Western Nigeria Journal of Medical Sciences https://wnjms.com.ng/journal/index.php/wnjms en-US journal@wnjms.com.ng (PROF. OLUWADIYA KEHINDE S.) support@wnjms.com.ng (Adeniyi Oluwatosin) Tue, 05 Jul 2022 14:52:58 +0100 OJS http://blogs.law.harvard.edu/tech/rss 60 The Amniotic Fluid Index in Normal Human Pregnancies in Southwestern Nigeria https://wnjms.com.ng/journal/index.php/wnjms/article/view/68 <p>Objective: To Establish the normal range of Amniotic fluid index (AFI) across gestation, to also determine the gestational specific boundaries of normal AFI for each week and to construct a normal curve of AFI in the studied population.</p> <p>Design: Cross sectional prospective study.</p> <p><br>Settings: Obafemi Awolowo University Teaching Hospital, Ile Ife.</p> <p>Subjects: 500 pregnant women referred for routine antenatal ultrasound scan from 15 weeks to 41weeks were recruited.</p> <p>Results: Our study showed a steady rise in AFI from 15weeks to 22 weeks with a subsequent drop at 25 weeks before rising gradually again and reaching maximum value at 41weeks. There was no significant difference between the main AFI for both term and preterm pregnancies in the study population.</p> <p>Conclusion: The reference range of AFI used in clinical practice should be based on values obtained from the local population. The Range in our study between 15 and 40 weeks is 7.9 cm to 27.3cm. These<br> values obtained will assist the obstetrician in our environment in adequately assessing Amniotic fluid volume in Pregnancy and improving feto-maternal care there by reducing perinatal morbidity and mortality.</p> Alao O. B., Ayoola O. O, Adetiloye V. A., , Aremu A. A. Copyright (c) 2022 Western Nigeria Journal of Medical Sciences https://wnjms.com.ng/journal/index.php/wnjms/article/view/68 Sun, 01 May 2011 00:00:00 +0100 Heterotopic Pregnancy With A Live Female Infant A Case Report https://wnjms.com.ng/journal/index.php/wnjms/article/view/66 <p>A 38-year-old G2P1+0, 1 alive, presented with sub-acute ectopic pregnancy and had right salpingectomy for a ruptured tubal pregnancy involving the ampullary portion of the right fallopian tube. Post-operative follow-up revealed continuing symptoms of pregnancy and increasing uterine size. A diagnosis of singleton intrauterine pregnancy was confirmed by abdominal ultrasonography a month later. The patient was managed to term and had normal delivery of a female infant</p> Adekanle D.A., Ekomaye .H, Olaitan P. B. Copyright (c) 2022 Western Nigeria Journal of Medical Sciences https://wnjms.com.ng/journal/index.php/wnjms/article/view/66 Sun, 01 May 2011 00:00:00 +0100 Cutaneous Defects In The Newborn https://wnjms.com.ng/journal/index.php/wnjms/article/view/64 <p>Background: There is a dearth of information especially in the African literature, on cutaneous defects in the new born. Anecdotal reports suggest that they are rare.</p> <p>Aim: To determine the prevalence and types of cutaneous defects seen among babies delivered to mothers at the State hospital, Osogbo, South- Western Nigeria.</p> <p>Method: Consecutive newborns admitted with their mothers in to the post natal ward between January 1st and March 31st 2006 were studied. The mothers were questioned about the ages and sexes of their babies as well as about any defects they had noticed on their babies' skin. Subsequently a thorough physical examination was carried out on all the babies. The information obtained was recorded in a proforma.</p> <p>cutaneous defects. None of the defects seen was associated with any medical complications or underlying congenital anomalies. Regardless of their educational status, none of the mothers whose babies had defects had noticed them</p> <p>Conclusion: Cutaneous defects in the new born are not uncommon. The new born should be properly examined in order not to miss them. Further studies need to be done to follow up the affected babies to find out the course of the defects.</p> Elemile P. O, Joel-Medewase V. I, Fadero F. F, Oyedeji O. A Copyright (c) 2022 Western Nigeria Journal of Medical Sciences https://wnjms.com.ng/journal/index.php/wnjms/article/view/64 Sun, 01 May 2011 00:00:00 +0100 Managing Newborn Unit Without Nurses A Tragedy of Our Time https://wnjms.com.ng/journal/index.php/wnjms/article/view/67 <p>A retrospective analysis of records of neonates admitted into Wesley Guild Hospital, Ilesa during a four month period of industrial dispute affecting all hospital workers except the doctors in the teaching hospitals and research institutions in Nigeria was carried out. The main objective was to determine effect of absence of nurses on outcome and the possible value and risks in using the mothers as the m a i n n u r s i n g c a r e p r o v i d e r s . Only very ill newborns were admitted. Mothers were trained and used as "natural nurses" for their babies care. Neonatal mortality rate (NMR) was 250/1000, almost twice the NMR for the unit. The main reasons and respective case fatality rates were: birth asphyxia (60.0%), tetanus (57.1%), low birth weight (28%). Main causes of death were similar to what were previously documented in the unit. Majority of the deaths were preventable. Though the mortality rate was much higher than what was previously recorded in the unit, the effort saved many babies who would have died if they had not been admitted. Better management of industrial dispute would forestall this avoidable tragedy with increase in NMR</p> Adebami O. J, Oyelami O. A, Owa J. A Copyright (c) 2022 Western Nigeria Journal of Medical Sciences https://wnjms.com.ng/journal/index.php/wnjms/article/view/67 Sun, 01 May 2011 00:00:00 +0100 Giant Congenital Melanocytic Nevus In A Neonate https://wnjms.com.ng/journal/index.php/wnjms/article/view/65 <p>A three hour old baby presented at the special care baby unit of the Ladoke Akintola University of Technology Teaching Hospital, Ogbomoso with giant congenital melanocytic nevus. This rare case is discussed with a view to highlight challenges associated with managing such patients.</p> Joel-Medewase V. I Copyright (c) 2022 Western Nigeria Journal of Medical Sciences https://wnjms.com.ng/journal/index.php/wnjms/article/view/65 Sun, 01 May 2011 00:00:00 +0100 Clinical Photography In Plastic Surgery A Review https://wnjms.com.ng/journal/index.php/wnjms/article/view/63 <p>Background: Clinical photography is a particularly useful record in surgical practice especially in reconstructive and cosmetic surgery. A review of this topic is necessary in our environment especially considering the improvements that have taken place in photography over the years.</p> <p>Objectives: To document the practice, uses and abuse of clinical photography especially in plastic surgery.</p> <p>Methods: A search through the literature was conducted to assess the meaning, the importance, the limitations and abuses of clinical photography. Internet search was also done using different search engines including pubmed, google, msn, yahoo etc. Relevant literatures are compiled and reviewed.</p> <p>Results: Forty one of a total of 388 scientific papers reviewed were relevant to the discussion. Accurate photographic documentation has been observed to be essential in reconstructive and cosmetic plastic surgery both for clinical and scientific purposes. Surgeons extensively rely on photographic communication for documenting surgical results, teaching, research, and obtaining informed consent from patients. However guidelines exist for taking clinical photographs. Clinical photographs can be abused especially with new technology and computer manipulation. This should be avoided.<br>Conclusion: Clinical photographs have become instruments in carrying out routine surgical work. Improvement in terms of effectiveness, cost reduction and timeliness of clinical pictures has evolved. Every surgeon should familiarise himself with the changing technology to make the best use of this important tool in medical practice.</p> Olaitan, P.B Copyright (c) 2022 Western Nigeria Journal of Medical Sciences https://wnjms.com.ng/journal/index.php/wnjms/article/view/63 Sun, 01 May 2011 00:00:00 +0100