Acute pancreatitis in pregnancy is usually diagnosed in its early stages. Reported is a case where an ultrasound finding of enlarged pancreas led to the diagnosis and management.
妊娠期急性胰腺炎通常在早期阶段被诊断出来。报告一例超声发现胰腺肿大导致诊断和处理。
{"title":"Acute Pancreatitis in the Pregnant","authors":"P. Kushtagi, P. Adiga, S. Benjamin, P. Bhat","doi":"10.5580/d33","DOIUrl":"https://doi.org/10.5580/d33","url":null,"abstract":"Acute pancreatitis in pregnancy is usually diagnosed in its early stages. Reported is a case where an ultrasound finding of enlarged pancreas led to the diagnosis and management.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127645575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Genital warts are commonly sexually transmitted infection in adults and adolescent. Anogenital warts in children are commonly associated to child sexual abuse, however the transmission in none sexually active individual remain unclear. A 14 year old female, HIV positive who was not sexually active presented with genital swelling which was diagnosed as condyloma acuminata. Cauterization was done with unremarkable post-operative recovery. No recurrence was noted after 3 months of follow-up. Late presentation of vertical HPV (Human papilloma virus) infection among HIV teenagers is possible and clinicians should carefully approach children with condyloma acuminata and try to establish the mode of transmission.
{"title":"GENITAL WARTS IN NON-SEXUALLY ACTIVE TEENAGE: A CASE REPORT","authors":"A. Massinde, S. Mshana","doi":"10.5580/2116","DOIUrl":"https://doi.org/10.5580/2116","url":null,"abstract":"Genital warts are commonly sexually transmitted infection in adults and adolescent. Anogenital warts in children are commonly associated to child sexual abuse, however the transmission in none sexually active individual remain unclear. A 14 year old female, HIV positive who was not sexually active presented with genital swelling which was diagnosed as condyloma acuminata. Cauterization was done with unremarkable post-operative recovery. No recurrence was noted after 3 months of follow-up. Late presentation of vertical HPV (Human papilloma virus) infection among HIV teenagers is possible and clinicians should carefully approach children with condyloma acuminata and try to establish the mode of transmission.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"158 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124422560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2009-12-31DOI: 10.1016/j.jri.2010.06.146
Z. Nwosu, M. Omabe
{"title":"Maternal and Fetal Consequences of Preeclampsia","authors":"Z. Nwosu, M. Omabe","doi":"10.1016/j.jri.2010.06.146","DOIUrl":"https://doi.org/10.1016/j.jri.2010.06.146","url":null,"abstract":"","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"410 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116932116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aortic stenosis is uncommon during pregnancy as most patients with bicuspid valves who develop stenosis do so after the age of 50-60 yrs. Contrary to this majority of pregnant women who develop aortic stenosis have congenital stenotic valves as rheumatic disease most often affects mitral valve first and later aortic and other valves. The maternal as well as perinatal mortality are reported to be high,17.4% and 31.6% respectively. The management policies vary as the condition is uncommon and there is some evidence that aortic valve replacement during pregnancy results in good maternal and perinatal outcome. Here we report a case severe aortic stenosis which resulted in maternal death due to lack of consensus regarding management.
{"title":"Maternal Mortality In Aortic Stenosis: Case Report With Review Of Literature","authors":"D. Maurya, P. Dasari, P. Pallavi","doi":"10.5580/2ed","DOIUrl":"https://doi.org/10.5580/2ed","url":null,"abstract":"Aortic stenosis is uncommon during pregnancy as most patients with bicuspid valves who develop stenosis do so after the age of 50-60 yrs. Contrary to this majority of pregnant women who develop aortic stenosis have congenital stenotic valves as rheumatic disease most often affects mitral valve first and later aortic and other valves. The maternal as well as perinatal mortality are reported to be high,17.4% and 31.6% respectively. The management policies vary as the condition is uncommon and there is some evidence that aortic valve replacement during pregnancy results in good maternal and perinatal outcome. Here we report a case severe aortic stenosis which resulted in maternal death due to lack of consensus regarding management.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115027358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Service utilization in the two government-owned family planning clinics in Enugu has been low. It is not known whether this represents a true decline in family planning practice or clients preference for private family planning service providers. A crosssectional survey of all the 266 registered private hospitals, clinics and maternity centres in Enugu was conducted to determine the availability of privately-owned family planning services as well as the trends of family planning service utilization in such health facilities. 31 out of the 266 private health facilities (i.e. 11.7%) were offering family planning services. 27 (87.1%) facilities reported increasing trends in service utilization while 4 (12.9%) facilities reported no change in trends. No facility reported a falling trend. The major factors reported to be responsible for the rising trends were; increased mass media enlightenment (67.7%), economic realities of large families (58%), and better accessibility to family planning services (54.8%).The rising trend in service utilization in most of the private family planning clinics in Enugu suggests that clients prefer private family planning services which might explains the declining patronage of public FP clinics.
{"title":"Privately-Owned Family Planning Services In Enugu Nigeria: Availability And Trends In Service Utilization","authors":"P. Nkwo","doi":"10.5580/264e","DOIUrl":"https://doi.org/10.5580/264e","url":null,"abstract":"Service utilization in the two government-owned family planning clinics in Enugu has been low. It is not known whether this represents a true decline in family planning practice or clients preference for private family planning service providers. A crosssectional survey of all the 266 registered private hospitals, clinics and maternity centres in Enugu was conducted to determine the availability of privately-owned family planning services as well as the trends of family planning service utilization in such health facilities. 31 out of the 266 private health facilities (i.e. 11.7%) were offering family planning services. 27 (87.1%) facilities reported increasing trends in service utilization while 4 (12.9%) facilities reported no change in trends. No facility reported a falling trend. The major factors reported to be responsible for the rising trends were; increased mass media enlightenment (67.7%), economic realities of large families (58%), and better accessibility to family planning services (54.8%).The rising trend in service utilization in most of the private family planning clinics in Enugu suggests that clients prefer private family planning services which might explains the declining patronage of public FP clinics.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"107 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128582967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Sayasneh, H. Muppala, J. Rafi, W. Hassan, M. Hanson
The objective of this study is to know the maternal and neonatal morbidity, along withcharacteristics affecting the success of trial of operative vaginal delivery (TOVD) intheatre. This is a retrospective study of TOVD in theatre. There were 196 cases ofTOVD in theatre out of 2945 deliveries during the period of study with a total failurerate of 25.5% for all instruments used. Caesarean section and sequential instrumentaldeliveries were associated with more major complications than Neville-Barnesforceps and Kiwi ventouse cup but none with Moolgaoker and Kielland rotationalforceps deliveries. However, the numbers may be small to make a conclusion that Moolgaoker and Kielland rotational forceps had the lowest failure rate (1/16 or 6%). Non-occipitoanterior positions significantly increased the incidence of TOVD (p 0.05, no significant difference). Table 2 illustrates the major complications in 89 parturient’s and 93 babies who had TOVD and in whom notes could be reviewed. Figure 2 Table 2: Illustrate major complications with various TOVDs ANOVA for four independent samples (Table 3) to compare different fetal blood sampling results between: Kiellands, Moolgaoker, sequential instrumental delivery and CS showed that no significant difference in umbilical cord arterial or venous pH between groups (Two tailed p value is 0.07) Figure 3 Table 3: Fetal blood samples for different modes of deliveries in the study: Kiellands, Moolgaoker, sequential instrumental delivery and CS. Moolgaoker and Kielland rotational forceps had lower failure rate (6%), compared to NBF (12.5%), Kiwi (39.2%), and Sequential instrumental delivery (29.3%). ANOVA analysis between the different means has shown significant longer hospital stay for sequential instrumental deliveries and CS (p = 0.017), with an average stay of 3.88 and 5.23 days respectively. DISCUSSION There are no absolute criteria for a TOVD in theatre [3] but the RCOG [1] has suggested that higher failure rates are associated with: 1. Maternal body mass index greater than 30 2. Estimated fetal weight greater than 4000 g or a clinically big baby 3. Occipito-posterior position 4. Mid-cavity delivery or when 1/5 head palpable per abdomen. It had been reported earlier that between 2% to 5% of all instrumental deliveries are undertaken in theatre with preparations made for immediate caesarean section [4, 5]. Patients need to be reassessed again in theatre under regional analgesia and a final decision made regarding the mode of delivery and the appropriate selection of instrument. Failure rates of OVD range from 16% to 20% cases [6, 7]. The failure rate in our study was at 25.5% and that the TOVD with Kiwi has had the lowest success rate between instruments (Failure rate of 39.2%). The experience of the surgeon affects the outcome of OVD, but it is difficult to compare the success rates for different Maternal and neonatal outcome with trial of operative vaginal delivery (TOVD) in theatre 3 of 4 surgeons as they use differ
{"title":"Maternal and neonatal outcome with trial of operative vaginal delivery (TOVD) in theatre","authors":"A. Sayasneh, H. Muppala, J. Rafi, W. Hassan, M. Hanson","doi":"10.5580/1ff9","DOIUrl":"https://doi.org/10.5580/1ff9","url":null,"abstract":"The objective of this study is to know the maternal and neonatal morbidity, along withcharacteristics affecting the success of trial of operative vaginal delivery (TOVD) intheatre. This is a retrospective study of TOVD in theatre. There were 196 cases ofTOVD in theatre out of 2945 deliveries during the period of study with a total failurerate of 25.5% for all instruments used. Caesarean section and sequential instrumentaldeliveries were associated with more major complications than Neville-Barnesforceps and Kiwi ventouse cup but none with Moolgaoker and Kielland rotationalforceps deliveries. However, the numbers may be small to make a conclusion that Moolgaoker and Kielland rotational forceps had the lowest failure rate (1/16 or 6%). Non-occipitoanterior positions significantly increased the incidence of TOVD (p 0.05, no significant difference). Table 2 illustrates the major complications in 89 parturient’s and 93 babies who had TOVD and in whom notes could be reviewed. Figure 2 Table 2: Illustrate major complications with various TOVDs ANOVA for four independent samples (Table 3) to compare different fetal blood sampling results between: Kiellands, Moolgaoker, sequential instrumental delivery and CS showed that no significant difference in umbilical cord arterial or venous pH between groups (Two tailed p value is 0.07) Figure 3 Table 3: Fetal blood samples for different modes of deliveries in the study: Kiellands, Moolgaoker, sequential instrumental delivery and CS. Moolgaoker and Kielland rotational forceps had lower failure rate (6%), compared to NBF (12.5%), Kiwi (39.2%), and Sequential instrumental delivery (29.3%). ANOVA analysis between the different means has shown significant longer hospital stay for sequential instrumental deliveries and CS (p = 0.017), with an average stay of 3.88 and 5.23 days respectively. DISCUSSION There are no absolute criteria for a TOVD in theatre [3] but the RCOG [1] has suggested that higher failure rates are associated with: 1. Maternal body mass index greater than 30 2. Estimated fetal weight greater than 4000 g or a clinically big baby 3. Occipito-posterior position 4. Mid-cavity delivery or when 1/5 head palpable per abdomen. It had been reported earlier that between 2% to 5% of all instrumental deliveries are undertaken in theatre with preparations made for immediate caesarean section [4, 5]. Patients need to be reassessed again in theatre under regional analgesia and a final decision made regarding the mode of delivery and the appropriate selection of instrument. Failure rates of OVD range from 16% to 20% cases [6, 7]. The failure rate in our study was at 25.5% and that the TOVD with Kiwi has had the lowest success rate between instruments (Failure rate of 39.2%). The experience of the surgeon affects the outcome of OVD, but it is difficult to compare the success rates for different Maternal and neonatal outcome with trial of operative vaginal delivery (TOVD) in theatre 3 of 4 surgeons as they use differ","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128595216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Sexuality in pregnancy is extensively investigated in European, American and some eastern Asian countries but not well studied in some Middle East countries like Iran. The aim of this study was to determine the pattern of sexuality in a given Iranian population and to investigate possible association between sexual activity pattern during pregnancy and some maternity and fetal health outcomes. Methods: In this pregnancy cohort study, 74 pregnant women receiving prenatal care form Asadabadi and Alzahra university hospital prenatal care units were enrolled. They were studied for their sexuality in pregnancy, their attitudes toward it and effect of birth-week intercourse on maternity and child health. Results: Having an intercourse during the last week of pregnancy was observed in 24.3 percent of women with a mean of 1.4 times among these subjects. Cumulative number of previous intercourses, intercourse at a prior week and husband educational level were the three independent predictors of having intercourse birth week in multivariate regression analysis. Although women with lower educational level and women who had higher satisfaction score during the previous intercourse showed higher percentage of birth-week intercourse, but the results were not statistically significant in multivariate analysis. Desire for and satisfaction of sexual intercourse had less trend variation throughout the pregnancy. Having more than two intercourses during the birth week significantly increased the chance of developing prom(P<0.01). Having Apgar score equal to seven versus higher Apgar scores was significantly more likely among women with more than one intercourse during the birth-week. Conclusion: The results of this study confirmed the existence of a behavioral dichotomy in sexuality during pregnancy in an Iranian population: One substantially conservative behavior and one relatively non-cautious sexual behavior.
{"title":"Behavioral Dichotomy In Sexuality During Pregnancy And Effect Of Birth-Week Intercourse On Pregnancy Outcomes In An Iranian Population.","authors":"Fatemeh Abasalizadeh, S. Abasalizadeh","doi":"10.5580/5d1","DOIUrl":"https://doi.org/10.5580/5d1","url":null,"abstract":"Background: Sexuality in pregnancy is extensively investigated in European, American and some eastern Asian countries but not well studied in some Middle East countries like Iran. The aim of this study was to determine the pattern of sexuality in a given Iranian population and to investigate possible association between sexual activity pattern during pregnancy and some maternity and fetal health outcomes. Methods: In this pregnancy cohort study, 74 pregnant women receiving prenatal care form Asadabadi and Alzahra university hospital prenatal care units were enrolled. They were studied for their sexuality in pregnancy, their attitudes toward it and effect of birth-week intercourse on maternity and child health. Results: Having an intercourse during the last week of pregnancy was observed in 24.3 percent of women with a mean of 1.4 times among these subjects. Cumulative number of previous intercourses, intercourse at a prior week and husband educational level were the three independent predictors of having intercourse birth week in multivariate regression analysis. Although women with lower educational level and women who had higher satisfaction score during the previous intercourse showed higher percentage of birth-week intercourse, but the results were not statistically significant in multivariate analysis. Desire for and satisfaction of sexual intercourse had less trend variation throughout the pregnancy. Having more than two intercourses during the birth week significantly increased the chance of developing prom(P<0.01). Having Apgar score equal to seven versus higher Apgar scores was significantly more likely among women with more than one intercourse during the birth-week. Conclusion: The results of this study confirmed the existence of a behavioral dichotomy in sexuality during pregnancy in an Iranian population: One substantially conservative behavior and one relatively non-cautious sexual behavior.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129657439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Menopause is associated with various hormonal changes, including androgen deficiency. This review discusses the place of androgen therapy in the management of menopause, including the pitfalls in diagnosis, the confusion surrounding androgen prescription, and the reasons behind this controversy. HORMONAL CHANGES IN MENOPAUSE Menopause is associated with a variety of endocrine changes (1). These lead to a reduction in sexuality and well-being (2). The changes include: Decline in growth hormone. This begins prior to 1. ovarian failure, and is a normal part of life. It is accelerated during peri-menopause, and itself may accelerate ovarian failure. Fibrosis of thyroid gland, and a decline in serum 2. T3 of 25% to 40%, though most post menopausal women remain clinically euthyroid. Reduction in estrogen levels, with the predominant 3. estrogen being the less potent estrone, derived from peripheral conversion of androstenedione in the liver, fat and some hypothalamic nuclei. Fall in serum DHEA and DHEAS levels, which are 4. greater in women than men, and may be due to the relative estrogen deprivation. Decline in androgen production. The production of 5. the predominant androgen, androstenedione, declines from 1500 to 800pg/ml, with only 20% being contributed by the ovary in post menopausal women. Post menopausal testosterone levels are also lower 6. than those in premenopausal women, with the decline beginning around age 30.Testosterone levels at age 40 are half those at age 21. At menopause, a 15% decline occurs in testosterone and androstenedione. Dihydrotestosterone, the most potent of 7. endogenous androgens, decreases by 44% between the third and eighth decade. This decline is associated with reductions in metabolic concentrations.
{"title":"Androgen Co-therapy In Menopause","authors":"S. Kalra, B. Kalra","doi":"10.5580/bc9","DOIUrl":"https://doi.org/10.5580/bc9","url":null,"abstract":"Menopause is associated with various hormonal changes, including androgen deficiency. This review discusses the place of androgen therapy in the management of menopause, including the pitfalls in diagnosis, the confusion surrounding androgen prescription, and the reasons behind this controversy. HORMONAL CHANGES IN MENOPAUSE Menopause is associated with a variety of endocrine changes (1). These lead to a reduction in sexuality and well-being (2). The changes include: Decline in growth hormone. This begins prior to 1. ovarian failure, and is a normal part of life. It is accelerated during peri-menopause, and itself may accelerate ovarian failure. Fibrosis of thyroid gland, and a decline in serum 2. T3 of 25% to 40%, though most post menopausal women remain clinically euthyroid. Reduction in estrogen levels, with the predominant 3. estrogen being the less potent estrone, derived from peripheral conversion of androstenedione in the liver, fat and some hypothalamic nuclei. Fall in serum DHEA and DHEAS levels, which are 4. greater in women than men, and may be due to the relative estrogen deprivation. Decline in androgen production. The production of 5. the predominant androgen, androstenedione, declines from 1500 to 800pg/ml, with only 20% being contributed by the ovary in post menopausal women. Post menopausal testosterone levels are also lower 6. than those in premenopausal women, with the decline beginning around age 30.Testosterone levels at age 40 are half those at age 21. At menopause, a 15% decline occurs in testosterone and androstenedione. Dihydrotestosterone, the most potent of 7. endogenous androgens, decreases by 44% between the third and eighth decade. This decline is associated with reductions in metabolic concentrations.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"164 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116294199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rabia Khurshid, K. Fatima, S. Parveen, I. Shamas, Raja Salman
The mean duration of the third stage of labour from the injection of the oxytocic to the expulsion of the placenta was significantly shorter in Group I (4.3±1.2 minutes) as compared to that in Group II (6.3±1.4 minutes) (P = 0.000). The mean blood loss was also significantly less in the study group (63.6±10.1 ml versus 83.6±14.1 ml, P = 0.000). The only side effects were nausea and vomiting in two women in Group I.
第三产程从注射催产素到排出胎盘的平均时间I组(4.3±1.2分钟)明显短于II组(6.3±1.4分钟)(P = 0.000)。研究组的平均失血量也显著减少(63.6±10.1 ml vs 83.6±14.1 ml, P = 0.000)。唯一的副作用是第一组有两名妇女恶心和呕吐。
{"title":"A Comparison Between Intramuscular PGF2 a125 mG And Intravenous Methyl Ergometrine 0.2 Mg In The Active Management Of Third Stage Labor","authors":"Rabia Khurshid, K. Fatima, S. Parveen, I. Shamas, Raja Salman","doi":"10.5580/efc","DOIUrl":"https://doi.org/10.5580/efc","url":null,"abstract":"The mean duration of the third stage of labour from the injection of the oxytocic to the expulsion of the placenta was significantly shorter in Group I (4.3±1.2 minutes) as compared to that in Group II (6.3±1.4 minutes) (P = 0.000). The mean blood loss was also significantly less in the study group (63.6±10.1 ml versus 83.6±14.1 ml, P = 0.000). The only side effects were nausea and vomiting in two women in Group I.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126537156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A cross-sectional survey of non-Catholic Christian religious leaders was conducted in order to determine the awareness, practice and attitude to family planning amongst Christian religious leaders in Enugu, Eastern Nigeria. 303 respondents were recruited through a stratified random sampling technique. The mean age of respondents was 44±4 years. Every respondent was aware of at least one family planning method. Knowledge of the methods were: calendar method (45.9%), withdrawal (40.3%), condom (39.6%), (IUCD) (36.6%) and periodic sexual abstinence (28.7%). The main sources of information on family planning were health workers (46.9%), mass media (29.0%) and friends (12.5%). All respondents at risk of unwanted pregnancy were practicing some forms of family planning. The methods commonly practiced were withdrawal (28.7%), IUCD (26.2%), calendar (25.6%), condom (11.6%) and Billing’s method (7.3%). 124 (41%) respondents had ever recommended family planning to members of their congregations or groups; none ever discouraged its practice. The high rates of awareness, practice and favourable attitude to family planning existing amongst the Christian religious leaders in Enugu, offer opportunities for a partnership between family planning service providers and the religious leaders such that contraceptive information could be disseminated through the churches.
{"title":"Partnering With Christian Religious Leaders To Increase Contraceptive Coverage: A Viable Option In Enugu Nigeria","authors":"P. Nkwo","doi":"10.5580/42e","DOIUrl":"https://doi.org/10.5580/42e","url":null,"abstract":"A cross-sectional survey of non-Catholic Christian religious leaders was conducted in order to determine the awareness, practice and attitude to family planning amongst Christian religious leaders in Enugu, Eastern Nigeria. 303 respondents were recruited through a stratified random sampling technique. The mean age of respondents was 44±4 years. Every respondent was aware of at least one family planning method. Knowledge of the methods were: calendar method (45.9%), withdrawal (40.3%), condom (39.6%), (IUCD) (36.6%) and periodic sexual abstinence (28.7%). The main sources of information on family planning were health workers (46.9%), mass media (29.0%) and friends (12.5%). All respondents at risk of unwanted pregnancy were practicing some forms of family planning. The methods commonly practiced were withdrawal (28.7%), IUCD (26.2%), calendar (25.6%), condom (11.6%) and Billing’s method (7.3%). 124 (41%) respondents had ever recommended family planning to members of their congregations or groups; none ever discouraged its practice. The high rates of awareness, practice and favourable attitude to family planning existing amongst the Christian religious leaders in Enugu, offer opportunities for a partnership between family planning service providers and the religious leaders such that contraceptive information could be disseminated through the churches.","PeriodicalId":158103,"journal":{"name":"The Internet journal of gynecology and obstetrics","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131955387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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