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The prevalence of elderly primigravidae in our centre is 1.4%. The elderly primigravidae are at increased risk of preterm, macrosomic, and caesarean deliveries compared to their younger primigravid counterparts.

Background: Gestational Diabetes Mellitus (GDM) is associated with several maternal and perinatal complications. Early detection and treatment can improve pregnancy outcomes. Objectives: To determine the prevalence, risk factors and predictors of GDM in early pregnancy at the University of Port Harcourt Teaching Hospital, (UPTH), Port Harcourt Nigeria. Methods: A cohort of 235 mothers who registered for antenatal care between 15 -18 weeks of gestation at UPTH was prospectively studied. Their socio-demographic data, examination findings, anthropometric measurements, fasting blood sugar at booking and OGTT results at 28 weeks gestation were collated and entered into PC with SPSS for windows version 21.0 which was also used for the analysis. Variables were expressed as absolute numbers, percentages or means with standard deviations and significant differences determined using chi square test or the student "t" test as appropriate. The level of significance was set at P < 0.05. Results: Of the 235 participants, 35 (14.9%) developed GDM.Women who had GDM were significantly older (P = 0.001), had higher weight (t = 2.95, P = 0.01), BMI (t = 2.29, P = 0.02), abdominal skin fold thickness (t = 4.15, P = 0.001), blood pressure (t = 3.38, P = 0.001) compared to women who did not. Previous history of GDM was significantly different between two groups as χ 2 = 93.56 and P = 0.001. Abdominal skin fold thickness and prior GDM history were found to be independent predictors of GDM on application of multiple logistic regression analysis. Conclusion: The prevalence of GDM in Port Harcourt is 14.9% and major risk factors are obesity, previous GDM history, advanced age and hypertension. Abdominal skin fold thickness ≥ 20 mm is an independent predictor. The risk of developing GDM can be

Background: Macrosomic babies are at increased risk of adverse perinatal outcome and therefore constitute a high risk group of neonates and the incidence appears to be rising. The objective was to determine the incidence of fetal macrosomia, and the perinatal outcome of macrosomic babies, compare with matched term, appropriate weight neonates in the booked antenatal population of the UPTH. Methods: It was a-one year prospective study of the perinatal outcome of singleton babies whose birth weights were 4000g and above (macrosomia) delivered st to booked antenatal mothers in UPTH between 1 th

Background: Jadelle, a long acting reversible progesterone contraceptive, has been in use in our centre for over 10 years and has not been comprehensively evaluated. Objectives: To determine the acceptance, efficacy, and safety profile associated with the use of Jadelle contraceptive implant in the University of Port Harcourt Teaching hospital, Port Harcourt. Methods: This is a 10-year retrospective study of clients who accepted and used Jadelle for contraception in the university of Port Harcourt Teaching Hospital (UPTH), Port Harcourt. The case files were retrieved and information on their socio demographic profile, source of information, side effects, failures and reason for removal were extracted using a proforma. Data were filled into a spread sheet, analyzed using SPSS version 21.0 and presented in tables of frequencies and percentages. Results: Within the period under review, March 2007 to February 2017, 569 clients used Jadelle out of the 3829 women who accepted and used modern contraceptive in the UPTH. The mean age of users was 33.7 ± 4.2, 536 (94.2%) were multipara with a mean parity of 4.5 ± 3.8 while 541 (95.1%) had secondary education and above. The major side effect was irregular vaginal bleeding 36 (60.9%) while the main reason for removal of the device was expiration of method 272 (53.9%). A pregnancy was recorded during this period giving a pearl index of 0.002. Conclusion: Jadelle is a popular and a very effective means of contraception with increasing acceptance among our clients. The safety profile is high.

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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,

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