Browsing by Author "Aboyeji, Abiodun"
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Item Domestic Violence and Obstetric Outcome among Pregnant Women in Ilorin, North Central, Nigeria.(International Federation of Obstetrics and Gynaecology (FIGO), 2014) Eno, Enang; Fawole, Adegboyega; Aboyeji, Abiodun; Adesina, Kikelomo; Adeniran, AbiodunItem 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 Effect of male partner’s support on spousal modern contraception in a low resource setting.(Publication of College of Health Sciences, Jimma University Ethiopia., 2016) Balogun, Olayinka; Adeniran, Abiodun; Fawole, Adegboyega; Adesina, Kikelomo; Aboyeji, Abiodun; Adeniran, PeaceBackground: As efforts continue to increase contraceptive uptake, male partner support remains important in spousal modern contraceptive use. METHODS: A prospective cross-sectional survey involving women on modern contraception was conducted at the family planning clinic of the University of Ilorin Teaching Hospital, Nigeria, between December 2013 and April 2014. All consenting participants completed a self-administered questionnaire designed for the study, and statistical analysis was done with SPSS version 20.0 using with chi square test and logistic regression; p value <0.05 was significant. RESULTS: There were 305 participants: 208(68.2%) were multipara, the commonest current and previous contraceptives used were IUD and injectables while male partner was responsible for discontinuation in 30(23.3%) of previous users. Covert contraceptive use was 22(7.2%), male partner support was 209(68.5%) as payment for the contraceptives (203; 66.6%) or transportation to the clinic (198; 64.9%). Also, 55(18.0%) women failed to comply with contraception recently due to male partner hindrance (25;45.5%) or inability to pay for contraceptive (11;20%) or transportation to the clinic (8;14.5%). Male partners hindered contraception by reporting the woman to relatives/friends (8;32%) or denying her money for feeding allowance (6;24%); 277(90.8%) women want contraception to be couple decision while 261(85.6%) want contraception administered only if both partners consented. The significant predictors of male partner support were awareness about the contraceptive use (p<0.001,OR0.114; CI0.041-0.319), level of education (p0.007,OR1.488;CI1.114-1.9870) and social class (p0.029,OR0.690;CI0.495-0.963). CONCLUSION: Male partner hindrances and costs of contraceptive or transportation to clinic are important in noncompliance. Male partner education, subsidized/free contraceptives and mobile/community services will improve compliance.Item Eradicating Female Genital Mutilation: Case series Evaluating the Effect of the Interventions(University of Mauritius, 2014-11) Adeniran, Abiodun; Aboyeji, Abiodun; Balogun, Olayinka; Ijaiya, MunirdeenFemale genital mutilation (FGM) remains a source of abuse to females despite efforts to eradicate it. We present a cases series of two clitoral cysts and one each of post-mutilation haemorrhage, labial adhesion and excess crural flap. One of the victims intended to circumcise her daughters for cultural reasons but rescinded the decision after counseling and education. FGM is a continuing abuse, individual perception does not depend on the degree of complication experienced and there is need for increased education and enlightenment on its dangers.Item Herbal use among pregnant women in Ilorin, Kwara State,Nigeria.(Informa Healthcare U.S.A, 2008) Ologe, Mary; Aboyeji, Abiodun; Ijaiya, Munir'deen; Adesina, Kikelomo; Adewara, Adedayo; Olarinoye, JohnItem IMMUNE THROMBOCYTOPAENIC PURPURA IN PREGNANCY: A CASE OF NEAR MISS MORTALITY IN A NIGERIAN.(SOGON, 2013-04) Adesina, Kikelomo; Fawole, Adegboyega; Durotoye, Idayat; Aboyeji, Abiodun; Musa, Omoyine; Olarinoye, Adebunmi; Eno, Enang; Adepoju, AyodejiThrombocytopenia occurs in pregnancy like in the non-pregnant state and can be due to immune thrombocytopaenic purpura (ITP). The hyperoestrogenic state of pregnancy has been identified as a precipitating factor. This is a case report of a thirty year old Nigerian lady, who at a gestational age of 26 weeks developed ITP as a near miss mortality. Although, most literatures reported that the perinatal outcome is usually favourable in this condition, we report a case managed in our facility that had intrauterine death and non- remission until delivery; despite corticosteroid therapy and transfusion of eleven (11) units of blood. This report is relevant in a developing world where a rare condition almost caused a maternal death in spite of the high maternal mortality rates from other conditions. Baseline full blood count is advocated at booking to identify and monitor rare haematological disorders like this in pregnancy.Item Male Partner’s Role during Pregnancy, Labour and Delivery: Expectations of Pregnant women in Nigeria(International Journal of Health Sciences, Qassim University, 2015) Adeniran, Abiodun; Aboyeji, Abiodun; Fawole, Adegboyega; Balogun, Olayinka; Adesina, Kikelomo; Adeniran, PeaceObjectives: To evaluate the expectations of pregnant women on the role of the male partner during conception and delivery. Methodology: A prospective multi-centre observational study comprising 506 pregnant women at eight health facilities in Ilorin, Nigeria from January to June 2014. Consenting women were recruited at antenatal clinics using multistage purposive sampling and a self-administered questionnaire was administered with provision for interpreters in local dialects for those without western education. The data was analyzed using SPSS using percentages and chi-square test; p <0.05 was termed significant. Results: Participants were aged 17 to 49 years (mean 30.23±4.81), 82.4% desire male partners company during antenatal clinic visits and 59.1% experienced this in index pregnancy. During labour and delivery, 427(84.4%) want company; 345(80.8%) chose the male partner with 211(57.7%) hoping men will appreciate the value of females afterwards although 27.9% feared the men may disturb the health workers, 72(14.2%) male partners attended previous delivery and 84.8% of the women were satisfied with the experience. Significant predictors of support for male partner’s presence at delivery were maternal age (p=0.001), secondary or higher education (p=0.001) and parity less than four (p=0.001); religion (x21.010; p>0.001) and social status (p>0.001) were statistically insignificant. Pregnant women wanted education for male partners on care of pregnant women (77.0%) and sex during conception (25.2%). Conclusion: Parturient desire male partners’ presence at deliveries but their past participation was low; health facility Objectives: To evaluate the expectations of pregnant women on the role of the male partner during conception and delivery. Methodology: A prospective multi-centre observational study comprising 506 pregnant women at eight health facilities in Ilorin, Nigeria from January to June 2014. Consenting women were recruited at antenatal clinics using multistage purposive sampling and a self-administered questionnaire was administered with provision for interpreters in local dialects for those without western education. The data was analyzed using SPSS using percentages and chi-square test; p <0.05 was termed significant. Results: Participants were aged 17 to 49 years (mean 30.23±4.81), 82.4% desire male partners company during antenatal clinic visits and 59.1% experienced this in index pregnancy. During labour and delivery, 427(84.4%) want company; 345(80.8%) chose the male partner with 211(57.7%) hoping men will appreciate the value of females afterwards although 27.9% feared the men may disturb the health workers, 72(14.2%) male partners attended previous delivery and 84.8% of the women were satisfied with the experience. Significant predictors of support for male partner’s presence at delivery were maternal age (p=0.001), secondary or higher education (p=0.001) and parity less than four (p=0.001); religion (x21.010; p>0.001) and social status (p>0.001) were statistically insignificant. Pregnant women wanted education for male partners on care of pregnant women (77.0%) and sex during conception (25.2%). Conclusion: Parturient desire male partners’ presence at deliveries but their past participation was low; health facilityObjectives: To evaluate the expectations of pregnant women on the role of the male partner during conception and delivery. Methodology: A prospective multi-centre observational study comprising 506 pregnant women at eight health facilities in Ilorin, Nigeria from January to June 2014. Consenting women were recruited at antenatal clinics using multistage purposive sampling and a self-administered questionnaire was administered with provision for interpreters in local dialects for those without western education. The data was analyzed using SPSS using percentages and chi-square test; p <0.05 was termed significant. Results: Participants were aged 17 to 49 years (mean 30.23±4.81), 82.4% desire male partners company during antenatal clinic visits and 59.1% experienced this in index pregnancy. During labour and delivery, 427(84.4%) want company; 345(80.8%) chose the male partner with 211(57.7%) hoping men will appreciate the value of females afterwards although 27.9% feared the men may disturb the health workers, 72(14.2%) male partners attended previous delivery and 84.8% of the women were satisfied with the experience. Significant predictors of support for male partner’s presence at delivery were maternal age (p=0.001), secondary or higher education (p=0.001) and parity less than four (p=0.001); religion (x21.010; p>0.001) and social status (p>0.001) were statistically insignificant. Pregnant women wanted education for male partners on care of pregnant women (77.0%) and sex during conception (25.2%). Conclusion: Parturient desire male partners’ presence at deliveries but their past participation was low; health facility modifications and education for men are required to meet the desires.Item An Observation of Umbilical Coiling Index in a low risk population in Nigeria(DE GRUYTER, 2017-09-15) Adesina, Kikelomo; Ogunlaja, Olumuyiwa; Olarinoye, Adebunmi; Aboyeji, Abiodun; Akande, Halimat; Fawole, Adegboyega; Adeniran, AbiodunObjectives: The umbilical coiling index (UCI) is one of cord parameters for foetal assessment with limited studies in our environment. With recent advances in its evaluation, its significance, pattern, abnormalities and correlates need to be defined in our parturients. Methods: The umbilical cords of 436 neonates were examined. Gross examination was done within 5 min of delivery. The UCI was defined as the number of complete coils per centimetre of cord. Normal UCI was defined as values between the 10th and 90th percentiles of the study population. Results: The mean umbilical cord length was 52.7 ± 11.5 cm, mean number of coils was 10.8 ± 5.1 and mean UCI was 0.21 ± 0.099. The range was between 0.0 and 1.0. UCI values of 0.13 and 0.30 were 10th and 90th percentiles, respectively. Normal UCI was observed in 351 (80.5%) neonates, 44 (10.4%) and 41 (9.1%) had hypo- and hypercoiled cords, respectively. Congenital abnormalities occurred in the normocoiled and hypercoiled groups but was not demonstrated in the hypocoiled group. The mean value of UCI in neonates with congenital abnormalities was 0.29 ± 0.12 (P = 0.011). There was no significant statistical relationship between foetal outcome and degree of UCI. Conclusion: The UCI was not associated with adverse perinatal outcome in this study.Item Pre-Hsg microbial isolate of endocervical swabs in infertile women in Ilorin, Nigeria(Association of Radiologists of West Africa, 2014-06-17) Oguntoyinbo A.E., A.; Adesina, Kikelomo; Olarinoye, Adebunmi; Aboyeji, Abiodun; Olanrewaju, Waheed; Oniyangi, MuritalaBackground: Genital infections contribute significantly to infertility by causing tubal disease in our environment. This can be worsened by any instrumentation of the genital tract such as hysterosalpingography (HSG), which is the most common and affordable investigation by infertile couples for tubal factor. Materials and Methods: A prospective study of 53 women who presented for HSG on account of infertility was done in a radio-diagnostic centre In Ilorin, Nigeria. Endo-cervical swabs were taken aseptically prior to standardized HSG in all clients. The swabs were sent for microscopy, culture, and antibiotic sensitivity and the HSG findings of patients were documented. Results: The age ranged between 25 and 52 years with a mean of 34.26 + 5.762 years. Both fallopian tubes were patent in 10 patients and blocked in 14 cases. There were 14 cases of unilateral hydrosalpinx and 10 (18.9) bilateral hydrosalpinges. Either pelvic or cervico-uterine cavity adhesions were observed in 35 (66.0%) of the cases. Mild to heavy growth occurred in 67.9% of the cases. Gram stain was positive in 54.7% of cases. The most common organism was Staphylococcus spp (28.3%). Forty-five percent of yields were sensitive to more than two antimicrobials. There was statistical significant relationship between the presence of pathogens in the endo-cervix and the frequency of tubal disease (x 2 = 2.71, P ≤ 0.05). Conclusion: There was a positive or significant statistical relationship between presence of pathogens in the cervix and tubal disease. Pre-HSG endo-cervical swab for microscopy, culture and sensitivity is advisable to prevent genital infections after HSG.Item Relationship between gross placental characteristics and perinatal outcome of low risk singleton deliveries(National Postgraduate Medical College of Nigeria, 2016) Adesina, Kikelomo; Ogunlaja, Olumuyiwa; Aboyeji, Abiodun; Akande, Halima; Adeniran, Abiodun; Olarinoye, Adebunmi; Fawole, AdegboyegaBackground: Gross examination of the placenta may provide useful insight into the aetiology of newborn and maternal complications. A review of literature revealed only a few epidemiological studies that determined the relationships between placental abnormalities, gestational age and occurrence of adverse outcome in babies of healthy pregnant women in our region. Patients and Methods: A prospective cross-sectional study was conducted at the Department of Obstetrics and Gynecology of University of Ilorin Teaching Hospital, between 1st February and August 2013. Pregnant women in labour at ≥28 weeks’ gestational age with singleton pregnancies were recruited. Gross examination of the placenta and umbilical cord after delivery were performed. Results: Four hundred and twenty-eight singleton deliveries were studied. The average placental weight was 580.8 ± 130.6 g (range = 125–1500 g). The mean values of the umbilical cord length and width were 52.7 ± 10.5 cm and 1.96 ± 1.11 cm, respectively. Placental abnormalities occurred in 1.2%. The umbilical cord was centrally inserted in 290 (67.8%), marginally in 31% of cases. There was significant but weak positive correlation between the placental weight, birth weight and gestational age at 40 weeks (P ≤ 0.001, r = 0.356). Placental weight was directly related to birth weight (P < 0.0001, r = 0.244) and greater in babies with congenital abnormalities (P = 0.002). Conclusions: There was an association between placental parameters and foetal outcome at birth. Placental weight was positively correlated with birth weight, gestational age and occurrence of congenital abnormalities.Item Role of Mid Trimester Cervical Parameters in Predicting Pregnancy Outcome(SOGON, 2016) Adesina, Kikelomo; Owolabi, Omolola; Owolabi, James; Oguntoyinbo, Adewale; Olarinoye, Adebunmi; Aboyeji, Abiodun; Fawole, AdegboyegaTo determine the cervical length and internal Os diameter at mid trimester in a low risk population for preterm delivery and pregnancy outcome.Item Transvaginal sonographic parameters of the cervix in low risk pregnancies in Ilorin.(west African medical ultrasound society., 2017) Adesina, Kikelomo; Owolabi, Omolola; Oguntoyinbo, Adewale; Owolabi, James; Aboyeji, Abiodun; Olarinoye, AdebunmiTo determine values of mid pregnancy cervical length and internal ostial diameter in a low risk population and correlate measurements with parity and gravidity. A cross sectional study of booked pregnant women at gestational age of 20 – 24 weeks with viable singleton pregnancy. Women with multiple pregnancies, cervical incompetence, cervical cerclage, previous history of cervical surgery, previous myomectomy, caesarean section scars, vaginal bleeding/low lying placenta, medical disorders in pregnancy were excluded. The transvaginal ultrasound scanning was performed with Aloka ultrasound machine at the frequency of 7.5MHz. The lubricated probe was inserted gently to a depth of 2-3 inches into the vagina. Cervical length was measured as distance between the internal and external cervical ostia along the endocervical canal. Internal Os was defined as the level where the cervical canal meets with the amniotic sac. Data were analyzed using Statistical Package for Social Sciences (SPSS) software package version 20. The results were expressed with descriptive statistics. P value of <0.05 was taken as significant. Percentiles, Pearson and Spearsman correlation tests were calculated and used. There were 159 participants. The mean age of the participants was 29.58±4.64 years and a range of 15- 39 years, primigravida were 37.7%, 57.2% w e r e m u l t i g r a v i d a s w h i l e ( 5 % ) w e r e grandmultiparous. The mean cervical length of the population was 39.72 ± 6.81mm and the range 25.00- 62.00mm.The mean Internal Os diameter was 3.06 ± 0.74 mm, range of 2.00- 5.00mm.In the study population 18.9% had internal Os diameter of < 3mm while 81.1% had internal Os diameter of 3-5 mm. The mean cervical length at 5th, 10th, 25th, 50th, 75th, 90th and 95th percentiles were 31mm, 32mm, 35mm, 39mm, 44mm 49mm and 52.00 mm respectively. Correlations between parity, gravidity and cervical parameters were not statistically significant as well as the relationship between cervical length and internal os diameter. The mean values of cervical length and internal os diameter at 20-24 weeks in singleton pregnancy with low risk for preterm delivery were found to be 39.72 ± 6.81mm and 3.06 ± 0.74 mm respectively. There was no significant correlation between the cervical parameters, parity and gravidity.Item Umbilical cord parameters in Ilorin: correlates and foetal outcome(Kenyan Medical Association, 2014) Adesina, Kikelomo; Ogunlaja, Olumuyiwa; Aboyeji, Abiodun; Akande, Halima; Olarinoye, Adebunmi; Adeniran, Abiodun; Fawole, AdegboyegaBackground: The anthropometric parameters of the umbilical cord have clinical significance. Current parameters of the cord, its correlates and related foetal outcome are lacking in our parturients. Objective: To describe the anthropometric parameters and abnormalities of the umbilical cord; and determine their maternal correlates and foetal outcome. Design: A cross sectional analytical study Setting: The Obstetric and Gynaecology Department of the University of Ilorin Teaching Hospital, between September 2012 and June 2013. Subjects: Healthy pregnant women with singleton pregnancies. Results: Four hundred and twenty- eight (428) singleton deliveries were studied. The respective mean values of the cord length and width were526.87±115.5mm and 19.56±11.12mm.Short cord (< 40cm) occurred in 7.2% while long cord (> 69cm) was found in9.3% of the parturient. The incidences of single umbilical artery, cord round the body and knots were 7%, 8.4% and 14.5% respectively. Nuchal cord was the commonest (91.4%). Only gestational age had significant statistical relationship with cord length abnormalities (P = 0.0093). The cord length was an important correlate of cord helices, knots and vessels (P< 0.05).Parity had correlations with the number of vessels(R= 0.099, P=0.042). The cord coiling index was statistically related to the presence of congenital abnormalities (P=0.011). Other perinatal events were not related to umbilical cord parameters. Perinatal asphyxia was the commonest indication for NICU admission (3.5%) but there was no significant statistical difference between NICU admission and cord parameters. Conclusion: The umbilical cord parameters in apparently healthy parturients in Ilorin were comparable with others elsewhere. The cord length and helix are important correlates of gestational age and congenital abnormalities. Parity may be related to abnormal umbilical vessels. Cord length,coils, coil index and umbilical vessels should be examined postnatally.