A randomized comparative study of serial membrane sweeping at term for vaginal birth after caesarean section in two tertiary hospitals in Delta State.

Introduction: postdate pregnant women with one previous caesarean section that are planned for vaginal birth after caesarean sections are faced with adverse pregnancy outcomes. This trial was conducted to determine the effect of serial membrane sweeping from 38 weeks gestation in pregnant women planned for vaginal birth after caesarean section.

Methods: this randomized controlled trial (RCT) was conducted on 90 women at 38 weeks with one previous caesarean section.

Leaking Ectopic Pregnancy Following In vitro Fertilization with Associated Acute Appendicitis.

Background: Ectopic pregnancy associated with appendicitis is rare, with very few cases reported in the literature. It is unclear if appendicitis is coincidentally associated with ectopic pregnancy or a possible risk factor for the development of ectopic pregnancy. Ruptured ectopic pregnancy has also been postulated as a possible risk factor leading to appendicitis because of the probable inflammatory reaction involving the adjacent appendix.

Ethical challenges in obstetric emergencies in low- and middle-income countries.

Obstetric emergencies are challenging, requiring implementation of a rapid sequence of interventions in a very short time to optimize clinical outcome. Managing obstetric emergencies could evoke ethical dilemmas for the obstetrician because of limited time to adequately educate the patient about her condition; impaired consciousness of the patient to give consent; nonexistent prior patient -doctor relationship and the need to consider both the patient and the fetus. In Low- and middle-income countries (LMICs), poor access to appropriate emergency care, structural and financial barriers and a largely uneducated and a deeply cultural population contribute to the ethical challenges.

An Analysis of Caesarean Sections in a Community Cottage Hospital in Nigeria's Niger Delta Using The Robson Classification.

Background: The Robson ten group classification is recommended for classifying and comparing Caesarean Sections. This study aimed to review and classify all CS done at Obio Cottage hospital in 2018 using the Robson classification and to also identify areas of possible intervetions in reducing the CS rates.

Methodology: A retrospective review of all caesarean sections at Obio Cottage hospital from January to December 2018 using the Robson classification.

Evaluation of the use of a Whatsapp Forum for the Daily Clinical Case Review in Obstetrics and Gynaecology at a Teaching Hospital during the COVID-19 Pandemic.

Background: This study aimed to evaluate the use of a Whatsapp forum for a daily clinical case review in Obstetrics and Gynaecology.

Methodology: We used a Qualitative Action Research methodology, as the study involved an intervention; the introduction of a WhatsApp platform for daily morning case review; and exploration of what happened following the intervention using a feedback questionnaire. The 21 resident doctors and consultants who completed and returned the feedback questionnaire were the subjects of the study.

Nitric oxide in infertile females in the niger-delta region of Nigeria.

Background: Infertility is a public health challenge and it is a distressing personal tragedy for couples, more so for the female partners. Risk factors and causes of infertility vary from region to region. Reactive species is of current interest in the pathogenesis and management of infertility, especially in the Niger-Delta Region of Nigeria where environmental hazards of oil exploration exists.

Ethical Issues in the Practice of Assisted Reproductive Technologies in Nigeria: Empirical Data from Fertility Practitioners.

The need to formulate practice guidelines and ethical framework to guide the practice of assisted conception in Nigeria has been highlighted severally. The Association for Fertility and Reproductive Health (AFRH) ethics committee is charged with the objective of producing ethical guidelines that would govern the practice of assisted conception in Nigeria. This study was a survey of attendees at the AFRH international conference that held in Abuja in September 2017.

Obstetrics and gynaecology residents' knowledge of the informed consent process and its practice in their training institutions.

Introduction: The ethical principle of autonomy as expressed in the practice of informed consent is a core tenet of clinical practice and good patient physician relationship.

Aim: The aim was to identify specific gaps in the knowledge of trainee obstetricians and gynecologists in Nigeria about the informed consent process and its content. It also sought to describe the practice of informed consent in their respective institutions.

Huge Benign Ovarian Cystic Teratoma in a Patient with a History of Hansen's Disease.

Mature ovarian cystic teratomas are common benign ovarian neoplasm derived from germ cells. With increasing availability of ultrasound services even in developing countries, the diagnosis of benign ovarian tumour is made earlier and the size of the ovarian tumour at diagnosis is relatively small. It is unusual to find an ovarian cystic teratoma larger than 10 cm.

Ethics of clinical trials in Nigeria.

The conduct of clinical trials for the development and licensing of drugs is a very important aspect of healthcare. Drug research, development and promotion have grown to a multi-billion dollar global business. Like all areas of human endeavour involving generation and control of huge financial resources, it could be subject to deviant behaviour, sharp business practices and unethical practices.

Misconduct in research: a descriptive survey of attitudes, perceptions and associated factors in a developing country.

Background: Misconduct in research tarnishes the reputation, credibility and integrity of research institutions. Studies on research or scientific misconduct are still novel in developing countries. In this study, we report on the attitudes, perceptions and factors related to the work environment thought to be associated with research misconduct in a group of researchers in Nigeria - a developing country.

Prevalence of scientific misconduct among a group of researchers in Nigeria.

Background: There is a dearth of information on the prevalence of scientific misconduct from Nigeria.

Objectives: This study aimed at determining the prevalence of scientific misconduct in a group of researchers in Nigeria. Factors associated with the prevalence were ascertained.

Liberalization of abortion and reduction of abortion related morbidity and mortality in Nigeria.

This study aimed at determining the knowledge and perception of physicians in Nigeria on abortion related deaths, and also to find out if they will support the liberalization of abortion as a means of reducing deaths from unsafe abortion. Physicians' willingness to offer abortion services was also explored. A self-administered questionnaire was distributed to a convenience sample of physicians in Delta state of Nigeria.

Eclampsia in Irrua Specialist Teaching Hospital: a five-year review.

Objective: The contribution of Eclampsia to maternal mortality in Nigeria is well documented. In Irrua it accounts for over 25% of maternal deaths. Addressing Eclampsia is therefore a priority programme of the Irrua Safe motherhood Initiative.

A 30-year review of advanced abdominal pregnancy at the Mater Misericordiae Hospital, Afikpo, southeastern Nigeria (1976-2006).

Purpose: This analysis attempts to highlight the varied presentations, diagnostic difficulties, management and subsequent obstetric performances of women managed for advanced abdominal pregnancy.

Methods: A retrospective analysis of all 20 cases of abdominal pregnancies between 1976 and 2006, at the Mater Misericordiae Hospital, Afikpo, southeastern Nigeria was performed.

Results: There were 20 cases of abdominal pregnancy out of 58,000 deliveries, giving an incidence of 0.

Pregnancy in a noncommunicating rudimentary horn of a unicornuate uterus: a case report.

Pregnancy in the rudimentary horn is rare and carries grave consequences for the mother and fetus. A case report is presented of a 26 year old single gravida 3 para 0(+2) lady with rupture of a rudimentary horn pregnancy at a gestational age of 20 weeks. Laparotomy was done and the rudimentary horn excised.

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.

Adolescent sexual and reproductive health in the Niger Delta region of Nigeria--issues and challenges.

There has been an increasing awareness of the need to pay special focus on the adolescent and their sexual and reproductive health. This article reviews the sexual and reproductive health of adolescents in the Niger Delta region (NDR) of Nigeria. The objective is to bring to focus these important issues in the region.

A comparison of booked and unbooked patients with ruptured uterus in A referral hospital in the Niger Delta region of Nigeria.

Objective: To document differences in characteristics and outcome between booked and unbooked patients with ruptured uterus

Methods: A 10 year retrospective comparative analysis of booked and unbooked patients with ruptured uterus at the Baptist medical center, Eku, Delta State.

Results: The overall incidence of ruptured uterus was 1 in 271 deliveries while the incidence among booked and unbooked patients was 1 in 556 and 1 in 140 respectively. There were a statistically significant difference in number of booked patients with formal education beyond the primary level compared with the unbooked patients (p = 0.

The demographic characteristics and health seeking behaviour of unbooked patients in Irrua Specialist Teaching Hospital.

Background: The Obstetric outcome of the patients who receive antenatal care and deliver at the Irrua Specialist Teaching Hospital is reasonably satisfactory. Our major challenges arise from unbooked emergencies. The aim of this study was to determine the frequency of unbooked patients in the Irrua Specialist Teaching Hospital, their clinical presentation, their demographic characteristics as well as their obstetric outcome.

Relationship between knowledge of HIV/AIDS and sexual behaviour among in-school adolescents in Delta State, Nigeria.

Objective: To determine if there is any correlation between the knowledge of HIV/AIDS among in-school adolescents in Delta state of Nigeria and their sexual behaviour.

Method: A questionnaire based descriptive study of randomly selected secondary school students in Asaba. Delta state.

Pregnant Nigerian woman's view of her prenatal sex determination.

A questionnaire survey was conducted among 1000 pregnant Nigerian women to identify their knowledge and perception of prenatal sex determination using ultrasonography. Eighty-one per cent of the respondents were aware of the technology. Knowledge of it was associated with high parity and education.

Symphysiotomy at the Mater Misericordiae Hospital Afikpo, Ebonyi State of Nigeria (1982-1999): a review of 1013 cases.

One thousand and thirteen (1013) symphysiotomies were performed and 27,477 deliveries were conducted during the period. The symphysiotomy rate in the study period was 3.7%.

Obstetric hysterectomy: fifteen years' experience in a Nigerian tertiary centre.

The aim of this study was to determine the incidence, indications, associations and complications of obstetric hysterectomy in our centre with a view to suggesting ways of improving outcome. This is a descriptive study of patients who had obstetric hysterectomy in the University of Benin Teaching Hospital from January 1986 to December 2000. Data obtained from hospital records were analysed using appropriate computer statistical software for graphs and chi(2) test.