1 / 19

The Silent Cry

The Silent Cry . Dr. Pushpa Nusair Assist. Professor Obstetric and Gynecology Department of Medical Sciences College of Medicine Nursing and Health Sciences Fiji National University . Outline . A case study : An unbooked mother

yamal
Download Presentation

The Silent Cry

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. The Silent Cry Dr. Pushpa Nusair Assist. Professor Obstetric and Gynecology Department of Medical Sciences College of Medicine Nursing and Health Sciences Fiji National University

  2. Outline • A case study : An unbooked mother • Audit of unbooked mothers at CWM hospital (maternity Unit) from 2010 to June, 2013

  3. Introduction • Global statistics • Developing countries studies • Local: None located

  4. Case Study

  5. Case study • Name: MS • Age: 32 years (December, 1979) • Ethnicity: iTaukei • Marital Status: Single • Gravida 2, Para 1 • Social background: living with parents/disabled mother

  6. Case Study • Had a previous cesarean delivery in May, 2011 • Presented on 26/12/12 at 00:35 hours • Delivered to a very foul smelling fetus (birth weight : 3.2 kg), and placenta infarcted 400g • Denied sexual intercourse • Refused to acknowledge her pregnancy

  7. Case Study • All bloods including coagulation and blood cultures • Broad spectrum antibiotics • Awaiting coagulation profile • Collapsed midday informed by nurse • Active resuscitation ABC • Anesthetic and medical informed

  8. Case Study • D.I.C • Intensive care unit jointly managed by obstetrics, anesthetics and medical • Massive blood transfusion, FFP and Cryo • Multi-organ failure and irreversible D.I.C • Despite all measures, patient DIED on 26/12/12 at 11.30pm

  9. AUDIT

  10. Methods • Descriptive audit • Yearly stats: 2010 - June, 2013 • Monthly stats : • 2012 (Oct - Dec) • 2013 (Jan – June)

  11. Methods • Characteristics of unbooked mothers: • Age • Ethnicity • Marital status • Gravida • Parity • Gestation • Mode of delivery

  12. Results Percentage of unbooked mothers at CWM Hospital, Suva, Fiji %

  13. Results Percentage of unbooked mothers by ethnicity %

  14. Results • Percentage of unbooked mothers by ethnicity and month %

  15. Unbooked mother for Oct-Dec 2012 by age groups

  16. Marital Status of unbooked mothers between Oct-Dec 2012

  17. Gravidity at Parity of unbooked mothers from Oct-Dec 2012

  18. Conclusion • How do we hear the silent cry? • What can we do for these women?

  19. Thank You!

More Related