Grandmultiparity: outcome of delivery in a tertiary hospital in southern Nigeria.

Background: Grandmultiparity is traditionally associated with increased risk of complications during pregnancy and delivery. Reports from developed countries where obstetric facilities are excellent and the standard ofperinatal care is high indicate that currently, obstetric complications among grandmultipara are now independently associated with progressive maternal age. In Nigeria and other developing nations however, grandmultiparity still contributes a significant proportion of the obstetric population.

Depot medroxyprogesterone injectable contraception at the University of Uyo Teaching Hospital, Uyo.

Background: Depot medroxyprogesterone acetate is the most studied injectable contraceptive and also one of the most effective methods of contraception currently available. It is reversible, its use is independent of intercourse, and can be provided by trained non-medical staff making it particularly suitable for use in developing countries. The aim of this study is to determine the socio-demographic characteristics of its acceptors, the timing of use and complications at the University of Uyo Teaching Hospital, Uyo.

Reasons for preference of delivery in spiritual church-based clinics by women of south-south Nigeria.

Objectives: To investigate the various reasons for patronizing the spiritual church-based clinics by women from South-South Nigeria.

Design: Forty seven spiritual church-based clinics were studied between 1st February 2003 and 31st July 2003.

Setting: Forty seven spiritual church-based clinics in both Akwa Ibom and Cross River State in South-South Nigeria.

Profile of intrauterine contraceptive device acceptors at the University of Uyo Teaching Hospital, Uyo, Nigeria.

Background: Use of modern contraceptive methods has been shown to reduce unwanted pregnancy, high parity and maternal mortality. Intrauterine contraceptive devices which are among the safest and most effective reversible contraceptives available, are particularly suitable for women in developing countries as they are affordable, convenient to use, do not require re -supply visits and are very cost-effective. The aim of this study is to determine the socio-demographic characteristics of intrauterine contraceptive device acceptors, the pattern of insertions and complications at the University of Uyo Teaching hospital, Uyo.

Outcome of emergency caesarean sections in Calabar, Nigeria: Impact of the seniority of the medical team.

We set out to assess the maternal outcome of emergency caesarean sections in University of Calabar Teaching Hospital (UCTH) in relationship to the seniority and experience of medical personnel involved in the operation. This was a review of 349 cases of emergency caesarean sections in UCTH over a 2-year period (January 2000-December 2001). The sociodemographic data, antenatal booking status and clinical condition of the patients as well as the seniority of the medical staff who participated in the operations were extracted from the case notes of the patients.

Misconception of emergency contraception among tertiary school students in Akwa Ibom State, South-south, Nigeria.

Objective: To assess the degree of awareness and use of emergency contraception among tertiary school students inAkwa Ibom State, Nigeria.

Design: A self-administered questionnaire survey.

Setting: The Akwa Ibom State Polytechnic, Ikot Osurua, located on the outskirts of Ikot Ekpene local government area between 1stApril 2002 and 31st April 2002.

Reasons for gynaecological consultations in children in Calabar, South Eastern Nigeria.

Childhood gynaecological disorders as seen in the University of Calabar Teaching hospital (UCTH), Calabar, Nigeria, over a 10-year period were studied. The aim was to establish the incidence and pattern of presentation of these disorders. Childhood gynaecological disorders constituted 3.

Caesarean section in the management of singleton breech delivery in Calabar, Nigeria.

Objective: To establish the role of Caesarean section in reducing perinatal mortality following singleton breech delivery in the University of Calabar Teaching Hospital, Calabar.

Method: The case notes of all patients who had singleton breech delivery between 1st January 1991 and 31st December 2000 were studied.

Results: The incidence of singleton breech delivery was 1.

Awareness, attitude and practice of contraception among secondary school girls in Calabar, Nigeria.

Background: Adolescents are disposed to unprotected sexual activity and as a consequence, there is an increasing incidence of unwanted pregnancy among adolescent school girls in Nigeria. This study was carried out to assess the awareness, attitude and use of contraceptives among secondary school girls in Calabar, Nigeria and to determine how attitude affects its use.

Methods: Data was obtained using self administered semi-structured questionnaires distributed to 480 secondary school girls out of which 450 were properly filled and returned.

Hysterectomies amongst teenagers in Calabar, Nigeria.

A 10-year retrospective study of hysterectomies performed on teenagers in Calabar was carried out.

Post-partum practices among women in Calabar, Nigeria.

We carried out a study on post-partum practices amongst women in Calabar at the maternal and child health clinic at University of Calabar Teaching Hospital between 1 March and 31 May 2002. Three hundred women were interviewed. One hundred and ninety-three (64.

Occupational risk of infection by human immunodeficiency and hepatitis B viruses among health workers in south-eastern Nigeria.

Objective: To assess the occupational risk of infection by human immunodeficiency virus (HIV) as well as hepatitis B virus (HBV) among healthcare workers in south-eastern Nigeria.

Design: Cross-sectional study.

Setting: Three tertiary health institutions in south-eastern Nigeria.

Perinatal outcome in pregnancies booked for antenatal care but delivered outside health facilities in Calabar, Nigeria.

Pregnancies that were booked for antenatal care but delivered outside the health facilities were studied. The aim was to determine the perinatal outcome of these pregnancies, and also to compare the outcome with that of pregnancies that were booked and delivered in the University of Calabar Teaching Hospital (UCTH). Birth asphyxia was the commonest perinatal morbidity in both the study (14.