Cervical ripening with vaginal Misoprostol plus Hyoscine-N-Butylbromide versus vaginal Misoprostol alone among pregnant women: a double-blind randomised controlled trial.

Objective: To compare cervical ripening time with the use of vaginal Misoprostol plus Hyoscine-N-Butylbromide, with vaginal Misoprostol alone.

Design: A double-blind randomized controlled trial with Pan-African Clinical Trials Registry (PACTR) approval number PACTR202112821475292.

Setting: Federal Medical Centre, Asaba, Nigeria.

A 4-year analysis of caesarean delivery in a Nigerian teaching hospital: one-quarter of babies born surgically.

Between January 2001 and December 2004, a total of 2,922 deliveries were conducted at the University of Nigeria Teaching Hospital , Enugu. Caesarean section accounted for 740 deliveries, an incidence of 25.3%.

Induction of labor on request in a resource-poor setting.

Objective: To determine the prevalence of and reasons for induction of labor on maternal request in a setting where aversion to induction of labor is the norm.

Method: Women undergoing induction of labor on maternal request at three maternity centers in Enugu, Nigeria were interviewed by means of pre-tested self-administered questionnaires. The outcomes of labor in these women were also compared with those of a control group consisting of women who had induction of labor for medical reasons.

Delayed food-dependent, exercise-induced anaphylaxis.

Food-dependent, exercise-induced anaphylaxis (FDEIA) is a clinically distinct form of anaphylaxis in which symptoms occur only when the patient exercises within a few hours of eating the food. Its precise mechanism remains unclear and has been reported to have a wide spectrum of presentations. The objective of this report is to show that the onset of FDEIA can be delayed for several hours and to emphasize the critical need for having self-injectable epinephrine available at all times.