Post-operative morbidity in elective versus emergency caesarean section: a prospective cohort study.

Context: Caesarean delivery is associated with the risks of post-operative morbidities.Objective: To assess post-operative morbidity in clective versus emergcncy caesarean sectionDesign: Prospective cohort studySetting: Department of Obstetrics and Gynaecology University of Abuja Teaching Hospital, Abuja in NigeriaPopulation : Women who underwent either elective or emergency caesarean sections at the hospital during the designated study periodMain Outcome measures: Wound infection. long duration of hospital stay, Postoperative fever. Urinary tract infection and blood transfusion.Results: There were significantly higher morbidities: wound infection (OR 3.4: 95% CI 1.7-7.3: P<0.0001 ) post-operative fever(OR 6.7; 95% 03.6-13.2. P<0.0001 ).longer duration of hospital stay (OR 6.2; 95% CI 3.3-12.6; p<0.0001) and blood transfusion (OR 5.4; 95% Cl 2.7-11.8; P<0.0001) in women who had emergency caesarean delivery compared with elective caesarean delivery. There was no significantbdifference in the frequency of urinary tract infection (OR 3.0; 95% CI 0.8-12.2; P -0.12) in both arns of study. Following logistic regression. only unhooked status retained significant association with wound infection (OR 4.3; 95% CI 2,4-7.9). post-operative fever (OR 3,6; 95% CI 2.3-5.7); longer duration of hospital stay (OR 5,7; 95% CI 3.4- 9.4) and blood transfusion (OR 7.6; 95% CI 4,2- 14.0)Conclusion : This study identified significantly higher post-operative morbidities in emergency than elective caesarean delivery. The most important predictor of post-operativc morbidity was lack of antenatal care

Review of Twin Pregnancies in a Tertiary Hospital in Abuja, Nigeria

Studies on twin pregnancy are uniquely important to Africa and particularly Nigeria where the highest incidence in the world exists. This study was designed to determine the trend, rate, and obstetric outcomes of twin deliveries in the University of Abuja Teaching Hospital, Gwagwalada. This was a retrospective study of twin deliveries in the hospital over a period of 10 years. During the study period, there were 349 twin births out of 10,739 deliveries, giving an overall twining rate of 32.5 per 1,000 deliveries. Preterm delivery occurred in 39.7% cases and was, therefore, the most common complication. Mode of delivery was vaginal in 72.7% while 27.3% were delivered by caesarean section. Emergency caesarean section for delivery of both the babies was carried out in 22.3% while elective caesarean section for both the babies accounted for 1.0 %. Combined vaginal and abdominal delivery occurred in 4.0% of deliveries. The stillbirth rate was 102 per 1,000 births. There were 24 (8.0%) and 37 (12.3%) stillbirths among the first and the second baby respectively. The mean foetal weight was 2.395\ub10.63 kg while the female-to-male ratio was 1:1.1. The rate of twin deliveries in our centre is high. Successful vaginal delivery of twins is high when the mothers are booked and the presentations of the twins are favourable. The use of antenatal care services and good intrapartum management will help improve outcome in twin pregnancies

Seroprevalence of hepatitis B virus among antenatal attendees at the University of Abuja Teaching Hospital, Nigeria

Background: Pregnant women infected with hepatitis B virus (HBV) can transmit the infection to their fetuses and newborns. Despite the above, screening of antenatal attendees is not yet done as a routine in many Nigerian Hospitals that offer antenatal services, inclusive of University of Abuja Teaching Hospital.Aim: The aim of the study was to determine the seroprevalence of HBV infection among antenatal attendees at the University of Abuja Teaching Hospital.Materials and Methods: This was a cross‑sectional study of 200 consecutive antenatal attendees at the University of Abuja Teaching Hospital. Rapid Test; Quick profile™; by Lumiquick Diagnostics: Santa Clara, California, USA, was used. All materials and specimen (plasma) were brought to room temperature.Results: The seroprevalence of HBV among antenatal attendee was 7.0%.Conclusion: The prevalence of HBV among antenatal attendees at the University of Abuja Teaching Hospital, Nigeria, is on the high side. It is hereby recommended that routine screening for hepatitis B surface antigen should be offered to all antenatal clinic attendees.Keywords: Abuja, hepatitis B, Nigeria, pregnancy, seroprevalenc