T Swende

Publications (2)0 Total impact

• Article: Female sterilization by tubal ligation at caesarean section in Makurdi, Nigeria

  T Swende, T Hwande
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  ABSTRACT: Background : Female sterilization is an important tool in reducing unplanned pregnancy and maternal mortality in our environment. The aim of this study was to determine the incidence, sociodemographic characteristics, technique, effectiveness and complications associated with female sterilization by bilateral tubal ligation at caesarean section. Method : This was a retrospective analysis of the clinical records of 78 clients who had female sterilization out of 1,346 acceptors of contraceptive methods at the Federal Medical Centre, Makurdi, over a 5-year period between November 2002 and October 2007. Results : Of the 1,346 acceptors of family planning methods, 78 clients had bilateral tubal ligation. The majority of the clients (37 [47.4%]) had sterilization at caesarean section, representing 2.7% of all acceptors of family planning methods. The mean age and parity of the clients were 34.3 years and 5.5, respectively. The majority of the clients (36 [97.3%]) had sterilization using the modified Pomeroy′s technique. Contraceptive effectiveness was 100%. No complication specific to tubal ligation was noticed. Conclusion : Majority of female sterilization were performed at caesarean section. The procedure was found to be safe and effective.
  Annals of African Medicine. 01/2010;
• Article: Reversible blindness in fulminating preeclampsia

  T Swende, T Abwa
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  ABSTRACT: Severe preeclampsia and eclampsia are major causes of maternal and perinatal morbidity and mortality in many parts of the world. One of the uncommon effects of severe preeclampsia on the eye is sudden loss of vision. This blindness can be due to involvement of the occipital cortex or the retina. Although very alarming, this type of blindness is usually reversible following appropriate management of such patients. Here we present the case of a woman in whom fulminating preeclampsia was complicated by blindness. Fundoscopic findings were bilateral papillo edema and macular edema. She responded well to therapy, which included antihypertensives, seizure prophylaxis and operative delivery. Vision was restored by the third day.
  Annals of African Medicine. 01/2009;