent CI:30.26,34.34). 35-39 years old was the median age group, accounting for 33.2 percent, followed by 30-34 years old (26.2 percent ). The majority of the patients were multiparous [3396 (60.7%)], married [4890 (87.4%), Christians [5540 (99%)], and had a tertiary degree [2800 (50%)]. Previous caesarean section (34 percent) was the most prevalent reason for CS at RSUTH, followed by cephalopelvic disproportion (75 percent), foetal distress (41 percent), preeclampsia (39 percent), and multiple gestation (25 percent).

The number of caesarean sections performed at RSUTH is increasing. Despite the fact that CS saves lives, efforts should be made to lower the rate to the WHO-recommended level, particularly in LMICs where CS is detested.

Author(S) Details

Felix Chikaike Clement Wekere
Department of Obstetrics and Gynaecology, Rivers State University Teaching Hospital, Port Harcourt, Nigeria and  Department of Community Medicine, College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria.

Rose Sitonma Iwo-Amah
Department of Obstetrics and Gynaecology, Rivers State University Teaching Hospital, Port Harcourt, Nigeria.

Joseph Ngozi Kwosah
Department of Obstetrics and Gynaecology, Rivers State University Teaching Hospital, Port Harcourt, Nigeria.

Adetomi Bademosi
Department of Community Medicine, College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria.

Simeon Chijioke Amadi
Department of Obstetrics and Gynaecology, Rivers State University Teaching Hospital, Port Harcourt, Nigeria.

Paul Ledee Kua
Department of Obstetrics and Gynaecology, Rivers State University Teaching Hospital, Port Harcourt, Nigeria.

Dickson Hezekiah John
Department of Obstetrics and Gynaecology, Rivers State University Teaching Hospital, Port Harcourt, Nigeria.

View Book:- https://stm.bookpi.org/NHMMR-V9/article/view/6898

Evaluation of Particulate Matter-based Air Quality Index in Port Harcourt, Nigeria | Chapter 03 | Challenges and Advances in Chemical Science Vol. 8

 Industrialization is aggressively pursued by nations seeking to improve their economic condition. Industrialization has a long history of being linked to environmental damage. The amount of industrialization in developing nations is not consistent with environmental studies and monitoring due to a lack of environmental awareness. Air pollution is caused by industrial activities all over the world. The purpose of this study was to determine the status of particulate matter at three new industrial locations in Port Harcourt. The Aerocet 531 monitor was utilised to accomplish this. Data obtained were expressed in terms of Air quality indexes in order to communicate effectively with the general audience (AQI). Industrial sites had greater PM2.5 and PM10 concentrations than the control sites, according to the findings. PM2.5 and PM10 readings varied seasonally, with the dry season suggesting concentrations greater than the local tolerable limits of 150g/m3 and 230g/m3, respectively. In the rainy season, the AQI of the three emerging industrial sites ranged from 'good' to'moderate,' but in the dry season, they ranged from'very unhealthy' to 'hazardous' in all sampling regions. Some of the industries operating at these new industrial sites may be releasing particulate matter with human health implications into the atmosphere. This poses a serious threat to the residents' health and the environment.

Author(S) Details

Oladapo M. Akinfolarin
Department of Chemistry, Rivers State University, Port Harcourt, Nigeria P.M.B.5080, Nkpolu-Oroworukwo Port Harcourt, Nigeria.

View Book:- https://stm.bookpi.org/CACS-V8/article/view/5627

Investigating the Effect of Glucose 6-Phosphate Dehydrogenase Deficiency (G6PDd) and Haemoglobin Variants on Malaria in Port Harcourt, Rivers State, Nigeria | Chapter 16 | New Frontiers in Medicine and Medical Research Vol. 17

 Due to a protective advantage against malaria parasites, malaria illness burden is thought to follow the same geographical pattern as G6PD deficiency and sickle cell haemoglobin (HbSS). Malaria during pregnancy is a major public health concern that kills both mothers and infants, as well as increasing mortality in malaria-endemic areas. The goal of this study was to see how G6PD and haemoglobin variations interacted in pregnant women with subclinical malaria. For analysis, five millilitres (5ml) of venous blood were taken aseptically and thoroughly mixed into a 1 percent diamine tetraacetic acid container. A 3000 BSA spectrophotometer and the Randox G6PD kit were used to measure G6PD activity. Using thick and thin Giemsa stained blood smears, the density of malaria parasites was assessed microscopically. Using cellulose acetate membrane electrophoresis with Tris-EDTA-borate buffer, haemoglobin variations were found (pH 8.9). All of the data was analysed using p values as a measure of significance, with (p>0.05) being regarded inconsequential and (p0.05) being considered significant. Eight hundred and twenty-eight (828) people took part in the study. Five hundred and seventy-seven of them (61.2%) were infected with the malaria parasite, while three hundred and twenty-one (321) (38.8%) acted as controls (uninfected subjects). The HbAA genotype was the most common in malaria parasite infection, accounting for 379 (74.8%), followed by HbAS 126 (24.9%), and HbSS 2 (0.4 percent ). The participants in the study had an average age of 29.5+5.31 years. Furthermore, 517 (62.4 percent) of the 828 subjects were G6PD deficient. HbSS had a mean G6PD level of 12.20+0.30u/gHb, which was significantly greater than HbAS's 6.28+0.16u/gHb and HbAA's 6.60+0.07u/gHb. As a result, co-inheritance of G6PD and HbS confers no advantage over HbS inheritance alone.

Author(S) Details

Susanna O. Akwuebu
Department of Medical Laboratory Science, Rivers State University, Port Harcourt, Nigeria.

Evelyn M. Eze
Department of Medical Laboratory Science, Rivers State University, Port Harcourt, Nigeria.

Zacchaeus A. Jeremiah
Department of Medical Laboratory Science, Niger Delta University, Wilberforce Island, Bayelsa State, Nigeria.

View Book:- https://stm.bookpi.org/NFMMR-V17/article/view/4218

Experience with Oral Contraceptive Pills at the Rivers State University Teaching Hospital, Southern Nigeria | Chapter 12 | Research Trends and Challenges in Medical Science Vol. 2

Background: Oral contraceptive pills (OCPs) are one of the most widely prescribed forms of hormonal contraception. They are most popular non-surgical effective method of contraception.  Objective: This study is aimed at reviewing the prevalence rate, the yearly trend of OCP use and socio-demographic features of the acceptors of oral pills at the Rivers State University Teaching Hospital (RSUTH), Port Harcourt, Rivers State, Nigeria. Methods: This was a retrospective study in which records of acceptors of oral contraceptive pills in the family planning unit of RSUTH from 1st January, 2008 to 31st December, 2017 were reviewed. Data collated were analysed using Statistical Package for Social Sciences (SPSS) IBM version 25.0 (Armonk, NY). Results: There were 1893 contraceptive acceptors during the study period. Out of which 86 (4.5%) accepted the oral pills. The mean age of the clients was 30.4 SD 6.92. Majority of the clients 66 (76.8%) were between the age range of 20 to 34 years. Over half 48 (55.8%) of the acceptors were multiparous women. Majority of the acceptors of oral pills 82 (95.3%) were Christians and had formal education respectively. The commonest source of information on the use of oral contraceptive pills was from clinical personnel, accounting for 36 (41.8%). There was a downward trend in the use of OCP during the study period. Conclusion: Oral contraceptive method was mostly used by young, multiparous and educated women. The rate of acceptance of oral contraceptive pills in our centre was 4.5%. As such, concerted efforts should be made to increase the uptake of oral pills in the family planning unit of the hospital.

Author(s) Details

Dr. E. I. Nonye-Enyidah
Department of Obstetrics and Gynaecology, Rivers State University Teaching Hospital, Port Harcourt, Nigeria.

Dr. F. C. C. Wekere
Department of Obstetrics and Gynaecology, Rivers State University Teaching Hospital, Port Harcourt, Nigeria.

Dr. R. Donubari
Department of Obstetrics and Gynaecology, Rivers State University Teaching Hospital, Port Harcourt, Nigeria.

View Book :- http://bp.bookpi.org/index.php/bpi/catalog/book/190