Background: Cervical incompetence is a major cause of second trimester miscarriage. Recurrent pregnancy loss in the second trimester is associated with significant distress. However, there should be a justifiable indication before a cerclage is inserted. There is no documentation of the indication of cervical cerclage and pregnancy outcome in Yenagoa, southsouth Nigeria. Objectives: This paper focuses on documenting the indication and obstetric outcome following cervical cerclage insertion at the Federal Medical Center Yenagoa, Bayelsa State. Methodology: A 5 year retrospective study was carried out in women who had cervical cerclage for cervical incompetence in the Federal Medical Centre, Yenagoa. The study was conducted from the 1 st of January 2014 to 31 st of December 2018. All the case files of patients who had cervical cerclage were retrieved and reviewed. Results: A total of 41 patients had cervical cerclage. The commonest indication for cervical cerclage insertion was history indicated cerclage 59.4%. This was followed by ultrasound indicated cerclage 28.1% and rescue cerclage accounting for 12.5%. All patients employed McDonald's method of cervical cerclage. The position of the knot was in 12 0' clock position in 53.1% of the patients and in the 6 0'clock position for 46.9% of the patients. The success rate following insertion of cerclage was 79.3%. The mode of deliveries was vaginal in 90.6% of the patients and 9.4% had caesarean section. Conclusion: There may be concern about the diagnosis of cervical incompetence. However, findings from this study clearly showed that the application of cervical cerclage is associated with good obstetric outcome.
Hypertensive disorders of pregnancy are an important cause of severe acute feto-maternal morbidity, lasting disability and mortality. In Africa, about one-tenth of all maternal deaths are associated with hypertensive disorders of pregnancy. The majority of deaths attributable to preeclampsia can be circumvented by instituting appropriate and effective care to women presenting with complications one of which is ascitis. Ascitis can lead to dehydration, respiratory failure, heart failure and thromboembolism
<p><strong>Background:</strong> Female genital mutilation (FGM) comprises all procedures that involve partial or total removal of the external female genitalia, or another injury to the female genital organs for non-medical reasons. FGM is recognized internationally as a violation of the human rights of girls and women. It is nearly always carried out on minors and is a violation of the rights of children. It is usually done on young girls between infancy and age 15. Nigeria, due to its large population, has the highest absolute number of female genital mutilation (FGM) worldwide, accounting for about 25% of the estimated 115–130 million circumcised women in the world. <strong>Aim:</strong> To assess the awareness, prevalence and practice of female genital mutilation amongst students in a tertiary institution in South-South Nigeria. <strong>Methods: </strong>This was a cross-sectional descriptive study done amongst female students of the Federal University Otuoke from January to March 2018. A simple random sampling technique by simple balloting was used in the selection of the respondents until the sample size was achieved. Data was collected using a semi-structured questionnaire and were analyzed using SPSS version 22. <strong>Results: </strong>The majority (366 (88.6%)) of the respondents, knows about FGM. Most (350 (95.6%)) also know what FGM really mean. The majority, 292 (72.8%) of the respondents, does not support the practice of FGM. Two hundred and thirty-three (79.5%) of the respondents want the practice to be discontinued. The prevalence of FGM was 36 (9.4%). The ethnic group/tribe of respondents had a statistically significant association with being circumcised and also being aware or knowing about FGM (p > 0.05). The age of respondents was not found to be statistically associated with being circumcised or being aware or knowing about FGM (p < 0.05). <strong>Conclusion: </strong>Awareness and knowledge of FGM in this study were high. The majority of the respondents were not in support of the practice of FGM and want the practice to be discontinued. The prevalence of FGM in this study is lower as compared to many other studies. There is a need for more education to the general public and parents in particular on the health implications of FGM and the need for legislation against the practice.</p><p> </p><p><strong> Article visualizations:</strong></p><p><img src="/-counters-/edu_01/0969/a.php" alt="Hit counter" /></p>
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