Outcome of Breech Deliveries at a Tertiary Health Institution in Southwestern Nigeria

The aetiology of breech presentation is not clear, however, several factors had been found to be associated with increased risk of breech presentation. The mode of delivery of breech presentation for optimum neonatal outcome had been a subject of controversy over the years. The present study is a retrospective analysis of the outcome of singleton breech delivery at a tertiary health institution. The incidence of singleton breech delivery during the study period was 2.9%. The maternal age ranged between 16 and 44years with a mean age of 30.05±5.53; primiparous were 32(37.2%), while multiparous were 54(62.8%). External cephalic version was attempted, but failed in one case; assisted vaginal breech delivery was conducted in 19(22.0%) cases, 47(54.7%) were delivered by emergency Caesarean section, and 20(23.3%) had elective Caesarean section. Asphyxia was present in 14(77.8%), 31(66.0%)and 8(40.0%), of babies , delivered by assisted vaginal breech delivery, emergency Caesarean section, and elective Caesarean section, respectively (df = 2, p= 0.042). This study showed that elective Caesarean delivery gives the best neonatal outcome for breech presenting fetuses. Booking status positively impart fetal outcome, therefore provision and utilization of good quality antenatal care will go a long way to reduce the incidence of unbooked emergencies that significantly contribute to the poor neonatal outcome in breech deliveries

Booking status and caesarean section outcome in LAUTECH teaching hospital, Osogbo

Background: To assess the clinical features; diagnosis; and treatment of patients having chronic otitis media (COM) with cholesteatoma seen in the ENT/Head and Neck Surgery Clinic at the University Clinical Center; Prishtina; Kosovo. Method: A systematic review of the medical records of all patients admitted to the ENT clinic having COM with cholesteatoma between January 1999 and December 2003. Results: During this period; 223 patients suffering from COM with cholesteatoma underwent surgical treatment. There were 123 (55) male and 100 (45) female patients. Their mean age was 30.7 years; ranging from youngest patient (7-year-old girl) to oldest (73-year-old lady). Thirty-three patients developed complications: 17 patients extracranial complications (EC) and 16 intracranial complications (IC). Leading pathogens in this series were Proteus mirabilis in 52of cases; Proteus vulgaris in 14and Staphylococcus aureus in 12. All patients underwent surgical treatment: 10 patients (4.5) a canal-wall up (CWU) procedure and 213 (95.5) a canal-wall down (CWD) procedure. No deaths occurred in this series. Conclusion: Because of possibility of developing life-threatening complications; patients with COM with cholestatoma must diagnosed in time and followed as soon as possible to the center that performs ear surgery; as only adequate treatment option for these patients