ABSTRACT Background: severe pre eclampsia, eclampsia is responsible for a significant proportion of maternal and neonatal morbidity and mortality worldwide. In Mnazi mmoja Hospital, clinical experience has shown that severe pre eclampsia, eclampsia are common, the overall fetal maternal outcomes and various forms of clinical presentations of severe pre eclampsia, eclampsia is still largely unknown. Objective: To determine clinical presentation and fetal maternal outcome of severe pre eclamp...
ABSTRACT Advances in information and telecommunication have brought about new opportunities and capabilities to the delivery of health care services, but these are not without limitations and threats.
ABSTRACT Health and patient care is data intensive and involves a wide spectrum of Information and often may Involve input from other clinical departments and ancillary. or clinical support departments. For efficient care patient data should be integrated and accessible throughout clinics and hospitals. Clinical departmental computer systems can enhance the collection, distribution and interpretation of patient data. Providing a high-quality service to patients lnvolves having the right info...
SUMMARY Objectives: To assess the trends in instrumental delivery in the centre of study, relating them to maternal and neonatal outcome and comparing them with the existing literature, both from Nigeria and abroad. . Methods: The notes of all the women who had instrumental deliveries in the Central Middlesex Hospital between January and March 1996 were reviewed. Results: Four hundred and twenty women were delivered during the period of study and 46 of them (11 %) had instrumental deliveri...
ABSTRACT Infertility remains a global health challenge with devastating psycho-social consequences in many African communities. Adoption that may serve as an alternative strategy for the affected couples is not widely practiced. This study was conceptualized to assess the acceptability of child adoption as a management option by Nigerians. Twelve focus group discussions were held involving three communities stratified into inner core, transitory and peripheral, within Ibadan metropolis, Sout...
ABSTRACT Ectopic pregnancy remains an important cause of maternal mortality and morbidity as well as early foetal wastage in Nigeria and in other developing countries. We report 3 different cases of repeat ipsilateral ectopic pregnancy seen in the gynaecological emergency unit of the University College Hospital, Ibadan. Cases of repeat ectopic pregnancy often gives rise to diagnostic dilemma, and this becomes more difficult when it occurs at an ipsilateral location.
Objective: To determine the acceptability of transvaginal ultrasonography (TVU) and associated factors among Nigerian women. Method: A cross-sectional survey was conducted among 3137 women who presented for transabdominal ultrasound scan between August and November 2010 in two referral hospitals in Nigeria. Data were obtained using a questionnaire. Descriptive and multivariate analysis was performed applying logistic regression analysis; predictors of willingness of participants regarding tra...
Abstract Background: Effective prevention and control of malaria during pregnancy include prompt and effective case management of malaria combined with prevention of infection by the use of insecticide-treated nets and intermittent preventive treatment in pregnancy (IPTp). Care givers knowledge and practice of malaria control is pivotal to effective implementation of these guidelines. The objective of this study was to determine the awareness of care providers in facilities offering maternity...
dy intended to explore the impact of traditional birth attendants on maternal and child health in Ikole LGA 15 of Ekiti State, Nigeria. The study adopted the use of functionalist theory and Social Action theory in explaining the 16 impact of TBAs on maternal and child health and the factors influencing the utilization of TBAs facilities respectively. A 17 descriptive research design was employed for the study, using both quantitative and qualitative methods of data 18 collection. The sample s...
SUMMARY The rate of mother-to-child transmission (MTCT) of HIV as well as the implications of the circulating multiple subtypes to MTCT in Nigeria are not known. This study was therefore undertaken to determine the differential rates of MTCT of HIV-1 subtypes detected among infected pregnant women before ARV intervention therapy became available in Nigeria. Twenty of the HIV-positive women who signed the informed consent form during pregnancy brought their babies for followup testing at age 1...
AB5TRACT In the search for the etiology of carcinoma of the cervix uteri, various factors have been implicated by various workers, The disease has been shown to have a venereal origin, following on its significant association with coital characteristics. These include early Initiation into hetero-sexual acts and frequency o f coitu3, multiplicity of coital Partners, multiparty, low socio-economic Standards, venereal diseases and circumcision. Extensive epidemiologic studies have indicated tha...
ABSTRACT The availability of VCT for HIV booked antenatal patients offers a unique opportunity of best obstetrics practices but not for patients presenting with emergencies and unknown HIV status.
ABSTRACT There remains uncertainty about the impact of HIV on pregnancy outcomes and effects of highly active antiretroviral therapy on fetal development. This study describes obstetric outcomes among HIV positive patients at the University College Hospital, Ibadan. HTV positive patients were identified in the birth register. During the 30retrieval. The mean age of the HTV positive patients was 31.66 years (± 4.66); the mean gestational age at delivery was 38.02 weeks (± 2.75) and the m...
ABSTRACT Understanding the sources of contraceptive commodities is an important aspect of the delivery of family planning services and is required by planning programme managers for strategic planning purposes.
ABSTRACT Background: Group specific blood is often cross-matched ready for all patients scheduled for caesarean section in anticipation of haemorrhage during the surgery. This study was conducted to determine the risk factors for blood transfusion during anaesthesia for caesarean section. Methods: This was a prospective cross-sectional study. A total of 706 pregnant patients scheduled for emergency or elective Caesarean section at the University College Hospital, Ibadan, Nigeria between Mar...