Start low, go fast? Antipsychotic titration patterns at an inpatient psychiatric hospital.

Introduction: Antipsychotics are commonly used to treat psychotic symptoms and severe mental illnesses. Treatment guidelines recommend antipsychotics be titrated quickly to therapeutic effect in the acute setting but acknowledge that determining the optimal dose is complicated by a delay between treatment initiation and therapeutic response. The purpose of this study was to evaluate antipsychotic titration patterns in an inpatient psychiatric hospital.

Morbidities, concordance, and predictors of preterm premature rupture of membranes among pregnant women at the University of Nigeria Teaching Hospital (UNTH), Enugu, Nigeria.

Background: Preterm premature rupture of membranes (PPROM) is a challenging complication of pregnancies and an important cause of perinatal morbidity and mortality. Management of morbidities associated with PPROM is fraught with controversy. However, women should be informed of these complications.

Desire for prenatal gender disclosure among primigravidae in Enugu, Nigeria.

Background: Prenatal gender disclosure is a nonmedical fetal ultrasonography view, which is considered ethically unjustified but has continued to grow in demand due to pregnant women's requests.

Objective: The aim of this study was to determine the proportion of primigravidae who want prenatal gender disclosure and the reasons for it.

Methods: This was a descriptive cross-sectional study of randomly selected primigravidae seen at Enugu Scan Centre.

Attitude of expectant mothers on the use of ultrasound in pregnancy in a tertiary institution in South East of Nigeria.

Background: With the world-wide availability of ultrasound services even in the developing countries, routine ultrasonography in pregnancy remains a controversial issue. However, in this era of reproductive health right and evidence-based medicine, the views of women need to be ascertained.

Aims: The aim is to assess the attitude of antenatal women toward sonography in pregnancy.

Trends and determinants of episiotomy at the University of Nigeria Teaching Hospital (Unth), Enugu, Nigeria.

Background: Episiotomy is the most commonly performed obstetric procedure. The indications and efficacy are poorly established and its practice has remained controversial.

Objective: To determine the rate and the determinants of episiotomy in the parturients at the UNTH, Enugu.

A retrospective study of the outcome of cesarean section for women with severe pre-eclampsia in a third world setting.

Objective: To compare the outcome of subarachnoid block (spinal anesthesia) and general anesthesia in Cesarean delivery for women with severe pre-eclampsia.

Methods: A retrospective study of women with severe pre-eclampsia requiring Cesarean section from January 2005 to June 2009 was carried out. Maternal age, parity, gestational age at delivery, booking status, Apgar scores, maternal and perinatal mortality of the sub-arachnoid block group were compared with those of general anesthesia group using χ(2), Student t-test and Fischer exact test.

Attitude of men in Nigeria to vasectomy.

The objective of this study was to assess the attitude of men in Nigeria towards vasectomy as a method of family planning. This was a cross-sectional study, using self-administered pre-tested questionnaires containing mainly close-ended questions. The questionnaires were given to 146 randomly selected men.

HIV serostatus disclosure pattern among pregnant women in Enugu, Nigeria.

This study was carried out in two medical facilities in Enugu, Nigeria, from September to November 2007. An interviewer-administered questionnaire was used to collect data from HIV-positive pregnant women accessing PMTCT (prevention of maternal-to-child transmission) services at the two centres. Ninety-two women were interviewed: 89 (96.

Women's experiences following failed vaginal birth after cesarean delivery.

Objective: To assess the experience of women in whom a trial of vaginal birth after cesarean (VBAC) has failed.

Methods: Pretested self-administered questionnaires containing both open- and closed-ended questions were given to the participants while they were waiting for an antenatal check-up. The responses to the closed-ended questions were analyzed with descriptive statistics.