Placenta accreta in Aba, South Eastern Nigeria

No Abstract.Nigerian Journal of Medicine Vol. 16 (3) 2007: pp.219-22

Vaginal birth after one caesarean section in a low resource setting -Obio Cottage Hospital, Port Harcourt

ABSTRACT Our main objective is to find out the success rate of vaginal delivery after one caesarean section in women who had a non-recurrent indication for caesarean section. We also wanted to document any adverse fetomaternal outcome following this if any in a low resource setting. A total of 134 women with one previous caesarean section at term were studied over a 9 month period. Vaginal delivery was achieved in 75 (64.7%) of those allowed a trial of labour. Elective caesarean section was done in 18 (13.4%). Intrapartum caesarean section was done in 41 (35.3%). There was no maternal mortality and no maternal morbidity of note but perinatal loss of 4 babies. There was no significant correlation between vaginal delivery and birth weight, gestational age or initial indication for the primary caesarean section. In conclusion, trial of labour is safe after one previous caesarean section in well selected patients in a low resource setting facility

Precarious Professionalism: Journalism and the Fragility of Professional Practice in the Global South

Many suggest that the process of precarity is now a common feature of contemporary journalism. Still, precarity is introduced often from a western point of view and assessed according to an underlying assumption of full and permanent employment as being the norm. This view of precarity contrasts with the precarious conditions that are found in the global south. This paper recognises these differences and in turn puts forward the concept of “precarious professionalism” to assess their presence and impact. Precariousness is explored therefore in a study of 15 journalists working in the developing democracy of Nigeria. The analysed interviews reveal journalists’ experiences of “precarious professionalism” as based in “fragile professionalism”, “ingrained in-job instability” and as incorporated within challenges to both their “professional and personal selves”. The paper concludes that these factors not only provide a more robust understanding of the general situation common in non-western contexts, but they show what must be addressed to help to rebuild professionalism in the case of Nigeria