Etedafe P. Gharoro

Ectopic pregnancy revisited in Benin City, Nigeria: analysis of 152 cases

Background. Ectopic pregnancy is still a major health problem among women of childbearing age in our community. The majority of the patients with ectopic pregnancy are nulliparous in their mid twenties, with previous induced abortion(s) and or pelvic inflammatory disease. It remains a major challenge to the reproductive performance of women worldwide.

Efficacy of intermittent preventive treatment with sulfadoxine–pyrimethamine on placental parasitemia in pregnant women in midwestern Nigeria

To assess the effect of intermittent preventive treatment with sulfadoxine and pyrimethamine (IPT‐SP) on placental parasitemia and maternal and perinatal outcome.

Obstetric complications, intervention rates and maternofetal outcome in teenage nullipara in Benin City, Nigeria

An audit to determine the incidence of births to teenage nullipara, pregnancy complications, obstetric intervention rates, maternal and fetal outcomes in 114 teenage nullipara compared with 700 randomly selected older nullipara (age 20–29 years), was undertaken in a tertiary Institution. Births to teenage nullipara contributed 1.7% of all deliveries. Teenagers were significantly more likely to be unbooked for antenatal care(P < 0.0001), book late (P < 0.0001) and be single mothers (P < 0.0001). Teenagers were also significantly more likely to have primary education (P < 0.0001), secondary education (P < 0.001) or be apprentices (P < 0.0001). Teenagers had a significantly higher incidence of caesarean sections (P = 0.0002). There were no significant differences in the incidence of pregnancy complications, induction oraugmentation of labour, preterm delivery, instrumental deliveries and fetal outcome. The maternal mortality ratio for teenagers was 1835 per 100,000 live births. There were no deaths among the older nullipara. It is concluded that the differences in obstetric intervention rates and maternal outcome are due to poor utilization of antenatal care and other social disparity.

Vesico-vaginal fistula in Benin City Nigeria.

A total of 49 women with vesicovaginal fistula were admitted to the gynecology ward of the University of Benin Teaching Hospital (Benin City Nigeria) during 1992-97. The mean age at presentation was 31 years (range 20-65 years). Mean parity was 3 (range 1-11); 27% of the patients were primiparae. The average duration of the antecedent labor was 3 days (range 2-7 days). 65.2% of patients had forceps vacuum extraction or emergency lower-segment cesarean section delivery. 13 patients (27.08%) had vesico-uterine fistula 15 (31.25%) had mid-vaginal fistula and 11 (22.92%) had juxtacervical fistula. The repair success rate was 81.3%. This series stands in contrast to the typical profile of vesicovaginal fistula: a young teenager presenting in her first pregnancy after prolonged obstructed labor. The poor quality of obstetric care at clinics maternity homes and medical centers and hospitals in Benin City is assumed responsible for the present cases.

Changes in service organization: antenatal care policy to improve attendance and reduce maternal mortality

High cost and delay in service purchase are major contributory factors to the decline of utilization of maternity services at the UBTH.

Carcinoma of the cervix: aspects of clinical presentation and management in Benin City.

Carcinoma of the cervix is the most common gynecological cancer in Benin City. Late presentation, poverty and grand multiparity featured prominently. Multiplicity of sexual partners was rather uncommon.

Prophylactic internal iliac artery ligation in gynecologic pelvic surgery

Ligation of the internal iliac artery was first w x performed by Howard Kelly in 1893 1 . It has been used extensively in the control of pelvic hemorrhage in both obstetrics and gynecology in w x emergency situations 2]4 . However, its elective use to reduce operative blood loss has been scantily reported. In most developing countries, and especially in this environment, medical facilities are poor. In addition there are inadequate blood banks and blood transfusion services. Hemorrhage contributes significantly to operative morbidity and mortality. This fact prompted the authors to carry out prophylactic bilateral internal Ž . iliac artery ligation BIIAL during pelvic surgery. Fourteen patients that needed radical pelvic surgery at the gynecological unit of the University Ž . of Benin Teaching Hospital UBTH between September 1992 and August 1997 were offered an elective internal iliac artery ligation at the onset of surgery. The normal routines for any patient undergoing major surgery at the UBTH theater

Adenocarcinoma of the Bartholin’s gland in a 34 years old multipara

A 34 years old lady, Mrs. E. M., para 3π0, presented with a 18 months history of a swelling in the left labium at the gynecological clinic of the University of Benin Teaching Hospital (UBTH) in August of 1999. She noted increasing size of the swelling, which oozed out blood after sexual coitus. She reported no history of previous vaginal discharge, intermenstrual or post coital bleeding. Also, there was no history of previous sexually transmitted disease or vulva lesion.

Is routine antenatal screening for syphilis useful

The incidence of positive antenatal syphilis serology is low in Benin City. Routine serological screening should continue with the inclusion of confirmatory treponemal antigen tests.

Coverage and distribution of obstetricians and gynecologists in Nigeria

To determine the number, regional spread, and population ratio of obstetricians and gynecologists (OB/GYNs) in Nigeria.