Maternal and perinatal outcomes of delivery after a previous Cesarean section in Enugu, Southeast Nigeria: a prospective observational study.

Background: Obstetricians in developing countries appear generally reluctant to conduct vaginal delivery in women with a previous Cesarean because of lack of adequate facilities for optimal fetomaternal monitoring.

Objective: To describe delivery outcomes among women with one previous Cesarean section at a tertiary hospital in Southeast Nigeria.

Methods: This was a prospective observational study to determine maternal and perinatal outcomes of attempted vaginal birth after Cesarean sections (VBAC) following one previous Cesarean section.

Antibiotic sensitivity pattern of uropathogens from pregnant women with urinary tract infection in Abakaliki, Nigeria.

Background: Urinary tract infection (UTI) is a common bacterial infection during pregnancy and a significant cause of perinatal and maternal morbidity and mortality. The causative bacteria have remained virtually the same although with variations in individual prevalence. There has been an increasing resistance by these bacteria to the commonly available antibiotics.

Cervical cancer awareness and cervical screening uptake at the Mater Misericordiae Hospital, Afikpo, Southeast Nigeria.

Background: Cervical cancer is the most common genital tract malignancy among women in developing countries.

Objective: To assess the awareness of cervical cancer among Igbo women in a rural population of Southeastern Nigerian and determine their uptake of cervical screening services.

Materials And Methods: A questionnaire-based descriptive cross-sectional study.

Higher-order multiple births in Abakaliki, Southeast Nigeria.

Introduction: Higher-order multiple births have implications for perinatal and maternal morbidity and mortality. This study aimed to determine the incidence and outcomes of higher-order multiple pregnancies in a rural area in Southeast Nigeria.

Methods: The study reviewed the data on all higher-order multiple deliveries conducted in two tertiary health institutions in Abakaliki over a seven-year period from January 2000 to December 2006.

Cervical cytology profile of infertility patients in Abakaliki, South-eastern Nigeria.

Cervical cancer is of public health importance in developing countries. High risk sexual behaviour is a risk factor. This cross-sectional study aimed at establishing the cervical cytology profile of infertile women in Abakaliki, Nigeria.

Obstetric performance recall accuracy (OPERA) among a low literacy population in Southeast Nigeria.

Context: Accurate obstetric history is of utmost importance in prenatal care to ensure optimal maternal and fetal outcomes.

Aims And Objectives: To determine the accuracy of recalled obstetric history among rural Igbo women of Southeast Nigeria.

Study Design: Primiparous and multiparous women, who accessed antenatal care in a rural Mission Hospital over a two-year period, had their past obstetric histories recorded in a pro forma by trained research assistants.

The role of unorthodox and traditional birth care in maternal mortality.

Many pregnant women see unorthodox medical providers in labour before presentation to the modern medical facilities after obstetric complications have arisen. This study evaluates the contribution of unorthodox medical facilities to the delays subsisting maternal mortality in a rural, poor and illiterate community. Data was collected prospectively on all referrals from outside the St.

A 20-year review of twin births at Mater Misericordiae Hospital, Afikpo, South Eastern Nigeria.

Objectives: To provide information on twin deliveries among Igbos in a rural/semi-urban community of South-Eastern Nigeria, and compare the twinning rate with data from the other two major tribes.

Methods: An analysis of the records of deliveries conducted over a 20-year period in a rural/semi-urban community of South-Eastern Nigeria.

Results: The twinning rate of the community was 1:24, and increased with increasing maternal age, and generally with birth rank.

Pattern and determinants of domestic violence among prenatal clinic attendees in a referral centre, South-east Nigeria.

Gender-based violence, though deeply entrenched in some cultures and religions, has remained a neglected area in health research in South-east Nigeria. This study assessed the prevalence, pattern and background factors precipitating domestic violence in a population of prenatal clinic attendees. This was a cross-sectional questionnaire-based study.

Uterine fibroids in a tertiary health centre South East Nigeria.

Background: Uterine fibroids are common benign tumours of the female reproductive tract. This study evaluated the clinical presentations and the treatment of fibroids at Ebonyi State University Teaching Hospital over the 5-year period (2001-2005).

Methods: A retrospective analysis of all cases of uterine fibroids admitted into the gynaecological ward of the Ebonyi State University Teaching Hospital (EBSUTH) over the five-year period (2001-2005).

Retained placenta aspect of clinical management in a tertiary health institution in Nigeria.

Background: Retained placenta is a significant cause of postpartum haemorrhage, maternal morbidity and occasionally mortality. This study assessed the clinical presentation, management and outcomes of retained placenta at the Ebonyi State University teaching Hospital.

Method: Analysis of records relating to retained placenta managed in the hospital over a three year period (August 2003 to July 2006.

Menstruation in rural Igbo women of south east Nigeria: attitudes, beliefs and practices.

Many cultures hold on to different beliefs and retain community-defined restrictions for menstruating women. The Igbo society of southeast Nigeria is rich in culture, myths and superstitions but, surprisingly no documentation exists on menstrual beliefs and practices among the population. This questionnaire-based cross sectional study supplemented with in-depth interviews evaluated the beliefs, myths and traditional practices associated with menstruation within rural Igbo communities.

Age at menarche and the menstrual pattern of Igbo women of southeast Nigeria.

This study determines the age at menarche and menstrual pattern of an Igbo population in 12 randomly selected rural communities of Ebonyi State. Information on recalled ages at menarche, menstrual flow duration and cycle length was collected using a semi structured questionnaire over three months. 1209 women of reproductive age were interviewed.

Congenital malformations in singleton and twin births in rural Nigeria.

Background: The presence of a congenital malformation at birth is a cause of anxiety at an otherwise joyous occasion. Congenital malformations are a significant contributor to perinatal mortality.

Study Design: A retrospective study of external congenital abnormalities in singleton and twin births in rural eastern Nigeria over a 20 year period.

A comparative study of marital status on the academic performance of the female medical undergraduate in a Nigerian university.

Objective: To examine the effect of marriage, pregnancy and child bearing on the academic performance of the Nigerian female medical student.

Method: Self administered cross sectional questionnaires were distributed to female and male medical students of Ebonyi State University, Nigeria. Academic records were examined, and data obtained analysed using the Epi info statistical software package.

Intestinal obstruction from an adhesion band mimicking peritonitis due to a complicated induced unsafe abortion: a case report.

Miss E.N. a 19-year old nullipara presented at the Accidents and Emergency unit of the Ebonyi State University Teaching Hospital (EBSUTH), Abakaliki on the 17/5/06 with symptoms and signs of peritonitis from possible uterine and bowel perforation secondary to induced unsafe abortion.

Vaginal delivery in Nigerian women after a previous cesarean section.

A total of 154 consecutive Nigerian women at term pregnancy who had undergone one previous cesarean delivery were prospectively studied during the year March 1987 to February 1988. A repeat elective cesarean section was performed in 52 (33.8%) patients.

Fertility and fetal salvage among women with uterine leiomyomas in a Nigerian Teaching Hospital.

Fertility and pregnancy outcome among 141 Nigerian women with uterine leiomyomas and 270 married gynaecological subjects matched for age and parity were studied. The preoperative spontaneous abortion incidence and fetal salvage among the 68 women in the study group who had previously been pregnant were 61.8% and 78.

Observations on molar pregnancy in Enugu, Nigeria.

Forty-one molar pregnancies seen at the University Teaching Hospital Enugu, Nigeria during the 10-year period 1976-1985 are analyzed. The incidence of hydatidiform mole was 0.82 per 1000 pregnancies.

Non-Hodgkin's lymphoma of the uterus in a child.

A unique case of a 14-year-old girl with malignant lymphocytic lymphoma of the uterus clinically misdiagnosed as sarcoma botyroides is presented. Total abdominal hysterectomy was performed followed by limited chemotherapy. The patient is asymptomatic and without clinical evidence of tumor 38 months after the onset of symptoms.

Unexpectedly low ratio and falling incidence rate of ectopic pregnancy in Enugu, Nigeria, 1978-1981.

The demographic characteristics and subsequent pregnancy rate of women with tubal ectopic pregnancy have been investigated at the University of Nigeria Teaching Hospital, Enugu. The ratio of ectopic pregnancy to total births was 1:287. Ectopic pregnancy accounted for 6.

Childbearing among the Igbos of Nigeria.

Traditional Obstetric care among women of the Igbo tribe in Nigeria is described. The role of traditional birth attendants, antenatal care, management of delivery complications, postnatal care and traditional community practices surrounding birth are discussed.

Plasma concentration of urate, urea and creatinine in Nigerian primigravidae with pre-eclampsia.

Single estimations of plasma urea, uric acid and creatinine were made in late pregnancy in 34 Nigerian primigravidae with mild/moderate or severe pregnancy-induced hypertension, and in 34 matched primigravidae with uncomplicated pregnancy. The differences in mean plasma concentrations of uric acid and creatinine between the pre-eclamptic patients and the normotensive controls were statistically significant, while that in mean urea levels was not. Patients with severe (proteinuric) pre-eclampsia showed significantly higher plasma urea and urate concentrations than women with mild/moderate (aproteinuric) disease, but the difference in mean plasma creatinine values between the two groups was not significant.