Background: Pregnancies complicated by diabetes are associated with significant increase in maternal and perinatal morbidity and mortality. The management of diabetes in pregnancy is a great challenge in a low resource setting because of limited resources and facilities to care for these women.

Background: Gestational trophoblastic diseases (GTD) are potentially curable with retention of reproductive function once the correct diagnosis is made and treatment is commenced early with adequate follow up. Objective: The objective of this study was to determine the incidence, clinical presentation, management and treatment outcomes of gestational trophoblastic diseases in a tertiary hospital in Abakaliki, Southeast Nigeria. Materials and Methods: This was a retrospective descriptive study of gestational trophoblastic diseases managed at Alex Ekwueme Federal University Teaching Hospital, Abakaliki (AEFUTHA) over a 6-year period. The statistical analysis was done using SPSS version 22. Results: The incidence of GTD was 4.6 per 1000 deliveries. Women who were less than 20 years and more than 40 years of age accounted for 5.9% and 23.5% of cases of GTD respectively. Women who were para 5 and above accounted for 76.5% of those who presented with GTD. All the patients presented with vaginal bleeding. Suction evacuation (76.5%) was the commonest form of treatment offered to women with GTD. The commonest complication was anaemia (94.1%). Maternal death due to GTD was 8.8%. Most (58.8%) of the patients did not turn up for follow-up. Conclusion: Gestational trophoblastic diseases has remained an important cause of maternal morbidity and mortality in our hospital due to poor compliance with follow-up. Call and recall system should be introduced in the management of patients with GTD to improve compliance to management standard.

Background: Children and adolescent people go through many changes as they move from childhood into physical maturity. At this time secondary sexual characteristics develop, menstruation begins and the psychological outlook of the female child changes as she develops a more adult aspect of herself. These periods might be attended by different gynaecological disorders. Objective: This study was designed to determine the common childhood and adolescent gynaecological disorders that presented at the gynaecologic clinic of the Federal Teaching Hospital Abakaliki. Method: This was a retrospective study of all cases of childhood and adolescent gynaecologic presentations seen in the gynaecology clinic. Emergency cases seen at the Accident and Emergency clinic were excluded. The study spanned 3 years and 8 months -April 2012 to December 2015. Data was extracted from case notes retrieved from the central records department and analysed. Results: Children and adolescents constituted 5.4% of the 1,622 new gynaecologic presentations seen during the review period. They presented mainly with menstrual disorders (36.8%), ovarian tumor (11.5%), PID (10.3%), Infertility (6.9%), sexual assault (4.6%), Urethral prolapse (3.4%), and abortion (2.3%). Other disorders such as bartholin cyst, PCOS, galactorrhoea, uterine fibroid, hydatidiformmole, fibroadenoma of breast, vaginal mass, traumatic injury to the perineum and uterovaginal prolapse were also seen. Conclusion:Gynaecological disorders in children and adolescents constitute a significant number of gynaecological presentations. It is imperative that clinicians acquaint themselves with the pattern of presentation of these disorders and be equipped to treat this patient population with empathy and expertise.