Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UNIPROT:P01178 (oxytocin)
 15,767 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The author relates her experience in Benin during a 3 and 1/2 year tenure as a nurse under the aegis of the German Development Agency. In Malanville, she was responsible for starting the operating room, caring for hygiene, sterility, and the related training of domestic staff. A septic and aseptic operating room was set up along with a storage room for instruments, a sterilization room, and a changing room. For the operating and surgical station, the following personnel were available: 2 nurses with 3 years of training, 1 nurse with 2 years of training, and 3 orderlies without training. A nurse with 3 years of training was assigned to the author to carry on the project after her departure. The standard of operating care was very low. It took a month to teach the staff what was not sterile. There was a even problem with putting on sterile gloves which required an exercise in patience. There were an average of 5 relatives per patient taking care of the patient and cooking. The undernutrition center for infants had 6 beds with 2 German nurses who administered Bacillus Calmette-Guerin (BCG), diphtheria, polio, and tetanus vaccinations. Their activity was strengthened by nutrition counselling and plans for underweight and malnourished children. Abrupt weaning that resulted in harmful diarrhea and vomiting was prevalent. Clinical signs of marasmus and kwashiorkor were frequent. In the middle of 1990, AIDS educators informed students of the public school as well as registered prostitutes about condom use. In the hospital, there were about 900 births per year, and women were asked to follow recommendations for prenatal care, especially to achieve anemia prevention by getting iron tablets. They were urged to deliver in the clinic, not at home assisted by untrained midwives. Oxytocin and syntometrin were available as was a hand-driven, vacuum evacuation pump. This experience made a lasting impression on the author who has resolved to go to another developing country to train traditional birth attendants in midwifery.
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PMID:[In Africa as a nurse]. 161 98

A safe motherhood program was launched in Benin in 1989. One of the methods used to decrease maternal mortality and morbidity was the partogram. We recently conducted a survey in maternity facilities in urban and rural Benin to assess its utilisation rate and the quality of its use. In this cross-sectional survey, all facilities were asked to respond to a questionnaire. In addition, we retrospectively studied files in half the facilities, based on a stratified randomisation. Partograms were used in 98% of all cases; in 13.3% of files (all in rural areas), partogram completion stopped before delivery. Overall completion was less good: of the 984 partograms examined, administrative data were complete on only 20% and medical delivery data on 50%. Action taken before the alert line was crossed was incorrect in 48% of cases (particularly oxytocin use). The alert line was crossed in 13.5% of the cases, but correct action always followed (artificial rupture of membranes, oxytocin administration). The patient transfer rate was 13% and the cesarean rate 5.2%. This alert line was crossed only once. These results thus show very high coverage of partogram use, but inadequate quality and thus demonstrate the need for refresher training for maternity staff about partogram use.
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PMID:[Assessment of partogram utilisation in Benin]. 1574 76