Research Papers/Topics in Obstetrics And Gynaecology

Prevalence of primary Caesarean Section deliveries among primiparous and multiparous women at Iringa Regional Referral Hospital, Tanzania

AbstractIntroduction: 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 C...

Prevalence Of Premalignant Cervical Lesions And Associated Risk Factors Among Women Aged 21 - 69 Years At Dodoma Regional Referral Hospital, Tanzania

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 r...

Rate Of Cervical Dilatation, Duration Of Active Labor And Rate Of Intervention Among Low-Risk Pregnant Women Delivering At Dodoma Regional Referral Hospital

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 activ...

Incidence and Predictors of Maternal and Perinatal Mortality among Women with Severe Maternal Outcomes: A Tanzanian Facility-Based Survey for Improving Maternal and Newborn Care

AbstractIntroduction. 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 Hosp...

Knowledge of the Human Papilloma Virus vaccines, and opinions of Gynaecologists on its implementation in Nigeria

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 immuni...

Knowledge Dissemination and Evaluation in A Cervical Cancer Screening Implementation Program in Nigeria

AbstractObjectives: 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-a...

Anaesthetic Considerations for the Hiv Positive Parturient

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

A Comparative Study of Two Surgical Management Methods for Cervical Incompetence at University College Hospital, Ibadan

ABSTRACT BackgroundIncompetence of the internal uterine cervical os is associated with recurrent pregnancy loss. Different surgical techniques are in practice to correct the defect. ObjectiveThe 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.MethodsA comparative study of 2 standard methods of cerclage used in our hospital, McDonald & Shirodkar, i...

An Audit of the Uptake of Key Pmtct Interventions in the Pre and Post who Rapid Advice Periods at the University College Hospital, Ibadan

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...

Bacterial Antibiotic Sensitivity Pattern From Urine Of Asymptomatic Hiv Positive Pregnant Women

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 froi...

Human Immuno-Deficiency Virus and Hepatitis B Virus Coinfection in Pregnancy at the University College Hospital, Ibadan

SummaryHuman 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 hepatit...

Teenage Pregnancy: Prevalence And Immediate Obstetric Outcomes In Teenage Primigravida Arriving In Active First Stage Of Labour At Iringa Regional Referral Hospital Labour Ward

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 o...

The Effect Of Female Genital Mutilation On Perineal Injuries Among Women In Labour In Dodoma Region, Tanzania

AbstractIntroduction: Female Genital Mutilation (FGM) is widespread in Tanzania and poses a risk when women give birth. Objective: To determine the association between FGM and perineal injury among women in labour in Dodoma Methods: A matched case-control study of 364 randomly selected consenting women in labour was conducted in Dodoma Region between January 2017 and June 2018. Controls (no perineal injury) were matched to the cases (with perineal injury) based on maternal age at a rat...

Prevalence, Etiology And Factors Associated With Severe Anemia Among Children Aged 6-59 Months With Clinical Features Of Anemia Admitted At Dodoma Regional Refferal Hospital

ABSTRACT BACKGROUND Severe anaemia is prevalent in most African countries and is highly associated with increased morbidity and mortality in under-fives. Globally, iron deficiency is responsible for half of all anaemia, In Africa causes like malaria, hookworm and other helminths, other nutritional deficiencies, chronic infections and genetic conditions prevail and these causes differ from place to place. Exhaustive diagnostic evaluation is needed to establish causes of severe anaemia h...

Clinical Profile And Presentation Of Cervical Cancer Patients And Its Relationship With Common Histological Type At Mbeya Zonal Referral Hospital

ABSTRACT Background: A worldwide estimated annual case of cervical cancer is 528,000 and ends with 266,000 annual deaths. In developing countries, it accounts for about 85% for both morbidity and mortality. In sub-Saharan Africa the incidence is 25.2%, mortality 23.2% and five-year prevalence is 27.6%. In Tanzania the rate of cervical cancer is 54.4% per 100,000 people a year. This indicates that, cervical cancer is a public health concern in Tanzania. Objective: assessing clinical pro...


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