Depression among infertile women in Ogbomosoland

Background: Infertility is a major medical condition that affects many married couples globally and it has immense psycho-social impact on couples, especially in Africa where a high premium is placed on child-bearing. This study therefore determined the prevalence of and the factors associated with depression among infertile women in Ogbomoso, Southwest Nigeria.Methods: The study was a descriptive cross-sectional study carried out at the gynaecology clinic of the Bowen University Teaching Hospital using the Patient Health Questionnaire-9 to screen for and determine the severity of depression as well as assess the social functioning of the respondents. A total of 110 women with infertility were recruited. Data was analysed using SPSS® (version 20) with statistical significance set at less than 0.05.Results: The study found a depression prevalence of 52.7%. There was no significant association between the age group of the respondents (p = 0.889), their level of education (p = 0.731), years since marriage (p = 0.38), type of infertility (p = 0.873), number of living children (p = 0.226), sex of the children (p = 0.257) and depression. Depression was, however, significantly associated with impairment in social functioning of the respondents (p = 0.005).Conclusion: Depression is a very common co-morbidity in infertile women. It should not only be screened for among infertile women, but physicians attending to such women need to offer psycho-social support as part of care for these women

Intussusception in children: international perspective.

Fifty consecutive cases of children with intussusception treated at a hospital in a developing country were compared with 50 consecutive cases treated at an American inner city children's hospital and 50 consecutive cases treated at an American referral children's hospital. The plan was to recommend ways of improving the treatment of children with intussusception in the developing world. Nonoperative reduction was attempted in the two American hospitals but was not available in the developing world hospital where all children were treated operatively. Children in the developing world hospital had a significantly longer duration of symptoms, an increased incidence of nonviable bowel, and a mortality of 18%. There were no deaths in either American hospital. The poorer outcome for developing world children was related to delay in treatment, the higher incidence of nonviable bowel, and the lack of adequate nursing care for acutely ill children. The use of nonoperative reduction would not have significantly improved the mortality rate among the developing world children. The mortality can best be reduced by: (1) earlier recognition and treatment of the intussusception; and (2) improvement in the postanesthetic care with better monitoring leading to prompt recognition and treatment of postoperative complications.