Queen Nandi Regional Hospital : Disease Profile

Gynaecology:

The predominant group of patients are within the reproductive age group:

• Pregnancy related complications such as miscarriages, septic abortions, ectopic pregnancy and molar pregnancy.
• The second largest group of pathology entails gynaecological cancers in particular cervical cancer which forms two thirds of all the oncology cases seen in our combined staging clinic. Endometrial cancer has been found to be prevalent in women with metabolic syndrome. The spectrum of patients ranges from young women mostly infected by the HIV virus and elderly women generally HIV negative.
• HIV related disease of the female genital tract such as genital warts and cervical dysplasia are seen in large numbers now that we have a semi functional colposcopy clinic.
• Pelvic abdominal masses which include fibroids, benign and non-benign ovarian masses are also common. Rare cases of dysfunctional uterine bleeding, infertility and chronic pelvic pain secondary to endometriosis are seen.

Pregnancy related diseases

• HIV related pathologies
• Hypertensive disease in pregnancy.
• Eclampsia and severe preeclampsia.
• Haemorrhage both antepartum and postpartum. Abruptio placenta and placenta praevia.
• Preterm labour
• Medical disorders such as diabetes and cardiovascular diseases

Paediatrics/Neonatology

The top three causes of morbidity and mortality (in hospital mortality: 4.3%) are:

• Pneumonia
• Acute gastroenteritis
• Severe acute malnutrition

The Neonatal mortality is 24 per 1000 live births.

The pathology group include:

• extreme prematurity
• low birth weight sepsis
• congenital abnormalities asphyxia

Apart from rendering services to the people residing in the above said areas, the hospital from time to time treats cross-border patients from Mozambique and Zimbabwe; and some referrals from Durban or Pietermaritzburg.

The maternal mortality rate remains high because of transfers in from other hospitals already had given birth and demise in our facility.

Queen Nandi is a hospital dedicated exclusively to the care of obstetrics, gynecological, pediatric and neonatal patients. As the hospital offers regional services it needs a strong and efficient referral system. As a way of strengthening the referral system the base hospitals have following support:

• Telephonic ward rounds with District hospitals.
• Adopting a hospital - Each district is allocated a senior doctor whom they can consult if need arises.
• Access to a consultant 24 hour a day via telephonic hotline

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