Seroprevalence of HIV and other sexually transmitted infections (STI 's) among commercial sex workers using lime/lemon juice for vaginal douching.

Aim: The objective is to establish the relationship between STD'S/ HIV infection and vaginal douching with lime/lemon juice among commercial sex workers.Method: 194 CSW's consented for this population base study in-depth interviews were conducted Pelvic examination was carried OUI, vaginal swabs were taken and samples of venous blood were collected for HIV serology test The data obtained from this study was analyse using simple percentage and chi square.Result : Vaginal douching wilh lime juice was practiced by 61.9% of the CSWs. The Sero-prevalence of HIV was higher among lime users 58(48.3%) than non users 29(39.2%). About half of those who were HIV positive usc a higher concentration of lime juice. Significant numbers of users are harbouring Trichomonas vaginalis 65%( P0.004) and Bacterial Vaginosis 58.3%(P0.0000) than non usersConclusion: Vaginal douching with lime/lemon juice is practiced by CSWs. but associated with higher prevalence of HIV/STls. To minimised the risks of HIV infection its used should be modified.Keyword : HIV, vaginal douching lime/lemonjuice commercial sex worker

Methods of Induction of Labour at the University Of Maiduguri Teaching Hospital, Maiduguri: A 4-Year Review

Background: Induction of labour is an important intervention in obstetrics. Misoprostol is increasingly being used for induction of labour in many obstetric units and it may replace the traditional Foleys catheter/oxytocin protocol. Method: This was a retrospective study of the 3 methods of induction of labour used at the University of Maiduguri Teaching Hospital (UMTH). A total of 468 women had induction of labour during the study period. Two hundred and twenty eight of them had induction with 50μg of misoprostol, 57 women had 100μg of misoprostol while 183 women had extra-amniotic Foleys catheter with oxytocin infusion. Result: Induction of labour constituted 6.6% (468/7086) of all deliveries during the study period. The commonest indication for induction of labour was prolonged pregnancy in 46.8%, followed by pregnancy induced hypertension in 33.5%. There was no difference in the achievement of vaginal delivery between the 3 methods of induction of labour (x2=1.13, p=0.57). The mean induction delivery time was shortest for those induced with 100μg of misoprostol (6.38+2.25 hours), followed by 8.16+3.58 hours in those induced with 50ug of misoprostol and 9.73+4.32.43 hours in those induced with Foleys catheter/oxytocin (

Burden of malaria parasitaemia and anaemia among pregnant women at first antenatal visit at the university of maiduguri teaching hospital, maiduguri, Nigeria

Malaria and anaemia in pregnancy constitute a risk lo both the mother and her unborn child but there is paucity of data regarding the magnitude of the problem in our region. Objective: This study was conducted with the main objective of determining the prevalence of asymptomatic malaria parasitaemia and anaemie among our pregnant women at first antenatal booking. Methods: Four hundred pregnant women who attended antenatal care (ANC) at the UMTH. Maiduguri were studied. Packed cell volume estimation and peripheral blood smear for malaria parasites were done. Results: The prevalence of malaria parasitaemia and anaemia at booking were 60.3% (241/400) and 62.3% (249/400) respectively. The mean parasite density was 701.04±3B2,22 parasite/ul and the anaemia was malaria parasite density dependant (p-0.000). young maternal age low parity and late booking were risk factors for malaria parasitaemia. Conclusion: there was high prevalence of malaria parasitaemia with a high parasite density among pregnant women at booking. The prevalence of anaemia was also high and it was associated with malaria parasite density. There is need to educate the populace about malaria preventive measures to reduce die exposure of the pregnant woman to the malaria infection. The use of intermittent preventive treatment, insecticide treated nets and routine haematinics in pregnancy should be intensified