Correlation between Umbilical Cord Length, Birth Weight and Length of Singleton Deliveries at Term in the Federal Medical Centre, Owo, Ondo State, Nigeria

Background: The umbilical cord and placenta have been considered to significantly contribute to the perinatal outcome. However, in our environment attempt at exploring its use has been limited due to sociocultural believes. This study aimed to identify the relationship between the umbilical cord length, newborn length and weight.Materials and Methods: The study population consisted of three hundred and five pregnant women who consented to participate in the study and had live singleton fetuses at term.Results: The average birth weight was 3.23 ± 0.50 kilograms and the average baby’s length was 49.75 ± 2.40 centimeters. The average umbilical cord length was 51.50 ± SD 6.67 centimeters’. There was a positive correlation between umbilical cord length and the length of the baby (r = 0.130, p = 0.024); likewise the umbilical cord length and the weight of the baby at birth (r=0.145, p=0.011). A positive statistical relationship was found between the birth weight and the birth length of the babies (r=0.498, p<0.001).Conclusion: The umbilical cord length contributes significantly to determining the newborn weight and length.Health education on the relevance of proper examination of the placenta and umbilical cord by the health care givers should be instituted.Key words: Umbilical cord length, Birth weight, Birth length

Carvenous hemangioma of the uterine cervix: A case report

Carvenous hemangioma of the uterine cervix is a rare clinical condition which has the potential of being life threatening. This rare clinical condition  can manifest with patients presenting with abnormal uterine bleeding, menorrhagia with eventual anaemia. The case report here is that of a 27 year old Para o+o lady who was admitted to the Accident and Emergency Unit of our hospital with a day history of a huge mass protruding per vagina and a history of significant bleeding per vagina. Packed cell volume was 16% on admission and she had 4 units of blood transfused. She subsequently had examination under anaesthesia and excision of the prolapsed mass done via the vaginal route. Histology of the excised mass was in keeping with  cavernous hemangioma of the uterus. Her Postoperative clinical state was satisfactory. Key words: Carvenous; hemangioma; uterus

Knowledge, attitude and willingness to accept Caesarean Section among women in Ogbomoso , southwest Nigeria

Introduction: Caesarean section (CS) is a common procedure in obstetrics and has contributed immensely to improving maternal and foetal outcome; there are still concerns about the knowledge, attitude and willingness to accept the procedure among women especially those in the developing world.Objective: This study seeks to assess the level of knowledge, attitude and acceptance of women about CS in Ogbomoso. These women were more educated than most of their counterparts in South Sudan but because of the political situation we are unlikely to get similar data from South Sudan and therefore this study is of interest.Methodology: This is a descriptive study which was carried out in four health facilities. Respondents were selected using the systematic random technique with a sample interval of 2. A semi-structured questionnaire was used for data collection. Data were analysed using the statistical package for social sciences (SPSS), version 16.Results: Of the 410 respondents, 63.2% of the women have a good knowledge of CS as a method of delivery. When CS was compared to vaginal delivery, 33.5% said that CS was preferable to vaginal delivery because the pain involved was much less; this view was however disagreed upon by 54.8% of the respondents. Only 75.6% of the respondents were ready to accept CS if there was a need for it.Conclusion: Mothers should be educated on the process involved in Caesarean delivery, the indication, advantages and complications in order to help them make the right informed decision.Keywords: Women knowledge, attitude, Caesarean section, Nigeri

Patterns and predictors of exclusive breastfeeding among mothers in Ile Ife, Nigeria

Background: Exclusive Breast Feeding (EBF) is a cost effective intervention in saving under-five children’s lives in the resource poor settings. However, EBF rates have been shown to be low in these regions with variation in the duration of EBF.Objective: The aim of this study was to assess pattern and predictors of EBF among mothers attending well infant clinic at Obafemi Awolowo University Teaching Hospital Complex (OAUTHC) Ile Ife.Materials and Methods: It was a cross-sectional study carried out between October and December 2014. A total of 250 eligible mothers were selected by simple random sampling among women attending well infant clinic OAUTHC, Ile Ife.A semi-structured selfadministered questionnaire was used.Results: The prevalence of EBF in this study was 23%. The pattern of EBF seen was in the duration of EBF. About 60% gave breast milk alone to their children only in the first month of life. Only 23% was breastfed exclusively for four to five months, while 5% breastfed exclusively for at least six months. About 40% practiced mixed feeding right from the first day of life.The predictors of EBF identified include; ANC attendance, a birth interval greater than or equal to 2 years, husband's positive attitude, giving breast milk as the first feed in life, and vaginal delivery.Conclusion: The practice of EBF within 4 to 6 months of life is still very low. Strategies that target improving access to quality ANC, and emphasize husbands’ roles in encouraging EBF should be giving priority.Keywords: Pattern, predictors, exclusive breastfeedin

Pre-and-post-operative aversion among men whose partners had caesarean delivery in a patriarchal setting.

Objectives: The study evaluated pre and post-operative perception and aversion to caesarean delivery (CD) among men whose partners underwent the procedure.Design: A multicentre cross-sectional study.Setting: Two tertiary and two secondary health facilities.Participants: Men whose partners underwent CD at the study sites.Methods: Participants were recruited by purposive sampling, data collection was through interaction via an interviewer-administered questionnaire first immediately the decision for CD was made and thereafter on the third postoperative day. Men whose partners had vaginal delivery were excluded from the study and data management was with SPSS version 21.0 while p<0.05 was significant.Results: Awareness about CD was 84.0% mainly through the healthcare workers (42.1%) and the female partner (34.1%); 88.0% of participants recommended CD for medically-indicated reasons. The greatest influence on consent was the male partner (48.8%). The major pre-operative concerns were limitation of family size (34.7%) and fear of repeat CD (34.0%). Pre-operative perceptions of CD included being expensive (60.7%), fear of the procedure (48.0%), fear of complications (45.3%) and longer hospital stay (44.0%). Aversion to CD was 30.0% pre and 5.3% post-operation; predictors of aversion were history of previous surgery among male or female partner and awareness about CD. However, there were reductions in negative perception and aversion post-operation.Conclusion: The high negative perception and aversion to CD among male partners were reduced post-operation. Healthcare workers should address the concerns and negative perceptions about CD and prioritize patient-friendly experiences during surgical operations

Knowledge, attitude and willingness to accept Caesarean section among women in Ogbomoso, southwest Nigeria

Background: Caesarean section (CS) is a common procedure in obstetrics and has contributed immensely to improving maternal and foetal outcome; there are still concerns about the knowledge, attitude and willingness to accept the procedure among women especially those in the developing world. Objective: This study seeks to assess the level of knowledge, attitude and acceptance of women about CS in Ogbomoso. These women were more educated than most of their counterparts in South Sudan but because of the political situation we are unlikely to get similar data from South Sudan and therefore this study is of interest. Methodology: This is a descriptive study which was carried out in four health facilities. Respondents were selected using the systematic random technique with a sample interval of 2. A semi-structured questionnaire was used for data collection. Data were analysed using the statistical package for social sciences (SPSS), version 16. Results: Of the 410 respondents, 63.2% of the women have a good knowledge of CS as a method of delivery. When CS was compared to vaginal delivery, 33.5% said that CS was preferable to vaginal delivery because the pain involved was much less; this view was however disagreed upon by 54.8% of the respondents. Only 75.6% of the respondents were ready to accept CS if there was a need for it. Conclusion: Mothers should be educated on the process involved in Caesarean delivery, the indication, advantages and complications in order to help them make the right informed decision. Key words: Women knowledge, attitude, Caesarean section, Nigeri

ECTOPIC CHORIOCARCINOMA IN A PRETEEN IN OGBOMOSO, SOUTH-WEST NIGERIA. A CASE REPORT

Ectopic Choriocarcinoma is an extremely rare occurrence. The case of ectopic choriocarcinoma discussed here involved a 12 year old girl who presented with lower abdominal pain and dizziness following a short period of amenorrhea after attaining menarche. Aprovisional diagnosis of ruptured ectopic gestation was made based on the clinical evaluation and patient had emergency laparotomy. Histopathology report revealed a choriocarcinoma of the ovary. Patient defaulted on subsequent follow up care. This case is presented as an eye opener on the need to also focus on the reproductive health challenges, early sex education in preteen and rare occurrence of the disease amongst the Pre-teenage groups. It is also important to deal with the possibility of a non gestational choriocarcinoma of the ovary which has a worse prognosis