Browsing by Author "Adeniran, AS"
Now showing 1 - 9 of 9
Results Per Page
Sort Options
Item Adeniran, A.S., Ocheke, A.N., Nwachukwu, D., Adewole, N., Ageda, B., Onile, TNon-obstetric causes of severe maternal complications: a secondary analysis of the Nigeria Near-Miss and Maternal Death Survey.(Royal College of Obstetricians and Gynaecologists, 2019-03-21) Adeniran, AS; Ocheke, AN; Nwachukwu, D; Adewole, N; Ageda, B; Onile, T; Umezulike, AC; Aboyeji, A.P; Oladapo, OT; Nigeria Near Miss and Maternal Death Surveillance NetworkObjective To evaluate the burden, causes and outcomes of severe non-obstetric maternal complications in Nigerian public tertiary hospitals. Design Secondary analysis of a nationwide cross-sectional study. Setting Forty-two tertiary health facilities. Population Women admitted with complications during pregnancy, childbirth or puerperium. Methods All cases of severe maternal outcome (SMO: maternal near-miss or maternal death) due to non-obstetric causes were prospectively identified over a 1-year period. Maternal near-miss was defined using organ-system dysfunction (WHO), clinical, or management-based criteria. Main outcome measures Causes and contributions of non-obstetric complications to SMO; fetal and neonatal outcomes; health service events associated with non-obstetric complications; and mortality index (% of maternal death/SMO). Results Of 100 107 women admitted with complications, 9401 (9.4%) were for non-obstetric causes; and 4.0% (375/9401) suffered severe non-obstetric complications. Of the 375 cases of severe nonobstetric complications, 48.8% (183/375) were near-misses and 51.2% (192/375) were maternal deaths. Severe anaemia unrelated to haemorrhage contributed 61.2% of near-misses and 32.8% of maternal deaths. The highest mortality indices were observed for cancer (91.7%), hepatic diseases (81.8%) and HIV/AIDS/HIV wasting syndrome (80.4%). Fatality was significantly high with extremes of age and no formal education. Regarding organ dysfunctions, neurological (77.1%) and cardiovascular (75.0%) dysfunctions had the highest mortality indices. Perinatal mortality was 65.9%. Time from diagnosis of severe non-obstetric complications to review by senior medical personnel, and to definitive intervention was <30 minutes in 30.2% and 29.8% of women with SMO, respectively. However, over 240 minutes elapsed between diagnosis and definitive intervention in more than one-third of women with SMO. Conclusion Non-obstetric complications are associated with poorer pregnancy outcomes and deserve attention similar to that accorded obstetric complications.Item Critically ill obstetric admissions into a tertiary hospital’s intensive care unit.(Medical Research Society and College of Medicine and Health Sciences, Abia State University, 2015) Fawole, AA; Bolaji, Benjamin Olusomi; Oyedepo, Olanrewaju Olubukola; Adeniran, ASBACKGROUND: Intensive Care Unit (ICU) management is a critical care and may be life saving in critically ill obstetric patients, but mortality remains high in low-resource countries. OBJECTIVE: To review obstetric admissions into a tertiary hospital ICU. DESIGN: Retrospective descriptive study. SETTING: The ICU of the University of Ilorin Teaching Hospital, Ilorin, Nigeria. SUBJECTS: Women admitted to the ICU during pregnancy or within 42 days of the end of the pregnancy. MATERIALS AND METHODS: A list of all eligible participants was compiled, the case files were retrieved and relevant data extracted; the results were presented in tables and percentages. RESULTS: Obstetric patients constituted 12.3% of the total ICU admissions and 0.84% of all deliveries with 45.6% mortality; the mean age was 29.2 ± 5.4 years (range 18 – 42 years), mean parity was 2.0 ± 1.5 (range 0-6), 15 (28.8%) had no formal education, 39 (75.0%) were of low social class, 22 (42.3%) had no antenatal care, 41 (78.9%) were admitted for obstetric reason, and post partum haemorrhage was the most common indication for admission (19[36.5%]). In all 44 (84.6%) were admitted post partum, 45 (86.5%) had organ dysfunction at ICU admission, 36 (69.2%) had mechanical ventilation while most common drugs administered were antibiotics. CONCLUSION: Obstetric patients are important intensive care users, but maternal mortality remains high among them in low-resource countries despite the care received.Item Domestic Violence and Obstetric Outcome among Pregnant Women in Ilorin, North Central, Nigeria.(International Federation of Obstetrics and Gynaecology (FIGO), 2014) Eno, E.E; Fawole, A.A; Aboyeji, A.P; Adesina, K.T; Adeniran, ASItem Endometriosis: Evaluation and management in a low-resource country(Kenya Obstetrics and Gynaecological Society, 2019) Adeniran, AS; Adeoye, PO; Adesina, K.T; Ezeoke, GG; Ige, OA; Imhoagene, A; Akanbi, OR; Ibrahim, 00KBackground: Endometriosis is a chronic debilitating gynaecologic condition that negatively affects the health, economic, social and psychological lives of women. Though a gynaecological condition, it can affect other systems in the body. Objective: To describe the presentation, evaluation and treatment of endometriosis among gynaecological patients at a tertiary centre in Ilorin, Nigeria. Methods: A retrospective descriptive study of all women managed for endometriosis over a three and half year period at a tertiary centre. A list of all individuals with the condition was compiled, the case files were retrieved and the relevant data extracted. The result was presented in tables. Results: Endometriosis constituted 1.3% of gynaecological admissions and 0.6% of gynaecology clinic visit during the study period. It affected reproductive-age women with mean age 32.8 years and modal age 31-35 years (35.3%). The women were mostly nulliparas (13;76.5%) with normal menstrual cycle (13;76.6%) and duration of menstruation (16;94.1%). Eleven (64.7%) had multiple gynaecological complaints and additional extra-pelvic lesions respectively. Sixteen (94.1%) had coexisting co-morbidity, of these 9 (56.3%) was in the thoracic region. The common medical treatment offered was gonadotrophin-releasing-hormone analogues (8;47.1%), 6(35.3%) had medical while 11(64.7%) has combined medical and surgical management; diagnosis was by histology in 11(64.7%). Conclusion: Endometriosis remains a disease of reproductive-age women commonly associated with coexisting non-gynaecologic manifestations necessitating combined medical and surgical management.Item Female adolescents and the future of female genital mutilation/ cutting: A report from an endemic area.(Makerere University, Uganda, 2021-12) Ezeoke, GG; Adeniran, AS; Adesina, K.T; Fawole, A.A; Ijaiya, M.A.; Olarinoye, AOAbstract Background: Despite collaborative efforts aimed at its eradication, Female Genital Mutilation/Cutting (FGM/C) continues in endemic areas. Objective: To evaluate the experience and preparedness of female adolescents to protect their future daughters from FGM/C. Methods: A cross-sectional survey involving adolescent secondary school girls in North Central Nigeria. Participants were secondary school students who completed the study’s self-administered questionnaire after informed parental or participant’s consent. Data management was with SPSS 20.0 (IBM, USA), P-value <0.05 was significant. Results: There were 2000 participants aged 13-19 years (mean 15.56±1.75), prevalence of FGM/C was 35.0%, awareness was 86.1%, mutilation was performed between infancy and eight years of age (mean 3.85±3.24 years), 644(32.2%) desire to mutilate their future daughters, 722(36.1%) expressed support for FGM/C and 63.1% of victims of FM/C reported adverse post-mutilation experiences. Support for FGM/C was associated with low social class (P0.0010), opinion that FGM/C has benefit (P0.001) and desire to mutilate future daughters (P0.001) while awareness of efforts to eradicate FMG/C was 813(40.7%). Conclusion: FGM/C remains prevalent with potential support for its continuation among female adolescents despite reported adverse post-mutilation experiences. The multi-pronged approach to eradicate FGM/C should prioritize re-orientation for adolescent girls, rehabilitation of mutilated girls and girl child formal education.Item Labour, delivery and perinatal outcomes of women with advanced maternal age: A comparative study.(The publication of University of Tripoli, Alahlia-Libya., 2022-03-02) Ezeoke, GG; Fawole, A.A; Bakare, Tola; Ogunlaja, OO; Jimoh, O; Adeniran, ASBackground: Although advanced maternal age (AMA) has been identified as a risk factor for adverse obstetric outcomes, research efforts continue to gather evidence to describe the relationship. Methods: This was a comparative study conducted at a tertiary health facility. Participants were pregnant women who delivered after viability (28 weeks gestation) at the facility over a ten year period categorized into those with advanced maternal age (>35 years) and younger women (≤35 years). The source of data was the hospital delivery records; data analysis was performed with SPSS version 21.0 while p-value <0.05 was significant. Results: The prevalence of AMA was 8.8% (761/8645), 18 (2.4%) were nulliparous, 351 (46.1%) had tertiary education, 196 (25.8%) had inter-pregnancy interval >24 months while 66 (8.7%) had preterm delivery. AMA was associated with significantly higher occurrence of obstructed labour (204 vs. 129; p0.001) and primary postpartum haemorrhage (208 vs. 123; p0.001). Onset of labour (OR 95%CI [0.470, 0.063-3.493]; p0.450), augmentation of labour (OR 95%CI [0.969, 0.830-1.132]; p0.695) and need for episiotomy (OR 95%CI [1.116, 0.955-1.303]; p0.166) were not statistically different for AMA compared to younger women. The caesarean section rates were 40.0% for AMA and 23.7% for younger women while perinatal mortality rates were 391/1,000 for AMA and 110/1,000 live births for younger women. Conclusion: Pregnancy outcome in women with AMA was poorer with about twice the caesarean section rate and thrice the perinatal mortality rate compared to younger women. Therefore, efforts should be made to limit pregnancy in women with AMA.Item Pre-and-post-operative aversion among women whose partners had caesarean delivery in a patriarchal setting.(Ghana Medical Association, 2021-12) Adeniran, AS; Ogunlaja, OO; Ogunlaja, IP; Okesina, SB; Fawole, A.A; Adesina, K.T; Aboyeji, A.PObjectives: The study evaluated pre and post-operative perception and aversion to caesarean delivery (CD) among men whose partners underwent the procedure. Design: A multicentre cross-sectional study. Setting: Two tertiary and two secondary health facilities. Participants: Men whose partners underwent CD at the study sites. Methods: Participants were recruited by purposive sampling, data collection was through interaction via an interviewer- administered questionnaire first immediately the decision for CD was made and thereafter on the third postoperative day. Men whose partners had vaginal delivery were excluded from the study and data management was with SPSS version 21.0 while p<0.05 was significant. Results: Awareness about CD was 84.0% mainly through the healthcare workers (42.1%) and the female partner (34.1%); 88.0% of participants recommended CD for medically-indicated reasons. The greatest influence on consent was the male partner (48.8%). The major pre-operative concerns were limitation of family size (34.7%) and fear of repeat CD (34.0%). Pre-operative perceptions of CD included being expensive (60.7%), fear of the procedure (48.0%), fear of complications (45.3%) and longer hospital stay (44.0%). Aversion to CD was 30.0% pre and 5.3% post-operation; predictors of aversion were history of previous surgery among male or female partner and awareness about CD. However, there were reductions in negative perception and aversion post-operation. Conclusion: The high negative perception and aversion to CD among male partners were reduced post-operation. Healthcare workers should address the concerns and negative perceptions about CD and prioritize patient-friendly experiences during surgical operations.Item Spousal participation during pregnancy and delivery in Ilorin, Nigeria.(Zambia Medical Association, 2019) Adeniran, AS; Fawole, A.A; Adesina, K.T; Aboyeji, A.P; Balogun, OR; Ijaiya, M.A.Background: The potential benefits of the active involvement of men in antenatal and intrapartum events remain largely unexplored in low-resource countries despite the reported benefits from high income areas. Aim: To evaluate male partners' attitudes and experience on their level of involvement during pregnancy, labour and delivery. Methods: A cross-sectional study conducted at four health facilities in North Central Nigeria from 1st February to 30th July 2017. Participants were male partners of women who were pregnant during the study period; recruitment was after informed consent, data management was with SPSS (version 21.0); p <0.05 was significant. Results: The male partners were aged 23 to 60 years (mean 35.96±6.76), 173 (69.2%) accompanied the partner to antenatal clinic and 150(60.0%) to ultrasound scan examination. The commonest hindrance to men's antenatal participation was commuter marriage (29; 37.7%); 171(68.4%) participants supported the presence of the man at delivery while 32(40.5%) opined that men may disturb the health provider during delivery. Also, 137(54.8%) men have requested to be present at delivery previously while 46(33.6%) were obliged among those obliged, 25(54.3%) described the experience as satisfactory while 28(60.9%) intend to be present at future deliveries. In all, 212(84.8%) suggested antepartum education classes for male partners, 202(80.8%) intend to attend such classes while 143(57.2%) suggested health facility restructuring to facilitate men's participation. Conclusion: Men are increasingly desirous of active participation at antenatal and intrapartum events; increasing male partner education, male-friendly facility infrastructures and health providers' cooperation will encourage them to fulfil these roles.Item Unilateral post-tuberculosis lung destruction and massive haemoptysis in pregnancy with successful outcome.(Faculty of Medicine, Alexandria University, Egypt., 2015-04) Adeniran, AS; Ijaiya, M.A.; Fawibe, AE; Adeoye, PO; Abdulkadri, ZAPost-tuberculosis destroyed lung is a fatal complication of pulmonary tuberculosis which can manifest with severe life-threatening haemoptysis. Its occurrence during pregnancy is rare and challenging because of the significant risk to both the mother and the foetus. We present an unbooked 36 year old G6P4 +1 (4 alive) woman who presented with chronic cough, massive haemoptysis and multiple pregnancy (twin) at 35 week gestation. She had completed anti-tuberculosis treatment twice at and over nine years prior to presentation. On evaluation, there were clinical and radiological evidences of unilateral (right) destroyed lung but no evidence of active tuberculosis; resuscitation was with antibiotics, blood transfusion and oxygen therapy followed by an emergency caesarean delivery due to significant maternal compromise. The symptoms resolved following antibiotic therapy and she was subsequently discharged home. Post-tuberculosis destroyed lung is a fatal uncommon condition that may present during pregnancy and requires a multi-disciplinary specialist care to ensure good maternal and foetal outcome