Menstrual pain and associated factors amongst undergraduates of Ambrose Alli University Ekpoma, Edo State, Nigeria

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

Salvaging Twin 2 After Abortion Of Twin 1: A Case Report

We present intentional delayed delivery of twin 2 after a spontaneous membrane rupture and abortion of twin1 in a dichorionic twin pregnancy at 14 weeks. As signs of infection were missing, we adopted a conservative (not expectant) management. The pregnancy was prolonged to 35 weeks\' gestation. In the absence of additional risk factors, the role of conservative management of multiple pregnancies after loss of one fetus in prolonging the pregnancy to fetal viability in resource-poor setting is highlighted. The gained gestational age of 20 weeks and 4 days (144 days in all), for the remaining fetus and the healthy mother and child pair after delivery at 35 weeks are discussed. The perinatal, economic and psychological implications are highlighted. The importance of good clinical assessment in the diagnosis of cervical incompetence and using ultrasound scan as a complimentary instrument is emphasized. Keywords: Abortion Twin 1, Salvage Twin 2, Cervical cerclage.Nigerian Journal of Clinical Practice Vol. 11 (2) 2008: pp. 155-15