Biomedical subjects

A M Abasiattai

Publications and source records attributed to A M Abasiattai.

3 recordsLinked to original sources

PubMed2006

Caesarean section in the management of singleton breech delivery in Calabar, Nigeria.

OBJECTIVE: To establish the role of Caesarean section in reducing perinatal mortality following singleton breech delivery in the University of Calabar Teaching Hospital, Calabar. METHOD: The case notes of all patients who had singleton breech delivery between 1st January 1991 and 31st December 2000 were studied. RESULTS: The incidence of singleton breech delivery was 1.4% and 37.1% of the breech deliveries were by Caesarean section. Feto-pelvic disproportion and footling breech presentation were the most common indications for Caesarean section (50.0%). Most of the breeches delivered by emergency Caesarean section (55.0%) were in unbooked patients while the booked ones were mostly delivered by elective Caesarean section (80.0%). There was a statistically significant decrease in perinatal mortality in primigravid breeches ((p = 0.018) and in fetuses estimated to weigh above 3.5 kilograms (p = 0.0005) following Caesarean section. CONCLUSION: This study shows that Caesarean section plays a very important role in the management of breech presentation in our environment. We advocate elective Caesarean section of all primigravid breeches and those whose fetuses are estimated to weigh above 3.5 kilograms.

Adolescent↗

PubMedDate not supplied

Awareness, attitude and practice of contraception among secondary school girls in Calabar, Nigeria.

BACKGROUND: Adolescents are disposed to unprotected sexual activity and as a consequence, there is an increasing incidence of unwanted pregnancy among adolescent school girls in Nigeria. This study was carried out to assess the awareness, attitude and use of contraceptives among secondary school girls in Calabar, Nigeria and to determine how attitude affects its use. METHODS: Data was obtained using self administered semi-structured questionnaires distributed to 480 secondary school girls out of which 450 were properly filled and returned. These were analysed using percentages and chi-square was used to test for significance. RESULTS: The study revealed that contraceptive awareness was high. The main sources of contraceptive information were books/magazines (37%) and friends (26%). Three hundred and thirty-three (74%) girls had a negative attitude (misconceptions) towards contraceptives, while 117 (26%) girls said contraceptives were essential/useful. Sixty-six girls (14.7%) admitted that they were currently sexually active and 42 (9.3%) of them used contraceptives. There was a statistically significant association between positive attitude/beliefs and use of contraceptives (P < 0.05). CONCLUSION: We recommend the provision of accurate contraceptive information to dispel these misconceptions and the establishment of adolescent reproductive health services which should be strictly confidential to encourage acceptability and optimum utilization.

Adolescent↗

PubMedDate not supplied

Current concepts in contraception.

BACKGROUND: Worldwide, contraceptive use has increased substantially over the past two decades. The increased demand for wider choices of contraceptive methods has resulted in extensive research and rigorous clinical trials. This has led to improvements on existing contraceptive methods and also the development of several new, more effective and acceptable methods with fewer side effects. Thus, this article presents a review of existing literature on recent developments on existing contraceptive methods. It also reviews recently developed contraceptive methods currently in use worldwide. METHODS: Relevant literature was reviewed using manual library search, electronic sources such as CD-ROMS and internet articles. CONCLUSION: More effective methods of contraception which are generally safer and easier to administer are increasingly being developed. Hopefully, as they increasingly become available in our environment, they will lead to and increase in acceptance and use of contraception by our women.

Contraception↗