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.