Sex education on the dangers of sexual promiscuity, availability of barrier methods of contraception, delivery with strict adherence to the principles of universal precaution and routine screening of all pregnant women during the antenatal period will help to decrease the prevalence of HIV in our environment.

The overall goal of obstetric practice is to deliver a healthy baby to a healthy mother. Attaining this goal sometimes may require the ultimate weapon at the disposal of the obstetrician, which is intervention. Intervention becomes necessary when on critical assessment of the obstetric balance, the risk of continuing the pregnancy far outweighs the risk of interrupting it. The intervention at the disposal of the obstetrician is either of induction of labour or Caesarean section. This study aims to determine the incidence, indications and the maternal and neonatal outcome of induction of labour at the Niger Delta University teaching Hospital, okolobiri, Bayelsa State, Nigeria. This is a cross-sectional, prospective study conducted between 1 st January 2010 to 31 st December 2011.The incidence of induction of labour in this study was 6.5% and the three commonest indications were; prolonged pregnancy31 (51.7%), followed by prelabour rupture of foetal membranes 19 (31.7%) and hypertensive disorders of pregnancy 10(10.0 %). Most of the patients had induction of labour with vaginal misoprostol 33(55.0%). Majority of the women had spontaneous vaginal delivery51 (85.0%), while 9(15.0%) had emergency Caesarean section. The commonest indication for the Caesarean section is cephalopelvic disproportion 5(8.3%). The most common complication seen in the mothers is hyper stimulation 4(6.7%), while 7 (11.7%) of the babies were admitted into the special care baby unit (SCBU).

BackgroundThe female is programmed to nurture one fetus and to take care of one neonate at a time; hence, twin pregnancy is associated with an increased risk of preterm deliveries, perinatal morbidity, and mortality and maternal complications. This study aimed to determine the twinning rate, and maternal and fetal outcomes of all twin pregnancies managed at the Niger Delta University Teaching Hospital Okolobiri.MethodsThe study is a 4-year descriptive retrospective evaluation of twin pregnancies managed at the Niger Delta University Teaching Hospital Okolobiri. Records of all pregnancies, booked and unbooked, managed from January 1, 2007 to December 31, 2010 were reviewed. Details of delivery and maternal and fetal outcomes were obtained using a pro forma designed for the study. Epi Info version 3.5.3 was used for statistical analysis. The Chi-square test was used to test for associations between variables. The level of significance was set at P ≤ 0.05.ResultsA total of 1341 deliveries including 41 cases of twin deliveries were recorded during the study period, giving an incidence of 30.6/1000. Twenty-nine (70.7%) of the patients were unbooked. The mean gestational age was 33.3 ± 2.6 weeks, and the mean fetal weight was 2.34 ± 0.54 kg. There were 13 perinatal deaths, with a perinatal mortality rate of 158.5/1000. There was no association between booking status and perinatal mortality rate (χ2 = 0.017, P = 1.000). Prematurity was the chief cause of perinatal death (65.4%). Maternal morbidities included anemia, wound infection, and genital sepsis. There were no maternal deaths.ConclusionThe twinning rate was high. There was a high perinatal mortality rate, with prematurity accounting for most of the mortality. There is a need for improved incubation/neonatal care for better outcomes with twin pregnancies in the hospital.

Most of the women in our environment abhor hysterectomy but it remains the only option in most cases in our practice of gynaecology due to late presentation when it becomes more difficult to offer a less radical management options. This study aims to evaluate the indications, clinical characteristics and management outcome in the Niger Delta of Nigeria. This is a retrospective analysis of all Hysterectomies performed from 1st January, 2000 through 31st December, 2005 at the University of Port Harcourt Teaching Hospital. There were 170 cases of elective hysterectomy out of a total of 1025 elective major gynaecological surgeries during the study period with hysterectomy prevalence of 16.6%. The mean age of the patients was 46.5 years, 21(13.55%) of the women were nulliparous. The major indications were symptomatic uterine fibroid 55.5%, ovarian tumour 14.8% and uterovaginal prolapsed 8.4%. The surgery in 92 (59.4%) patients was performed by consultants. The crude morbidity and case fatality rates was 45.45% and 3.87% respectively. Elective hysterectomy for gynaecological condition remains a valid management option in our environment. The use of peri-operative antibiotics is advised to reduce the incidence of post-operative morbidity.