التفاصيل البيبلوغرافية
| العنوان: |
Challenges in the management of omphalocele in Ile-Ife, Nigeria. |
| المؤلفون: |
Talabi, Ademola1 (AUTHOR), Sowande, Oludayo1 (AUTHOR), Adejuyigbe, Olusanya1 (AUTHOR) |
| المصدر: |
Journal of Clinical Neonatology. Oct-Dec2020, Vol. 9 Issue 4, p280-285. 6p. |
| مصطلحات موضوعية: |
*MATERNAL age, *UMBILICAL hernia, *TREATMENT effectiveness, *GESTATIONAL age, *TEACHING hospitals |
| مصطلحات جغرافية: |
IFE (Nigeria), NIGERIA |
| مستخلص: |
Introduction: The management of omphalocele poses serious challenges in developing countries with significant morbidity and mortality. We highlighted the challenges and outcomes of management in a teaching hospital. Materials and Methods: This was a retrospective review of neonates that presented with omphalocele between January 2010 and December 2019 at a tertiary hospital in Nigeria. Information on bio data of patients and their parents, the gestational age, state of the membrane, presence of concomitant congenital anomalies, and treatment outcome were obtained from the patients' case notes. Patients were stratified into three groups as follows: Group A represented intact omphalocele minor, Group B were intact omphalocele major, whereas Group C were ruptured omphalocele. Data were analyzed using descriptive and Chi-square analysis. Results: There were 20 males and 30 females with a male: female ratio of 1:1.5. Their ages ranged between a few hours and 21 days, with a median of 1 day. Thirty-five (70%) neonates presented within the 1st day of life. The mean maternal age was 31.4 ± 6.1 years. Only 14 (28%) children had one or more prenatal ultrasonography with no prenatal ultrasound diagnosis. Six children presented with a ruptured omphalocele major. Thirty-six (72%) neonates were managed conservatively. Group C had the highest mortality rate 6 (100%), compared with 6 (0%) and 23 (39.5%) in Groups A and B, respectively, (P < 0.0001). We had an overall mortality rate of 42%. Conclusion: The mortality rate is still high in our institution, especially among those with ruptured omphalocele. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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