Abstract Background: Contraceptive use is poor among women innorthern Nigeria, but it is agreed that regulating fertility goesalong with socioeconomic development. It is therefore importantto identify the determinants of contraceptive use in Borno stateand utilise this for planning and advocacy.Method: The subjects were women of reproductive age living inurban as well as rural settings in Borno State, northeasternNigeria. Questionnaires were administered enquiring about theirsocio-demographic characteristics and contraceptive practices.Logistic regression analysis was use to construct a model forsignificant determinants of contraceptive use.Results: There were 532 respondents, with a mean age of29.5+7.9 years and a mean parity of 3.4+3.0. Although 77.6%were educated, 68.4% were unemployed. One hundred andseventy five participants (32.9%) had 4 or more living childrenwhile 15.4% had no living child. In 15% of the cases, thehusbands have no formal education. Eighty (33.8%) of therespondent were married into polygamous setting out of which 36(20%) have 3 co-wives. The prevalence of current contraceptiveuse was 29.1% and majority of the clients (38.7%) used pills.Previous contraceptives counselling and education were found tobe the strongest determinants of contraceptives use.Conclusion: Making contraceptives counselling routine in allour gynaecological consultation and women empowermentthrough girl child education may help in the improvement ofcontraception utilisation. Further research is needed to addressthe men and co-wives issue with regard to family planning in ourenvironment. Author Affiliations:Corresponding Author:Keywords:*Department of Obstetrics andGynaecology University of MaiduguriTeaching Hospital Maiduguri, Nigeria** Department of Obstetrics andGynaecology Federal Medical CentreNguru, Nigeria.Dr AD GEIDAMDepartment of Obstetrics andGynaecology University of MaiduguriTeaching Hospital PMB 1414,Maiduguri Borno State, Nigeria.E-mail: adogeidam@yahoo.comBOMJ, Vol. 4, No. 2, July-December 2007. 12CONTRACEPTIVE PRACTICES AND DETERMINANTSOF CURRENT CONTRACEPTIVE USE IN BORNO STATE, NIGERIA.Contraceptives; Borno state;Prevalence; Determinants.
Background: Induction of labour is an important intervention inObstetrics and the use of misoprostol for induction of labour is aninteresting chapter in contemporary practice.Objective: This study sought to review the outcome of induction oflabour with misoprostol at the University of Maiduguri TeachingHospital (UMTH).Methods: A retrospective study of 228 women who were inducedwith 50 μg and 57 women who were induced with 100μgmisoprostol both placed in the posterior fornix of the vagina.Results: The leading indications were postdatism and pregnancyinduced hypertension seen in 148 (51.9%) and 79 (27.7%),respectively. The mean insertion to delivery interval was 8.4+2.3and 10.2+3.6 hours for the 100μg and 50μg, respectively(p<0.001). Significantly more of the patients induced with 100ugof misoprostol delivered within 12 hours compared to thoseinduced with 50ug of misoprostol (86% vs 54.4%). More of thebabies delivered to women induced with 100ug of misoprostolwere asphyxiated 12.3% (7/57) compared to 6.6% (15/228) inthose with 50ug misoprostol. There were no statisticallysignificant differences between the two groups in achievingvaginal delivery, oxytocin use and caesarean section.Conclusion: The short induction to delivery interval in the 100uggroup appears attractive but the associated higher rate of birthasphyxia is a significant drawback. The 50μg dosing isassociated with less birth asphyxia and therefore may be saferthan the 100ug dosing for induction of labour. Author Affiliations:Corresponding Author:Keywords: misoprostol, induction of labourDepartment of Obstetrics andGynaecology,University of MaiduguriTeaching Hospital, P.M.B 1414,Maiduguri, Borno State, Nigeria.Dr Babagana BakoDepartment of Obstetrics andGynaecology, University ofMaiduguri Teaching HospitalP.M.B 1414, Maiduguri, Borno State,Nigeria.E-mail= This email address is being protected from spambots. You need JavaScript enabled to view it.
Abstract Background: Cervical incompetence continues to pose achallenge to the obstetrican as a cause of repeated midtrimesterabortion.Several observational studies into the efficacy ofcervical Cerclage have claimed high rates of successfulpregnancy outcome in women with poor obstetric historyattributed to cervical incompetence.Objectives: The objectives of the study are to determine theprevalence of cervical incompetence in Jos University TeachingHospital (JUTH), the complications of the treatment modalities,and the pregnancy outcome.Study design, setting and subject: This is a 4 years retrospectivereview of 144 pregnancies in (135) patients with cervicalincompetence in the Jos University Teaching Hospital. Patientsdiagnosed to have cervical incompetence and who had cervicalCerclage, antenatal care and delivery in the Jos UniversityTeaching Hospital, Jos, formed the study population.Main outcome measures:Prevalence, post insertioncomplications and Pregnancy outcome, among patients withcervical incompetence who had cervical cerclage in JosUniversity Teaching Hospital, Jos Plateau state.Results: A total of one hundred and fourty four pregnancies werereviewed retrospectively in one hundred and thirty five patientswith cervical incompetence over a four-year period. Thediagnosis of cervical incompetence was established by history63% of pregnancies, and by ultra-sonography in 35% ofpregnancies. The McDonald technique of repair was employed in90% of the cases. The incidence of cervical incompetence over theperiod of review was 1 in every 69 deliveries. The most commonpost insertion complications were premature rupture ofmembranes (20.8%) Vulvovaginitis (16%) and urinary tractinfection (10.5%). The term births accounted for 62.5% andpreterm births for 22.9%, with overall fetal salvage of 85.4%. Author Affiliations:Department of Obstetrics andGynaecology,Bayero University/Aminu KanoTeaching Hospital, Kano Corresponding Author;Dr S A Ibrahim,Department of Obstetrics andGynaecology, Aminu Kano TeachingHospital, Kano. PMB 3452, Kano Email: This email address is being protected from spambots. You need JavaScript enabled to view it. Keywords:Cervical incompetence, pregnancyoutcome, JUTH