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Objective: To evaluate use of second-trimester uterine artery Doppler velocimetry to predict adverse pregnancy outcomes. Methods: A prospective longitudinal study among low-risk nulliparous women with singleton pregnancies attending

Introduction: The outbreak of corona virus disease (COVID-19) affects all categories of people and has resulted in death of several thousand of them all over the world including pregnant women. Various preventive strategies have been recommended to curb further spread of the disease thus limiting the morbidity and mortality of the disease. Objectives: This study assessed the knowledge, attitude, and practice of preventive measures against COVID-19among antenatal attendees in Ekiti State University Teaching Hospital (EKSUTH), Ado-Ekiti. Methods: A cross-sectional study of 423 pregnant women attending prenatal care at EKSUTH between 1 st April, 2020 and 31 st May, 2020. Data was collected using a self-administered validated questionnaire from consenting participants on their socio-demographic characteristics, knowledge, attitude and practice of preventive measures against COVID-19. Logistic regression was done to identify determinant factors with p<0.05. Results: About 87.2%, 79.2% and 74.5% of the pregnant women had good level of knowledge and practice of preventive measures as well as positive attitude towards COVID-19 respectively. The mean age, parity and gestational age of women was 28.45±5.51years, 2.21±1.61 and 27.73±8.99weeks respectively. Younger age group, higher education, being married, late trimester of pregnancy and urban residency were the significant determinants of good knowledge, attitude and practice of COVID-19 preventive measures, p<0.05. Conclusion:The massive campaigns by government and non-governmental organization have tremendously created awareness among the pregnant women. These efforts should be sustained through the provision of information, education and communication materials that will further improve the compliance to the various preventive measures.

Background: Rising caesarean section rates have become a global health concern. The need for a contemporary objective tool for comparison of rates, optimizing and standardizing the use of caesarean section has been met by the Robson’s Ten-Group classification. However, there are no available studies auditing caesarean section rates in southern Nigeria using these criteria. Methods: All mothers delivered by caesarean section over a 12-month period at Ekiti State University Teaching Hospital, Ado – Ekiti, were prospectively captured and classified according to Robson’s 10-group classification with a view to detecting which clinically relevant groups contributed most to the caesarean section rate. Data collected were analyzed using Statistical Package for Social Sciences (SPSS) 20. Results: The total deliveries recorded over the study period was 2,139, out of which 760 underwent caesarean section, thus giving a Caesarean Section Rate of 35.5%. Group 1 had the highest contribution to Caesarean section rate, followed by Group 5. There was a statistically significant relationship between booking status of the patients and the various groups in the Robson’s classes (p < 0.001). Conclusion: There should be continuous training and drills on active management of labour, supportive companionship in labour, and improved fetal surveillance techniques to reduce the rates of primary caesarean section. Developing locally-adapted eligibility criteria to increase successful trials of labour after caesarean section, revisiting external cephalic version, and addressing potentially modifiable risks for preterm birth are advocated.

Aims: This study aimed at determining the prevalence of sexual dysfunction among the pregnant women studied. It compared the prevalence in each trimester of pregnancy, and identified               socio-demographic factors associated with sexual dysfunction in pregnancy. Study Design: A descriptive cross-sectional study. Place and Duration of Study: Department of Obstetrics and Gynaecology, Ekiti State University Teaching Hospital, Ado Ekiti, Nigeria between 1st and 30th of November 2020. Methodology: We included a total of 124 pregnant women. Data were collected using an electronic questionnaire incorporating the Female Sexual Function Index (FSFI). An FSFI score ≤ 26.55 was classified as sexual dysfunction. Results:  Some 60.5% of the respondents had sexual dysfunction. The total FSFI score of study participants was 20.62 ± 8.32. The FSFI mean score of women with sexual dysfunction was 15.25±6.34 while it was 28.57±2.42 for those without sexual dysfunction. Conclusion: Sexual dysfunction is prevalent among the pregnant population studied. The prevalence increased with advancing gestation. Aside from routine antenatal care, healthcare providers should be aware and equipped to provide the necessary information and care for this sensitive issue.