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    Cervical ectopic pregnancy managed with methotrexate and tranexamic acid: A case report.
    (College of Medicine, University of Ibadan, in conjunction with the University College Hospital (UCH), Ibadan, Nigeria, 2014) Arowojolu, A. O.; Ogunbode, O. O.
    Background: Cervical pregnancy is a rare life-threatening form of ectopic pregnancy and when it occurs, it is challenging to decide the management options. Surgical intervention has been documented to be complicated by intractable haemorrhage and most often necessitating hysterectomy. We hereby report a case of cervical pregnancy managed conservatively with medical agents prior to surgical intervention. Case presentation and management: A 29 year old primiparous woman with gestational diabetes mellitus who presented at 10 weeks gestation with 5 days history of brownish vaginal discharge and 2 days history of painless vaginal bleeding. On pelvic examination the cervix was disproportionately larger than the uterus with a closed internal os. Transvaginal and abdominal ultrasound scanning confirmed a live cervical pregnancy. She had intramuscular methotrexate and tranexamic acid followed by suction evacuation combined with balloon tamponade. Examination at 6 weeks post procedure revealed a normal cervix. Conclusion: Cervical pregnancy still occurs in this environment despite its rarity. Surgical intervention usually results in hysterectomy and adopting medical management as a first line treatment option offers the benefit of uterine preservation.
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    Repair of spontaneous perineal laceration at delivery, a cultural taboo: a case report
    (2006) Morhason-Bello, I. O.; Adesina, O. A.; Okunlola, M.A.; Oladokun, A; Onibokun, A.A.; Ojengbede, O.A.
    Although genital trauma is a recognized maternal complication of vaginal birth, the presence of skilled birth attendants at delivery and judicious use of episiotomy has been shown to reduce this risk to the barest minimum. Prompt repair of these traumas averts the resultant complications that may arise. A case of a booked 18-year-old nulliparous Guinea-Conakry woman with a second-degree perineal tear who declined repair due to a cultural reason is presented. The need for supervised delivery as well as immediate and long-term health implications of her decision is discussed
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    Repair of spontaneous perineal laceration at delivery, a cultural taboo: a case report
    (Association of Resident Doctors, University College Hospital, Ibadan, Nigeria, 2006-12) Morhason-Bello, I. O.; Adesina, O. A.; Okunlola, M. A.; Oladokun, A.; Onibokun, A. A.; Ojengbede, O. A.
    Although genital trauma is a recognized maternal complication of vaginal birth, the presence of skilled birth attendants at delivery and judicious use of episiotomy has been shown to reduce this risk to the barest minimum. Prompt repair of these traumas averts the resultant complications that may arise. A case of a booked 18-year-old nulliparous Guinea-Conakry woman with a second-degree perineal tear who declined repair due to a cultural reason is presented. The need for supervised delivery as well as immediate and long-term health implications of her decision is discussed.