Background and Objective:Risky sexual activity among adolescents is on the increase and contraceptive prevalence rate is low which is evidenced by high rate of teenage pregnancy in Bayelsa state, Nigeria. This study assesses the adolescents’ knowledge, attitude and utilization of emergency contraceptive pills (ECP) in Amassoma Community, Bayelsa State, in the Niger Delta region of Nigeria.Methods:The study was a descriptive cross-sectional research design. A purposive sampling technique was used to select a sample of 220 respondents from the target population. Data were collected using a self-structured questionnaire. Descriptive and inferential statistics were used to analyze the data generated.Results:Majority of the respondents had high level of knowledge and positive attitude towards emergency contraceptive pills but had low level of utilization. Concerns about what others may say, parental attitude, contraceptive availability, contraceptive accessibility, and peer influences were the major factors that influenced the utilization of contraceptive pills. There was no significant relationship between knowledge and utilization of emergency contraceptive pills, as well as level of knowledge and their utilization of emergency contraceptive pills.Conclusions and Global Health Implications:Adolescents in the study were more likely to use emergency contraceptive pills, if parents and others reaction to adolescents’ contraceptive use were positive about those. Health care professionals, especially nurses, should organize enlightenment programs to educate adolescents, parents and the public on the benefits of adolescents’ contraceptives use, especially ECP.

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Background: Documentation is a fundamental and vital communication tool among healthcare professionals. It is an essential part of midwifery that has clinical and legal implications for the client and midwife as well as the health care institution. This study assessed the knowledge, practice of and factors influencing documentation in labour among nurses in Madonna University Teaching Hospital, Elele Rivers State. Methods: This is a descriptive cross sectional study with a sample size of 102 nurses selected using purposive sampling technique. The instrument for data collection was structured questionnaire. Data collected were analysed using simple percentage and frequency table. Results: The findings of the study showed that midwives had good knowledge of documentation in labour, but their practices were poor. Factors influencing documentation includes; time, the attitude of the midwives (terming documentation to be unnecessary), and few number of midwives working in a shift. Conclusions: It was recommended that, the consequences of not documenting in labour should be emphasized and penalty is given to midwives who do not document properly. More staff should be assigned to client and the shift adjusted to shorter hours to prevent fatigue and tediousness.

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INTRODUCTIONCaesarean section is a surgical procedure in which one or more incisions are made through a mother's abdomen (laparotomy) and uterus (hysterotomy) to deliver one or more babies, or to remove a dead fetus.1 It is one of the most important operations performed in obstetrics and gynaecology. Its life saving value to both mother and fetus has increased over the decades although specific indications for its use have changed. Its purpose of preserving the life of a mother with obstructed labour and delivering a viable infant from a dying mother have gradually expanded to include the rescue of the fetus from subtle dangers.2 If there are no complications, a vaginal birth is safer than a CS. Advantages of having a CS especially when it has been planned over the vaginal births includes: no contraction, minimized risk of prolapse, no vaginal injury and reduced bleeding while its disadvantages includes: increased cost, uterine rupture and increased probability of complications.Various factors such as: prolonged labour, foetal distress, cord prolapse, uterine rupture, placental problems like placenta praevia, placenta accreta, abnormal presentation ABSTRACT Background: The perception of pregnant women towards caesarean section (CS) even in the face of danger has been a major concern. The major objective of the study was to investigate the perception of pregnant women attending a missionary hospital in Edo state, Nigeria. A simple random sampling technique was used to select one hundred pregnant women from the antenatal clinic the hospital. Methods: Data were collected using a structured questionnaire and analyzed using descriptive statistics in form of frequency, percentages and tables, t-test and one way analysis of variance (ANOVA) at the significance level of 5%. Results: Findings revealed that perception of pregnant women towards caesarean sections is negative/low, 79% objected delivery via CS for fear of death while 82% objected due to family preference of vaginal delivery. 60% also objected because of the cost of undergoing CS. Findings further revealed that the group of respondents who have experienced caesarean section have a more positive perception towards caesarean section than the group who haven't. Conclusions: This study clearly indicate that there is a negative perception of pregnant women in this setting and majority of them were clearly adverse to CS. Educational level also significantly influences the perception of pregnant women towards caesarean section. It is therefore recommended that proper education of the masses be done so as to correct the wrong notions about caesarean section.