ABSTRACT Background: Post-caesarean wound sepsis is among the most common problem for patients who undergo caesarean section. It remains a common and widespread problem contributing to morbidity and mortality; this could be due to an increase in antimicrobial resistant bacterial pathogens. Therefore, a study to identify and document the factors associated with wound sepsis and common bacterial pathogens can provide solution to prevent incidence and establish microbiological mapping, and this ...
Table of contents Declaratiori .•..................................................................................................................................... i Approval ......................................................................................................................................... ii Dedication ...................................................................................................................................... iii Acknowledgement .............
ABSTRACT Background: Outcomes of surgical versus medical management of first trimester incomplete abortion are poorly documented in Uganda and it is important to guide clinical practice. Objectives: To compare the effectiveness, secondary outcomes and satisfaction level between surgical and medical management of first trimçster incomplete abortion among women admitted at Kampala International University Teachng Hospital. Methodology: Prospective open labelled randomized clinical trial of 100...
Abstract Introduction: Primary Caesarean Section (CS) is an operation that is performed for the first time on a pregnant woman. Primary CS is of particular interest because it has an influence on future modes of delivery. There is also an issue about the original indication for the procedure both in a woman who has never tried her pelvis for vaginal delivery and a woman who has delivered vaginally in the past. Objectives: To determine the prevalence, indications, and outcomes of primary CS de...
ABSTRACT Background Premalignant cervical lesions that precede cervical cancers are the highest in low income countries. However, in 2007 Tanzania had reported to have as high as 17 % with 9972 incident cases and 6695 deaths of cervical cancer. There is limited documented close association between individual risk factor(s) and prevalence of the pre-malignant cervical cancer. Objectives: This study was conducted to determine prevalence of premalignant cervical lesions and associated risks fac...
ABSTRACT Background: Cervical dilation at the onset of the active phase of labor determines the rate of cervical dilatation, duration of the active phase of labor and the needs of intervention. Identifying the abnormality toward the natural progress of the active phase of labor is important because timely intervention has been observed to be controversial among developing countries during the current practice among health care providers due to different opinion on the onset of the active pha...
Abstract Introduction. Maternal and perinatal mortality is still a major public health challenge in Tanzania, despite the ongoing government efforts to improve maternal and newborn care. Among the contributors to these problems is the high magnitude of severe maternal outcomes (maternal near-miss). ,e current study, therefore, aimed to identify the magnitude and predictors of maternal and perinatal mortality among women with severe maternal outcomes admitted to Dodoma Regional Referral Hospit...
Abstract The objective of this study was to determine the knowledge and perception of Nigerian Obstetricians and Gynaecologists towards human papilloma virus vaccine use in Nigeria. A cross sectional study was conducted amongst participants that attended the 42nd Society of Gynaecology and Obstetrics of Nigeria. The findings revealed that 44.5% knew the correct HPV vaccine schedule. Regarding implementation in Nigeria, 87.4% suggested its incorporation into the national immunization progra...
Abstract Objectives: Our goals were to train health professionals in Nigeria using the text, "Planning and Implementing Cervical Cancer Prevention and Control Programs: A Manual for Managers", and then evaluate the knowledge dissemination process using a pre- and post-test assessment. The manual was developed by the ACCP, WHO, TARC, PATT-T,Engender Health, TI-TPTEGO, and PAT-TO with funding from the Gates Foundation. It is an inclusive guide to implementation and maintenance of screen-and-tre...
ABSTRACT The HIV epidemic in children parallels that among women on account of perinatal transmission. A combination of antiretroviral therapy and elective caesarean section reduces the rate of vertical transmission to
ABSTRACT Background Incompetence of the internal uterine cervical os is associated with recurrent pregnancy loss. Different surgical techniques are in practice to correct the defect. Objective The objective of this study therefore was to review the outcome of pregnancies following cervical using either of the two procedure among patients diagnosed as having incompetence of the cervix. Methods A comparative study of 2 standard methods of cerclage used in our hospital, McDonald & Shirodkar, i...
ABSTRACT Prevention of vertical transmission of HIV may require the uptake of the culturally unacceptable options of cesarean delivery and formula feeding. The successful use of HAART, as enumerated by the WHO 2009 rapid advice, has the potential for facilitating the uptake of the more culturally acceptable vaginal delivery and breast feeding. These recommendations became operational at the PMTCT unit, University College Hospital, Ibadan. This retrospective study describes the impact of thes...
Abstract Introduction: Asymptomatic bacteriuria (ASB) in pregnancy.with 'adverse pregnancy outcome , hasjbderi well documented with Escherichia coli and other gram-negative rods being the common organisms associated. However, most of these studies were done in patients without additional immunosuppressant except for pregnancy. However; the additional risk of HiV infection in pregnant woman necessitates. the evaluation of the microbial isolates and antibiotic sensitivity pattern froififthe ur...
Summary Human Immuno deficiency virus(HIV) and Hepatitis B Virus share common modes of transmission which include blood borne and the vertical routes. Although, the natural course of does not appear altered by HBV, the rate of liver-related deaths is several times higher among HIV/HBV positive individuals, including pregnant women, need to be aware of this problem. This is a 2-year cross-sectional study that commenced in January 2006, among HIV positive pregnant women were screened for hepati...
ABSTRACT Background: Pregnancy during teenage is the high risk which is associated with high incidence of complications to the mother and fetus. Worldwide the incidence of teenage pregnancies is reported to range from 8-25% in developing countries due to child marriages. Poor obstetric outcomes have been reported by previous studies. These depend largely on the age of the teenagers and the quality of care she receives. Objectives: The study aimed to assess the magnitude and immediate obstetr...