Nulliparity and advanced age are dependent risk factors of uterine fibroids in the reproductive life of every woman. Fertility-sparing treatment options remain the mainstay of management where there is fertility desire. We present a case report of a 42-year-old Virgo intacta who had abnormal uterine bleeding due to multiple submucous fibroids. An open myomectomy was performed and she made good recovery. Combined oral contraceptive pills were commenced immediately after the operation and continued for 3 months. She had regular periodic bleeding of low volume, flow and duration. Thereafter, subsequent monthly follow-ups were uneventful as a normal regular menstrual cycle was restored. There were management challenges as she was Virgo intacta at 42 years of age. Measures to avoid intrauterine synechiae were limited and combined oral contraceptive was used with good outcome.
Background: Postpartum Haemorrhage (PPH) is the leading cause of maternal morbidity and mortality in low-income countries, and the primary cause of nearly one quarter of all maternal deaths globally. Women giving birth in low-resource settings are at a higher risk of death than their counterparts in resource-rich settings. Objective: To determine the incidence and mortality of postpartum haemorrhage at the Edward Francis Small Teaching Hospital from January 1st – December 31st 2018. Method: This study was a retrospective, quantitative, hospital-based longitudinal study. The data was collected from the patient’s folders at the obstetrics department with no contact to the patients or caregivers. The patient’s socio-demographic and clinical data was entered into a computer database and analyzed using SPSS software version 24.0. Results: The study revealed that the incidence of PPH was 74.6%. It also shows that the most common cause of PPH was trauma 57 (42.5%). Majority of the deliveries were SVD at 87.3%, referred cases was 78.4%. Mortality due to PPH was 17.5%. Conclusion: The incidence of postpartum haemorrhage was high, trauma the leading cause but mortality showed remarkable decline when compared with previous study.
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