Vulval haematoma - obstructing labour: A case report

This case report is to raise awareness about spontaneous vulval haematoma in a pregnant woman and how it may be resolved. It describes a large vulval haematoma occurring antepartum and how caesarean section become the best option for resolving it. Keywords: Spontaneous, vulva, haematoma, Caesarean section Nigerian Jouranal of surgical Sciences Vol. 16 (2) 2006: pp. 94-9

Idiopathic global unclassified ectrodactyly – A case report

Congenital digital limb anomalies are not very common and are usually associated with congenital syndromes. They present enormous challenges to the managing team due to the intricacies involved while the parents go through a lot of anxiety. The case presented here is an isolated idiopathic form of digital anomalies which does not fit into known classified groups. The challenges involved in the management are highlighted

Live Trem Pregnancy in One Horn of a Bicornuate uterus

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Factors that influence the acceptance of HIV testing by pregnant women in Nnewi Nigeria

Context: HIV testing in pregnancy is the gateway to accessing care for the mother and the child. The interventions in Prevention of Mother-to –Child Transmission (PMTCT) of HIV can only be applied to a woman whose status is known. Therefore determining the HIV status of pregnant women is a key factor to the success of any prevention programme. Objective: To determine the various factors influencing the acceptance of HIV testing by our pregnant women. Study design, setting and subjects: The study was conducted at the antenatal clinic of Nnamdi Azikiwe University Teaching Hospital (NAUTH), Nnewi which is the only tertiary public hospital in Anambra State. This is a cross sectional study in which questionnaires were administered to the pregnant women at the antenatal clinic on one to one bases and data collected was analysed and presented in tables and compared with simple percentages. Results: During the period of study, 200 antenatal; women responded to the questionnaires. Their age ranged from 15- 42 years with the highest age group being 25-29years (41.0%). Highest educational level and occupation of the pregnant women significantly influenced their having and HIV test (

Ectopic pregnancy: A 5 year review of cases at Nnamdi Azikiwe University Teaching Hospital (NAUTH) Nnewi

Background: Ruptured ectopic pregnancy continues to be a common life threatening emergency in our environment as well as a public health problem. Objective:This is to study the incidence, clinical presentation, risk factors and the management of cases that presented in our centre over a five year period. Methods:This is a retrospective study of cases of ectopic gestations managed in the gynaecological unit of NAUTH Nnewi from January 1 st , 2002 to December 31 st , 2006. Information was obtained from the case notes, theatre and labour ward registers. Results: During the period, a total of 2,746 deliveries were recorded while 556 gynaecological patients were admitted. Thirty six patients had ectopic gestations accounting for 1.3% of all deliveries and 6.5% of all gynaecological admissions. The peak age group was 26-30 years (44.4%); 28(77.7%) were married and 20 (55.6%) attained secondary school as their highest level of education. All 36(100%) of the patients were symptomatic at presentation. Abdominal pain, amenorrhoea and syncopal attack were the most common symptoms at presentation. Also, multiple sexual partners 27(75%), previous abortions 25(69.4%) and previous sexually transmitted infections 10(27.8%) were the most common risk factors present in the patients. Abdominal paracentesis 32(88.9%), ultrasound 8(22.2%) and urine pregnancy tests 7(19.4%) were most commonly utilized for diagnosis. None of the cases was diagnosed before rupture. Open abdominal surgery was the treatment employed in all the patients. Conclusion:Ectopic pregnancy is still a major challenge in gynaecological practice in our centre. Most cases present late making tubal conservation treatment inapplicable. This has far reaching implications in a society where there is high premium on child bearing

An appraisal of vent house vacuum delivery

A retrospective analysis of Ventouse deliveries over a 10 year period at St. Charles Borromeo Hospital, Onitsha, Nigeria is presented. Between January 1991 and December 2000, 15802 deliveries were conducted, 572 were Ventouse deliveries, giving a Ventouse rate of 3.6%. The age range of the patients was 17-44 years, with a mean age of 28.2+ 5.5 years. The commonest indication for Ventouse delivery was prolonged second stage of labour 34.9% (195), followed by cephalopelvic disproportion in 10.6% (59), while the least indication was brow presentation in second stage of labour 1.3% (7). The maternal morbidity was mainly vaginal tear/laceration that occurred in 2.2% (12) of the patients. The success rate of Ventouse delivery was 91.6% (511). The corrected perinatal death rate was 9/1000 deliveries. Ventouse has a high success rate in prolonged second stage of labour, in first stage of labour and in fetal mal-positions. With the decline in the use of obstetric forceps and its teaching in most health institutions, ventouse becomes the instrument of first choice when assisted vaginal delivery is considered. Nigerian Journal of surgical sciences Vol. 16 (2) 2006: pp. 72-7

Efficacy of zinc supplementation for the treatment of dysmenorrhoea: a double-blind randomised controlled trial

Objectives To determine the efficacy of zinc sulfate supplementation in managing dysmenorrhoea. Methods In total, 103 high school students were randomised into an experimental arm (52 students) and a control arm (51 students) and received 40-mg zinc sulfate or placebo, respectively, over three cycles. Primary outcome measures were the mean Visual Analogue Scale score, which measured pain over three cycles, and the frequency of nausea and vomiting. Secondary outcomes were the use of additional analgesics and the frequency of allergic reactions. Results Fifty participants were analysed in each group. Mean pain scores were not significantly different between the groups before administering zinc sulfate therapy. Following the intervention, the mean pain scores for the treatment (2.80 ± 2.28) and placebo (3.48 ± 2.85) groups were not significantly different in the first cycle; however, scores in the treatment group were significantly better in the second (2.56 ± 1.97 vs 3.80 ± 2.77) and third (1.95 ± 1.72 vs 3.95 ± 2.82) cycles. No significant differences were observed between the groups in the nausea and vomiting incidence and the requirement for additional analgesics. Conclusions Zinc sulfate reduces dysmenorrhoea severity with minimal or no adverse effects, especially with more than one cycle of usage. Trial Registration Number: PACTR202105843292338. The trial is publicly available and was registered at www.pactr.org on 25 May 2021