Reproductive and sexual health implications of illegal migration among young adults in Benin Metropolis, Edo State, Nigeria.

Reproductive and sexual health implications of illegal migration among young adults encompass a range of complex and interconnected challenges that demand attention and comprehensive solutions. This study is aimed at determining the reproductive and sexual health implications of illegal migration among young adults in Benin metropolis. Analytical cross-sectional study design was adopted. A purposive sampling technique was used to select a sample size of three hundred and forty-four participants. A one-time-survey method was adopted for the study as the questionnaire was administered on a face-to-face basis. Simple frequencies, percentage, charts, and graph were used to analyze the data, with the statistical package for the social sciences (SPSS) version 22. The results showed that majority of the respondents were sexually abused which resulted in unwanted pregnancies, when travelling through an illegal route. Majority of irregular migrants were doing so for socio-economic reasons in search of greener pastures. It was concluded that most of the respondents were faced by unethical challenges while travelling through the route like sexual harassment and robbery.. Most returnees are likely to contact STD/STIs including HIV/AIDs, as well as engage in abortion especially among the young adults, which may have some adverse effects on their reproductive and sexual health later in the future. It is recommended that there is a need to enlighten the young adults who want to migrate illegally on the implication of the illegal migration on their reproductive and sexual health. Campaigns against illegal migration/trafficking should be conducted regularly, stressing the negative effects such as the risks to which victims are exposed along the routes.

Les implications de la migration illégale chez les jeunes adultes sur la santé reproductive et sexuelle englobent une série de défis complexes et interconnectés qui nécessitent une attention et des solutions globales. Cette étude vise à déterminer les implications sur la santé reproductive et sexuelle de la migration illégale chez les jeunes adultes de la métropole béninoise. Un plan d'étude analytique transversale a été adopté. Une technique d'échantillonnage raisonné a été utilisée pour sélectionner un échantillon de trois cent quarante-quatre participants. Une méthode d'enquête ponctuelle a été adoptée pour l'étude puisque le questionnaire était administré en face à face. Des fréquences simples, des pourcentages, des tableaux et des graphiques ont été utilisés pour analyser les données, avec le progiciel statistique pour les sciences sociales (SPSS) version 22. Les résultats ont montré que la majorité des personnes interrogées ont été victimes d'abus sexuels, ce qui a entraîné des grossesses non désirées, lors de voyages à travers le pays. un itinéraire illégal. La majorité des migrants irréguliers le faisaient pour des raisons socio-économiques, à la recherche de pâturages plus verts. Il a été conclu que la plupart des personnes interrogées ont été confrontées à des défis contraires à l'éthique lors de leur voyage, comme le harcèlement sexuel et le vol. La plupart des rapatriés sont susceptibles de contracter des MST/IST, y compris le VIH/SIDA, et de se livrer à l'avortement, en particulier parmi les jeunes adultes. , ce qui pourrait avoir des effets néfastes sur leur santé reproductive et sexuelle plus tard dans le futur. Il est recommandé d'éclairer les jeunes adultes qui souhaitent migrer illégalement sur les implications de la migration illégale sur leur santé reproductive et sexuelle. Des campagnes contre l'immigration clandestine/le trafic devraient être menées régulièrement, en soulignant les effets négatifs tels que les risques auxquels les victimes sont exposées le long des routes.

Iatrogenic urological injuries complicating obstetric and gynaecological procedures.

INTRODUCTION: Urinary tract injuries are known complications of pelvic surgeries. Although a few instances have been noted, they remain a source of great concern to surgeons due to their associated morbidity and occasional mortality. We report our experience with the management of iatrogenic urological injuries that complicated obstetric and gynaecological surgeries over a five-year period. METHODS: We reviewed all cases of urological injuries managed in our unit that were deemed to be of obstetric and gynaecological origins within the study period. RESULTS: A total of 16 patients were identified as having iatrogenic urological injuries following obstetric and gynaecological surgeries. Only four patients presented early. Five patients had injuries to the bladder, while 12 had ureteric injuries; one of the 16 patients had both types of injuries. Seven cases of ureteric injuries affected only the left ureter, while three were bilateral and two affected the right ureter. One patient with a vesicovaginal fistula (VVF) was successfully managed by urethral catheter drainage alone. Three patients had transabdominal repair of the VVF, while ten had ureteroureterostomy and one had diversion procedure. Simple nephrectomy was performed for one patient with a non-functioning kidney. CONCLUSION: Iatrogenic urological injuries are still common in our environment. In order to reduce the risk of injury, adequate preoperative preparation is recommended and meticulous surgical technique based on proper understanding of the anatomy of the urogenital system should be practised by the surgeon.

Demand and utilisation of labour analgesia service by Nigerian women.

This study sought to determine the clinical correlates of the demand and utilisation of labour analgesia resources by Nigerian women in labour. All consenting women were interviewed on arrival at the Unit and while in labour. Biodata, options for relief of labour pain, request for analgesia, method of analgesia, VAS score and cervical score at time of request for analgesia were obtained. A total of 288 women in labour were studied. Of these, 108 (37.5%) patients were aware that the pain of labour can be relieved but only 26.0% had prenatal information on labour analgesia. However, 85.1% of the patients would want their pain of labour relieved. A total of 112 (38.9%) did receive analgesia during labour. Cervical dilatation of <4 cm at presentation to the Unit and nulliparity were likely factors for pain treatment during labour (p = 0.001, chi2 test). There is poor utilisation of labour analgesia services. Improved antenatal information on labour analgesia may boost the utilisation of these resources by Nigerian women in labour.