Objective: To assess mother's experiences with CuT380A Postpartum Intrauterine Contraceptive Device (PPIUD). Subjects and methods:Mothers who accepted PPIUD in three centers in Enugu from August 1, 2013 to July 31, 2014 were the subjects of the study. Mother's experiences with PPIUD were assessed with structured questionnaires. Data was analyzed using excel 2007 software, and presented using percentages and graphs.Results: Fifteen PPIUD were inserted during caesarean deliveries while 66 were inserted vaginally. Majority of the mothers were of ages 31-40 years 43(53%), married 76(93.8%), secondary educated 46(56.8) and para 2-4 68(84%). PPIUD was mostly accepted because it was convenient after childbirth 81(100%). Few women experienced missing PPIUD strings 8(9.9%) and spontaneous expulsions 2(2.5%). There was no failed PPIUD. Seventy four (91.4%) mothers were satisfied with PPIUD. The major sources of the satisfactions were convenient time of insertion 81(100%), few complications 78(96.30%), and the safety of CuT380A PPIUD during breast feeding 78(96.30%). Sixty two (76.5%) mothers wanted to continue to use PPIUD while 25(30.9%) recommended the method to friends. Eight (9.9%) mothers removed their PPIUD to achieve pregnancy. Conclusion:PPIUD is a safe and effective contraceptive method. Missing PPIUD strings and expulsions were the few complications experienced in this study. Most mothers were satisfied with the method. Convenient time of insertion, few complications, and PPIUD safety during breast feeding were the major sources of satisfactions. Many mothers wanted to continue to use PPIUD, and recommended the method to friends. The desire to achieve pregnancy was the commonest cause of discontinuation of PPIUD.

Objectives: To assess the quality of intrapartum care in Enugu State University Teaching Hospital, Enugu. Methods: This retrospective clinical audit on intrapartum care quality indicators in the birth, newborn, intensive care unit and theatre registers was undertaken from January1, 2010 to December 31, 2014. Data was analyzed using excel 2007 software and has been presented using percentages. Results: A total of 5211 women delivered 5385 babies (including174 twins). Majority of the women were of ages between 20-35 years (3995/5211, 76.7%), parity 2-4 (3001/5211, 56.7%) and booked (3731/5211, 71.6%). Preterm delivery (<37 weeks) occurred in (781/5211, 15.0%). Vaginal and caesarean deliveries occurred in (3495/5211, 67.1%) and (1533/5211, 29.4%) respectively. The commonest indication for caesarean delivery was previous caesarean delivery. Instrumental vaginal delivery was performed in (8/5211, 0.2%). Third or fourth perineal tear occurred in (8/3495, 0.2%). There was postpartum hemorrhage (>1000 mls) in (45/5211, 0.9%) women. Eclampsia (40/5211, 0.8%) and obstetric intensive care unit admissions (30/5211, 0.6%) were documented. Fifteen maternal deaths (15/5211, 0.3%) occurred giving a maternal mortality ratio of 292/100000 live births. The commonest cause of maternal death was postpartum-eclampsia. Apgar score <7 at 5 minute occurred in (531/5385, 9.9%) while 319 babies (319/5385, 9.0%) were admitted to newborn intensive care unit. The stillbirth rate was (256/5385, 4.8%). The neonatal death and perinatal mortality rates for 2012 to 2014 were (25/3314, 0.8%) and (194/3314, 5.9%) respectively. Conclusion: Regular audits of intrapartum care quality indicators are essential for early detections of areas of poor-quality that demand immediate improvements to avoid further feto-maternal harms.

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