ABSTRACT Background: There is a growing concern among parturient women to have labour management modified to accommodate some of their preferences based on their previous experience of information obtainedfrom others. Objecti i ms: As service care providers, we sought to identijy women's attitude to some important aspects of childbirth, namely: the preferred place or environment of delivery; reasonsfor dislike of modem labour management; as well as attitudes (cognitive, affect and behaviour) ...
ABSTRACT Each year, around half a miilion children aged under 15 become infected with HIV and more than 90% are the result of mother-to-child transrnission. Services to prevent mother-to-child HIV transmission (PMTCT) are therefore important entry pomts for HIV / Al[:',; P' evention, treatment and care services for women, their children and families. The study aimed at identifying level of awareness and knowledge of PMTCT services that can be utilized in improving access. The methodology cons...
ABSTRACT Multiple pregnancy, whether spontaneous or from artificial reproductive techniques, is regarded us high risk. Limiting the twin-twin birth interval to with,in 30 minutes has been widely practised. However, conservative management of the retained live, immature second twin »iay be worthwhile. We report a case lasting sixty-one days in a low technology selling
Abstract Background: The World Health Organisation (WHO) guidelines for the control of malaria during pregnancy include prompt and effective case management of malaria combined with prevention of infection by insecticide-treated nets (ITNs) and intermittent preventive treatment in pregnancy (IPTp). Despite this the uptake is poor. Objective: To describe the malaria prevention measures utilized by these women in this environment. Methods: Information was obtained from consented pregnant and ne...
ABSTRACT The prognostic significance of asymptomatic bacteriuria resides in the observation that the prevalence is, relatively, high in persons with certain medical conditions, such as diabetes mellitus and pregnancy. This prevalence might, even, be higher in patients with human immunodeficiency virus infection. Hence, this study set out to determine the prevalence of asymptomatic bacteriuria among symptom free and newly enrolled HIV infected pregnant women attending PMTCT unit of Antiretrovi...
ABSTRACT Violence against women is embedded in most cultures with pregnancy associated with higher rates. This study assessed the pattern of violence in pregnancy in two maternity centres in Ibadan, Nigeria. This was a cross-sectional study of antenatal clinic attendees, between 1 and 31 March, 2007 at the University College Hospital (UCH) and the Adeoyo Maternity (AMH). By systematic random sampling, 404 women were interviewed. Analysis was done by means, w2-test (at 5% level of significa...
ABSTRACT 1 Background: Untreated maternal syphilis is strongly associated with adverse birth outcomes, especially in women with high titre syphilis. The WHO recommends routine serological screening in pregnancy. Some workers have advised a reappraisal of this practice, having demonstrated low sero-prevalence in their antenatal population. In view1 of this, the aim of this study was to determine the sero- prevalence of syphilis in the antenatal population presenting at a major hospital in sout...
Abstract Background: Many patients are referred to labour ward as emergencies, and therefore do not benefit from the antenatal HIV counselling and testing and treatment offered to registered patients. Objective: To assess the acceptability and suitability of offering HIV counselling and testing to women of unknown HIV status presenting in labour. Methods: A cross-sectional study comprising counselling and obtaining consent for HIV testing among 104 unregistered patients who presented in labou...
ABSTRACT Background: An estimated 2-3 million women globally and majorly in sub-Saharan Africa and Asia, suffer from genital fistula with an annual incidence of 50,000-100,000 women. Uganda like other low-income countries is not an exception and has an estimated fistula prevalence of 2%, with western Uganda having the highest prevalence of 4% among females aged 15-49 years. The main cause is prolonged and neglected obstructed labour in more than 90% of the cases. Risk factors for fistula var...
ABSTRACT Background: severe pre eclampsia, eclampsia is responsible for a significant proportion of maternal and neonatal morbidity and mortality worldwide. In Mnazi mmoja Hospital, clinical experience has shown that severe pre eclampsia, eclampsia are common, the overall fetal maternal outcomes and various forms of clinical presentations of severe pre eclampsia, eclampsia is still largely unknown. Objective: To determine clinical presentation and fetal maternal outcome of severe pre eclamp...
ABSTRACT Advances in information and telecommunication have brought about new opportunities and capabilities to the delivery of health care services, but these are not without limitations and threats.
ABSTRACT Health and patient care is data intensive and involves a wide spectrum of Information and often may Involve input from other clinical departments and ancillary. or clinical support departments. For efficient care patient data should be integrated and accessible throughout clinics and hospitals. Clinical departmental computer systems can enhance the collection, distribution and interpretation of patient data. Providing a high-quality service to patients lnvolves having the right info...
SUMMARY Objectives: To assess the trends in instrumental delivery in the centre of study, relating them to maternal and neonatal outcome and comparing them with the existing literature, both from Nigeria and abroad. . Methods: The notes of all the women who had instrumental deliveries in the Central Middlesex Hospital between January and March 1996 were reviewed. Results: Four hundred and twenty women were delivered during the period of study and 46 of them (11 %) had instrumental deliveri...
ABSTRACT Infertility remains a global health challenge with devastating psycho-social consequences in many African communities. Adoption that may serve as an alternative strategy for the affected couples is not widely practiced. This study was conceptualized to assess the acceptability of child adoption as a management option by Nigerians. Twelve focus group discussions were held involving three communities stratified into inner core, transitory and peripheral, within Ibadan metropolis, Sout...