Profiling Of Contraceptive Acceptors And Services In A Secondary Health Care Facility In The Niger Delta Region Of Nigeria

Background: Increase in contraceptive uptake is a key strategy to reduce unplanned pregnancy and maternal mortality. Reviews of contraceptive uptake and services provide data for assessing progress. Method: A five year review of contraceptive acceptors and service at the Central Hospital, Warri. Results: A total of 528 contraceptive acceptors were seen during the 5 year period. The mean age was 34.2+ 2.3 years. More clients practiced contraception for child spacing (56.4%) than for limiting family size (39.8%). The IUCD, Hormonal Injectables, pills and condoms were available for clients. The IUCD was the preferred contraceptive accepted. Age and parity but not education were significantly associated with type of contraceptive chosen. Conclusion: The range of contraceptives offered clients needs to be expanded and the information management systemimproved.Key words: Clients, contraceptives, Niger-Delt

Are obstetric intervention rates and pregnancy outcome worsened by gestational hypertension in Nigerian women managed at a tertiary hospital?

Background: Pregnancy induced hypertension and it sequelae eclampsia are major causes of maternal and perinatal morbidity and mortality in developing countries. The aim of this study was to compare the obstetric intervention rates and maternal and fetal outcome in cases of gestational hypertension to that of normotensive women randomly selected from the general obstetric population in a tertiary hospital in Nigeria Methods: Selected measures of obstetric intervention rates and maternal and fetal outcomes in 215 cases of gestational hypertension were compared to that in 300 randomly selected low risk non cases from the general obstetric population. Univariate statistical analysis was done using the Fisher’s exact test. The 95% Confidence interval and Relative risk were also determined.Results: Women with Gestational hypertension had statistically significant higher rates of induction of labour, instrumental delivery and prolonged hospital stay beyond 6 days compared to normotensive women. There were no significant differences in the measures of perinatal outcome. Conclusion: The findings of this study suggest that prompt management of cases of gestational hypertension in a tertiary hospital is associated with reduced risk of maternal and perinatal morbidity and mortality.Key words: Obstetric; intervention; outcome; Gestational hypertensio