Asian Research Journal of Gynaecology and Obstetrics <p style="text-align: justify;"><strong>Asian Research Journal of Gynaecology and Obstetrics</strong>&nbsp;aims to publish&nbsp;high-quality&nbsp;papers (<a href="/index.php/ARJGO/general-guideline-for-authors">Click here for Types of paper</a>) in all areas of&nbsp;‘Gynaecology and Obstetrics’. This journal facilitates the research and wishes to publish papers as long as they are technically correct, scientifically motivated. The journal also encourages the submission of useful reports of negative results. This is a quality controlled,&nbsp;OPEN&nbsp;peer-reviewed, open access INTERNATIONAL journal.</p> Asian Research Journal of Gynaecology and Obstetrics en-US Asian Research Journal of Gynaecology and Obstetrics Intra-operative Detection of Asymptomatic Perforated Copper T- A Case Report <p><strong>Context:</strong> Uterine perforation is a rare yet important complication of the intrauterine device (IUD). Whereas many experts recommend removal of perforated IUD irrespective of symptomatic or not, no-touch is recommended when IUD is outside the uterus and IUD is surrounded and embedded in the fibrotic tissues: Attempting its removal may cause bleeding. Thus, asymptomatic perforation poses a management dilemma.</p> <p><strong>Case Report:</strong> We report a patient with asymptomatic perforated IUD (copper T) incidentally detected intraoperatively, which we removed under mini-laparotomy. A 32-year-old pregnant woman (Gravida 5 Para 4) presented to us for Medical Termination of Pregnancy and laparoscopic tubal ligation. Vaginal examination revealed uterus of 10 week-size and bilateral fornices were free and non-tender. Transvaginal ultrasound revealed a single live intrauterine embryo of 10 week-size. Laparoscopy revealed that the left cornu of the uterus was perforated, from which IUD thread was observed: No thick fibrosis was observed around the site. Thus, we decided to remove IUD through mini-laparotomy: We held the thread and removed the IUD slowly, with no bleeding. Postoperative period was uneventful.</p> <p><strong>Conclusion:</strong> In this case, considering no fibrosis around the perforated site, leaving&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;this IUD potentially may cause future complications, and thus, we decided to remove it. No conclusion can be made from this single case, we believe that this case may provide information to decide whether perforated IUD, which was incidentally found, should be removed or not.</p> Aastha Raheja Krishna Agarwal ##submission.copyrightStatement## 2019-07-18 2019-07-18 1 3 Vacuum as Instrument of Choice for Delivery <p>Although there is a declined use of instruments during vaginal delivery in modern obstetrics, vacuum device has recently gained popularity over forceps. The need for instrumental delivery is especially important in low income countries, where the necessary expertise is not always available for caesarean section. Vacuum device should only be used when indicated, commonly for prolonged 2nd stage and non reassuring fetal heart. In addition, operator experience is of utmost importance.&nbsp;</p> <p>The vacuum is a safe and effective device for instrumental vaginal delivery, associated with less maternal injury, lesser analgesia and need of less expertise. This article reviews in detail the indications, contraindications, patient selection and procedure for vacuum-assisted vaginal delivery. It is always important that a clinician is well versed with maternal and fetal risks associated with the device and the alternate options available.</p> Shayista Nabi ##submission.copyrightStatement## 2019-08-05 2019-08-05 1 7 Pica Practice and Associated Factors among Pregnant Women Receiving Antenatal Care in Obio Cottage Hospital, Port Harcourt, Rivers State <p><strong>Background:</strong> PICA is a psychological disorder characterized by an appetite for substances that are largely non-nutritive, such as ice, paper, soil etc. Pica practice in pregnancy has persisted through the years over time and in some societies considered normal, pica prevalence in Nigeria has been recorded to be 78%, 53%, 13% and 50% respectively, conducted in the East, North, and Western parts of Nigeria. Pica practices play major roles in maternal and fetal nutrition as whatever is ingested will undoubtedly have impacts, positive or negative on health. The aim of this study was to determine the prevalence of pica practice among pregnant women receiving antenatal care in Obio Cottage Hospital, Rumuobiakani, Port Harcourt, Nigeria.</p> <p><strong>Methodology:</strong> The study employed a descriptive, cross-sectional design on a sample of 420 pregnant who were in their second and third trimester that were selected using a convenience sampling method. The study used both quantitative and qualitative data. Qualitative data was extracted using an interview guide and quantitative data was collected using an interviewer-administered questionnaire. The statistical package for Social Sciences (SPSS) version 20 was used for data analysis.</p> <p><strong>Results:</strong> The findings of the study revealed a relatively high prevalence (62.86%) of pica practice among pregnant women. On the pattern of pica practice, clay was the commonest (50%) followed by nail biting (7.58%), sour food (6.06%) and plant roots/seeds/leaves (4.11%) among others. About 80.31% of those that practiced pica consumed the preferred items almost every day with over 94% taking the item 2 or more times each day. The main reasons for consumption are pleasant taste/smell (40.95%), craving (35.71%), control of nausea/hyperemesis gravidarum (14.52%) and sex (male or female) of fetus (12.62%) among several.</p> <p>On the perceived effect, 30.71% of respondents think it has positive effect on pregnancy which are mainly cleansing the baby’s body (69.77%), nourishes the baby (13.18%) and calms the baby (10.08%). Additionally, 40.95% felt pica has positive effects on the health of the woman which are majorly control of nausea (47.09%), cleansing of the system (14.53%) energy (11.63%). The main perceived negative effect on health is anaemia (28.0%).</p> <p>On the factors associated with pica practice, having secondary education or less (OR= 1.7; 95% CI: 1.11-2.62; p = 0.02), perceived positive effect on health (OR = 134.36; 95% CI: 16.45-5812.12; p =0.000), perceived positive effect on pregnancy (OR = 128; 95% CI: 0.82-10093.90; p = 0.006) and being anaemic (OR = 4.19; 95% CI: 2.70-6.53; p =0.000).&nbsp;</p> <p><strong>Conclusion:</strong> From the findings, it is evident that majority of pregnant women practice pica. The patterns practiced were clay consumption, followed by finger nail biting, consumption of sour foods and fruits, plant roots, seeds and leaves. To discourage the practice, there is the need to improve female education, correct misconceptions on the positive effects of the practice and creation of awareness on the negative effects of the practice particularly anemia.</p> P. Anthony Anthonia ##submission.copyrightStatement## 2019-06-22 2019-06-22 1 12 Health-related Quality of Life of Women with Gynecological Cancer Receiving Chemotherapy in the University College Hospital, Ibadan <p><strong>Aims: </strong>This study assessed the health-related quality of life of women with gynaecological cancers on chemotherapy, Identified their major concern and also assessed the relationship between quality of life with prevalent side effects as experienced by those women.</p> <p><strong>Study Design:</strong> Cross-sectional descriptive study on women with gynaecological cancer on chemotherapy.</p> <p><strong>Place and Duration of Study: </strong>Radiation Oncology Department, University College Hospital Ibadan, between June 2018 and August 2018.</p> <p><strong>Methodology:</strong> Purposive sampling technique was used to select 117 women with gynaecological cancer undergoing chemotherapy treatment at the University College Hospital, Ibadan. Quality of Life (QoL) was measured with (Cancer patient Quality of Life Questionnaire) EORTC QLQ-C30 version 3.0. The side effects were assessed by adapting Memorial Symptoms Assessment Scale. Relationships between QoL score and side effects were analyzed using Chi-square test at 5% level of significance.</p> <p><strong>Results:</strong> The mean age of the participants is 48.8 years. Cervical cancer (69.2%) is the most prevalent gynaecological cancer as revealed in this study. In sub-dimensions of the functional status scale, the scores of cognitive and physical status were found higher while the emotional and social status score was found lowest. For Global health status, majority of the respondents rated it well (82.1%). Financial difficulty ranked the highest concern (88%). There was a statistically significant association between health-related quality of life and side effect of chemotherapy (<em>p</em>= 0.02). <strong>Conclusion:</strong> Gynecological cancer and its treatment cause a significant problem on the social, emotional and role aspect of QoL. Preventing and minimizing the effect of the symptoms of gynecologic cancer by prompt management of side effects of chemotherapy may positively impact on patient QoL.</p> Omolola Lydia, Abiodun Beatrice Ohaeri Mustapha Sinmileoluwa ##submission.copyrightStatement## 2019-06-27 2019-06-27 1 10