A 4-year audit of retained placenta at Ekiti State University Teaching Hospital, Southwestern Nigeria

  • OLOFINBIYI , Babatunde Ajayi Department of Obstetrics and Gynaecology, Faculty of Clinical Sciences, College of Medicine, Ekiti State University, Ado-Ekiti, Nigeria
  • ADENIYI, Omotayo Oladele Bayly Family Practice and Walk in Clinic, Bayly Street, Toronto, Canada
  • AKINYEMI, Oluwasegun Senior Research Fellow, Howard University College of Medicine, Washington DC, United State of America
  • OLOFINBIYI, Rebecca Oluwafunke Depart. of Nursing Science, Faculty of Basic Medical Sciences, College of Medicine, Ekiti State University, Ado-Ekiti, Nigeria
  • OKUNOLA, Temitope Omoladun Depart. of Obstetrics and Gynaecology, Faculty of Clinical Sciences, College of Medicine, Ekiti State University, Ado-Ekiti, Nigeria
  • OSHATIMI, Abayomi Michael Acting Director, Directorate of Integrated Healthcare Services and Training, Federal University, Oye-Ekiti, Ekiti State, Nigeria
  • ADEGOKE, Bosede Oluwasayo Department of Chemical Pathology, Ekiti State University, Ado-Ekiti, Nigeria
  • ELI, Sukarime F. Depart. of Obstetrics and Gynaecology, Faculty of Clinical Sciences, College of Medical Sciences, Rivers State University, Nigeria
DOI: https://doi.org/10.5281/zenodo.8052484
Keywords: Audit, Retained placenta, Southwest, Nigeria

Abstract

Background:Retained placenta, with its attendant complications, remains a significant cause of maternal morbidity and mortality.

Objective:  To determine the incidence of predisposing factors to and complications of retained placenta at the institution of study.Materials and Methods: At the Obstetric unit of the Obstetrics and Gynaecology Department of Ekiti State University Teaching Hospital (EKSUTH), Ado Ekiti, a 4-year retrospective, descriptive study was conducted between 1st of January, 2014 and 31st of December 2018.Version 20 of the Statistical Packages for Social Sciences (SPSS) software was used to process the data. For data analysis, descriptive statistics was used; continuous variables were summarized with mean, while discrete variables were summarized with numbers and percentages.

Results: Out of a total deliveries of 3,314 during the study period, there were 60 cases of retained placenta, giving an incidence of 1.8%. Majority of those that had retained placenta 66.7% (40) were within 30- 39 years age bracket; and with grand multiparous women carrying the largest percentage 33.3% (20). Among the various identifiable risk categories, the major identifiable risk factors were previous history of dilatation and curettage (61.7%) and previous history of retained placenta (16.7%). PPH was recorded in 46.7% (28) of the parturients; there was no maternal mortality.

Conclusion: To reduce the prevalence of D&C complications, efforts should be geared towards increasing contraceptive prevalence and proficiency in post-abortal care. There is a pressing need for training and retraining of skilled birth attendants in the various health institutions running maternity care services; coupled with proficiency in handling retained placenta. There should also be a burning desire and political will to capture both the poor and the rich under the National Health Insurance program (NHIS) covering maternity care services.

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Published
2023-06-18
How to Cite
Ajayi, O. , Omotayo Oladele, A., Oluwasegun, A., Rebecca Oluwafunke, O., Temitope Omoladun, O., Abayomi Michael, O., Bosede Oluwasayo, A., & Sukarime F., E. (2023). A 4-year audit of retained placenta at Ekiti State University Teaching Hospital, Southwestern Nigeria. GPH-International Journal of Biological & Medicine Science, 6(06), 01-07. https://doi.org/10.5281/zenodo.8052484
Issue
Vol 6 No 06 (2023): GPH-INTERNATIONAL JOURNAL OF BIOLOGICAL & MEDICINE SCIENCE
Section
Articles
Copyright (c) 2023 OLOFINBIYI,Babatunde Ajayi

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