Seminal Fluid Indices Of Male Partners Of Infertile Couples In Uyo, Nigeria

This retrospective study analyzes the seminal fluid indices of 633 male partners of infertile couples at the University of Uyo Teaching Hospital over a four year period. All the laboratory records on seminal fluid analysis between 1st January 2003 and 31st December 2006 were reviewed. The seminal fluid characteristics of the patients were determined and the abnormalities classified according to the World health organisation guidelines. Five hundred (79.0%) of the men had abnormal seminal fluid parameters. About 56.0% of the subjects were asthenozoospermic, 38.9% were oligozoospermic, 2.8% had teratozoospermia while 7.0% had azoospermia. The significant contribution of the male factor to infertility in our environment is highlighted. The need for the encouragement of male partners of infertile couples to avail themselves for proper infertility evaluation and the advantages of early detection and treatment of sexually transmitted infections in men is stressed. KEY WORDS: Male infertility, seminal fluid indices, Uy

Perforation of the Rectum by a Copper-T Intrauterine Contraceptive Device with Retrieval per Rectum: A Case Report

Intrauterine contraceptive devices are among the most effective forms of contraceptives available. They provide long term reversible protection from pregnancy and are currently the most popular and widely use reversible contraceptive method. Though they are associated with few side effects, perforation of the uterus remains the most serious. We report the case of a grandmultiparous lady whose copper-IUCD perforated her rectum 8 years after its insertion. We advocate the inclusion of rectal examination in theevaluation of patients for missing IUCDs and removal of the devices per rectum if partially embedded rather than resorting to surgery.Key Words: Rectum, Perforation, IUC

Emergency peripartum hysterectomy in a tertiary hospital in southern Nigeria

Introduction: Emergency peripartum hysterectomy, a maker of severe maternal morbidity and near miss mortality is an inevitable surgical intervention to save a woman’s life when uncontrollable obstetric haemorrhage complicates delivery. This study was conducted in order to determine the incidence, types, indications and maternal complications of emergency peripartum hysterectomy at the University of Uyo Teaching Hospital, Uyo, Nigeria. Methods: The case records of all women who underwent emergency peripartum hysterectomy between 1st January 2004 and 31st December 2011 were studied. Results: There were 12,298 deliveries during the study period and 28 emergency peripartum hysterectomies were performed resulting in a rate of 0.2% or 1 in 439 deliveries. The modal age group of the patients was 26-30 years (35.7%), majority were of low parity (64.4%), while 17.9% attained tertiary level education. Half of the patients (50.0%) were  unbooked while 14.3% were antenatal clinic defaulters. Extensive uterine rupture (67.8%) was the most common indication for emergency hysterectomy distantly followed by uterine atony with uncontrollable haemorrhage (17.9%). Subtotal abdominal hysterectomy was performed in 92.8% of the cases. The case fatality rate was 14.3% while the perinatal mortality rate was 64.3%. Conclusion: Emergency peripartum hysterectomy is not uncommonly performed in our centre and extensive uterine rupture from prolonged obstructed labour is the most common indication. In addition, it is associated with significant maternal and perinatal mortality. There is need to enlighten women in our communities on the benefits of ANC and hospital delivery as well as the dangers of delivering without skilled attendance. Government should consider enacting legislation to discourage people or organisations who operate unlicensed maternity homes in our environment.Key words: Emergency peripartum hysterectomy, extensive uterine rupture, uncontrollable haemorrhage, Uy

Inevitable myomectomy during caesarean section: A case report

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A five-year review of uterine fibroids at the university of Uyo Teaching Hospital, Nigeria

Background: Uterine fibroids are benign tumours that arise from myometrial smooth muscle cells. They are the most common tumours found in humans and are particularly common in Negros. We determinedthe prevalence modes of presentation and treatment modalities of uterine fibroid at the University of Uyo Teaching Hospital, Uyo, Nigeria.Methods: The case notes of all patients with uterine fibroids over a 4-year period were studied.Results: Uterine fibroids accounted for 7.1% of gynaecological admissions and 21.2% of major gynaecological surgeries. The patients’ age ranged from 21 to 55 years with modal age group being 31-40 years (38.8%). Majority of the patients were of low parity (75.4%). The most common presenting complaints were abdominal swelling (25.5%) and infertility (21.4%). Myomectomy was the most common surgical procedure performed (77.6%) and the most common post operative complications were anaemia (21.4%) and pyrexia (18.4%).Conclusion: Uterine fibroids are common in our environment. The patients are predominantly of low parity and myomectomy is the most common surgical procedure performed

Grandmultiparity: Outcome of Delivery in a Tertiary Hospital in Southern Nigeria

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Live advanced abdominal prgnancy: A case report

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Outcome of labour after previous caesarean delivery in Uyo, Southern Nigeria

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Perinatal outcome following caesarean section in a University Teaching Hospital in South-south Nigeria

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Prolonged Intrauterine Retention of Foetal Bones after Midtrimester Induced Abortion

Prolonged retention of foetal bones in the uterus is a rare complication of induced abortion. We present the case of a 37 year old nullipara with retained foetal bones following a second trimester induced abortion. Accurate diagnosis and removal of the bony fragments led to restoration of fertility and subsequent delivery of a male baby.Keywords: Retention of foetal bones, infertility, induced abortio