The Maternity Ward has 53 beds spread between wards and private rooms, and this includes two admitting rooms. These are provided for pregnant women, mothers and women being treated for gynaecological problems. The Maternity Ward also has a 3 bed labour ward with paediatric Resuscitaires. There is a specific operating theatre reserved for obstetric and gynaecological surgery.
The main reasons for admission to Maternity Ward are complications of pregnancy especially infections, particularly malaria, urinary tract infections and respiratory tract infections.
In 2010/11 2,019 mothers delivered at Kitovu Hospital and 38% of these had a Caesarean Section. The caesarean section rate is high partly because of lack of reliable Ventouse equipment, but largely because Kitovu Hospital receives most referrals from other health care centres of mothers with complicated labour.
In 2011/12, 189 of the patients admitted to the Maternity Ward were admitted with gynaecological problems. The common gynaecological problems seen on the Maternity Ward are miscarriages, complications from previous obstetric or gynaecological operations, cervical cancer, PID (Pelvic Inflammatory Disease), infertility and abnormal vaginal bleeding.
Located on the Maternity Ward. There is a dedicated three bed ‘Kangaroo Care’ room for premature babies. Kangaroo Care is when a baby is placed against their parent’s chest for skin-to-skin contact. Benefits include improvements with lactation and with establishing breast feeding and better weight gain for the baby. In the long term, it helps parents to feel closer to their babies and more confident with caring for them.
Kangaroo Care is a vital tool used in the care of the premature babies delivered at the hospital as it helps to keep their temperatures stable. We encourage a schedule that requires the mothers to ‘Kangaroo’ their babies as often as possible in a day or night, whilst still allowing the mother ample breaks. The mothers establish skin-to-skin contact and then enclose their babies with blankets and strap them to their bodies. The mothers and babies are often skin-to skin for up to a couple of hours at a time and stay in the Kangaroo Care room for as long as necessary, often up to a month. Where possible, we provide the premature babies with woolly hats for extra warmth (kindly knitted specially in premature sizes and donated by numerous supporters!).
Prevention of Mother to Child Transmission (PMTCT) Programme
This programme started in February 2004 to promote awareness of HIV/AIDS. The programme tests all new antenatal clinic mothers and their partners, increases the understanding of HIV testing, encourages HIV positive patients to disclose their sero-status to the person they trust for support. It also advises on nutrition, improving general health and family planning.