Background: Obstructed labour is associated with significant maternal and perinatal morbidity and mortality. Objective: To determine the incidence of obstructed labour and its maternal and perinatal outcomes. Materials and Methods: This retrospective survey was carried out between 1st January, 2016 and 31st December, 2020. Data were retrieved, entered into a pre-designed proforma, and analysed using IBM SPSS version 23.0. Results were presented in frequencies and percentages. Results: The case incidence of obstructed labour from this study was 1.1%. Unbooked status and nulliparity featured prominently in the demographics of the women. The commonest cause of obstructed labour was cephalopelvic disproportion (84.6%). Of all the women, 76.9% were referred from traditional birth attendant's homes. There was a case of maternal mortality. Conclusion:In view of the significant maternal and perinatal morbidity and mortality observed in our study, the approach to this scourge of obstructed labour should be directed towards prevention.
Background: Suicidality is a broad term that encompasses suicidal ideation, suicide plans and suicide attempts. Suicide cuts across all age groups however the young adulthood phase is a critical time for the onset of suicidal behaviours. Often suicide is underreported because of the shame, as such it is a neglected public health problem in our environment. This study seeks to describe the pattern of suicidality and reported health seeking behaviour amongst young people in Bayelsa State.Methods: A descriptive cross-sectional study conducted in the national youth service corps orientation camp, Bayelsa amongst 387 corps members. With the aid of an electronic, self-administered questionnaire adapted from the WHO STEPwise manual on non-communicable diseases; information on socio demographic features, suicide ideation, plan and attempt were obtained. Data was analysed using IBM SPSS version 25.0.Results: The mean age was 25.37 (SD±2.38) years. Most participants were males (58.9%) and single (95.3%). Prevalence of suicidal ideation, plans and attempts was 7.5%, 4.4% and 3.1% respectively. Above one third (35.4%) of those who made suicidal plans in the past 12 months, actually attempted suicide, 4.4% and 2.6% of the respondents had a positive family history of suicide attempt and suicide death respectively.Conclusions: Young adults are a critical population for suicidality. Public health awareness on mental health promotion and uptake of mental health service should be encouraged. Decriminalisation of attempted suicide in Nigeria and better surveillance will enable more effective suicide prevention strategies.
Introduction: High fertility, low contraceptive prevalence and poor maternal indices characterize the reproductive history of women in sub-Sahara Africa. In such populations, unmet need for contraception tend to be high; there is a dearth of evidence about the unmet need for family planning in these settings.Objectives: To determine and to compare the unmet need, demand and potential demand met for family planning services (FPS) amongst urban and rural women of Bayelsa State in Southern Nigeria Methods: A community-based cross-sectional study design was used to survey 200 urban and 200 rural currently married or in-union women in April-July 2018. Data were collected using a pretested, structured intervieweradministered questionnaire on unmet need, after written consent was obtained from respondents. Collected data were edited, coded, and entered to IBM Statistical Package for Social Sciences (SPSS) version 23.0. Results:The proportion of unmet need was 46.5% (n=93) for urban women compared to 57.5% (n=115) for the rural 2 (χ =4.85; p=0.03). The potential demand for contraception was at 62.5% in the urban and 71.5% for the rural women. The proportion of demand satisfied in the urban areas was 26.4% and 19.6% for the rural women. Conclusions & Recommendations:This study found differences in the level of demand and potential demand met for FPs leading to high unmet need for family planning, between women in urban and rural areas in Bayelsa State. Thus, efforts still need to be intensified in promoting FP programmes as we see that the improvement in uptake with high unmet need, reflects the needs to be met and the readiness of reproductive age women to space or limit childbearing.
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