ABSTRACT Background Incompetence of the internal uterine cervical os is associated with recurrent pregnancy loss. Different surgical techniques are in practice to correct the defect. Objective The objective of this study therefore was to review the outcome of pregnancies following cervical using either of the two procedure among patients diagnosed as having incompetence of the cervix. Methods A comparative study of 2 standard methods of cerclage used in our hospital, McDonald & Shirodkar, i...
ABSTRACT Prevention of vertical transmission of HIV may require the uptake of the culturally unacceptable options of cesarean delivery and formula feeding. The successful use of HAART, as enumerated by the WHO 2009 rapid advice, has the potential for facilitating the uptake of the more culturally acceptable vaginal delivery and breast feeding. These recommendations became operational at the PMTCT unit, University College Hospital, Ibadan. This retrospective study describes the impact of thes...
Abstract Introduction: Asymptomatic bacteriuria (ASB) in pregnancy.with 'adverse pregnancy outcome , hasjbderi well documented with Escherichia coli and other gram-negative rods being the common organisms associated. However, most of these studies were done in patients without additional immunosuppressant except for pregnancy. However; the additional risk of HiV infection in pregnant woman necessitates. the evaluation of the microbial isolates and antibiotic sensitivity pattern froififthe ur...
Summary Human Immuno deficiency virus(HIV) and Hepatitis B Virus share common modes of transmission which include blood borne and the vertical routes. Although, the natural course of does not appear altered by HBV, the rate of liver-related deaths is several times higher among HIV/HBV positive individuals, including pregnant women, need to be aware of this problem. This is a 2-year cross-sectional study that commenced in January 2006, among HIV positive pregnant women were screened for hepati...
ABSTRACT Background: Pregnancy during teenage is the high risk which is associated with high incidence of complications to the mother and fetus. Worldwide the incidence of teenage pregnancies is reported to range from 8-25% in developing countries due to child marriages. Poor obstetric outcomes have been reported by previous studies. These depend largely on the age of the teenagers and the quality of care she receives. Objectives: The study aimed to assess the magnitude and immediate obstetr...
Abstract Introduction: Female Genital Mutilation (FGM) is widespread in Tanzania and poses a risk when women give birth. Objective: To determine the association between FGM and perineal injury among women in labour in Dodoma Methods: A matched case-control study of 364 randomly selected consenting women in labour was conducted in Dodoma Region between January 2017 and June 2018. Controls (no perineal injury) were matched to the cases (with perineal injury) based on maternal age at a ratio 2:1...
ABSTRACT BACKGROUND Severe anaemia is prevalent in most African countries and is highly associated with increased morbidity and mortality in under-fives. Globally, iron deficiency is responsible for half of all anaemia, In Africa causes like malaria, hookworm and other helminths, other nutritional deficiencies, chronic infections and genetic conditions prevail and these causes differ from place to place. Exhaustive diagnostic evaluation is needed to establish causes of severe anaemia however...
ABSTRACT Background: A worldwide estimated annual case of cervical cancer is 528,000 and ends with 266,000 annual deaths. In developing countries, it accounts for about 85% for both morbidity and mortality. In sub-Saharan Africa the incidence is 25.2%, mortality 23.2% and five-year prevalence is 27.6%. In Tanzania the rate of cervical cancer is 54.4% per 100,000 people a year. This indicates that, cervical cancer is a public health concern in Tanzania. Objective: assessing clinical profile a...
ABSTRACT Background Surgical site infection (SSI) is one of the common complications after cesarean section in Tanzania and other parts of the world. High rates of SSI have been reported in literature with demonstrable multiple drug resistance of the isolates. Identification of isolates and their susceptibility pattern is key to development of evidence-based treatment protocols and effective preventive strategies. Objectives: The aim of this study was to determine the bacterial etiology, ant...
ABSTRACT Background: Gestational Diabetes Mellitus (GDM) is a complication of pregnancy characterized by the increase of insulin resistance leading to maternal Hyperglycaemia and alteration of newborn blood glucose. Alteration of cord blood glucose level can be used to predict maternal glycemic state. A newborn cord blood glucose level is a characteristic of pregnancy complicated by Gestational diabetes mellitus. The prevalence of GDM globally ranges from 6-13% with 5-9% in subSaharan Africa...
ABSTRACT Background: Primary caesarian section is an operation that is performed for the first time on a pregnant woman. Primary caesarean section is of particular interest because it has an influence on future modes of delivery and is of concern as to what was the indication for procedure in a woman who has never tried her pelvis for vaginal delivery. Objectives: The study intended to determine; prevalence, indications, management outcomes of primary caesarean deliveries and association wit...
ABSTRACT Background: Placenta and umbilical cord are highly specialized organs of pregnancy which support the normal growth and development of the fetus. Any alteration in gross anatomy of the placental appearance, location, number of cotyledons, weight, thickness and circumference and umbilical cord length, entanglement, nuchal cord, cord knots, thickness, insertion and number of umbilical blood vessel may result into adverse fetal outcome such as birth weight, Apgar score and fetal status....
ABSTRACT Background: Group B streptococcus(GBS) infection is a leading cause of maternal and neonatal morbidity.It is usually associated with many pregnancy-related complications such as; urinary tract infections and sepsis for maternal and neonatal. Awareness of maternal and neonatal GBS colonization, predictors and antimicrobial susceptibility is essential in determining the rate of transmission and an antibiotic with minimal selective pressure for resistance against GBS. Despite the preva...
ABSTRACT Introduction: Properfilling of partograph improve the quality of obstetric care through early detection of labor related complications and hence reduce maternal and neonatal complications. Appropriate utilization of partograph during labor can significantly reduce the rate of maternal mortality related to labor and delivery.
ABSTRACT Background: Incidence of premature rupture of membranes ranges from 3% to 10% worldwide but higher in Sub-Saharan Africa up to 18%. It is reported to be highly associated with bacterial infections as a consequence causing ascending infections or as a cause of premature rupture of membranes. Different bacterial isolates have been known to colonize the vagina and are associated with adverse fetal and maternal outcomes as well as the increasing rate of antimicrobial resistance. Objectiv...