Jerry Coleman

Korle Bu Teaching Hospital · Department of Obstetrics and Gynaecology

Body stalk anomaly, also known as limb-body syndrome, is a rare and lethal congenital anomaly. It presents a major abdominal wall defect and severe kyphosis with either a rudimentary or absent umbilical cord. We present a case of monoamniotic twin discordant for body stalk anomaly diagnosed at 27 weeks. Ultrasound findings demonstrated a normal Twi...

Wilms tumor (WT) occurring in adults is rare and even much more rarely found to coexist with pregnancy. Clinical outcome in adults is worse overall compared with pediatric patients with WT and is often misdiagnosed with no standardized protocols for care guided by high‐evidence clinical trials. We present a case of a 23‐year‐old woman diagnosed wit...

Acute uterine inversion is a rare and potentially life‐threatening obstetric emergency. Its occurrence as a result of a mid‐trimester abortion is an even rarer consequence. We report a case of a 32‐year‐old woman who presented with complete acute uterine inversion and hemorrhagic shock following an incomplete medical abortion at 14 weeks of gestati...

Background Women of African ancestry are highly predisposed to preeclampsia which continues to be a major cause of maternal death in Africa. Common variants in the APOL1 gene are potent risk factor for a spectrum of kidney disease. Recent studies have shown that APOL1 risk variants contribute to the risk of preeclampsia. The aim of the study is to...

The co-existence of pheochromocytoma and pregnancy is rare, with poor maternal and foetal outcomes. This is a case report of a young Ghanaian woman with a pre-existing diagnosis of recurrent pheochromocytoma who became pregnant and experienced elevated blood pressure in the third trimester with proteinuria and abnormal liver function. She was manag...

A retained drainage tube after surgery is rare and patients may be asymptomatic if it occurs. The presence of a retained drainage tube may be first recognized on imaging and this requires a high index of suspicion by radiologists. In this case report, we described an incidental finding of an asymptomatic retained fractured drainage tube in the pelv...

Background: Cardiotocography (CTG) provides important information about the interaction between fetal cerebral and cardiac activities which are both modified by hypoxia. The duration and severity of hypoxia and associated biochemical abnormalities allinfluence the manifestations of fetal heart rate abnormalities. Antenatal fetal heart rate monitori...

Maternal mortality is the bane of obstetric practice in sub-Saharan Africa. The delay in receiving care upon arrival in a hospital is a significant contributor to maternal mortalities. Obstetric triaging allows the prioritization of care based on patient acuity. This allows orderly access to care and reduces delays in the health facility. This stud...

We conducted a pre/post study of a post-partum hemorrhage (PPH) simulation exercise at Korle Bu Hospital, using a low-fidelity birthing simulator and questionnaires. We aimed to evaluate low-fidelity simulation as a feasible and effective method of improving resident knowledge and confidence in a low-resource setting. Knowledge and confidence in PP...

Massive subchorionic thrombohematoma (MST) is the presence of a large hematoma or thrombus confined to the subchorionic space. Sonographic findings vary and include placenta descriptions such as heterogeneous, homogeneous, hypoechogenic, or jelly-like mass, which can be differentiated from the normal placenta. Our case report highlights the serial...

Objectives Postpartum hemorrhage (PPH) is the leading cause of maternal death in low- and middle-income countries, and training in PPH management is a research priority of the World Health Organization. Most studies showing benefit of obstetric simulation as a teaching modality used high-fidelity simulators in high-resource settings. Our goal was t...

Objective To evaluate the effect, on birth weight and birth weight centile, of use of the PrenaBelt, a maternal positional therapy device, during sleep in the home setting throughout the third trimester of pregnancy. Design A double-blind, sham-controlled, randomised clinical trial. Setting Conducted from September 2015 to May 2016, at a single,...

Background: Cardiotocography (CTG) provides important information about the interaction between fetal cerebral and cardiac activities which are both modified by hypoxia. The duration and severity of hypoxia and associated biochemical abnormalities all influence the manifestations of fetal heart rate abnormalities. Antenatal fetal heart rate monitor...

Objective To evaluate whether the percentage of time spent supine during sleep in the third trimester of pregnancy could be reduced using a positional therapy device (PrenaBelt) compared with a sham device. Design A double-blind, randomised, sham-controlled, cross-over pilot trial. Setting Conducted between March 2016 and January 2017, at a singl...

Introduction The cardio-thoracic ratio (CTR) and the transverse cardiac diameter (TCD) on Plain chest radiography are the two parameters commonly used to diagnose cardiomegaly and heart disease. A CTR of greater than 50% on a PA film is abnormal and normally indicates cardiac or pericardial disease condition, whiles an increase of TCD from 1.5 to 2...

Uterine fibroids in pregnancy present with numerous complications. However, spontaneous rupture is a rare and potentially life-threatening event. We report a case of a 43-year-old multiparous woman who presented with hypovolemic shock secondary to a ruptured uterine fibroid 2 days after a spontaneous vaginal delivery. Emergency laparotomy confirmed...

Objective: To study maternal and fetal outcomes in Ghanaian women with systemic lupus erythematosus (SLE). Methods: Retrospective study of pregnancies in women with SLE in a single centre in Ghana. Results: The mean age was 30.1 years and all were nulliparous. Two out of the seven pregnancies were in disease remission at the time of booking. N...

The study provided baseline data of abruptio placentae in Korle-Bu Teaching Hospital (KBTH), Ghana, and gave recommendations to minimize poor outcomes. A prospective cross sectional study was conducted at the Maternity Department of the KBTH between February 2008 and January 2010. Two hundred women with diagnosis of placental abruption were studied...

(Int J Gynaecol Obstet. 2013;121(3):261–265)

Early diagnosis and treatment is of utmost importance when cancer management is concerned, since a good prognosis usually correlates well with a smaller tumour stage. This study aimed to ascertain the commonest sites of tumour occurrence, and the smallest size at which tumours can be detected using computed tomography scanning, to aid in advocacy f...

Objective: To assess sleep practices, and investigate their relationship with maternal and fetal outcomes, among pregnant Ghanaian women. Methods: In a cross-sectional study conducted at Korle Bu Teaching Hospital, Accra, Ghana, between June and July 2011, postpartum women were interviewed within 48hours of delivery about sleep quality and pract...

BACKGROUND: Leiomyomas (uterine fibroids), the most common benign tumours affecting premenopausal women are often associated with considerable hospitalization and morbidity. AIM: The purpose of this study was to determine the relationship between Obesity and fibroid among Ghanaian women. METHOD: A prospective cross sectional study was carried out u...

The accurate determination of the gestational age is important for proper management of the various stages of the pregnancy since improper management could lead to an increase in maternal and infant mortality. Gestational age could be determined through ultrasonography, symphysio-fundal height (SFH) measurement or the use of last menstrual period (...

Uterine fibroid represent a major public health problem and is regarded as the most common benign gynecologic tumors affecting premenopausal women. It is associated with considerable hospitalization and morbidity. The study aimed to establish the prevalence and characteristics of uterine fibroid among Ghanaian women. A retrospective cross-sectional...

Improved perinatal outcomes with fetal monitoring in Ghana

Considers how employees were traditionally introduced into the workplace, outlining the opposing methods of little introduction at all and the lengthy training room inductions by some large corporations. Outlines a cost effective middle option seeing each new individual as a valuable new asset. Suggests a checklist for all parties to ensure all inf...

Krener and collaborators have shown that Gaussian Reciprocal Diffusions (GRDs) x(t) must satisfy on [0,T] a 2nd order stochastic differential equation of the form , where ξ(t) is a generalized noise process. Krener has also shown that such GRDs have conditional moments satisfying a system of conservation laws similar to those of continuum mechanics...