Sexual and reproductive health in HIV serodiscordant couples.

Serodiscordant couples are a significant source of new HIV infection in sub-Sahara Africa. The prevention of HIV transmission to the uninfected partner should be an integral part of their health care. Serodiscordant couples desire pregnancy, treatment for infertility, effective family planning services, sexual health screening, and so on.

Management of infertility in HIV infected couples: a review.

The HIV epidemic has continued to grow and remains a major challenge to mankind. In the past, ethical considerations about the resulting child and risks of sexual, vertical and nosocomial transmission of HIV prevented practitioners from offering fertility services to people living with HIV. In recent times however, the use of highly active antiretroviral therapy (HAART), has not only improved the life expectancy and quality of life of those infected but also reduced the risk of HIV transmission.

Trends in maternal mortality at the Lagos University Teaching Hospital, Lagos, Nigeria.

Background: Recent reports suggest that the burden of maternal mortality remains heavy in Sub-Saharan Africa; and that the fifth millennium development goal might not be achieved. As the target date 2015 draws near, we carried out a review of maternal mortality in a Teaching Hospital unitto assess the current situation.

Objectives: To determine the Maternal Mortality Ratio (MMR), the clinical causes of maternal deaths and the numerical and etiological trends in maternal mortality at the Lagos University Teaching Hospital (LUTH).

Surgical education at the West African College of Surgeons.

The West African College of Surgeons (WACS) was formed almost 50 years ago to foster friendship and greater interaction amongst the first crop of surgeons of West African origin freshly returning from overseas training. Under the College's umbrella, seven different surgical Faculties-Anaesthesiology, Dental Surgery, Obstetrics & Gynaecology, Ophthalmology, Otorhinolaryngology, Radiology/Radiotherapy, and Surgery-have been nurtured into viable entities. The WACS is a leading institution for surgical training, accreditation, and collaboration with international bodies in the subregion.

Availability and use of obstetric guidelines in Nigeria.

Objective: To determine the availability and use of obstetric guidelines in Nigeria, and seek the opinions of obstetricians regarding the benefits of such guidelines.

Methods: A questionnaire survey of obstetricians attending the Annual Conference of the Society of Gynaecology and Obstetrics of Nigeria held in November 2006. Respondents were asked whether their units had management guidelines for 12 common obstetric complications, and whether they thought the use of guidelines would improve obstetric outcome.