- Pumwani Maternity Hospital admitted 162 patients over the weekend of September 14-16, with 34 cesarean sections and 156 total deliveries. There were 6 deaths. - The hospital's autoclaving machine broke down twice over the weekend but was repaired with assistance from other hospitals. - Staffing shortages exist, with only 7 doctors including some on leave, and nurses short of the recommended level in the labor ward. - Ultrasound services are limited by inadequate staffing on weekends and nights. - There were 6 stillbirths and neonatal deaths over the weekend. The hospital morgue holds 11 bodies to be transferred to the city morgue.

1. NAIROBI CITY COUNTY
City Hall
P. O. Box 30075 - 00100
Telephone: 020 344194 Nairobi
Web.www.nairobi.go.ke Kenya
COUNTY HEALTH SERVICES:
PUMWANI MATERNITY HOSPITAL
17TH SEPTEMBER 2018
SUMMARY REPORT ON OPERATIONS AT PUMWANI MATERNITY HOSPITAL
FOR THE PERIOD FRIDAY, 14TH SEPTEMBER, 2018 TO MONDAY, 17TH
SEPTEMBER, 2018
The data for the weekend is as tabulated below:
Day Admissions Total
Deliveries
CS Pending
cases
Deaths Remarks/reason for
death
Labour
ward
NBU
Friday
14th Sept.
61 14 48 16 18 3 FSB (Meconium – was
awaiting CS due to
foetal distress
Obstructed labour
Saturday
15th Sept.
58 9 54 10 15 1 ND A referral from
Mukuru
Sunday
16th Sept.
43 11 54 9 17 1 MSB
1 ND
Macerated through
CS (admitted on
15/9/2018
developed APH on
16.9.2018)
ND – DOB on
11.9.2018 through
CS 2700 gms – birth
asphyxia and
passed on
Total 162 34 156 35 6
AUTOCLAVING MACHINE:

2. The machine broke down on Wednesday, 12th September, 2018 and repaired on
Thursday. The machine broke down again on Sunday, 16th September, 2018.
The hospital liaised with Mama Lucy Kibaki Hospital and Kenyatta National
Hospital for assistance respectively. The delivery packs were autoclaved and
returned back to the hospital.
The machine has since been repaired this morning and is now operational.
HUMAN RESOURCE FOR HEALTH
The hospital currently has seven (7) medical doctors, five 5 consultant one on
annual leave, one on sick leave awaiting doctor’s review report. In the obstetric
gynecologist; we have one (1) Medical officer per 12 hour shift.
Theatre 2 is run by consultants who operate on cold cases/elective Caesarians.
There is usually one (1) Consultant on call for a 24 hour-basis at the moment
theatre two is doing emergency c/s due to long waiting list. This Consultant
covers both the labour ward and theatre.
Labour ward has 6 nurses per shift whereas the recommended is 10 nurses.
STATUS ON ULTRASOUND
The hospital has one (1) operational ultrasound run and managed by two (2)
Sonographers.
The working hours is 8am - 5 pm for 5 days a week. Due to the inadequacy of
staff, there is no one to cover the weekend, holidays and night shifts. The clients
pay Ksh. 1,800. NHIF have been requested to come and upgraded our system to
cover this service for those who are on the NHIF and Linda Mama scheme.
There is an additional ultrasound machine in the store, not operational due to
staffing requirement.
REPORT ON STILL BIRTH & NEONATAL DEATHS - TOTAL 6
The table below summarizes the number of still births in the hospital over the
weekend.
DATE NAME
INITIALS
STATUS IP
NUMBER
SEX WEIGHT
AT BIRTH
SOURCE
14th
September
R. K FSB 023610 M 3500 LABOUR WARD
14th
September
N.W FSB 023597 F 2100 LABOUR WARD

3. 14th
September
ASW 023336 M 3600 THEATRE(obstru
cted labour)
15th
September
MA SVD 023466 M 3500 NBU (referral
from Mukuru)
16th
September
GN C/S
delivery
023459 M 2700 NBU (from NBU
scored 3, 5 )
16th
September
CN C/S
MSB
O23671 M 2200 THEATRE( APH )
BODIES IN THE HOLDING ROOM:
The hospital has got a holding room for dead bodies. The room has got a total of
eleven (11) bodies. These bodies are ferried to City Mortuary for disposal on
Mondays, Wednesdays and Fridays.
Of the eleven (11) bodies in the holding room:
• Four (4) were to be ferried to City Mortuary on Friday 14th September, 2018
• Six (6) who died over the weekend will be ferried today to City Mortuary.
• One (1) non-tagged neonate is not from the hospital un-procedurally within
the holding area with no documentation availed by the mortician.
DR. LEORNARD OKOKO
For: MEDICAL SUPRINTENDENT