Several studies estimate that the average time to resumption of intercourse ranged from 5 to 8 weeks after delivery. 1-5 Many doctors recommend waiting four to six weeks before resuming sex, to allow the cervix to close, lochia to stop, and tears to heal. 6 In a recently conducted study in Australia, 41% of the women attempted vaginal intercourse by the time they were 6 weeks postpartum, 65% by 8 weeks postpartum, and 78% by 12 weeks postpartum. By the time they had reached 6 months postpartum, 94% of mothers had attempted vaginal sex. However, sexual activities like kissing, cuddling, oral sex and coitus inter-femoris were resumed sooner than vaginal sex. 7 A study of women in Turkey found that 42% resumed sexual intercourse within six weeks of giving birth. 8 American and British studies found that at six weeks, 57% of women had resumed sexual
A B S T R A C TBackground: Emergency contraception (EC) or postcoital contraception has the potential to reduce the number of unwanted pregnancies and thus the abortion rate. Tertiary institutions' students are a unique group with very high social interaction, but by virtue of their level of education, probably forms a group in any community, which should have an overall higher level of awareness and use of available methods of contraception, including that of EC. Aim: The aim of this study was to assess the knowledge and attitude toward EC, and as well to determine the prevalence of emergency contraceptive use among the students of tertiary institutions in Osun State, Nigeria. Subjects and Methods: A cross-sectional study using the self-administered structured questionnaire on questions relating to the socio-demographic characteristics of the students, sexual relations, knowledge of contraception in general and EC, use and determinants of EC use. Results: A total of 384 of the 400 questionnaire were returned of which male respondents were178/384 (46.4%) while the females were 206/384 (53.6%). Two hundred and seven respondents 207/384 (53.9%) were university students, while 177/384 (46.1%) were polytechnic students. Most respondent 142/376 (37.8%) derived knowledge of EC from friends and family life education from school 186/373 (49.9%). More than half of respondents are in sexual relationships, with only 71/384 (18.5%) showing good knowledge of EC. However, use of EC was 106/384 (27.6%). Conclusion: Most tertiary institutions' students are involved in a sexual relationship, have poor knowledge of EC and use of EC also. Formal family life education, partner approval, and previous use of EC encourage further use. There is a need for carefully designed education programs and promotion of family life education with deliberate awareness on safe sex practices, including EC in existing students' health enlightenment programs on campuses.
Leiomyomata seem to depend on steroid hormones, but only during early tumor development. This could have implications for the selection of patients for medical management, especially with steroid-receptor modulators.
Introduction: Inadvertently leaving surgical sponges in operation site has been described by various terms, including textiloma and gossypiboma. In recognition of the morbidity and economic implications that are associated with this error, surgeons exercise utmost caution to avoid retention of surgical instruments in body cavities. Presentation of Case: A 29 year old Para1 presented at our facility with incapacitating abdominal pain and swelling of twelve months duration. She had an emergency Caesarean section at another hospital one month before the onset her symptoms. She had several hospital admissions, during which she was managed conservatively for adhesive intestinal obstruction without sustained relief. She was resuscitated, and she had exploratory laparotomy at our centre. A surgical linen that measured 110x150cm
Case Study
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