Background. Premature rupture of membranes (PROM) is a common condition in developed and developing countries and poses a serious threat to the maternal and fetal well-being if not properly managed. This study delineated the prevalence and predictors of PROM in the western part of Uganda so as to guide specific preventive measures. Methods. A cross-sectional study design was conducted in the months of September 2019 to November 2019. A total of 334 pregnant women above 28 weeks of gestation admitted at the maternity ward of KIU-TH were consecutively enrolled. Interviewer-administered questionnaires were used to obtain the data. Descriptive statistics followed by binary logistic regression were conducted. All data analyses were conducted using STATA 14.2. Results. Of the 334 pregnant women enrolled, the prevalence of PROM was found to be 13.8%. The significant independent predictors associated with lower odds of PROM were no history of urinary tract infection (UTI) in the month preceding enrollment into the study (aOR = 0:5, 95% CI: 0.22-0.69, p = 0:038) and gestational age of 37 weeks or more (aOR = 0:3, 95% CI: 0.14-0.71, p = 0:01) while history of 3 or more abortions (aOR = 13:1, 95% CI: 1.12-153.62, p = 0:05) was associated with higher likelihood of PROM. Conclusions. Majorly urinary tract infections, low gestational age, and abortions influence premature rupture of membranes among women. There is a great need for continuous screening and prompt treatment of pregnant women for UTI especially those with history of 3 or more abortions at less than 34 weeks of gestation.

Background: Thrombocytopenia is a serious threat both to the mother and the fetus world over. We established the prevalence and associated immediate maternal complications of thrombocytopenia among women delivering at Kampala International University Teaching Hospital (KIUTH) so as to help us draw a platform for provision of appropriate interventions.Methods: A prospective cross-sectional study involving 386 women was conducted in the months of May 2019 to August 2019. Questionnaires and laboratory result forms were used to obtain the data. Data analyses were conducted using STATA version 14.2.Results: The prevalence of thrombocytopenia was 15.8%. Significant immediate maternal outcomes were placenta abruption which was higher among women with thrombocytopenia (44.3%) than those with no thrombocytopenia (2.2%; p<0.001) and postpartum haemorrhage which was higher among those with thrombocytopenia (45.9%) than those with no thrombocytopenia (6.8%; p<0.001).Conclusions: Thrombocytopenia is a serious obstetric issue worth paying extra attention at this facility.

so as to guide the health-care providers in early identification of the patients at risk for timely intervention. Patients and Methods: A three-year prospective cohort study was conducted between March 2017 and March 2020. A cohort of 178 women diagnosed with preeclampsia at the hypertension unit of Carlos Manuel de Cèspedes Teaching Hospital were recruited. Interviewer administered questionnaires and laboratory and ultrasound scan result forms were used to collect the data. Binary logistic regression was conducted to determine the predictors. All data analyses were conducted using STATA version 14.2. Results: Forty-five (27.8%) of the studied 162 patients were still hypertensive at 12 weeks postpartum. Maternal age of 35 years or more (aRR=1.14,95% CI:1.131-4.847, p=0.022), early onset preeclampsia (before 34 weeks of gestation) (aRR=7.93, 95% CI:1.812-34.684, p=0.006), and elevated serum creatinine levels of more than 0.8mg/dl (aRR=1.35, 95% CI:1.241-3.606, p=0.032) were the independent predictors of persisting hypertension at 12 weeks postpartum. Conclusion: Recognition of these predictors and close follow-up of patients with preeclampsia will improve the ability to diagnose and monitor women likely to develop persisting hypertension before its onset for timely interventions.

Background: Conjoined twins have invariably been a subject of revulsion among many societies across the world despite the fact that they can be diagnosed early in pregnancy and optimal obstetric management instituted accordingly. Case Presentation: We present a case of a prenatally undiagnosed derodidymus (dicephalous diauchenos) twins, an extremely unusual variant of conjoined twins. The case was such a petrifying unanticipated phenomenon to both the parents and medical staff. Conclusion: Routine prenatal ultrasonograhy and careful prenatal screening must be strongly emphasized if we are to minimize such perinatal mysteries.

<p class="abstract"><strong>Background:</strong> Anemia remains a serious health burden all over the world, more so among pregnant women. A lot of morbidity and mortality has been attributed to anemia in pregnancy. The problem is even much bigger among special groups of pregnant women such as the teenagers. The common morphologic type of this obstetric complication however remains a mystery among several populations across the world.</p><p class="abstract"><strong>Methods:</strong> We carried out a cross-sectional study for three months; between August 2021 and October 2021. A total of 288 pregnant teenagers aged between 13 and 19 years attending antenatal care at Hoima Regional Referral Hospital (HRRH) in western Uganda were consecutively enrolled. Short interviewer-administered questionnaires and laboratory report forms were used to obtain data. Descriptive statistics using SPSS version 23 was applied to present the data.   </p><p class="abstract"><strong>Results:</strong> 75 (26%) out of the 288 pregnant teenagers had anemia. Majority 40 (53.3%) had microcytic anemia, followed by normocytic anemia 25 (33.3%) while 10 (13.3%) had macrocytic anemia.</p><p class="abstract"><strong>Conclusions:</strong> Microcytic anemia remains the most common morphological type affecting pregnant teenagers at HRRH, western Uganda.</p>