Open Access Original Research Article

Is Caesarean Delivery Safe? Experience from a Low Resource Setting

Ngozi C. Orazulike, Justina O. Alegbeleye, Rosemary N. Ogu, Samuel A. Uzoigwe

Asian Journal of Medicine and Health, Page 1-7
DOI: 10.9734/AJMAH/2017/32161

Objective: In Nigeria, women abhor caesarean delivery because of perceived complications arising from it. We compared the maternal morbidity and mortality associated with caesarean and vaginal deliveries in Port Harcourt, Nigeria to ascertain the safety of caesarean delivery.

Materials and Methods: This was a prospective study of 1000 consecutive caesarean deliveries at the University of Port Harcourt Teaching Hospital, Nigeria over a one-year period. The control group consisted of women matched for age and parity who had spontaneous vaginal delivery after the subject that had caesarean delivery. Information from the case notes was extracted onto a proforma completed by the doctor after delivery. Descriptive and comparative analysis of data generated was done using Epi Info Version 6.04d. Chi-squared test was used to evaluate differences in the morbidity and mortality rates between the two groups.

Results: The caesarean delivery (CD) rate over the study period was 33.1%. Morbidity pattern was similar in both groups in terms of puerperal sepsis (1.1% from CD versus 1.3% from vaginal delivery [VD]) and post-partum haemorrhage (0.6% from CD versus 1.7% from VD). Six maternal deaths occurred among women who had CD, five of which were in those who had emergency CD while five maternal deaths occurred among women who had vaginal delivery. The difference was not statistically significant (p > 0.05).

Conclusion: There was no significant difference in terms of morbidity and mortality between caesarean and vaginal delivery in our tertiary institution. Women in low resource countries should be counseled appropriately so that their aversion towards caesarean delivery will be minimized.

 

Open Access Original Research Article

Knowledge of Prevention of Mother-to-Child Transmission of HIV and Its Uptake among Antenatal Care Attendees in a Tertiary Hospital in Abakaliki, Nigeria

N. C. Eze, A. A. Aliyu

Asian Journal of Medicine and Health, Page 1-8
DOI: 10.9734/AJMAH/2017/31429

Background: Human immunodeficiency virus (HIV) is one of the leading causes of significant mortality among children especially in Africa. Mother-to-child Transmission can occur during pregnancy, labor or delivery and breastfeeding. Prevention of mother-to-child transmission (PMTCT) programme aims at prevention of HIV transmission from infected pregnant woman to her unborn/newborn baby (vertical transmission).

Objective: To assess knowledge of PMTCT and its’ uptake among antenatal care (ANC) attendees in Federal Teaching Hospital Abakaliki, Nigeria.

Methods: A descriptive cross-sectional study conducted among 400 women attending antenatal care clinic (ANC) in Abakaliki using a systematic sampling technique. The clients were interviewed using a pre tested semi-structured interviewer administered questionnaire. Knowledge of PMTCT was assessed by the proportion of respondents who answered correctly knowledge questions. Uptake of PMTCT services was assessed by the proportion of respondents who were counseled and tested for HIV in the index pregnancy and respondents’ adoption of infant feeding options and use of ARV. 

Results: The mean age of respondents was 28±9 years. The majority (97%) of the respondents were married and had formal education. All the respondents (100%) were aware of HIV/AIDS with 84% good knowledge of PMTCT. Uptake of PMTCT of HIV was significantly associated with respondent’s educational status. Majority of respondents (96%) were willing to undergo HIV testing in the current pregnancy and 89.5% were unwilling to breastfeed if found HIV positive but chose exclusive replacement feeding. Uptake of breastfeeding option was significantly associated with respondent’s educational level (p<0.01). Ninety seven percent of respondents were willing to use ARV if found positive. Sero-prevalence rate among respondents was 1.8%.

Conclusion: Knowledge of PMTCT of HIV among respondents was high. Uptake of breastfeeding option was statistically significant with level of education.

Recommendation: There is need for sustained public awareness creation on PMTCT services available in our health institutions.

 

Open Access Original Research Article

Knowledge, Perception and Misconceptions on Family Planning among Women Living in an Urban Slum in Enugu, Enugu State, Nigeria

Elias Chikee Aniwada, Oduegwu Azuka James, Odoh Lynda Uchenna, Odonoekuma Onyebuchi Ekuma, Ofoegbu Frances Kelechi

Asian Journal of Medicine and Health, Page 1-10
DOI: 10.9734/AJMAH/2017/32301

Introduction: Family planning is a vital and integral component of primary health care which aims at promoting responsible parenthood, controlling population and improving the quality of life of people. It has a major role to play globally in challenges of rapid population growth. This study aimed to identify knowledge gaps, perceptions and misconceptions on family planning. 

Methodology: This was descriptive cross sectional study using pretested, interviewer administered questionnaire. It was community based involving house to house visit. Due to the scattered nature of the houses, the researcher roughly grouped the area into zones to ensure approximately equal representation then proportionately respondents were recruited consecutively. Chi square test was used to assess associations between socio-demographics characteristics and ever heard of family planning while binary logistic regression was further used to establish associated factors.  The level of significance was at p ≤ 0.05.

Results: A total of 281 women of reproductive age (15-49) were studied. About 91.1% of respondents have heard of family planning, 69.4% heard of it from their friends/relatives. Condom (81.5%) was the commonest method of contraceptive they knew about.  Also 85% believe that family planning was important and 79% stated that it helps one to have the desired number of children while 44 % of them stated that it predisposes one to infertility. Educational level was the only identified predictor (secondary education AOR 0.33; tertiary education AOR 0.16).

Conclusion: High proportions of respondents from this study were aware of family planning and believe that it is important. However, a small proportion agrees to the negative effects. Understanding the myths and misconceptions about family planning will greatly influence the knowledge and perceptions as well as bring about behavioral change on family planning with increased uptake. Their education though good still needed improvement since it is a key determinant. 

 

Open Access Original Research Article

Seroprevalence and Risk of Toxoplasma gondii Infection among Pregnant Women at Federal Teaching Hospital Gombe, Nigeria

F. M. Ballah, B. V. Maikai, A. A. Magaji, A. B. Shuaibu, A. U. El-Nafaty, Y. T. Sambo, A. A. Auwal, H. U. Faruk, F. Suleiman

Asian Journal of Medicine and Health, Page 1-5
DOI: 10.9734/AJMAH/2017/31528

Numerous studies have been published on Toxoplasma gondii infection, but no studies have been conducted on toxoplasmosis in the study area. Blood samples were obtained from pregnant women and sera were assayed using Toxoplasma kit (ToxG-046) and 112 out of the 400 women were positive with an overall prevalence of 28%. The highest prevalence was recorded among those in second trimester 57(33.5%), those within the age group of 0-19 years (<20 years) 74(52.86%) and also those that owned cats 50(55.6%). There was a significant association between the prevalence of T. gondii antibodies (IgG) with trimester, age and cat ownership.

Open Access Case Study

Primary Mucinous Carcinoma of the Skin: Report of a Rare Case and Review of the Literature

Mansour Moghimi, Sogol Ale Saeidi, Mojtaba Babaei Zarch, Mohammad Baghi Yazdi, Hamideh Mihanpour

Asian Journal of Medicine and Health, Page 1-4
DOI: 10.9734/AJMAH/2017/29995

Primary mucinous carcinoma (PMC) of the skin is a rare neoplasm derived from the sweat glands. It usually occurs in the head and neck region, in which the eyelids are the most common sites of involvement. Herein, we report a primary mucinous carcinoma of the skin in a 66-year-old female. Mass excisional biopsy confirmed "mucinous carcinoma" of the skin as the diagnosis. A full oncological screening excluded the presence of primary mucinous carcinoma elsewhere and any metastatic spread. The final diagnosis was "primary cutaneous mucinous carcinoma". The patient underwent radiation therapy after surgery. This case emphasizes the importance of considering this tumor in scalp lesions and highlights the pathology of this tumor.