OBJECTIVE To determine coital incidence at term and to estimate its effect on labor onset and mode of delivery. METHODS Healthy women with uncomplicated pregnancies and established gestational age were recruited to keep a diary of coital activity from 36 weeks of gestation until birth and to answer a short questionnaire. Two hundred women with complete coital diaries were available for analys...

The sex ratio [male/female (M/F)], which is defined as the ratio of males to females in a population, is assumed to be close to 1:1. However, at birth, the sex ratio of males to females is approximately 105:100. In some countries, and especially in ethnic Chinese societies, a significant change and distortion of the sex ratio at birth have been reported. Dr. Grech has published an article in th...

A study in Kerala, India, confirmed the importance of genital hygiene in the fight against infections that have a role in the development of cervical dysplasia and cancer. Many women cannot afford sanitary pads, while adequate facilities for washing after coitus are often unavailable. Health education, satisfactory living standards, and the empowerment of women are prerequisites for reducing th...

Rectovaginal fistula causes distressing symptoms and usually caused by obstetric trauma in developing countries especially in Sub Saharan Africa. The index case is reported to highlight the rare situation, where a 20 years old newly married woman developed low rectovaginal fistula following her first time coitus.

Background: Postpartum period is an important and interesting period in the life of the nursing mothers. It is a medically neglected period that receives relatively less attention than pregnancy and delivery. Aim: To describe the postpartum practices of women in Enugu, South East Nigeria. Subject and Methods: This was a cross sectional study of women attending the postnatal care clinic at the U...

BACKGROUND Primary care physicians are frequently faced with the challenge of evaluating primary amenorrhea in adolescent girls. Approximately 15% of these women have abnormal genital examination, with Müllerian agenesis being the second most frequent cause. We report two cases of adolescents with Müllerian agenesis that presented to a tertiary adolescent medicine center with primary amenorrhea...