Omondi Ogutu
University of Nairobi
Internal medicineObstetricsPublic healthSurgeryCross-sectional studyDemographyOdds ratioPediatricsKenyaCaesarean sectionMalariaPregnancyUterine ruptureTuberculosisPopulationGynecologyHuman immunodeficiency virus (HIV)AnesthesiaIncidence (epidemiology)GestationFamily medicineMedicineEnvironmental health
Publications 51
#1Bruce M BiccardH-Index: 36
#2Leon du ToitH-Index: 1
Last. Akinyinka O. OmigbodunH-Index: 23
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Summary null null Background null Risk of mortality following surgery in patients across Africa is twice as high as the global average. Most of these deaths occur on hospital wards after the surgery itself. We aimed to assess whether enhanced postoperative surveillance of adult surgical patients at high risk of postoperative morbidity or mortality in Africa could reduce 30-day in-hospital mortality. null null null Methods null We did a two-arm, open-label, cluster-randomised trial of hospitals (...
Caesarean sections constitute major surgery, and are associated with immediate maternal and perinatal risks with implications on future pregnancies. After a caesarean delivery, the World Health Organization (WHO) recommends an Inter-pregnancy Interval (IPI) of at least 24 months to lower the risk of adverse maternal and perinatal outcomes in the subsequent pregnancy. However, whether the recommendation confers obstetric benefits is unclear as there’s paucity of data in low- and medium-income cou...
#1Charity Ndwiga (Population Council)H-Index: 15
#2George Odwe (Population Council)H-Index: 5
Last. Charlotte E. Warren (Population Council)H-Index: 24
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Background Hypertensive disorders in pregnancy including pre-eclampsia are associated with maternal and newborn mortality and morbidity. Early detection is vital for effective treatment and management of pre-eclampsia. This study examines and compares the clinical presentation and outcomes between early- and late-onset pre-eclampsia over a two year period. Methods A retrospective cohort study design which examines socio-demographic characteristics, treatment, outcomes, and fetal and maternal com...
#1D.G. Bishop (UKZN: University of KwaZulu-Natal)H-Index: 10
#2Robert A. Dyer (UCT: University of Cape Town)H-Index: 24
Last. Andrew K N Ndonga (Mater Health Services)H-Index: 4
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Summary Background Maternal and neonatal mortality is high in Africa, but few large, prospective studies have been done to investigate the risk factors associated with these poor maternal and neonatal outcomes. Methods A 7-day, international, prospective, observational cohort study was done in patients having caesarean delivery in 183 hospitals across 22 countries in Africa. The inclusion criteria were all consecutive patients (aged ≥18 years) admitted to participating centres having elective an...
#1H.-L. Kluyts (Sefako Makgatho Health Sciences University)H-Index: 1
#2Y. Le Manach (Population Health Research Institute)H-Index: 12
Last. M.S. ChaibouH-Index: 1
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Abstract Background The African Surgical Outcomes Study (ASOS) showed that surgical patients in Africa have a mortality twice the global average. Existing risk assessment tools are not valid for use in this population because the pattern of risk for poor outcomes differs from high-income countries. The objective of this study was to derive and validate a simple, preoperative risk stratification tool to identify African surgical patients at risk for in-hospital postoperative mortality and severe ...
#1Anne PuleiH-Index: 3
#2John KinuthiaH-Index: 17
Last. Omondi OgutuH-Index: 5
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Background: Preeclampsia (PE) is a one of the leading causes of maternal mortality as well as morbidity and long-term disability to mothers and newborns in sub-Saharan Africa. Various micronutrients have been implicated in its pathophysiology. Supplementation of some of these micronutrients, like calcium being recommended as part of the preventive strategies of PE in resource-poor countries. The status of these micronutrients and their relationship with PE vary from population to population. Obj...
#1Bruce M Biccard (UCT: University of Cape Town)H-Index: 36
#2Thandinkosi E. Madiba (UKZN: University of KwaZulu-Natal)H-Index: 23
Last. Veekash GobinH-Index: 4
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Summary Background There is a need to increase access to surgical treatments in African countries, but perioperative complications represent a major global health-care burden. There are few studies describing surgical outcomes in Africa. Methods We did a 7-day, international, prospective, observational cohort study of patients aged 18 years and older undergoing any inpatient surgery in 25 countries in Africa (the African Surgical Outcomes Study). We aimed to recruit as many hospitals as possible...
#2Omondi Ogutu (UoN: University of Nairobi)H-Index: 5
Last. John Kinuthia (Kenyatta National Hospital)H-Index: 17
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Abstract Background Trial of labour is a safe option for most women after one previous caesarean delivery. However, the proportion of women attempting trial of labour after previous caesarean delivery (TOLAC) has been declining in many countries. In addition, women with prior caesarean delivery appear to know little regarding their mode of delivery and healthcare providers’ recommendations. The doctors’ preferences exert a strong influence on patient’s decision whether or not to pursue TOLAC. In...
#1Anne PuleiH-Index: 3
#2PA MugaH-Index: 1
Last. Omondi OgutuH-Index: 5
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Unilateral tubal twin pregnancy remains rare despite a rise in the incidence of singleton ectopic pregnancies. A 27-year-old Gravida 1 Para 0+0 at 12 weeks gestation, presented to our institution with a 1-month history of lower abdominal pain, that progressively worsened and became very severe. An abdominal ultrasound revealed an extrauterine gestational sac that looked like a single viable fetus in the right adnexa at about 12 weeks by crown rump length. Free fluid was noted in the right iliac ...
#1Chelimo JaphetH-Index: 1
Last. Nicholas KiruiH-Index: 1
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Background: Isoniazid preventive therapy (IPT) is one of the key interventions in achieving the End TB Strategy of 90% reduction in Tuberculosis (TB) incidence by 2030 compared with 2015. One of the key pillars in achieving this is preventive treatment of persons at high risk of contracting TB. This group includes children less than five years exposed to bacteriologically confirmed TB. Despite Kenya national IPT roll out in 2015, there still exists limited information on its programmatic coverag...
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