In 5 of 6 cases where unusual complications of the IUD were reported Lippes loop 3C of polyethytene had been inserted and 1 M-211 stainless steel device had been inserted. In 1 case a device was expelled twice and pelvic inflammatory disease necessitated hospitalization. The same woman subsequently became pregnant with the device in situ and delivered a normal baby at term; the device fell out with the placenta. In 3 cases the device was located at the fimbrial end or at the back of the Fallopian tube. Uterine perforation or pelvic adhesions were absent in all of these cases. In 1 case late diagnosis of uterus didelphys by hysterosalpinography prevented 1 attempt to remove the device. It was later found embedded in the uterus and removed at laparotomy. Subsequent pregnancy and uneventful labor and delivery of a normal baby occurred. In another case uterine perforation and right broad ligament hematoma occurred when a doctor attempted to remove the device. At laparotomy the device which had previously been located by X-ray was nonlocatable. An uneventful recovery followed repair of the uterus and evaluation and drainage of the hematoma. An abdominal X-ray failed to show the device. Complications were absent. All 6 of the cases are alive and well at this writing.
628 women were fitted with Lippes loops 3C at the University College Hospital in Ibadan Nigeria and followed from the period July 1965-February 1968. Women of low age/parity were outnumbered 2:1 by women of high age/parity. The desired number of children in Nigeria is still 5 or 6. The low age/parity women expelled the loop twice as often as the high age/parity group. Continuation rate after 1 year was 86.5% and after 2 years it was 74.5%.
A pilot study was conducted at the Antenatal Booking Clinic of the University College Hospital in Ibadan Nigeria in order to obtain information on the extent of venereal diseases among some of the pregnant women seen in this hospital. Between 60 and 100 women were screened weekly. The women in this study were some of the pregnant women attending the Antenatal Booking Clinic between January 1 and April 30 1971. 208 pregnant women were randomly selected for the study. A general examination was conducted with particular attention to the external genitalia. Any ulceration warts inguinal adenopathy mucus membranes and ano-rectal lesions were noted. A speculum examination of the vagina was performed and swabs were taken from the urethra cervical canal and posterior fornix of the vagina. Smears were made from the urethral and cervical specimens and stained by Grams method. 12 or 5.8% of the 208 women investigated had multiple infections. Patients with gonococci positive smears were treated with procaine penicillin 1200000 units daily for 5 days. Metronidazole was used to treat trichomoniasis and nystatin pessaries were inserted vaginally for the treatment of candidiasis.
