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世界核心医学期刊文摘（妇产科学分册） 2006年第3期2卷 57-57页

作者： Akinola.o.I. fabamwo a.o. ottun A.T. Akinniyi o.A. 郭培奋 Department of obstetrics and Gynaecology Lagos State University Teaching Hospital Ikeja Lagos Nigeria

objective: To determine the efficacy of uterine artery ligation by the vaginal route for the management of symptomatic uterine fibroids. A pilot study had suggested that the procedure was effective. Methods: After bilateral uterine artery ligation, ultra.o.ic measurements of uterine and fibroid volumes were determined at 6 and 12 months in 21 women (age, 31-49 years)-with symptomatic fibroids. The severity of symptoms was assessed preoperatively and postoperatively. Results: Mean uterine and fibroid volumes were significantly reduced at 6 and 12 months. A consistent pattern of decreased duration of menstrual blood flow was recorded. All participants who completed follow-up expressed satisfaction with treatment outcome. Conclusion: The procedure was found to be a safe, inexpensive, and effective therapeutic option for the treatment of symptomatic uterine fibroids.

关键词：子宫纤维瘤结扎子宫动脉双侧子宫动脉结扎术术后临床症状月经血程度变化超声检查

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Manual removal of the placenta: Evaluation of some risk factors and management outcome in a tertiary maternity unit. A case controlled study

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open Journal of obstetrics and Gynecology 2013年第2期3卷 279-284页

作者： o. I. Akinola A. o. fabamwo A. o. Ta.o.Adegboyega Bande K. A. Rabiu A. Y. oshodi La.o. State University Teaching Hospital Ikeja Nigeria

objective: Lack of consensus on when to diagnose and manage retained placenta in the absence of hemorrhage in the 3rd stage of la.o., has often subjected Manual removal of placenta (MRoP) to the discretion of the accoucher. This study aimed to appraise the practice of manual removal of placenta in a tertiary institution in Nigeria with a view to evaluating risk factors for the procedure and advance probable guidelines to enhance standardization of diagnosis of retained placenta. Design: Case controlled study. Setting: Tertiary maternity center in South west Nigeria. Participants: Data from the hospital records of 92 parturients who had MRoP from January to December 2009 were compared with 91 immediate next parturients without MRoP matched for age and parity. Variables such as the past obstetric and gynecological history, status of accoucher, gestational age at delivery, duration of 3rd stage, estimated blood loss, quantum of blood transfused and length of hospitalization were extracted and subjected to statistical analysis using the SPSS package. Results: There were 4613 deliveries of which 92 parturients had MRoP, an incidence of 1.99%. The mean duration of 3rd stage in the study group was 35.6 ± 18.8 minutes compared to 21.6 ± 6.28 minutes in the control. Doctors were the accoucher in 96.8% of cases while midwives took the deliveries in 84.4% in the control group. Previous scarring of the pregnant uterus such as dilatation and curettage and caesarean section predisposed to MRoP compared to the control group (P rd stage of la.o. with definite criteria for diagnosis of retained placenta to reduce the probable risk of unnecessary MRoP.

关键词： Accoucher “Haemorrhage” Parturients “MRoP” Myomectomy

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Caesarian Section for Placenta Praevia: Does Booking Status Affect Maternofetal outcome?

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open Journal of obstetrics and Gynecology 2016年第5期6卷 306-312页

作者： oshodi Yusuf Abisowo Akinola.o.uwa.o.imi Ireti fabamwo Adetokunbo olusegun olaifa Ibrahim Adeniyi oyedele Yekeen oyedokun Department of obstetrics and Gynaecology Lagos State University Teaching Hospital Ikeja Nigeria

Background: Placenta praevia accounts for significant maternal morbidity and perinatal morbidity and mortality. Despite advances in blood transfusion technique and surgical procedure, abnormal placentation still remains a difficult challenge for obstetricians. objective: To determine the influence of booking status on the fetal and maternal outcome a.o.g parturients with placenta praevia that underwent caesarian delivery. Methodology: This was a comparative and retrospective study between booked and unbooked subjects with significant placenta praevia that were delivered by caesarian section between January 1st 2004 and December 31st 2008 with respect to maternal and fetal outcome. Result: out of 14,344 deliveries during study period, 123 cases of placenta praevia that underwent caesarian delivery were identified giving a prevalence rate of 0.86%. 49 subjects were booked while 74 were unbooked. There was no statistically significant difference between booked and unbooked cases with respect to risk factors (30.6% of booked and 23% of unbooked), X2(4) = 7.203, P = 0.126 and the mean blood loss at surgery (870.4 ± 486.9 ml in booked versus 779.7 ± 380.96 ml in unbooked), X2(1) = 0.202, P = 0.653. However, antepartum transfusion (12.2% booked versus 34.7% unbooked) and postpartum transfusion (51% booked versus 72% unbooked) showed statistically significant difference, X2(1) = 9.744, P = 0.002. one maternal death occurred a.o.gst the unbooked cases and none a.o.g the booked cases. Statistically significant differences were also noted in the apgar score at 1 minute X2(3) = 15.528, P = 0.001 and 5 minutes X2(3) = 12.912, P = 0.005 respectively. More babies died in the unbooked group (19) compared to two (2) in the booked mothers. Conclusion: Unbooked status in placenta previa significantly increases the risk for antepartum and postpartum transfusion, is associated with higher mortality, increased p

关键词： Placenta Praevia Maternal outcome Fetal outcome Booking Status Caesarian Delivery

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