Hysterosalpingographic Findings in Patients with Infertility in South Eastern Nigeria

Background:Hysterosalpingography (HSG) is still an integral part of gynecological evaluation of infertile couple and its value has not been underestimated in moderngynecological practice; especially in developing countries. The study aims to evaluate the findings at HSG in patients presenting with infertility at the Ebonyi State University Teaching Hospital;Abakaliki; Southeastern Nigeria. A retrospective analysis of 100 consecutive HSG results of patients presenting with infertility was done between January 2005-April 2008. Their clinical records and radiological findings were analyzed for demographic data; and cervical; uterine and tubal; pathology. Results: The commonest age group was between 25 -34 years. Sixty-five percent presented with secondary infertility while 35presented with secondary infertility. Hysterosalpingographic findings were abnormal in 80of patients (primary infertility 20and secondary infertility 60). Bilateral tubal blockage and bilateral fimbrial adhesion were the commonest tubal factor abnormalities while intracavitary mass impression and cervical synechia were the commonest findings for uterine and cervical factor abnormalities respectively. Conclusion:Tubal blockage and tubal factor infertility are still common among infertile couples. This may probably be due to chronic pelvic inflammatory disease or pelvic infection following sexually transmitted infections; mismanaged pregnancies and septic abortions; as most of the patients presented with secondary infertility. Measures to prevent the occurrence of these infections are highlighted

Hysterosalpingographic Findings in Patients with Infertility in South Eastern Nigeria

Hysterosalpingography (HSG) is still an integral part of gynecological evaluation of infertile couple and its value has not been underestimated in modern gynecological practice; especially in developing countries.The study aims to evaluate the findings at HSG in patients presenting with infertility at the Ebonyi State University Teaching Hospital;Abakaliki; Southeastern Nigeria. A retrospective analysis of 100 consecutive HSG results of patients presenting with infertility was done between January 2005-April 2008. Their clinical records and radiological findings were analyzed for demographic data; and cervical; uterine and tubal; pathology.The commonest age group was between 25 -34 years. Sixty-five percent presented with secondary infertility while 35presented with secondary infertility. Hysterosalpingographic findings were abnormal in 80of patients(primary infertility 20and secondary infertility 60). Bilateral tubal blockage and bilateral fimbrial adhesion were the commonest tubal factor abnormalities while intracavitary mass impression and cervical synechia were the commonest findings for uterine and cervical factor abnormalities respectively. Tubal blockage and tubal factor infertility are still common among infertile couples. This may probably be due to chronic pelvic inflammatory disease or pelvic infection following sexually transmitted infections; mismanaged pregnancies and septic abortions; as most of the patients presented with secondary infertility. Measures to prevent the occurrence of these infections are highlighted

Obstetric Indices at The Ebonyi State University Teaching Hospital; Abakaliki; South East

Background: Some vital health statistics are usually necessary in planning and execution of certain health policies and programmes. This is especially important in an obstetric unit where reduction of maternal and perinatal mortality have become yardstick for achieving some aspects of the Millennium Development Goal. Nigeria. Method: A review of Obstetric records in the Department of Obstetrics and Gynaecology; EBSUTH; Abakaliki; over a three-year period (January 2001-December 2003 was done. Results: A total 1660 deliveries were conducted during the review period. Of these; 82.2were registered for antenatal care. Caesarean section rate was; 17.8; instrumental deliveries 2.1while 0.5had destructive operations.. Teenage pregnancy and grandmultiparity accounted for 6.0and 15respectively. Sixteen. Percent of the babies were of low birth weight while 4.5were macrosomic. Maternal mortality ratio and perinatal mortally rate were 3;392 per 100;000 and 86.3 per 1;000 respectively. Conclusion: Some of the vital obstetric indices were still within the range comparable to other centers. Grandmultiparity contributed a significant proportion of the cases and this calls for aggressive family planning campaigns. Maternal and perinatal mortality rates were outrageous. It is suggested that periodic review of some vital obstetric indices will pinpoint priority areas and help health policy makers and implementers provide the basic rudiments of safe motherhood initiative to our women