Composition and Distribution of Mosquito Vectors in a Peri-Urban Community Surrounding an Institution of Learning in Lafia Metropolis, Nasarawa State, Central Nigeria

Vector surveillance is very key in solving mosquito-borne health problems in Nigeria. To this end, the composition and distribution of mosquito vectors in a peri-urban community surrounding an institution of learning in Lafia metropolis, Nasarawa State, Central Nigeria was carried out between December 2016 and June 2017. The Prokopack Aspirator was used to collect indoor resting mosquitoes between 6:00 a.m. and 9:00 a.m. from 30 randomly selected houses. Mosquitoes collected were knocked down and transferred into a well labelled petri-dish and taken to the laboratory for processing. A total of 664 mosquitoes were collected which spread across Culex quinquefasciatus 572 (86.14%), Anopheles gambiae 88 (13.25%) and Aedes aegypti 4 (0.60%). The abundance of mosquitoes in relation to seasons, species, sex, abdominal conditions as well as transmission indices across seasons significantly varied (P 0.05). The inhabitants of the area should ensure that all drainages flow through so as to reduce mosquito breeding grounds. Also, members of the community should always protect themselves by sleeping under insecticide treated bed nets

Removal of skin sutures on the 5th post-operative day in obstetrics and gynaecology

No Abstract.Tropical Journal of Obstetrics and Gynaecology Vol. 22(2) 2005: 193-19

Effectiveness of Foley catheter in controlling post-evacuation uterine bleeding after a missed abortion

Three patients who had profuse uterine bleeding following evacuation of the uterus for missed abortion are presented. Further haemorrhage was controlled in all the patients by distending the balloon of the Foley's catheter introduced into the uterine cavity. Foley catheter is cheap, simple to use and readily available in controlling uterine bleeding thereby avoiding the need for more blood transfusion and operative interventions in cases of excessive bleeding resulting from evacuation of missed abortion. Keywords: Foley catheter, missed abortion, uterine bleeding Tropical Journal of Obstetrics and Gynaecology Vol. 22(1) 2005: 76-7

A 10-year review of instrumental vaginal delivery at the University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria

Background: Instrumental vaginal deliveries are conducted for either maternal or fetal indications to shorten the second stage of labour. Global trends show a diminished instrumental delivery rates. Objectives: To determine the prevalence, indications, complications, and the trend of instrumental vaginal deliveries at the University of Port Harcourt Teaching Hospital. Materials and Methods: This was a retrospective study of 164 women who had an instrumental vaginal delivery over a 10-year period at the University of Port Harcourt Teaching Hospital from January 1, 2008, to December 31, 2017. Data obtained from the labour ward registers and case notes of patients were entered into a proforma and analyzed using EPI-info ver. 7. P value of 0.05 was set as significant at 95% confidence interval. Results: The incidence of instrumental vaginal delivery was 0.67% of all deliveries. Vacuum delivery accounted for 0.63% whereas forceps delivery was 0.04%. Delayed second stage of labour (56; 34.15%) and severe pre-eclampsia/eclampsia (42; 25.61%) were the most common indications. Senior resident trainees conducted majority (121; 73.78%) of the deliveries. The most common maternal complications were perineal tears (13; 50%) and primary postpartum haemorrhage (11; 42.31%). These maternal complications significantly occurred more with vacuum delivery (P value = 0.001). About half of the babies (80; 47.62) had birth asphyxia. Conclusion: The instrumental vaginal delivery rate in this study is very low despite being an alternative to caesarean section. Therefore, efforts should be made toward training and retraining of doctors on this skill to reduce maternal and fetal morbidity associated with the procedure, and also reduce the caesarean section rate