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Objective To review what is known about COVID‐19 and highlight gaps in the context of Nigerian obstetric practice. Research data on COVID‐19 are understandably sparse in Africa. Nigeria, like most African countries, is battling a disease she is poorly equipped to fight. Methods The current available literature on COVID‐19 was reviewed in relation to obstetric practice in the Nigerian context, gaps were identified, and recommendations were made to improve the handling of the COVID‐19 pandemic in Nigerian obstetric practice. Results In and out of hospital, both the obstetrician and the obstetric patient are constantly being put at risk of exposure to the coronavirus because testing and preventive measures are either ineffective or non‐existent. Conclusion The pandemic has exposed the gross inadequacies in Nigeria’s healthcare system and is therefore a wake‐up call to the need for a complete overhaul of infrastructure and services. The government will do well to increase the budget allocation for health from the current paltry 4.14% to the recommended 15% of the total budget. The Nigerian obstetrician stands a high risk of exposure due to inadequate preventive measures, and testing and diagnostic challenges.

CSMR is an evolving entity in obstetrics practice in the developing countries. Delay in conception, fear of labor pain and loss of baby during labor appear to be strong motivations.

Objective To determine the incidence, indications and outcomes of emergency peripartum hysterectomy (EPH) in three tertiary institutions in south-west Nigeria between January, 2010 and December , 2013. Methods A retrospective review of all cases of EPH over a 4 year period was done. EPH was defined as hysterectomy performed at the time of delivery or within 24 h of delivery for uncontrollable postpartum bleeding not responsive to conservative measures. Relevant information was extracted from the hospital records and operation notes. Statistical analysis was done using SPSS software version 17.0. Statistical significance was set at p < 0.05. Results There were 102 EPHs performed among 39,738 deliveries within the study period, giving a rate of 2.6 per thousand deliveries. Indications were uterine rupture (44.1 %), uterine atony (37.3 %), morbidly adherent placenta (17.6 %) and extension of caesarean section incision involving the uterine arteries (1 %). Subtotal hysterectomy was performed in most cases (67.6 %).Maternal case fatality rate was 11.8 % and perinatal mortality rate was 55.9 %. Blood transfusion, severe postoperative anaemia, wound sepsis, febrile morbidity and acute kidney injury were common morbidities associated with the procedure. Following multivariate logistic regression, the unbooked status [odds-ratio 95 % CI = 12.80 (1.22-133.97) p = 0.03] was the only variable that significantly predicted maternal death. Conclusion The incidence of EPH from our study is high. Much more needs to be done in maternal health services, particularly provision of quality obstetric care to reduce the rates of EPH and the associated high maternal and perinatal morbidity and mortality.

Background: Teenage pregnancy is a public and reproductive health issue globally because of its peculiar high risk nature, its burden is however more in the developing countries. This study assessed the sociodemographic characteristics, obstetric and perinatal outcomes among teenage mothers at a tertiary institution in Ekiti State, Nigeria. Materials and Methods: A retrospective cross sectional study was conducted over 5years on all parturients whose ages were less than 20years and whose pregnancies were 28weeks and above; and delivered at Ekiti State University Teaching Hospital, Ado-Ekiti, between 1st May, 2012 and 30th April, 2017. A comparison was made with pregnant women aged between 20years and 34years selected from the first woman in the birth registry who delivered after each study case and satisfied the inclusion criteria as control. Results: Teenage mothers were mostly uneducated and unemployed compared to the control group (P<0.050). The pregnancies of teenage mothers were more associated with complications such as anaemia, 12 (12.6%) vs 1 (1.1%); obstructed labour, 10 (10.5%) vs 2 (2.1%); cephalo-pelvic disproportion, 9(9.4%) vs1 (1.1%); preterm delivery, 22 (23.1%) vs 9 (9.6%); and operative delivery (Caesarean section), 26 (27.4%) vs 13 (13.6%) respectively. Similarly teenage mothers perinatal outcomes were poorer compared with older mothers as they had more cases of neonatal complications (P<0.05). Conclusion:Both the obstetric and perinatal outcomes of teenage mothers were poorer compared to the control group. There is need for concerted efforts by stakeholders to stem the tide of teenage pregnancy in our society.