Browsing by Author "Abdul, Ishaq"
Now showing 1 - 6 of 6
Results Per Page
Sort Options
Item Current features of urethral mucosa prolapse among children in Ilorin, Kwara State, Nigeria(The Nigerian Journal of General Practice, 2014-03) Adeniran, Abiodun; Okpara, Enoch; Fawole, Adegboyega; Ijaiya, Munirdeen; Abdul, Ishaq; Adesina, Kikelomo; Ezeoke, GraceSetting: Urethral mucosa prolapse is a benign gynaecological condition which is commoner among young black children. Objective: To evaluate the presentation, management, outcome and current status of urethral mucosa prolapse at atertiary centre. Design/ methods: A retrospective descriptive study of49 patients managed at the Obstetrics and Gynaecology department of the University of Ilorin Teaching Hospital, Ilorin. The case files of all patients who were managed from 1st January 2001 to 31st December 2010were retrieved from the medical records department and relevant information extracted. the results were expressed in tables and compared with an earlier study from the centre. Results: A total of 49 patients were managed, the prevalence of urethral mucosa prilapse 1.3% of all gynaecological admissions; all were Nigerians aged 3 to 12 years. The commonest presenting complaint was blood stain on underwear in 37[75.5%], 28[57.1%] presented with multiple symptoms and 32[65.3%] had failed medical treatment prior to presentation. Surgical management was 100% successful, minor post operative complications occurred in eightpatients [16.6%] and the commonest was urinary retention in 5[10.2%] patients. The results were generally similar to a previous study conducted a decade earlier in this centre. Conclusion: Urethral mucosa prolapse is not a common conditioninthis environment; medical and conservative management with higherfailure should be discouraged while surgical management which was curative with no longterm complication is highly recommened as the treatment choice.Item Double-blind randomized controlled trial comparing misoprostol and oxytocin for management of the third stage of labor in a Nigerian hospital.(The Journal of the International Federation of Obstetrics and Gynaecology (FIGO), 2015) Musa, Abdulkarim; Ijaiya, Munir'deen; Saidu, Rakiya; Aboyeji, Abiodun; Jimoh, Abiodun; Adesina, Kikelomo; Abdul, IshaqObjective: To compare the efficacy of oral misoprostol with that of oxytocin for active management of the third stage of labor (AMTSL). Methods: A double-blind randomized control trial was undertaken at a center in Ilorin, Nigeria, between January and June 2013. Every other eligible patient (in the first stage of labor at term, to have a spontaneous vaginal delivery, and no/low risk of postpartum hemorrhage [PPH]) were randomly assigned with computer-generated random numbers to receive oral misoprostol (600 μg) plus placebo injection or oral placebo plus oxytocin injection (1 mL of 10 IU) in the third stage of labor. The primary outcome was amount of blood loss during delivery. Results: Mean postpartum blood loss was 325.85 ± 164.72 mL in the 100 patients givenmisoprostol and 303.95±163.33 mL in the 100 patients given oxytocin (P=0.391). PPH(≥500mL blood loss) was recorded in 15 (15.0%) patients given misoprostol and 14 (14.0%) given oxytocin (P = 0.841). Shivering, pyrexia, and diarrhea were all significantly more common in the misoprostol group (P b 0.01 for all). Conclusion: The efficacy of oral misoprostol was similar to that of intramuscular oxytocin. Adverse effects associatedwith misoprostol were transient and self-limiting. Thus, oral misoprostol is efficacious and a good alternative to oxytocin for AMTSLItem Pattern of contraception among users in a Nigerian Public Family Planning Unit.(Sudan Medical Journal, 2016-08) Adesina, Kikelomo; Abdul, Ishaq; Olarinoye, Adebunmi; Jimoh, Abdul; Saidu, Rakiya; Ezeoke, GraceBackground: Nigeria is a developing country with high fertility rate and complications of unwanted pregnancies. Contraception is vital for fertility regulation and prevention of complications associated with unplanned pregnancy. The use of available methods depends on their acceptability by people in a community which may be determined by their social characteristics. To determine the uptake of modern contraceptive methods among women seeking family planning services in a Nigerian Tertiary Hospital and document the acceptability of methods by new clients. Materials and Methods: A retrospective review of contraceptive users that attended the family planning clinic of the University of Ilorin Teaching Hospital, Ilorin, between January 2000 and December 2009 was done Data on socio-demographic characteristics, previous method(s) of contraception, duration of use, reasons for discontinuation, side effects and reasons for current contraceptive choices were obtained from the documented case notes. Old and new users were compared. Statistical analysis used was descriptive and inferential statistics. Results: Five thousand, five hundred and three clients' records were reviewed, 59.8% of all attendees were new acceptors of modern contraceptive methods in the facility. The percentage of new acceptors per year was 31.7-51.9%. Intrauterine contraceptive device (IUCD) was the commonest method among the new and old clients and most of them required contraception for child spacing rather than completion of family size (P<0.001).Bilateral Tubal Ligation and condom were the least common methods (0.1% respectively). Most of the new clients (67%) were referred by health personnel. In conclusion, the acceptability of modern contraceptive methods by new clients at U.I.T.H between 2001 and 2009 was high. IUCD was the commonest method chosen. Use of surgical contraception was low.Item Patterns of contraceptive usage of family planning clinics in Ilorin, Nigeria.(Bangladesh Medical Journal, 2015) Ajiboye; Adesina, Kikelomo; Abdul, Ishaq; Ezeoke, GraceThis study was carried out to evaluate the pattern of contraceptive usage in family planning clinics of public hospitals within Ilorin metropolis, Nigeria. It was a retrospective study carried out between January 2010 and December 2012 involving a total of 10,002 contraceptive users attended family planning clinics in the centers within this period. Over a half of the clients (56.6%) were within the age bracket of 30-39 years, and 1.4% were less than 20 years. Majority (79.8%) of the users had two or more children while 0.9% were nulliparas. The most preferred contraceptive method was the hormonal injectable (59.5%); the percentage of users of oral contraceptive pills was 9.6% and utilization of the male condoms was 6.9%. The user rate for intrauterine contraceptive device was 17.3% while it was 6.6% for hormonal implant. Surgical sterilization was utilized by 0.1%. !e commonest source of information was from healthcare personnel accounting for 41.9% followed by the mass media (21.6%). !ere was a low level of acceptance amongst teenagers; the level of acceptance of surgical sterilization methods was also low. !ere is need to improve on information dissemination regarding contraceptive use, via the internet and social media for teenagers who tend to be more internet-savvy. !e number and age of clients were statistically significant factors for patterns of contraceptive usage at various family planning clinics in Ilorin metropolis.Item Retrospective review of prevalence, causes and adverse outcomes of obstructed labour at the department of Obstetrics and Gynaecology, University of Ilorin Teaching Hospital, Nigeria. (faculty of clinical sciences, Delta State University, Abraka, Delta State, Nigeria, 2015-12) Adesina, Kikelomo; Ajiboye, Adeyosoye; Abdul, Ishaq; Ezeoke, Grace; Olarinoye, Adebunmi; Bakare, Tola; Fawole, AdegboyegaItem Spontaneous abortions (miscarriages): Analysis of cases at a tertiary center in North Central Nigeria(Faculty of Medicine, University of Jos, 2015-01) Adeniran, Abiodun; Fawole, Adegboyega; Abdul, Ishaq; Adesina, KikelomoBackground: Spontaneous abortion (miscarriage) is a source of pregnancy loss globally. Its management, especially in low resource countries remains hampered by inadequate facilities for evaluation. Objectives: To assess the clinical presentation, diagnosis, and treatment of cases of spontaneous abortion at a tertiary hospital in Ilorin, Nigeria. Methodology: A descriptive study of all spontaneous abortions (miscarriages) managed at the University of Ilorin Teaching Hospital, Ilorin, Nigeria between January 1, 2007 and December 31, 2011. The records were retrieved from the medical records department and necessary information retrieved. Results: There were 603 miscarriages with a prevalence of 4.2%; incomplete miscarriage was the most common 254 (42.1%), 356 (59.0%) had no identifiable risk factor; 434 (72%) of the women were <35 years; 361 (59.9%) had first trimester miscarriages, 272 (45.1%) were of low parity (Para 0-1) and 223 (37%) were having a repeat miscarriage. Of the 141 managed for threatened miscarriage, pregnancy was salvaged in 90 (63.8%), 244 (40.5%) had surgical evacuation with 100% success rate while 218 (36.2%) had medical management with 90.8% success rate. The mean duration of admission was shortest with surgical management (2.03 ± 1.1 days) and post‑abortion infection rate was 11 (2.6%). Histology confirmed product of conception in 98% and molar gestation in 2% of the samples; no mortality was recorded in this study. Conclusion: More than half of women with miscarriages had no identifiable risk factors mainly due to limitation in facilities for evaluation; there is a need to improve facilities for investigating women with spontaneous abortions in developing countries to identify the causes of the losses.