Estimates of maternal deaths per 100,000 births are 270 for Latin America, 420 for Asia and 640 for Africa, compared to only 30 in developed countries. In places with high maternal death rates, women who fail to receive antenatal care and who then report to hospital only when their lives are threatened by major obstetric complications constitute the crux of the problem. In reducing maternal deaths in such places, especially in Africa, the need is to provide vigorous treatment for the unbooked emergencies and, at the same time, work towards the removal of the cultural, health and socio-economic conditions which create the unbooked emergencies. The first objective can be achieved through developing a network of first referral hospitals so that life saving measures are accessible to all who need them before it is too late. The second objective can be realized only through the universal provision and utilization of basic but professional antenatal care and also through modernization of the society as a whole. For all of these goals, universal formal education is fundamental.

Africa↗

PubMedDate not supplied

Obstetrics and gynaecology. Women and market forces.

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Africa South of the Sahara↗

PubMedDate not supplied

Sibling rivalry in nursing and the role of nurse psychotherapist.

TOPIC: The burgeoning role of the analytically prepared nurse psychotherapist in Great Britain. PURPOSE: To describe the struggles of nurses in this role and ways this struggle might be lessened. SOURCE: Observations of the author, an analytically prepared nurse psychotherapist-in-training in Great Britain. CONCLUSIONS: The role of the nurse psychotherapist with psychoanalytic training is in its infancy in Great Britain. Barriers to the development are both external, from outside the nursing profession, and internal, in the form of sibling rivalry or envy from less prepared nurses. Increased communication among nurses is encouraged so that a shared understanding and mutual respect may result.

Attitude of Health Personnel↗

PubMedDate not supplied

Teratomas in adult Nigerians.

Over a six-year period, 132 teratomas were seen at the Ahmadu Bello University Hospital in Zaria, Nigeria. Twenty-seven of these, comprising most of the extragonadal tumours were seen in infants and children. Of the 105 tumours found in adults, ninety-four were benign cystic teratomas of the ovary occurring mostly in the third and fourth decades of life. There were three instances of malignant transformation of a previously benign cystic ovarian teratoma and four cases of struma ovarii, one of which was admixed with trabecular carcinoid but none of which was associated with hyperthyroidism or carcinoma. This study confirms the rarity in adult Nigerians of the following tumours each of which occurred only once in the series: mediastinal, solid ovarian teratoma, testicular and sacrococcygeal teratoma. The latter two were malignant and the sacrococcygeal tumour has been reclassified as an endodermal sinus tumour.

Adult↗