rose sitonma amah - Academia.edu (original) (raw)
Papers by rose sitonma amah
World journal of advanced pharmaceutical and medical research, Jan 30, 2024
Background: Hepatitis B Viral (HBV) infection is a sexually transmitted infection awareness is ke... more Background: Hepatitis B Viral (HBV) infection is a sexually transmitted infection awareness is key to prevention of the infection. Over half of the teenagers have had sexual intercourse by age 18 years in the United States. Aim: To determine the awareness of HBV infection and the age at coitarche amongst adolescents in Rivers State. Methods: This was study was a 6-week cross-sectional study comprising of 240 female adolescents attending holiday camp meeting in Port Harcourt, Rivers State. The subjects comprised of secondary school students and University undergraduates. The consent for the study was given by the care-giver and permission for the study was obtained from the Director Public Health Rivers State Ministry of Health. Information was collected and analysed using SPSS version 25. Results: The mean age was 15-years. The age range was 10-19 years. The distribution was 10-14 years represented by 51 (21.3%) of the subjects and 15-19 years represented by 189 (78.7%) of the subjects. The educational status comprised of secondary school 153 (64%) while tertiary level of education comprised of 87 (36%) of the subjects. One hundred and twenty-nine (54%) were aware of HBV infection while the mean age at coitarche was 17 years. Conclusion: The study revealed the awareness of HBV infection among female adolescent as 54% while the mean age at coitarche was 17 years. It necessary that adolescents be aware of the dangers of unprotective coitus and contacting HBV infection and the benefits of HBV vaccination.
International journal of reproduction, contraception, obstetrics and gynecology, Feb 27, 2024
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycaemia due to defects ... more Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycaemia due to defects in insulin secretion, action or both. 1 It can be classified into pregestational namely (type I or insulin-dependent and type II or non-insulin-dependent diabetes) and gestational diabetes mellitus (GDM). 2
International journal of clinical obstetrics and gynaecology, 2024
International journal of clinical obstetrics and gynaecology, Aug 31, 2023
Background: Pregnancy beyond 40 weeks is a frequent dilemma faced by obstetricians as the risk to... more Background: Pregnancy beyond 40 weeks is a frequent dilemma faced by obstetricians as the risk to the mother and the fetus increases with advancing gestational age. This risk becomes more evident as the pregnancy goes beyond 42 weeks. Objective: This study aimed to determine the prevalence of postdate pregnancy and to evaluate the maternal and fetal outcomes at a tertiary care hospital. Methods: A retrospective study was conducted over a two-year period from 1 st May 2021 to 30 th April 2023. The study population were women who were delivered after 40 weeks of gestation. Information was extracted from the hospital records using a proforma. Data were analyzed with SPSS for Windows version 23 and presented using frequency tables, as number and percentages. Statistical analysis was performed using the Chi-square test or Fisher's exact test as appropriate, and the level of significance was set at P value of 0.05. Independent variables were analyzed using bivariate analysis, and the variables with an association were fitted into a multivariate logistic regression analysis. Results: The prevalence of postdate pregnancy was 9.0%. Vaginal delivery occurred in 53.2% whereas 46.8% required caesarean delivery, the most common indication being cephalopelvic disproportion 53.1%, and the proportion increased with increase in gestational age. The stillbirth rate was 3.2% and the perinatal asphyxia rate was 7.6%, both increased with increasing gestational age. The gestational age ≥42 weeks was associated with a four-fold increased risk of caesarean delivery and seven-fold increased risk of stillbirth. Conclusion: Postdate pregnancy was significantly associated with poor maternal outcome in the form of increased caesarean delivery rates, primarily due to cephalopelvic disproportion and fetal distress. Perinatal mortality was high, and fetal complications, especially perinatal asphyxia resulted in higher rate of admission to neonatal intensive care unit.
International journal of reproduction, contraception, obstetrics and gynecology, Jan 29, 2024
Background: Preeclampsia is a multisystem disorder causing vascular endothelial damage and leads ... more Background: Preeclampsia is a multisystem disorder causing vascular endothelial damage and leads to leakage of lactate dehydrogenase (LDH) into maternal serum. This study evaluated the serum LDH levels in severe preeclamptic women to detect any correlation with adverse pregnancy outcomes. Methods: A prospective cohort study compared LDH levels of 68 severe preeclamptic women with 68 normotensives in the third trimester, matched for age, parity, and gestational age. The preeclamptic women were followed up until delivery to assess the maternal and neonatal outcomes. Data were analyzed with SPSS for Windows version 23. The level of significance was set at p<0.05. Results: Both groups were comparable in their characteristics. The mean LDH level for severe preeclamptic group (717.40 IU/L) was higher than for the normotensive group (162.90 IU/L) and this was significant (p=0.001). Cesarean delivery was less likely when LDH was >600 compared to ≤600 (OR 0.31; p=0.049) indicating a potential protective effect. The likelihood of IUGR (OR 3.14; p=0.045), IUFD (OR 6.48; p=0.028), stillbirth (OR 7.06 p=0.007), perinatal mortality (OR 4.84; p=0.004) and low birth weight <2500 gm (OR 3.77; p=0.025) were all significantly higher with LDH levels >600 IU/L. Conclusions: Maternal serum LDH levels were found to be significantly increased in pregnant women with severe preeclampsia compared to their normotensive counterparts, and elevated levels >600 IU/L in the third trimester was associated with adverse perinatal outcomes.
World Journal of Advanced Research and Reviews
Background: Labour dystocia is the commonest indication for emergency caesarean section in nullip... more Background: Labour dystocia is the commonest indication for emergency caesarean section in nulliparas, and occurs when the progress of labour is abnormally slow. Labour dystocia may be caused by abnormalities in uterine contractions, slow cervical dilatation, or mechanical disproportion between the foetal presenting part and the maternal pelvis. Augmentation of labour with oxytocin is the traditional management for labour dystocia as it enhances uterine contractions. At times, despite good uterine contractions, dystocia persists due to cervical smooth muscle spasms or mechanical factors, thereby increasing the caesarean section rate. Drotaverine is a musculotropic antispasmodic and can relieve smooth muscle spasms. Aim/objective: This study compared the caesarean section rate in term nulliparas with labour dystocia that were augmented with oxytocin and placebo versus with oxytocin and drotaverine Methods: This study was a single-blinded randomized clinical trial conducted between Ja...
Zenodo (CERN European Organization for Nuclear Research), Jul 30, 2022
Background: Clitoridal cyst is an epidermal inclusion cyst occurring in the region of the clitori... more Background: Clitoridal cyst is an epidermal inclusion cyst occurring in the region of the clitoris. It is a complication of female genital mutilation. It is usually underreported and thus a rare clinical diagnosis. This may be because the cyst is usually asymptomatic and in a concealed location, as well as the proscribed status of female genital mutilation (FGM) in society. This is a case of a 36-year-old multipara with a giant clitoridal cyst following FGM in childhood. Case report: Mrs B.E was a 36-year-old P4+0(all alive) who presented on 18/4/22 with a 10year history of anterior vulval swelling which was progressive and painless. She had female genital mutilation in childhood. Treatment with cyst excision under anaesthesia was done and the postoperative period was satisfactory. Conclusion: The clitoridal cyst is a long term complication of FGM. Women with clitoridal cysts often present late when they can no longer cope with the size of the cyst or when complications have occurred. At this stage treatment may be complicated, hence there is a need to increase public awareness of this condition through reporting, female education and sensitization.
Journal of Obstetrics and Gynaecology, 2016
We reviewed the records of antenatal clinic attendees over a period of 9 years to determine the p... more We reviewed the records of antenatal clinic attendees over a period of 9 years to determine the prevalence of anaemia at booking. The laboratory records of 8751 out of a total of 37,506 pregnant women who booked for antenatal care between 2004 and 2013 at the BMSH were reviewed. The effects of maternal age, educational status, parity, gestational age, haemoglobin genotype and infections on the prevalence of anaemia were investigated. The prevalence of anaemia at booking was 69.6%, most of whom had moderate anaemia. Anaemia was significantly prevalent in the 10–19 year age group, and in women with secondary education, in their 2nd trimester and with SS genotype. Anaemia also increased with gestational age, this however was not statistically significant. There was no statistical difference between those who are human immunodeficiency virus (HIV) positive and had anaemia and those who are HIV negative who also had anaemia. This study shows that anaemia in pregnant women is still unacceptably high considering the consequences and despite interventions on the ground to reduce prevalence. There is a need to review the intervention measures with emphasis on programmes that would increase awareness among pregnant women and the general public.
World Journal of Advanced Research and Reviews
Background: Leiomyoma, also known as uterine fibroid is a benign tumour of the uterus. The size v... more Background: Leiomyoma, also known as uterine fibroid is a benign tumour of the uterus. The size varies from a pin-head to a massive swelling occupying the whole of the abdominal cavity, depending on its site and duration. Huge uterine fibroid coexisting with umbilical hernia have been reported in the global literature. The aim of this report was to highlight a rare presentation of huge uterine fibroid with a large umbilical hernia, as well as the management and achievement of successful outcome, in a tertiary hospital in Port Harcourt, Nigeria. Case Presentation: A 43-year-old nulliparous woman who presented to the Emergency Department with features of intestinal obstruction, complicating a large umbilical hernia coexisting with a longstanding huge uterine fibroid. She had myomectomy and herniorrhaphy done, and the post-operative period was uneventful. Conclusion: This report not only showcases the unusual presentation of huge uterine fibroid with large umbilical hernia, but also hi...
World Journal of Advanced Research and Reviews
Background: Clitoridal cyst is an epidermal inclusion cyst occurring in the region of the clitori... more Background: Clitoridal cyst is an epidermal inclusion cyst occurring in the region of the clitoris. It is a complication of female genital mutilation. It is usually underreported and thus a rare clinical diagnosis. This may be because the cyst is usually asymptomatic and in a concealed location, as well as the proscribed status of female genital mutilation (FGM) in society. This is a case of a 36-year-old multipara with a giant clitoridal cyst following FGM in childhood. Case report: Mrs B.E was a 36-year-old P4+0(all alive) who presented on 18/4/22 with a 10year history of anterior vulval swelling which was progressive and painless. She had female genital mutilation in childhood. Treatment with cyst excision under anaesthesia was done and the postoperative period was satisfactory. Conclusion: The clitoridal cyst is a long term complication of FGM. Women with clitoridal cysts often present late when they can no longer cope with the size of the cyst or when complications have occurre...
International Journal of Clinical Obstetrics and Gynaecology, 2021
Leiomyoma is a benign tumor of the uterus. It typically does not present with weight loss, massiv... more Leiomyoma is a benign tumor of the uterus. It typically does not present with weight loss, massive ascites, gastrointestinal symptoms, elevated CA125, and elevated alpha fetoprotein. This was a rare case of a 48-year-old nullipara, emaciated with grossly distended abdomen, huge abdominal mass corresponding to 36 weeks' gestation, associated anorexia, easy satiety, constipation and vomiting that had TAH and BSO for suspected ovarian malignancy, which histology report revealed leiomyoma. Abdominal ultrasound scan done noted huge right ovarian mass, possibly malignant, with massive ascites. Findings at surgery, revealed a large, firm mass with necrotic patches, attached to the uterine fundus by a thin stalk 5 x 3 cm thick and to the omentum by large dilated blood vessels and adhesions. Mass weighed 5.8 kg. Eleven (11) liters of ascitic fluid was aspirated, sent for cytology and report showed no malignant cells. Histology confirmed a degenerated leiomyoma with no evidence of malignancy. Atypical presentation of leiomyoma can mimic that of malignancy. This knowledge will help Clinicians and Gynaecologists to have a high index of suspicion with such clinical features, in making prompt diagnosis and instituting appropriate management.
Journal of Advances in Medicine and Medical Research
Background: Caesarean section (CS) is a major obstetric surgery done for pregnant women and is li... more Background: Caesarean section (CS) is a major obstetric surgery done for pregnant women and is lifesaving. Aim: The study was aimed at reviewing CS at the Rivers State University Teaching Hospital (RSUTH), to determine the prevalence, trend and indications, for improved management outcomes. Methods: In this cross-sectional study, we reviewed five thousand, five hundred and ninety-eight (5598) cases of caesarean sections (3699 emergency, 1899 planned) managed at the RSUTH from 1st January, 2015 to 31st December, 2019. Data collected were analysed using IBM, Statistical Product and Service Solutions (SPSS), version 25.0 Armonk, New York. Results: There were 13,516 deliveries and 5,598 cases of CS over the review period, giving the prevalence of CS as 41.4% or 414 per 1000 deliveries. Emergency and planned CS cases accounted for 66.1% and 33.9% respectively. An increasing trend of CS was observed over the review period. The mean age ± SD of the participants was 32.30±1.04 years (95%...
New Horizons in Medicine and Medical Research Vol. 9
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2021
Background: Caesarean section (CS) is one of the most common surgical procedure in obstetrics. It... more Background: Caesarean section (CS) is one of the most common surgical procedure in obstetrics. It involves a surgical incision made through the abdominal and uterine walls to deliver the foetus and placenta after the period of foetal viability.Methods: This was a cross-sectional study aimed at reviewing emergency caesarean section in Rivers State University Teaching Hospital (RSUTH) over a 5-year period, to determine the prevalence and sequelae. Data were analysed using IBM Statistical Product and Service Solution (SPSS) version 25.0 (Armonk, NY).Results: During the review period, there were 13516 deliveries and 3699 cases of emergency CS, giving the prevalence of emergency CS as 27.4% or 274 per 1000 deliveries. Majority (90%) of the parturient were unbooked. The most common complication in women that had emergency caesarean section was fever (56.4%), followed by endometritis (14.7%), absconding from hospital (8.8%), urinary tract infection (7.1%) and wound infection (6.1%). There ...
World journal of advanced pharmaceutical and medical research, Jan 30, 2024
Background: Hepatitis B Viral (HBV) infection is a sexually transmitted infection awareness is ke... more Background: Hepatitis B Viral (HBV) infection is a sexually transmitted infection awareness is key to prevention of the infection. Over half of the teenagers have had sexual intercourse by age 18 years in the United States. Aim: To determine the awareness of HBV infection and the age at coitarche amongst adolescents in Rivers State. Methods: This was study was a 6-week cross-sectional study comprising of 240 female adolescents attending holiday camp meeting in Port Harcourt, Rivers State. The subjects comprised of secondary school students and University undergraduates. The consent for the study was given by the care-giver and permission for the study was obtained from the Director Public Health Rivers State Ministry of Health. Information was collected and analysed using SPSS version 25. Results: The mean age was 15-years. The age range was 10-19 years. The distribution was 10-14 years represented by 51 (21.3%) of the subjects and 15-19 years represented by 189 (78.7%) of the subjects. The educational status comprised of secondary school 153 (64%) while tertiary level of education comprised of 87 (36%) of the subjects. One hundred and twenty-nine (54%) were aware of HBV infection while the mean age at coitarche was 17 years. Conclusion: The study revealed the awareness of HBV infection among female adolescent as 54% while the mean age at coitarche was 17 years. It necessary that adolescents be aware of the dangers of unprotective coitus and contacting HBV infection and the benefits of HBV vaccination.
International journal of reproduction, contraception, obstetrics and gynecology, Feb 27, 2024
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycaemia due to defects ... more Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycaemia due to defects in insulin secretion, action or both. 1 It can be classified into pregestational namely (type I or insulin-dependent and type II or non-insulin-dependent diabetes) and gestational diabetes mellitus (GDM). 2
International journal of clinical obstetrics and gynaecology, 2024
International journal of clinical obstetrics and gynaecology, Aug 31, 2023
Background: Pregnancy beyond 40 weeks is a frequent dilemma faced by obstetricians as the risk to... more Background: Pregnancy beyond 40 weeks is a frequent dilemma faced by obstetricians as the risk to the mother and the fetus increases with advancing gestational age. This risk becomes more evident as the pregnancy goes beyond 42 weeks. Objective: This study aimed to determine the prevalence of postdate pregnancy and to evaluate the maternal and fetal outcomes at a tertiary care hospital. Methods: A retrospective study was conducted over a two-year period from 1 st May 2021 to 30 th April 2023. The study population were women who were delivered after 40 weeks of gestation. Information was extracted from the hospital records using a proforma. Data were analyzed with SPSS for Windows version 23 and presented using frequency tables, as number and percentages. Statistical analysis was performed using the Chi-square test or Fisher's exact test as appropriate, and the level of significance was set at P value of 0.05. Independent variables were analyzed using bivariate analysis, and the variables with an association were fitted into a multivariate logistic regression analysis. Results: The prevalence of postdate pregnancy was 9.0%. Vaginal delivery occurred in 53.2% whereas 46.8% required caesarean delivery, the most common indication being cephalopelvic disproportion 53.1%, and the proportion increased with increase in gestational age. The stillbirth rate was 3.2% and the perinatal asphyxia rate was 7.6%, both increased with increasing gestational age. The gestational age ≥42 weeks was associated with a four-fold increased risk of caesarean delivery and seven-fold increased risk of stillbirth. Conclusion: Postdate pregnancy was significantly associated with poor maternal outcome in the form of increased caesarean delivery rates, primarily due to cephalopelvic disproportion and fetal distress. Perinatal mortality was high, and fetal complications, especially perinatal asphyxia resulted in higher rate of admission to neonatal intensive care unit.
International journal of reproduction, contraception, obstetrics and gynecology, Jan 29, 2024
Background: Preeclampsia is a multisystem disorder causing vascular endothelial damage and leads ... more Background: Preeclampsia is a multisystem disorder causing vascular endothelial damage and leads to leakage of lactate dehydrogenase (LDH) into maternal serum. This study evaluated the serum LDH levels in severe preeclamptic women to detect any correlation with adverse pregnancy outcomes. Methods: A prospective cohort study compared LDH levels of 68 severe preeclamptic women with 68 normotensives in the third trimester, matched for age, parity, and gestational age. The preeclamptic women were followed up until delivery to assess the maternal and neonatal outcomes. Data were analyzed with SPSS for Windows version 23. The level of significance was set at p<0.05. Results: Both groups were comparable in their characteristics. The mean LDH level for severe preeclamptic group (717.40 IU/L) was higher than for the normotensive group (162.90 IU/L) and this was significant (p=0.001). Cesarean delivery was less likely when LDH was >600 compared to ≤600 (OR 0.31; p=0.049) indicating a potential protective effect. The likelihood of IUGR (OR 3.14; p=0.045), IUFD (OR 6.48; p=0.028), stillbirth (OR 7.06 p=0.007), perinatal mortality (OR 4.84; p=0.004) and low birth weight <2500 gm (OR 3.77; p=0.025) were all significantly higher with LDH levels >600 IU/L. Conclusions: Maternal serum LDH levels were found to be significantly increased in pregnant women with severe preeclampsia compared to their normotensive counterparts, and elevated levels >600 IU/L in the third trimester was associated with adverse perinatal outcomes.
World Journal of Advanced Research and Reviews
Background: Labour dystocia is the commonest indication for emergency caesarean section in nullip... more Background: Labour dystocia is the commonest indication for emergency caesarean section in nulliparas, and occurs when the progress of labour is abnormally slow. Labour dystocia may be caused by abnormalities in uterine contractions, slow cervical dilatation, or mechanical disproportion between the foetal presenting part and the maternal pelvis. Augmentation of labour with oxytocin is the traditional management for labour dystocia as it enhances uterine contractions. At times, despite good uterine contractions, dystocia persists due to cervical smooth muscle spasms or mechanical factors, thereby increasing the caesarean section rate. Drotaverine is a musculotropic antispasmodic and can relieve smooth muscle spasms. Aim/objective: This study compared the caesarean section rate in term nulliparas with labour dystocia that were augmented with oxytocin and placebo versus with oxytocin and drotaverine Methods: This study was a single-blinded randomized clinical trial conducted between Ja...
Zenodo (CERN European Organization for Nuclear Research), Jul 30, 2022
Background: Clitoridal cyst is an epidermal inclusion cyst occurring in the region of the clitori... more Background: Clitoridal cyst is an epidermal inclusion cyst occurring in the region of the clitoris. It is a complication of female genital mutilation. It is usually underreported and thus a rare clinical diagnosis. This may be because the cyst is usually asymptomatic and in a concealed location, as well as the proscribed status of female genital mutilation (FGM) in society. This is a case of a 36-year-old multipara with a giant clitoridal cyst following FGM in childhood. Case report: Mrs B.E was a 36-year-old P4+0(all alive) who presented on 18/4/22 with a 10year history of anterior vulval swelling which was progressive and painless. She had female genital mutilation in childhood. Treatment with cyst excision under anaesthesia was done and the postoperative period was satisfactory. Conclusion: The clitoridal cyst is a long term complication of FGM. Women with clitoridal cysts often present late when they can no longer cope with the size of the cyst or when complications have occurred. At this stage treatment may be complicated, hence there is a need to increase public awareness of this condition through reporting, female education and sensitization.
Journal of Obstetrics and Gynaecology, 2016
We reviewed the records of antenatal clinic attendees over a period of 9 years to determine the p... more We reviewed the records of antenatal clinic attendees over a period of 9 years to determine the prevalence of anaemia at booking. The laboratory records of 8751 out of a total of 37,506 pregnant women who booked for antenatal care between 2004 and 2013 at the BMSH were reviewed. The effects of maternal age, educational status, parity, gestational age, haemoglobin genotype and infections on the prevalence of anaemia were investigated. The prevalence of anaemia at booking was 69.6%, most of whom had moderate anaemia. Anaemia was significantly prevalent in the 10–19 year age group, and in women with secondary education, in their 2nd trimester and with SS genotype. Anaemia also increased with gestational age, this however was not statistically significant. There was no statistical difference between those who are human immunodeficiency virus (HIV) positive and had anaemia and those who are HIV negative who also had anaemia. This study shows that anaemia in pregnant women is still unacceptably high considering the consequences and despite interventions on the ground to reduce prevalence. There is a need to review the intervention measures with emphasis on programmes that would increase awareness among pregnant women and the general public.
World Journal of Advanced Research and Reviews
Background: Leiomyoma, also known as uterine fibroid is a benign tumour of the uterus. The size v... more Background: Leiomyoma, also known as uterine fibroid is a benign tumour of the uterus. The size varies from a pin-head to a massive swelling occupying the whole of the abdominal cavity, depending on its site and duration. Huge uterine fibroid coexisting with umbilical hernia have been reported in the global literature. The aim of this report was to highlight a rare presentation of huge uterine fibroid with a large umbilical hernia, as well as the management and achievement of successful outcome, in a tertiary hospital in Port Harcourt, Nigeria. Case Presentation: A 43-year-old nulliparous woman who presented to the Emergency Department with features of intestinal obstruction, complicating a large umbilical hernia coexisting with a longstanding huge uterine fibroid. She had myomectomy and herniorrhaphy done, and the post-operative period was uneventful. Conclusion: This report not only showcases the unusual presentation of huge uterine fibroid with large umbilical hernia, but also hi...
World Journal of Advanced Research and Reviews
Background: Clitoridal cyst is an epidermal inclusion cyst occurring in the region of the clitori... more Background: Clitoridal cyst is an epidermal inclusion cyst occurring in the region of the clitoris. It is a complication of female genital mutilation. It is usually underreported and thus a rare clinical diagnosis. This may be because the cyst is usually asymptomatic and in a concealed location, as well as the proscribed status of female genital mutilation (FGM) in society. This is a case of a 36-year-old multipara with a giant clitoridal cyst following FGM in childhood. Case report: Mrs B.E was a 36-year-old P4+0(all alive) who presented on 18/4/22 with a 10year history of anterior vulval swelling which was progressive and painless. She had female genital mutilation in childhood. Treatment with cyst excision under anaesthesia was done and the postoperative period was satisfactory. Conclusion: The clitoridal cyst is a long term complication of FGM. Women with clitoridal cysts often present late when they can no longer cope with the size of the cyst or when complications have occurre...
International Journal of Clinical Obstetrics and Gynaecology, 2021
Leiomyoma is a benign tumor of the uterus. It typically does not present with weight loss, massiv... more Leiomyoma is a benign tumor of the uterus. It typically does not present with weight loss, massive ascites, gastrointestinal symptoms, elevated CA125, and elevated alpha fetoprotein. This was a rare case of a 48-year-old nullipara, emaciated with grossly distended abdomen, huge abdominal mass corresponding to 36 weeks' gestation, associated anorexia, easy satiety, constipation and vomiting that had TAH and BSO for suspected ovarian malignancy, which histology report revealed leiomyoma. Abdominal ultrasound scan done noted huge right ovarian mass, possibly malignant, with massive ascites. Findings at surgery, revealed a large, firm mass with necrotic patches, attached to the uterine fundus by a thin stalk 5 x 3 cm thick and to the omentum by large dilated blood vessels and adhesions. Mass weighed 5.8 kg. Eleven (11) liters of ascitic fluid was aspirated, sent for cytology and report showed no malignant cells. Histology confirmed a degenerated leiomyoma with no evidence of malignancy. Atypical presentation of leiomyoma can mimic that of malignancy. This knowledge will help Clinicians and Gynaecologists to have a high index of suspicion with such clinical features, in making prompt diagnosis and instituting appropriate management.
Journal of Advances in Medicine and Medical Research
Background: Caesarean section (CS) is a major obstetric surgery done for pregnant women and is li... more Background: Caesarean section (CS) is a major obstetric surgery done for pregnant women and is lifesaving. Aim: The study was aimed at reviewing CS at the Rivers State University Teaching Hospital (RSUTH), to determine the prevalence, trend and indications, for improved management outcomes. Methods: In this cross-sectional study, we reviewed five thousand, five hundred and ninety-eight (5598) cases of caesarean sections (3699 emergency, 1899 planned) managed at the RSUTH from 1st January, 2015 to 31st December, 2019. Data collected were analysed using IBM, Statistical Product and Service Solutions (SPSS), version 25.0 Armonk, New York. Results: There were 13,516 deliveries and 5,598 cases of CS over the review period, giving the prevalence of CS as 41.4% or 414 per 1000 deliveries. Emergency and planned CS cases accounted for 66.1% and 33.9% respectively. An increasing trend of CS was observed over the review period. The mean age ± SD of the participants was 32.30±1.04 years (95%...
New Horizons in Medicine and Medical Research Vol. 9
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2021
Background: Caesarean section (CS) is one of the most common surgical procedure in obstetrics. It... more Background: Caesarean section (CS) is one of the most common surgical procedure in obstetrics. It involves a surgical incision made through the abdominal and uterine walls to deliver the foetus and placenta after the period of foetal viability.Methods: This was a cross-sectional study aimed at reviewing emergency caesarean section in Rivers State University Teaching Hospital (RSUTH) over a 5-year period, to determine the prevalence and sequelae. Data were analysed using IBM Statistical Product and Service Solution (SPSS) version 25.0 (Armonk, NY).Results: During the review period, there were 13516 deliveries and 3699 cases of emergency CS, giving the prevalence of emergency CS as 27.4% or 274 per 1000 deliveries. Majority (90%) of the parturient were unbooked. The most common complication in women that had emergency caesarean section was fever (56.4%), followed by endometritis (14.7%), absconding from hospital (8.8%), urinary tract infection (7.1%) and wound infection (6.1%). There ...