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: 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 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 Ectopic pregnancy remains an important cause of maternal mortality and morbidity as well as early foetal wastage in Nigeria and in other developing countries. We report 3 different cases of repeat ipsilateral ectopic pregnancy seen in the gynaecological emergency unit of the University College Hospital, Ibadan. Cases of repeat ectopic pregnancy often gives rise to diagnostic dilemma, and this becomes more difficult when it occurs at an ipsilateral location.
Objective: To determine the acceptability of transvaginal ultrasonography (TVU) and associated factors among Nigerian women. Method: A cross-sectional survey was conducted among 3137 women who presented for transabdominal ultrasound scan between August and November 2010 in two referral hospitals in Nigeria. Data were obtained using a questionnaire. Descriptive and multivariate analysis was performed applying logistic regression analysis; predictors of willingness of participants regarding tra...
Abstract Background: Effective prevention and control of malaria during pregnancy include prompt and effective case management of malaria combined with prevention of infection by the use of insecticide-treated nets and intermittent preventive treatment in pregnancy (IPTp). Care givers knowledge and practice of malaria control is pivotal to effective implementation of these guidelines. The objective of this study was to determine the awareness of care providers in facilities offering maternity...
dy intended to explore the impact of traditional birth attendants on maternal and child health in Ikole LGA 15 of Ekiti State, Nigeria. The study adopted the use of functionalist theory and Social Action theory in explaining the 16 impact of TBAs on maternal and child health and the factors influencing the utilization of TBAs facilities respectively. A 17 descriptive research design was employed for the study, using both quantitative and qualitative methods of data 18 collection. The sample s...
SUMMARY The rate of mother-to-child transmission (MTCT) of HIV as well as the implications of the circulating multiple subtypes to MTCT in Nigeria are not known. This study was therefore undertaken to determine the differential rates of MTCT of HIV-1 subtypes detected among infected pregnant women before ARV intervention therapy became available in Nigeria. Twenty of the HIV-positive women who signed the informed consent form during pregnancy brought their babies for followup testing at age 1...