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Profiling the Socio-Demographic Characteristics and Outcome of Preterm Delivery in Alex Ekwueme Federal University Teaching Hospital Abakaliki

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Open Journal of Obstetrics and Gynecology 2019年第8期9卷 1168-1177页

作者： Malachy Chizoba Onyema Vitus Okwuchukwu Obi Johnbosco Ifunanya Nwafor Chinwe Wendy Oliobi Bridget Nkiruka Uche-Nwidagu assumpta nnenna nweke Paschal Chijioke Okoye Department of Obstetrics and Gynaecology Alex Ekwueme Federal University Teaching Hospital Abakaliki Nigeria

Background: Preterm delivery is a major cause of perinatal morbidity and mortality globally. In more than half of the cases, the exact cause is unknown and it is largely unpredictable. Certain maternal, social and demographic characteristics are risk factors and often help to predict and prognosticate the neonatal outcomes. Objective: This study was designed to determine the maternal socio-demographic characteristics and neonatal outcomes of patients managed for singleton preterm delivery in Alex Ekwueme Federal University Teaching Hospital, Abakaliki. Method: This was a 4-year retrospective analysis of patients managed for preterm birth from 1st January 2012 through 31st December 2015. Results: Over the study period there were a total number of 623 singleton preterm deliveries in the facility, while there were 9647 deliveries in the facility;the preterm birth rate was 6.5% or 65 per 1000 deliveries. The mean maternal age was 28.79 ± 5.33 while the mean parity was 1.89 ± 1.98. The mean gestational age and birth weight were 33.67 ± 2.62 and 2.30 ± 0.78 kg respectively. Apgar score in 1 minute was 6.89 ± 3.27, while in the 5th minute was 7.95 ± 3.42. Majority of the patients were multiparous and booked for antenatal care in the facility. Most of the preterm labour started spontaneously and were delivered vaginally. The caesarean section rate in this study was 35.5%. Fetal distress and preeclampsia/eclampsia were the commonest indications for caesarean section. The male to female ratio was 1.1:1. Nearly half of the neonates were born with normal birth weight and 427 (68.5%) were alive at discharge. However, 196 (31.5%) suffered early neonatal death due to prematurity. Maternal parity, booking status and fetal weight were significant determinants of fetal outcome with a p-value 0.05. Conclusion: Birth weight was the most important determinant of neonatal survival and the unbooked patient was an important determinant of poor outcome. Booking for antenatal care and ensuri

关键词： Preterm Delivery Maternal Sociodemographic Characteristics Neonate

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Epidemiology and Management of Ectopic Pregnancy in Alex Ekwueme Federal University Teaching Hospital, Abakaliki, Southeast, Nigeria

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Open Journal of Obstetrics and Gynecology 2019年第8期9卷 1202-1211页

作者： Bridget Nkiruka Uche-Nwidagu Vitus Okwuchukwu Obi Johnbosco Ifunanya Nwafor assumpta nnenna nweke Chinwe Wendy Oliobi Malachy Chizoba Onyema Paschal Chijioke Okoye Department of Obstetrics and Gynaecology Alex Ekwueme Federal University Teaching Hospital Abakaliki Nigeria

Background: Ectopic pregnancy is a common cause of maternal morbidity and mortality in the 1st trimester of pregnancy;without timely diagnosis and intervention, ruptured ectopic pregnancy can become a life threatening condition. Objective: This study aims to give baseline indices on the incidence, clinical presentation, risk factors and the management of cases of ectopic pregnancy that presented in Alex Ekwueme Federal University Teaching Hospital, Abakaliki over a 5-year period. Materials and Method: This is a 5-year retrospective study of patients who were diagnosed with ectopic pregnancy between January 1st 2012 and December 31st 2016. The statistical analysis was done using SPSS version 22. Result: During the study period, there were 11,932 deliveries while 7725 Gynaecology patients were admitted. Over the same period there were 156 patients diagnosed and managed for ectopic pregnancy, accounting for 1.31% of all deliveries and 2.0% of all Gynaecological admissions. The modal age group was 26 - 30 years 68 (43.6%), 122 (78.2%) were married, while 34 (21.7%) were single. Nulliparous were 41 (26.3%) and primiparous were 33 (21.2%). The commonest presenting complaints were lower abdominal pain and amenorrhea, and the commonest identified risk factor was previous pelvic inflammatory disease. Most of the cases were ruptured prior to presentation and partial salpingectomy was the management in all tubal pregnancy while two cases were unruptured and had salpingostomy and another case was abdominal pregnancy and had exploratory laparotomy only. Out of 156 women that presented with ectopic pregnancy, 8 (5.1%) died before surgery could be done due to late presentation. Fifty-seven women presented in a state of shock and 9 (5.8%) of the cases were complicated with acute renal failure. Conclusion: Ruptured ectopic pregnancy is a major cause of maternal morbidity and early pregnancy loss. Late presentation is a common feature in our environment;hence widespread advocacy on c

关键词： Epidemiology Management Ectopic Pregnancy Abakaliki

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Evaluation of larvicidal efficacy and phytochemical potential of some selected indigenous plant against <i>Anopheles gambiense</i>and <i>Culex quinquefasciatus</i>

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Advances in Bioscience and Biotechnology 2013年第12期4卷 1128-1133页

作者： Love Nma Allison Kelechi Stanley Dike Finnian Nlemadim Opara Monica nweke Ezike Anthonia nnenna Amadi Department of Animal and Environmental Biology Imo State University Owerri Nigeria Department of Biology Federal University of Technology Owerri Nigeria Department of Biotechnology Federal University of Technology Owerri Nigeria Department of Zoology Micheal Okpara Federal University of Agriculture Umudike Nigeria Microbiology Unit Department of Science Laboratory Technology Imo State Polytechnic Umuagwo Nigeria

Azadirachta indica, Citrus sinensis, Cymbopogon citratus and Annona squamosa were screened and evaluated for their phytochemical composition and larvicidal effects on Anopheles gambiense and Culex quinquefasciatus. The bioassay results showed that the effects were dependent on time and concentration of extract used. Cymbopogon citratus and Citrus sinesis at 20 mg/ml had the highest mortality effect on Anopheles gambiense after 72 h. Citrus sinensis was more effective against Culex quinquefasciatus. Aqueous extracts of these plants were found to have less larvicidal effect against the mosquito vectors. Phytochemical analysis showed the presence of flavonoids in all herbs. Alkaloids were present in Citrus sinensis, Cymbopogon citratus and Annona squamosa while Citrus sinesis and Azadirachta indica were positive for tannins.

关键词： Azadirachta indica Citrus sinensis Cymbopogon citratus Annona squamosa Anopheles gambiense Culex quinquefasciatus Larvicidal Mosquitoes Effect

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