Augustine C. Umezulike

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Recent studies have cast doubt on the recommended 30-min decision--delivery interval (DDI) in emergency caesarean sections. The practicability, justification, anticipated beneficial effect on neonatal outcome and its medico-legal implications have been questioned. We set out to determine (1) the DDI for emergency caesarean sections in two Nigerian tertiary(More)
A comparative retrospective analysis of maternal deaths at the University of Nigeria Teaching Hospital, Enugu, Nigeria, was carried out for two ten-year periods--1976-1985 and 1991-2000--in order to evaluate the effect of Safe Motherhood Initiative on maternal mortality in the hospital. Variables for the two periods were compared by means of the t-test at(More)
OBJECTIVE To determine risk factors for perinatal mortality among hospital-based deliveries in Nigeria. METHODS The WHO Global Maternal and Perinatal Health Survey was implemented in Nigeria as a first step in establishing a global system for monitoring maternal and perinatal health. Twenty-one health facilities with more than 1000 deliveries annually(More)
BACKGROUND Maternal mortality in poor countries reflects the under-development in these societies. Global recognition of the burden of maternal mortality and the urgency for a reversal of the trend underpin the Millenium Development Goals (MDGs). OBJECTIVE To determine risk factors for maternal mortality in institutional births in Nigeria. METHOD Twenty(More)
OBJECTIVES To study the epidemiological characteristics of cancer of the cervix in the Nigerian Federal Capital Territory (FCT), and also to serve as baseline information for future monitoring of on-going screening for pre-malignant cervical lesions. METHODOLOGY Retrospective study of all confirmed cases of cancer of cervix managed at the National(More)
OBJECTIVE To assess the effects of 400-μg sublingual misoprostol plus routine uterotonics on postpartum hemorrhage. METHODS A double-blind, placebo-controlled, randomized study was performed. After delivery of the child, eligible women received routine uterotonics and were randomly allocated to receive 400-μg misoprostol or placebo sublingually. The(More)
Objective. Infertility menstrual abnormalities continue to constitute a significant bulk of gynecological consultation in Africa. Both of these problems are sometimes traced to intrauterine adhesions which are preventable in the majority of cases. Study Design. A retrospective analysis of intrauterine adhesions at the National Hospital Abuja, Nigeria, was(More)