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Background: Uterovaginal prolapse is a common gynaecological condition in low resource countries because of high prevalence of grand multiparity, low skilled attendant at delivery and low contraceptive usage. Objective of this study was to determine the prevalence, sociodemographic profiles, utilization of reproductive health services and delay in seeking medical care of patient with uterovaginal prolapse in Calabar, Nigeria.Methods: This was a retrospective study of women who presented with uterovaginal prolapse at University of Calabar Teaching Hospital, Calabar, Nigeria between 1st May 2009 and 1st June 2019. Patients case records were retrieved and analyzed. Statistical analysis was done using SPSS version 22.Results: The prevalence of genital prolapse was 0.3%. The mean age and parity were 60.19±8.71 years and 6.31±2.80, respectively. The mean duration of symptoms before presentation was 3.19±2.16 years. Genital prolapse was commonest among age group 60-79 years (52.8%), parity 5-9 (66.7%), post-menopausal (97.2%), primary education (55.6%) and farmers (47.2%). Grade 3 uterovaginal prolapse was the commonest grade (58.3%). Most patients (86.1%) had symptoms of genital prolapse for less than 5 years before seeking medical treatment. The majority of patients had no antenatal care during their pregnancies (80.6%), no skilled attendant at deliveries (86.1%) and no contraceptive use during their reproductive years (77.8%). Participants with lower parity (1-4) (p=0.03), higher educational level (p˂0.001) and teachers/civil servants (p=0.043) presented earlier (less than 1 year) to the hospital.Conclusions: There is poor utilization of reproductive health services among women who develop uterovaginal prolapse in study environment. Women with higher social status sought for help earlier. Increasing awareness of this condition and providing antenatal care, skilled birth attendants and contraceptive services will reduce the burden of this condition.
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ntroduction: Adolescent sexual assault is a huge public health problem with physical, reproductive health and psycho-social consequences.Methods: A literature review was carried out on its prevalence, forms,risk factors and effects using multiple databases, namely MEDLINE, Web of Science Core Collection, and Google Scholar Google search. Additional information was from medical textbooks and journals.Results: The estimated prevalence of sexual aggression among adolescents varied widely in different studies in Nigeria, ranging from 6 to 74%. Broad variation may be due to different incident reporting rates at multiple locations.Conclusion: The solution to this problem involves the mobilization and active co-operation of all stakeholders in the society such as parents, guardians, teachers, non-governmental organizations, religious leaders, political leaders and government. Sex education should be given at home, school and other settings to both males and from other formal sources.Review Article
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This study assessed the erythropoietic effect of Eremomastax polysperma leaf extracts in female albino Wistar rats. Method: Twenty eight (28) female rats were divided into two major groups based on their weight and age. The duration of administration of E. polysperma extracts lasted for twenty one (21) days. This study was carried out in the Department of Biochemistry University of Calabar, between February and March 2013. A significant increase (P<0.05) in red blood cell count (RBC) (8.17±0.48, 6.46±0.37) and Haemoglobin (Hb) count (15.13±1.03, 13.27±0.7) was observed in the prepubertal group compared to the control, while packed cell volume (PCV) was significantly increased (P<0.05) in the pubertal group compared to the control (55.40±4.40, 48.63±2.33 respectively). This suggests that E. polysperma leaf extract can be used as a haematinic and a therapy for anaemic conditions.
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The haematological effects following ingestion of shellfish exposed to crude oil polluted water or the pollutant perse were investigated in albino Wistar rats. Feeding of four groups of rats for 28 days duration with two reference casein or shellfish protein control diets (Group A and B); and two test diets (Group C and D) supplemented at varying levels with shellfish which had been previously exposed to crude oil polluted water and the oral gavaging with crude oil at the rate of 3; 6 and 9 ml/kg body weight per day to three groups (groups II; III and IV respectively) of rats for 7 days duration resulted in changes in packed cell volume (PCV); red blood cell (RBC) and white blood cell (WBC) counts; and haemoglobin concentration (Hb) of rats. Group C and D respectively fed 10 and 20 polluted shellfish diets recorded significant (P 0.05) decreases in PCV and RBC counts while Hb concentration and WBC counts increased. Groups II; III and IV gavaged with varying doses of crude oil recorded significant (P 0.05 - 0.01) dose dependent decrease in PCV and RBC counts when compared to controls (group 1). Hb and WBC counts also increased for these groups but the increase was only significant for WBC counts (P 0.05) when compared with controls. The results suggest that the ingestion of shellfish exposed to crude oil polluted water or the polluted perse results in haematotoxicity