Impact of septate uterus on obstetric outcome: case report

Septate uterus is mostly seen in women with infertility and recurrent pregnancy wastage. Reproductive outcome in women with septate uterus includes increased incidence of spontaneous abortion, premature birth, and abnormal foetal presentations. (1, 2) A case of septate uterus is presented and literature reviewed. In this case a patient with septate uterus was able to conceive spontaneously and carry the pregnancy to full term

Heterotopic pregnancy in an assisted reproduction conception; case report and literature review

Infertility management by assisted reproduction techniques has had rapid increase. While there is robust evidence supporting the efficacy and safety of assisted reproduction technique (ART), complications are encountered. Heterotopic pregnancy, defined as the presence of both an intrauterine and an ectopic gestation, is a rare eventuality of early pregnancy. A 42 years old patient (Para 0+1) with a diagnosis of secondary infertility is presented; she had In Vitro fertilization (IVF) with egg donation. Two weeks after the IVF, a positive serum Beta Human Chorionic Gonadotropin confirmed the pregnancy and she continued with intake of progestins for luteal phase support. At 7 weeks gestation she presented at a local hospital with acute pelvic pain. A diagnosis of heterotopic pregnancy was made after transvaginal showed right slow leaking ectopic pregnancy andintrauterine missed abortion. Laparoscopic surgery, right salpingectomy and manual vacuum aspiration were performed with good subsequent recovery. The case presented, discusses the aetiology, clinical presentation, diagnosis and management of heterotopic pregnancy

Socio-cultural determinants of sexual debut among in-school adolescents in Nyamira county

Background: One’s socialization greatly impacts their sexual behavior. Young people’s understanding of sex is influenced by prescribed social scripts which are learnt from peers, parents, media, among other sources. Nyamira County has the fourth highest burden of teenage pregnancy and motherhood in Kenya, standing at 28% against a national average of 18%. It’s therefore very important to understand the drivers of sexual debut among adolescents in Nyamira County.Objective: To establish the socio-cultural determinants of sexual debut among in-school adolescents in Nyamira County through the lens of the Social Learning theory.Design: A mixed method study design employing the collection of both quantitative and qualitative data.Setting: Mixed day, girls-only boarding and boys-only boarding secondary schools in Nyamira county.Study participants: These included 400 respondents, 200 males and 200 females, aged 14-18 years from mixed-day secondary schools and single-sex boarding secondary schools. Twenty-four key informants were also interviewed.Results: Of the 400 students, 61% had ever had sex. More students (63.5%) in mixed day schools had ever had sex compared to single sex schools (58.5%). Gender, age, marital status and coming from polygamous homes were found to be associated with ever having sex. Older sexual partners were seen to provide parental love. Peer pressure was reported by most male students as a driver towards initiating sex, while most female students reported poverty.Conclusion: Polygamous upbringing, peer pressure and watching pornography came out as strong determinants of sexual debut among in-school adolescents in Nyamira County