The use of community health educators for house-to-house cervical and breast cancer prevention education was associated with significant increases in the uptake of cervical cancer screening, clinical breast examination, and HPV vaccination.

Intrapartum stillbirth accounts for the majority of stillbirths in this setting. Avoidable delays, suboptimal intrapartum monitoring, and inappropriate interventions contribute to the majority of intrapartum stillbirths in Nigeria.

Incorrect determination of fetal sex by ultrasound has implications that can affect the mental and psychological health of the mother and the upbringing of the newborn.

This was a prospective cohort study of women in their second pregnancies aimed at determining if there was a difference in the incidence of pre-eclampsia between those with changed paternity and those without change in paternity in an entirely black African population. Women in their second pregnancies receiving antenatal care between September 2006 and August 2007 were recruited into the study between 10 and 20 weeks' gestational age and followed up until 37 weeks' gestation. The main outcome measures included incidence of pre-eclampsia in relation to change in paternity at second pregnancy, incidence of pre-eclampsia in relation to duration of sexual cohabitation among those with changed paternity and inter-pregnancy interval. There was no significant difference in the incidence of pre-eclampsia between women who had changed paternity and those without change in paternity (3.5% vs 3.1%, p=0.835). The inter-pregnancy interval was also similar in both groups. The mean duration of sexual cohabitation was similar between women who had changed paternity that developed pre-eclampsia and those that did not develop pre-eclampsia (7.9+/-1.3 vs 7.5+/-2.1 months, p=0.531). It was concluded that Southern Nigerian women with change in paternity in their second pregnancies do not have increased incidence of pre-eclampsia.

Background: Caesarean delivery or abdominal delivery is a common intervention in current obstetric practice which has significantly reduced maternal and neonatal morbidities and mortality. The World Health Organization (WHO) in 1985 pegged the acceptable rate at 10-15% but the rate of caesarean sections has been increasing in both the developed and developing countries. However, the rates have been exceeded in many developed countries while in the developing countries with a lot of unmet needs, the rates are quite low. When absolutely indicated, the rate should not prevent the timely recourse to the procedure which is life-saving. Aim: The aim was to determine the rate of caesarean section in ESUT Teaching Hospital over t a 3-year period. Materials and Method: This was a retrospective study of all the caesarean sections done in ESUT Teaching Hospital Enugu from December 31, 2020 to January 1, 2018. The necessary data was collected from the registers of the theatre and labour ward of ESUT Teaching Hospital and patients’ case notes using a structured proforma. Statistical Analysis: Data collected from the study was analyzed with the Statistical Package for Social Sciences (SPSS) computer software for Windows version 20.0. Results were presented using simple percentages, frequencies and tables. Result: Out of the 4719 deliveries in the centre over the period, the caesarean rate was 29.6% out of which 73.7% were booked; 26.3% unbooked; 59.2% were emergencies and 40.8% elective. The major indications were previous caesarean 20.2%, hypertensive diseases in pregnancy 14.6% and poor progress of labour 11.4%. Maternal complications were PPH, 8.4%; UT injuries, 2.9% and maternal death, 0.5%. The neonatal intensive care admission was 2.49% and neonatal death, 8.5%. Conclusion: There is a relatively high caesarean section rate in ESUT Teaching Hospital when compared with the Nigerian national figures but this is still lower than what is obtainable in the developed countries.