Uterine fibroids are quite common in women of the reproductive age group and as such commonly encountered in pregnancy. Though majority of these cases are asymptomatic, some are prone to developing complications and may end up having adverse outcomes in pregnancy. Management of these women with uterine fibroids presents its own challenges, especially in low-resource setting as in sub-Saharan Africa, where the condition is rife. Adequate management of these women, be it pregnant or nonpregnant, improves their quality of life.
Additional information is available at the end of the chapter http://dx.doi.org/10.5772/59107 . IntroductionGynaecological emergencies are disease conditions of the female reproductive system that threaten the life of the woman, her sexual function and the perpetuation of her fertility.Common gynaecological emergencies present as acute abdomen, abnormal vaginal bleeding, or a combination of both, and are often related to early pregnancy complications, pelvic inflammatory disease PID and contraceptive issues.Some hospitals, mostly in the developed world, have specialist Emergency Gynaecology Units that provide fast intervention for acute gynaecological problems, such as pelvic pain, severe menorrhagia, vulvar problems, acute PID, hyperemesis gravidarum and post gynaecology surgical problems. These units are often manned by specialist nurses, sonologists and an oncall gynaecology medical team headed by a consultant gynaecologist. The aim of such a unit is to deliver adequate healthcare quickly, thus reducing the possible complications, and in so doing reducing the morbidity and mortality associated with such cases."dvances in sonography, biochemical pregnancy testing, minimal access surgery and new antibiotics have led to early diagnosis of these conditions and adoption of more conservative approaches to treatment.The basic objective of this chapter is to have an overview of these emergency gynaecological conditions on an individual basis, and their management. The management of these cases often requires history taking, clinical examination, investigations, both general and specific, and instituting the required treatment plan. Time is of the essence in these cases and so often there is an overlap in the management steps, with some requiring immediate resuscitation.
Background: Family planning has clearly been a major public health success as evidenced by substantial fertility decline and reductions in maternal mortality in countries with high contraceptive prevalence rates. Nigerian governments have continued to expand the scope and improve accessibility and availability of contraceptive commodities to improve uptake, giving the numerous benefits. Objective: To determine the trends in contraceptive usage and the preferred method among clients visiting the family planning clinic of University of Port Harcourt Teaching Hospital (UPTH), Nigeria. Method: It was a cross sectional study of all clients who accepted contraceptive methods at the UPTH, between 1 st January 2000 and 31 st December, 2015. Results:During the period, a total of 9190 clients accepted contraceptive methods, and 40,334 women were delivered in the maternity unit giving an acceptance rate of 1 in 4 deliveries or 22.8%. The acceptors of modern contraceptives increased steadily from 491 clients in 2001 to a peak in 2008 with 1477 clients and sharply declined to 381 in 2009 before increasing gradually again to 519 clients in 2015. The most commonly used method was the male condom by 3194 clients (37.9%), followed by injectables, which was accepted by 2185 clients (23.8%) while 1752 clients (19.1%) used the IUD. Implant contraceptive was used by 915 clients (9.9%), followed by oral contraceptive pills used by 547 (6.0%). Female sterilization was the least commonly used method by 302 clients (3.3%). There was no vasectomy over the 15 years period. Conclusion: Contraceptive trend in Port Harcourt has an ambivalent acceptance pattern. Although male condom and injectable contraceptives are the most commonly used method over time, the subdermal implants are increasingly becoming very popular in recent time. Female sterilization remains the least common method with no record of vasectomy.How to cite this paper: Ojule,
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.