4 research outputs found

    Side effect profile of Jadelle implant in Nigerian women during the first 12 months of usage

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    Background: Most of the reasons for discontinuation of Jadelle implants by clients are related to the progestogenic side effects, which are dependent on the plasma levels of the hormone. The plasma level of levonorgestrel from Jadelle implant is about 100µg in the first month of insertion, but declines sharply in the first 12months of usage to stabilize at 30µg per day from 24 months of usage. This study was designed to assess the side effect profile of Jadelle implant in users during the first 12months of usage in a view to assessing its acceptability to the clients.Methods: Data sheet was designed to obtain demographic and clinical parameters of clients and prevailing side effects were surveyed longitudinally over the first 12months of usage.Results: There was no request for discontinuation of the method and no accidental pregnancy occurred during the period of the study. There was significant disruption of the menstrual pattern of clients over time with 31.1% developing irregular uterine bleeding from 6months of usage, whereas 16.6% of clients became amenorrheic from the 12month of usage. (p= 0.000) Changes in blood pressure and body weight of clients were not significant during the 12month period of the survey. Non menstrual side effects of Jadelle implants, which included headache, breast tenderness, dizziness among clients were noted at 6months of usage but became less prevalent by the 12month of usage.Conclusions: Jadelle implant proved to be highly effective, safe and acceptable to Nigerian clients during the study period, even though the implant had significant impact on their menstrual pattern

    Attainment of menstrual hygiene by girls in boarding secondary schools in a state in Sub-Saharan Africa

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    Background: Menarche is the most dramatic manifestation of puberty in girls; unlike the biometric developmental changes that occur at puberty, menarche requires the personal adjustment and response of an affected girl in order to attain good menstrual hygiene. This study was designed to evaluate how boarding secondary school girls manage their menstruation in school, away from the guidance of their parents.Methods: A cross sectional survey was performed in four public boarding secondary schools in the study area with the aid of structured questionnaires to evaluate how such girls manage their menstruation while in school.Results: The study population was 975 girls whose survey revealed the mean age at menarche of 12.5±1.4 years.  Seven hundred and two (72.0%) respondents had received sexuality education before onset of menarche. Respondents who attained good menstrual hygiene were 775(79.5%). Such respondents were those who had received sexuality education (p<0.001) and those who had access to synthetic sanitary pad (p=0.005). Duration of the menstrual period and the volume of menstrual blood loss did not affect (p=0.219) the ability of respondents to attain good menstrual hygiene. Respondents who received sexuality education had about 605 chances of attaining good menstrual hygiene than those who did not receive such education.Conclusions: A vast majority of the respondents had received sexuality education before onset of menarche and a larger proportion attained good menstrual hygiene. Major factors that positively influenced the girls’ capacity to attained good menstrual hygiene were prior sexuality education and access to synthetic sanitary pad

    Subdermal Contraceptive Implants: Profile of Acceptors in a Tertiary Hospital in Southern Nigeria

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    Background: Subdermal contraceptive implants provide safe, effective, convenient, long term reversible fertility regulation, and because of their numerous non-contraceptive benefits are particularly suitable for women in developing countries. This study determines the socio-demographic characteristics of acceptors of subdermal implants, the timing of their use and their complications at the University of Uyo Teaching Hospital, Uyo.Materials and Methods: The record cards of all clients that accepted subdermal contraceptive implants over a four year period were reviewed.Results: There were a total of 1057 new contraceptive acceptors out of which 197 (18.6%) accepted contraceptive implants. The modal age group of the clients was 30-34 years (38.0%). One hundred and fifty six patients (79.2%) were mulitparous, 97.5% of the patients had attained secondary level of education while 92.4% were Christians. About 56.9% of the clients preferred to use implants to space child births, most of the implants were inserted during the first week of the menstrual period, and majority (78.2%) of the clients obtained their information concerning implants from clinic personnel. The most common complication was abnormal vaginal bleeding.Conclusion: contraceptive implants are very effective contraceptive methods that are mostly accepted and used by young, educated parous women who mostly preferred to space births. There is also a high continuation rate among acceptors so increasing availability of implants in family planning units nationwide could increase the number of women who utilize this method of contraception

    Innovative use of tourniquet in the management of an advanced abdominal pregnancy to achieve an unusually normal postoperative outcome: a case report

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    Mrs. UVG was an un-booked G3P1+1 petty trader, who presented with an obstetric ultrasound scan report, with an incidental diagnosis of abdominal pregnancy at 32 weeks of gestation with the placenta attached to the fundus of the uterus. Her admission packed cell volume was 24%. She had pre-operative preparation and 2 units of compatible blood were transfused to correct the anemia. Four additional units of compatible blood were made available before she was scheduled for an exploratory laparotomy at 33 weeks of gestation. A grossly normal male infant weighing 2.2 kg was delivered from the peritoneal cavity with Apgar scores of 2 at 1 minute and the same at 5 minutes. The placenta which was attached to the fundus of the uterus was removed manually completely after a tourniquet had been applied distal to the point of separation. Intra-operative blood loss was 1000 ml. The infant died 1 hour after delivery due to respiratory failure. Autopsy report revealed massive intracerebral hemorrhage and pulmonary hypoplasia. The post-operative period was uneventful and the decline in serum assay of β-human chorionic gonadotrophin postpartum was normal. She was discharged home on the 8th post-operative day and seen at the postnatal clinic twice at weekly intervals with normal serum assay of β-human chorionic gonadotrophin. Her 6 weeks postnatal visit was also uneventful
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