EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE  , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (IP Value 2.40) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , Scholar Article Journal Index (SAJI) , International Scientific Indexing ( ISI ) , Scope Database , Academia , 

 ISSN 2394-3211

Impact Factor: 7.065

 ICV - 79.57

Abstract

RISK FACTORS AND MANAGEMENT OUTCOME OF INTRAUTERINE ADHESION IN A CONSTRAINED SOCIO-ECONOMIC ENVIRONMENT: A 10-YEAR REVIEW IN THE UNIVERSITY OF CALABAR TEACHING HOSPITAL, CALABAR

Charles Njoku, Cajethan Emechebe*, Edu Eyong, Boniface Ago and John Ekabua

ABSTRACT

Background: Intrauterine adhesion remains an important cause of menstrual abnormalities and infertility in our environment. Objectives: This study was undertaken to review the risk factors and management outcome of intrauterine adhesion in our hospital. Methods: This retrospective cross-sectional study of cases of intrauterine adhesion managed at UCTH, Calabar was carried out over a 10‑year period, from January 1, 2005 to December 31, 2014. The data were analyzed using the Gold Stat Pac software packages Statpac Inc. Minneapolis, USA and presented in tables in simple percentages. Results: Intrauterine adhesion constituted 3.2% of all gynecological operations during the study period. Most patients belonged to age group of 30-34 (43.6%); para 1-2 (50.0%); married (77.4%) and with secondary education (48.4%). The common risk factors were history of termination of pregnancy/incomplete abortion (33.9%) and puerperal sepsis (12.9%). Hypomenorrhea and infertility were the most common mode of presentations in 58.1% and 54.8% of cases respectively. All the patients managed over the period had dilatation and blind adhesiolysis under anaesthesia and restoration of normal menstruation was achieved in 48.4% of the patients while the pregnancy rate was 29.0%. Conclusion: Intrauterine adhesion is relatively common due to complications of pregnancy and delivery. Therefore, prevention includes provision of contraceptive advice and early evacuation of products of conception with manual vacuum aspiration (MVA) with care where uterine curettage must be done. Also, hysteroscope and training should be made available for hysteroscopic adhesiolysis for better treatment outcome.

Keywords: intrauterine adhesion, infertility, asherman’s syndrome, amenorrhoea, Calabar.


[Full Text Article] [Download Certificate]

Citation

  All Since 2019
 Citation  3086  2560
 h-index  18  17
 i10-index  64  44

INDEXING

NEWS & UPDATION

  • New Issue Published

    Its Our pleasure to inform you that, EJPMR 1 March 2024 Issue has been Published, Kindly check it on https://www.ejpmr.com/issue

  • EJPMR: MARCH ISSUE PUBLISHED

    MARCH 2024 issue has been successfully launched on MARCH 2024.

  • EJPMR New Impact Factor

    EJPMR Impact Factor has been Increased to 7.065 for Year 2024.

  • Index Copernicus Value

    EJPMR Received Index Copernicus Value 79.57, due to High Quality Publication in EJPMR at International Level

  • Journal web site support Internet Explorer, Google Chrome, Mozilla Firefox, Opera, Saffari for easy download of article without any trouble.

    .

  • Article Invited for Publication

    Article are invited for publication in EJPMR Coming Issue

Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI ) Scope Database Academia