Table of Contents
ISRN Obstetrics and Gynecology
Volume 2011, Article ID 160932, 4 pages
http://dx.doi.org/10.5402/2011/160932
Clinical Study

Maternal and Fetal Outcome of Obstetric Emergencies in a Tertiary Health Institution in South-Western Nigeria

1Department of Obstetrics and Gynaecology, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria
2Department of Obstetrics and Gynaecology, Gizan General Hospital, Gizan, Saudi Arabia

Received 4 March 2011; Accepted 27 April 2011

Academic Editors: F. M. Reis and C. Romero

Copyright © 2011 Lamina Mustafa Adelaja and Oladapo Olufemi Taiwo. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. This study was carried out to determine the pattern of obstetric emergencies and its influence on maternal and perinatal outcome of obstetric emergencies at the Olabisi Onabanjo University Teaching Hospital (OOUTH), Sagamu, Nigeria. Method. A retrospective study of obstetric emergencies managed over a three-year period at Olabisi Onabanjo University Teaching Hospital (OOUTH), Sagamu, Nigeria was conducted. Results. There were 262 obstetric emergencies accounting for 18.5% of the 1420 total deliveries during the period. Unbooked patients formed the bulk of the cases (60.3%). The most common emergencies were prolonged/obstructed labour, postpartum haemorrhage, fetal distress, severe pregnancy-induced hypertension/eclampsia, and antepartum haemorrhage. Obstetric emergencies were responsible for 70.6% of the maternal mortality and 86% of the perinatal mortality within the period. Conclusion. Prevention/effective management of obstetric emergencies will help to reduce maternal and perinatal mortality in our environment. This can be achieved through the utilization of antenatal care services, making budget for pregnancies and childbirth at family level (pending the time every family participates in National Health Insurance Scheme), adequate funding of social welfare services to assist indigent patients, liberal blood donation, and regular training of doctors and nurses on this subject.