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Biomedical subjects

F O Dare

Publications and source records attributed to F O Dare.

At least 37 records · Page 2Linked to original sources
PubMed1993

Amoebic recto-vaginal fistula--a case report and review of literature.

A case of amoebic recto-vaginal fistula is presented, with a review of literature on this rare complication of intestinal amoebiasis. A temporary defunctioning sigmoid colostomy was necessary. This in combination with oral metronidazole and tetracycline resulted in spontaneous closure of the fistulous tract. Non-traumatic recto-vaginal fistula poses a major diagnostic problem especially in the tropics where many granulomatous infections are endemic and could mimic carcinoma.

Adult↗
PubMed1992

Ogilvie's syndrome.

Four cases of Ogilvie's syndrome (acute colonic pseudo-obstruction) are reported. All occurred in the early puerperium following cesarean section and cesarean hysterectomy. In three of the patients, the diameter of the distended cecum was less than 9.0 cm and so management was conservative while in the fourth patient it was more than 9.0 cm, and so surgical intervention was carried out. A cecal diameter of 9.0 cm or above is an indication for surgical intervention to prevent possible colonic perforation. Other indications for surgery include established cecal perforation and failed conservative management. It is important that an early diagnosis is made and management instituted in order to prevent complications and associated high mortality.

Adult↗
PubMed1992

Biosocial factors affecting menarche in a mixed Nigerian population.

A prospective study of school girls in a mixed Nigerian population revealed that the mean menarcheal age was 13.98 +/- 1.30 years. The mean menarcheal age was influenced by the social class of the parents, being higher in the lower social class, there were considerable variations in the biologic measurements (height, weight and body mass index) among girls who attained menarche.

Adolescent↗
PubMed1991

Experience with 29 cases of female ventral incisional hernias in Ile-Ife, Nigeria.

Ventral incisional hernia, a major cause of postoperative morbidity after abdominal operations is reviewed in 29 adult female patients following 2042 major procedures during a 10-year period in Obafemi Awolowo University Teaching Hospital, Ile-Ife, Nigeria. All the patients were in the reproductive age group. The overall incidence of 1.4% is low but being a hospital incidence, the authors feel that it should not be deluding. Premature deliveries were associated with pregnancy coexisting with incisional hernia. Operations for complicated obstetric conditions and wound infections, were the major predisposing factors. It is noted that a reduction of the frequency of occurrence of incisional hernia and its complications in female patients can be achieved through a combination of health education and sound surgical technique with good wound care. An elective repair of hernia is most auspicious.

Abdominal Muscles↗
PubMed1990

Gravid uterus in an anterior abdominal wall hernia of a Nigerian woman.

A case of a gravid uterus in an incisional hernia in the anterior abdominal wall of a 27-year-old Nigerian woman is presented. The patient developed an ulceration of the anterior abdominal wall necessitating prolonged hospitalization. She was delivered by emergency lower segment cesarean section at 35 weeks gestational age because of premature labor. The patient unfortunately died from primary postpartum hemorrhage.

Adult↗
PubMed1990

The value of symphysio-fundal height/abdominal girth measurements in predicting fetal weight.

This paper presents the results of a study using the product of symphysio-fundal height and abdominal girth at the umbilical level measured in centimeters and the results expressed in grams to estimate fetal weight at term in utero. The estimated weight before delivery correlated well with the birth weight. This simple method can be used in areas where sophisticated methods are unavailable.

Abdomen↗
PubMed1990

Abortion-related deaths in Ile-Ife, Nigeria: a 12-year review.

Cases of death due to abortions at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria, between January 1977 and September 1988 were reviewed. Abortion accounted for 12.5% of the maternal deaths and the majority (88.9%) were from illegal abortions. The majority (92.6%) of the patients were of low educational status. Both married women and single girls were involved. Instrumentation was employed in 81.5% of the abortions and unqualified personnel were involved in 74.1% of cases of such intervention. Seventeen (63%) of the pregnancies were terminated within the first trimester. Most (96.3%) of the patients were admitted in poor clinical state and 51.8% of them died within 48 h of admission. Sepsis was the commonest cause of death.

Abortion, Illegal↗
PubMed1989

Congenital absence of an ovary in a Nigerian woman.

A case of unilateral absence of the left ovary in a 45-year-old grand multiparous Nigerian woman is reported. Congenital absence of a gonad is extremely rare and it indicates a genetic or chromosomal error in the formation of the urogenital ridge.

Female↗
PubMed1989

Experience with 159 cases of premature rupture of fetal membranes in Ile-Ife, Nigeria.

In a 10-year period, 159 out of 16,825 total deliveries had premature rupture of fetal membranes giving an incidence of 0.94%. The condition poses a serious threat to both mother and the infant. Maternal infection increased exponentially with the latent period. The institution of an active management programme is suggested as a way of reducing the hazards associated with this condition.

Adult↗
PubMedDate not supplied

Ultrasonic measurement of biparietal diameter and femur in foetal age determination.

Our objective was to verify ultrasonic measurement of biparietal diameter and femur in foetal age determination in the second and third trimester of pregnancy. The prospective cross sectional study was carried out at the ultrasound department of Aberdeen Maternity Hospital Scotland. The study population consisted of 716 pregnant Scottish (Caucasian) women who were certain of their gestational ages and had their gestational ages confirmed in the first trimester by ultrasound. The findings revealed: (1) Linearity through out pregnancy using the femur length measurements while that of the biparietal diameter demonstrated poor correlation after 32 weeks of gestation. (2) The standard deviation and the correlation coefficient of the femur length measurements were 0.0042 and 0.9920 respectively while the corresponding values for biparietal diameter were 0.0045 and 0.9850 respectively. (3) The standard error for femur length estimate was 0.2251 as against 0.3009 for biparietal diameter estimate. The results suggest that femur length measurement is a more reliable index of late third trimester gestational age prediction than biparietal diameter.

Cephalometry↗
PubMedDate not supplied

Pregnancy outcome in nulliparous women aged 35 or older.

Our objective was to examine pregnancy outcome in women age 35 and over. We compared pregnancy delivery complications in 207 women aged 35 years and older with 219 control women aged 25 - 29 years. Data was collected retrospectively and stratified by parity. Results of statistical analysis showed that the older women differed significantly in (1) antepartum factors (previous pregnancy experience, chronic and pregnancy-induced hypertension, maternal and gestational diabetes, placenta previa) (2) intrapartum factors (malpresentations, fetal disproportions, abnormal labour, caesarean and operative vaginal delivery) (3) neonatal outcomes (birth asphyxia, prematurity, low birth weight, neonatal intensive care unit admissions). However, birth trauma and perinatal mortality did not differ between the two groups. We concluded that pregnancies in older women are prone to complications, but when managed accordingly the overall perinatal outcomes were good.

Adult↗
PubMedDate not supplied

Sonographic evaluation of induced abortion--experience in Nigeria.

A sonographic evaluation of forty-six patients with suspected complications of unsafe induced abortion was performed prospectively. The sonographic features were correlated with surgical findings. Based on the sonographic findings, the patients were categorised into three groups. There was no clear association between the severity of sonographic or pathological findings and the time of presentation for ultrasound after the termination of pregnancy, but most of the patients presenting after 5 days belonged to groups II and III, i.e. had uterine complications with or without abdomino-pelvic complications. The commonest complication, sepsis, is variably expressed sonographically in all groups. Although, the sonographic appearances of sepsis are similar to those seen in pelvic inflammatory disease (PID), some features seen with post-abortal sepsis are peculiar. Apart from sepsis, other complications of abortion presented non-specific sonographic features. "Pseudouterus" appearance was demonstrated in one patient after hysterectomy. The likelihood of pre-operative diagnosis of uterine perforation is high when the presentation is early before the formation of complex echopatterns of sepsis or in the absence of free intraperitoneal gas from bowel perforation or gas-forming organism. Routing manual vacuum aspiration or therapeutic endometrial curettage is unnecessary where sonography shows no evidence of retained products post abortion.

Abortion, Illegal↗