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Achildren comprising 5 normals and 34' with
chronic constipation. The normal manometric
pattern is a reflex relaxation of the anal sphincter
consequent on an increase in rectal pressure termed
Recto-Anal-Reflex (RAR). In Hirschsprung's
disease, the pre-operative tracings show an absence
of RAR but the post-operative tracings, regardless
of :he type of operation. are consistently similar
to the pre-operative tracings, thus indicating that
the reflex embodies many factors that include
some which are not affected by operation. Patients
with idiopathic or dietary constipation show
normai relaxation of sphincters.
To improve Maternal and Child Health services especially in the rural areas, a programme to train traditional birth attendants (Ungo Zoma) was established by the Sokoto State government of Nigeria in 1975.