Heterotropic pregnancy: A report of two cases

Heterotropic pregnancy is reported infrequently in Nigeria. Two cases were managed within the span of five yearswith the successful delivery of a live termbaby in one of the patients.Ahigh clinical index of suspicion is required because an intra uterine gestation does not rule out a co-existing ectopic gestation especially in this region with high twinning rate and tubal disease. Nigerian Journal of Clinical Practice Vol. 11 (1) 2008: pp. 86-8

Chronic uterine inversion secondary to submucous fibroid: A case report

No Abstract

Comparative study of intradermal smear microscopy in the diagnosis of malaria in symptomatic pregnant women

A comparative study of intradermal smear in the diagnosis of malaria in symptomatic pregnant women.Venous blood served as the control.Fifty consecutive symptomatic pregnant women were recruited. Thick films of both venous and intradermal blood were examined. Questionnaires were used to determine patients' preference for the two techniques. Tests of statistical significance were done with Fisher exact and Yates correlationcoefficient at 95% confidence interval. Sensitivity, specificity and accuracy rates were used to assess the validity of intradermal smear.Intradermal smear more frequently diagnosed malaria parasitaemia than peripheral venous blood (66% vs 56%). This was statistically significant (P value: 0.0065). The sensitivity of intradermal smear was 85.7% while the positive predictive value was 77.4%. The accuracy rate was 76.7%. The technique of intradermal blood collection was preferred by28%of women.Intradermal smear is useful in malaria diagnosis in pregnancy and may be an additional evaluation tool for persistent fever in pregnancy

Retained Placenta: Still a cause of maternal morbidity and mortality in a Nigerian Semi- urban Population

Background: Retained placenta is associated with morbidity and mortality when left untreated. This study was done to determine the occurrence of retained placenta in our setting as well as to ascertain the possible risk factors, morbidities and mortality.Method of study: This was a retrospective review of all cases of retained placenta over a three year period (March 2005 to March 2007). There were 3542 deliveries, and of which 64 cases were of retained placenta.Results: The incidence of retained placenta was 1.8% of all deliveries with a higher incidence in unbooked patients and a case fatality of 3.12%.The commonest complication was postpartum haemorrhage in 51(79.68%) of cases with blood transfusion rate of 47%.Conclusion: Complications associated with retained placenta could be reduced by adequate utilisation of health care facilities manned by skilled attendants; availability of blood transfusion services as well as effective and safe anaesthesia.Keywords: Haemorrhage, blood transfusion, anaesthesi

Eclampsia in Irrua Specialist Teaching Hospital: A five-year review

No Abstract