Ten-year review of the clinical presentation and treatment outcome of Asherman’s syndrome in university of Maiduguri teaching hospital, Borno State, Nigeria

Background: Asherman’s syndrome (AS) is an important gynaecological disorder characterized by a menstrual abnormality (hypomenorrhea/amenorrhea) and infertility that is usually caused by activities that traumatize the endometrium. Objective of current study was to determine the prevalence, clinical presentation and treatment outcome of Asherman’s syndrome in our hospital.Methods: A retrospective review of patients with Asherman’s syndrome managed at the University of Maiduguri Teaching hospital over 10 years (January 2008 to December 2017). Data about the patients were obtained and analyzed using Microsoft office excel 2007 and SPSS version 25 (IBM SPSS, Statistics) to generate descriptive statistics (frequencies, ratio and percentages) which were presented as tables.Results: The prevalence of AS is 5.3%. Most of the patients were in the 25-34 age group (69.1%) and the majority (94.5%) were married. Dilatation and curettage (D & C) constituted the commonest risk factor for Asherman’s syndrome (21/55, 38.2%) and infertility alone (29, 52.7%), and hypomenorrhea with infertility 10 (18.2%) were the commonest presentation. Twenty-five percent of the patients (14/55) achieved normal menses and 11 (20%) achieved pregnancy following treatment.Conclusions: AS is not uncommon in our environment. D&C is the commonest risk factor and the patients usually present with infertility and hypomenorrhea.

Failed bilateral tubal ligation; a rare but real phenomenon – case report.

Female sterilization by tubal ligation is the most commonly used method of fertility regulation world with over 190 million couples using it. All methods of tubal sterilization can fail but some sterilization methods have lower failure rates than others Case report: We report a 39-year-old grandmultipara who presented with an ongoing pregnancy 7 years after bilateral tubal ligation done during an emergency caesarean section. Conclusion: Failure after surgical tubal ligation although rare, can still occur especially in tubal ligation done at caesarean section

Outcome of twin deliveries at the University of Maiduguri Teaching Hospital: A 5-year review

Objectives: The objectives of the study were to determine the outcome of twin births at the University of Maiduguri Teaching Hospital (UMTH), Maiduguri, in terms of morbidity and mortality and to recommend possible measures to curtail or reduce some of the preventable complications.Materials and Methods: This is a 5-year retrospective study, from January 2000 to December 2004, of twin births at the UMTH.Results: There were 196 twin deliveries in 8431 total deliveries, with a twin incidence of 2.3%. Dizygotic twins accounted for 63.4%. The increasing maternal age and positive family history of multiple pregnancies were associated with the increasing twinning rate. The main complications encountered were preterm labor, pregnancy-induced hypertension, and cord prolapse. The perinatal mortality rate of 107.5/1000 births was higher than that observed for singleton pregnancies in the same institution. Similarly, there was a higher Cesarian section rate of 24.7% compared to singletons within the same period. There were significantly higher perinatal mortality rates among the preterm (P = 0.000002) and low-birthweight (P = 0.000004) fetuses.Conclusion: Considering that fetal prematurity and low birth weight, sequelae to preterm labor, are the commonest causes of perinatal death in this study, efforts should be geared during the antenatal period toward the prevention of a premature birth

Autologous blood donation and transfusion in obstetrics and gynaecology at the University of Maiduguri Teaching Hospital Maiduguri, Nigeria.

No Abstract

Ectopic pregnancy at the university of maiduguri teaching hospital-a ten-year review

Ectopic pregnancy is a common surgical emergency in gynaecology especially in the tropics where the patients usually present with the ruptured variety with the attendant peritoneal flooding and its clinical consequences. Objectives: To determine the incidence, demographic characteristics, risk factors, clinical features, treatment, and outcomes of patients with ectopic pregnancy in our center. Methods: A descriptive study of ectopic pregnancy seen at the University of Maiduguri Teaching Hospital from January 1995 to December 2004. Results: A total of 136 cases of ectopic pregnancies occurred during this period. With the 15,120 deliveries that occurred during the same period, the overall incidence of ectopic pregnancy was 0.9/1000 deliveries (0.9%). Majority of the patients (69.8%) were between 21 to 30 years of age, 57.4% were para 1 to 4 and 86.0% were married. The duration of amenorrhoea ranged between 2 to 14 weeks with a mean of 6.9 weeks and 58.1% of the patient had a period of amenorrhoea of 5- 8weeks. There were no historical risk factors for ectopic gestation in 30.1% of the patients but abortion, infertility, PID and previous ectopic pregnancy were found to be major risk factors. Lower abdominal pain (92.6%) was the commonest symptom and cervical excitation tenderness (51.5%) the commonest sign. The initial diagnosis was missed in 31.6% of the cases. In 69.8% the implantation site was the ampulla and the ectopic pregnancy was ruptured in 68.9% of the patients. All the patients were managed by laparatomy and the 57.4% of the patients that were transfused, were given homologous blood. There was a statistically significant association between blood transfusion and the initial packed cell volume (PCV) and the amount of haemoperitoneum found at operation. There was no maternal death and of 12 patients (8.1%) that developed complications, 8 (66.7%) had wound infection. Conclusion: As absent of risk factors does not in any way exclude the possibility of ectopic pregnancy as shown in thisreview, keeping high index of suspicion is vital in its diagnosis. Education of the populace especially women on ectopic and training and retraining of health care personnel in the management of this gynaecological emergency will reduce its occurrence and improve its management

Prevalence and Nature of Sexual Assault among Female Students in a Tertiary Institution in Maiduguri, Nigeria – A Cross Sectional Study

Purpose: Sexual assault is a violent crime against both the individual and society but is largely underreported. The objective of this study was to determine the prevalence and nature of sexual assault among female students in the University of Maiduguri. Methods: A crossectional descriptive study using a close ended, self –administered questionnaire administered to female students of a tertiary institution in Maiduguri was used to survey 400 female students in University of Maiduguri. Results: Most of the respondents were single 349 (87.3%) and in the age range of 20-24 {202 (50.5%)}. 205 (51.3%) of them reported to have been sexually assaulted. In 154 (87.2%) of the cases, the respondents had a close relationship with the assailant. The commonest location of the assault was in a party 101 (49.3%), which was followed by classroom 45 (22%). Most of the sexual assault reported (57.6%) occurred in the evenings and nights. In 35.6% of the cases, the respondents sustained extra-genital trauma, while others had psychological (24.9%) and genital trauma (15.6%). Conclusion: Sexual assault rate among female students in the University of Maiduguri is high and is associated with physical and psychological traumas.Keywords: Sexual assault, Physical trauma, Psychological trauma, Maiduguri

Peste de Petits Ruminants in Nigeria: A Review

Nigerian Veterinary Journal, Vol. 32(2): 2011; 112 - 11

Fish Production In Nigeria: An Update

Nigerian Veterinary Journal, Vol. 32(3): 2011; 226 - 22

RECURRENT HYDATIDIFORM MOLE COMPLICATED BY TOXIC GOITRE.

Hyperthyroidism complicates few pregnancies, in many cases due to Graves' disease, Gestational trophoblastic disease is a rare cause of hyperthyroidism in which high levels of hCG causes activation of the thyrotrophin receptor to stimulate supraphysiological secretion of thyroid hormone with or without thyroid gland enlargement Molar pregnancies are usually not recurrent, however, women with a previous hydatidiform mole (HM) are at higher risk of having a second mole than women from the general population. After a prior molar pregnancy, the risk of having a second one is 540 times that of the general population, however familial molar pregnancies are exceedingly rare. Here we present a case of recurrent HM complicated by a toxic goiter in a patient with family history of molar pregnancy&nbsp