Background: Anaemia is the commonest haematological abnormality diagnosed in pregnancy and continues to be a major public health problem in the developing, poor resource countries. It is associated with increased rates of maternal and perinatal morbidity and mortality. The prevalence of anaemia among pregnant women is estimated to be very high in Nigeria and other developing countries. Knowledge of the current situation in our environment will help antenatal care-givers in prevention, early detection and prompt management of anaemia so as to mitigate its attendant complications in pregnancy. Aim: To determine the prevalence and socio-demographic characteristics of anaemia among pregnant women in ESUTH. Specific objectives The objectives of this study were to determine: • the prevalence of anaemia • the prevalence of the different grades of anaemia • the distribution of anaemia based on socio-demographic characteristics among pregnant women at the antenatal booking clinic of ESUTH. Method: This was a cross-sectional study of 370 women who booked for antenatal care at the ESUTH from august 1, to December 31, 2020. Women who came for antenatal booking were counseled on the study and informed consent obtained. A proforma was used to collect their bio-data and other relevant obstetric and medical information. A sample of venous blood was collected and the haemoglobin concentration determined using haemoglobinometer. Data analysis: Data was analyzed using Statistical Package for Social Sciences, SPSS version 20.0 for Windows. Frequencies and percentages were calculated and represented in tables and charts. Result: The result showed that out of the 370 women recruited into the study 295 (65.1%) had anaemia of which 155 (41.9%) were mild, 69 (18.6%) were moderate and 17 (4.6%) were severe. Conclusion and recommendation: Anaemia in pregnancy has an unacceptably high prevalence among our pregnant women. Efforts should be made to increase community health education/awareness on child spacing, consumption of balanced diet and early antenatal booking so as to prevent, enhance early detection and adequate treatment of anaemia in pregnancy.

Background: Caesarean myomectomy is still a controversial issue in current obstetric practice due to the fear of uncontrollable haemorrhage. However, it may become very necessary occasionally with increased prevalence of fibroids among our pregnant mothers. Case Report: We report a case of Mrs UC, a 30-year-old primigravid woman who booked for antenatal care at 16 weeks gestational age following a 3-year history of infertility. The pregnancy was complicated with abdominal pain from red degeneration of uterine fibroid and was managed with pentazocine in the 2nd trimester. She presented in labour at 39 weeks and 4 days but labour was prolonged for 8 hours, having adequate contractions without any significant improvement in both descent and cervical dilatation. She subsequently had an emergency caesarean myomectomy with an outcome of a live female neonate that weighed 3.1kg with good Apgar scores and 2 pieces of uterine myoma that weighed 1.1kg. The post-operative and puerperal periods were uneventful. Conclusion: Caesarean myomectomy, a controversial obstetric procedure, can be indicated when the location and size of the fibroid mass makes caesarean delivery only very challenging and difficult.