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Adinma J.I.B.,Nnamdi Azikiwe University | Adinma E.D.,Nnamdi Azikiwe University | Ikeako L.,Amaku General Hospital | Ezeama C.,Nnamdi Azikiwe University
Journal of Obstetrics and Gynaecology | Year: 2011

Studies assessing the various modes of treatment for abortion and its associated complications remain relevant in the generation of data that will aid policy formulation for abortion management. This descriptive cross-sectional study was undertaken to determine the common methods of, together with the complications associated with, abortion treatment among healthcare practitioners in south-eastern Nigeria. There were 230 males and 207 females, with a mean age of 38.23 + 10.4 years. General practitioners accounted for 214 (49.0%) respondents; nurses, 161 (36.8%); specialist doctors, 56 (12.8%); resident doctors, 5 (1.1%); and community health officers, 1 (0.02%). As high as 388 (88.8%) of the respondents had treated abortion. Manual vacuum aspiration (MVA), and sharp curettage were the commonest methods of treatment accounting for 36.0% and 34.1%, respectively, while medication treatment was employed by 15.0% of the respondents. Only 41.0% of the respondents had been formally trained on the use of MVA. Some 285 (65.2%) of the respondents recorded complications during abortion treatment and these included incomplete evacuation, 30.2%; haemorrhage, 26.0%; and infection, 22.2%. A significantly higher number of complications occurred following sharp metal curretage compared to MVA, and includes incomplete evacuation, 54 (62.5%) vs 33 (38.0%) (p < 0.05); and haemorrhage, 32 (43.2%) vs 15 (20.5%) (p < 0.05). Syncope, 2 (100%) and uterine perforation, 23 (100%) occurred solely from sharp metal curettage. Building capacity of health professionals on the use of MVA, and ensuring the universal access to the equipment will enable safer abortion treatment and reduce maternal morbidity and mortality from abortion-related complications. © 2011 Informa UK, Ltd.


Emechebe G.O.,Imo State University | Emodi I.J.,University of Nigeria | Ikefuna A.N.,University of Nigeria | Ilechukwu G.C.,University of Nigeria | And 3 more authors.
Nigerian Journal of Clinical Practice | Year: 2010

Background: Hepatitis B virus) infection is contracted through contact with body fluid of infected persons. Patients with sickle cell anaemia (SCA), a common haematological disorder in Nigeria, have tendencies to visit traditional healers who administer scarifications and ritual marks that may expose them to HB V infection. Objective: To determine the demographic and socio-cultural characteristics of children with SCA infected with HB V at the University ofNigeria Teaching Hospital Enugu. Subjects and Method:Two hundred and twenty one children aged 6months to 17years with SCA were recruited consecutively from October 2004 to April 2005. They were screened for HBsAg using ELISA method. Results: There was no statistically difference in hepatitis B surface antigenaemia among different age group (P=0.907). Social class did not significantly influence the prevalence of HBsAg among subjects (p=0.887). Socio-cultural practices like circumcision and scarification did not influence the prevalence of HBsAg, (p=0.636) (p=0.771) respectively. Significantly higher number of people from lowest socioeconomic class practice scarification (p=0.0001). Conclusion: Demographic and sociocultural factors do not appear to influence the prevalence of HBsAg among children with SCA in Enugu, Nigeria.


Adinma J.I.B.,Amaku General Hospital | Ikeako L.,Amaku General Hospital | Adinma E.D.,Nnamdi Azikiwe University | Ezeama C.O.,Amaku General Hospital | Ugboaja J.O.,Amaku General Hospital
Southeast Asian Journal of Tropical Medicine and Public Health | Year: 2010

This study investigates knowledge and practices of post abortion care (PAC) services among health care professionals in the Anambra State of south-eastern Nigeria. This was a prospective, cross-sectional, questionnaire based study conducted between 1 June and 30 September, 2006. The study involved a multi-staged sampling of all registered health facilities in Anambra State, with the selection of 60 health facilities from which 450 participants were recruited. A pre-tested, structured questionnaire was employed to obtain information from the studied respondents. Obtained data were analyzed using Epi-Info version 2001. A total of 437 questionnaires out of 450 administered were accurately completed, giving a response rate of 97.1%. The respondents were comprised of general practitioners (214, 49.0%), nurses (161, 36.8%), specialist doctors (56, 12.8%), and resident doctors (5, 1.1%). The mean age of the respondents was 38.2±10.5 years. Most participants (203, 52.6%) were males; the majority (282, 64.5%) were working in the rural areas of the State, including mission hospitals (165, 37.8%) and general hospitals (145, 33.3%). Three hundred thirty respondents (75.5%) were aware of PAC services. Twenty-seven (6.2%) and 28 (6.4%) of respondents were aware of community partnership and family planning services, respectively, as elements of PAC. Although the majority of respondents (302, 69.1%) treated abortion complications, only 155 (35.5%) used a manual vacuum aspirator. Three hundred thirty-eight (88.8%) offered counseling services, and 248 (56.8%) provided referrals to other reproductive health services.


Onyire N.B.,Federal Medical Center | Ejiofor O.S.,Amaku General Hospital | Ofomata J.A.,Federal Medical Center
European Journal of Scientific Research | Year: 2011

BACKGROUD: Paediatric HIV/AIDS has become a significant cause of morbidity and mortality in Africa. Most of them is acquired through mother to child transmission (MTCT). Therefore, there is need to detect those affected early in life for prompt enrollment into care and support programme. OBJECTIVE: To document our experience in Awka, South-east Nigeria of Early Infant Diagnosis of Human Immunodeficency Virus with Polymerase chain reaction (PCR). MATERIALS AND METHOD: A retrospective study of HIV exposed infants whose status were determined with PCR was carried out. The period covered was infant seen between November 1, 2008 to December 31 2009. RESULTS: Out of 109 HIV exposed babies reviewed, 15 tested positive with PCR, giving a prevalence rate of 13.8%. Their age ranged from 2 months to 15 months old, made up of 8 males and 7 females. CONCLUSION: The findings indicate that PCR is very valuable in making diagnosis of HIV in exposed babies. This will help reduce the mortality associated with late diagnosis and management of the affected babies. © EuroJournals Publishing, Inc. 2011.


Ejiofor O.S.,Amaku General Hospital | Onyire N.B.,Federal Medical Center | Ofomata J.A.,Amaku General Hospital
European Journal of Scientific Research | Year: 2011

BACKGROUND: Giardiasis is one of the diseases that has both public and environmental health implications. There is need to prevent it from assuming the potential of emerging and re-emerging infectious disease in Nigeria. OBJECTIVE: To document the prevalence of Giardia Lamblia (G.Lamblia) in children with diarrhoea at Awka, Southeast Nigeria. PATIENTS AND METHOD: The stool samples of children aged 6 months to 14years who attended paediatric clinic at Amaku General Hospital Awka (AGHA) from October 2009 - March 2010 were microscopically examined for presence of trophozoites and cysts of G.Lamblia. RESULTS: The prevalence rate was 10.1%. The majority of the affected patients (55.6%) were equal or less then 4years old. Males were affected more then females. CONCLUSION: The Study concluded that Giardiasis is a disease of public health importance. Consequently effort by government through ministry of health and health agencies of No-governmental organization (NGO) to intensify Health Education Campaign on the need for environmental and personal hygiene. © EuroJournals Publishing, Inc. 2011.

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