Browsing by Author "Adeniran, Abiodun"
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Item Abruptio placentae: Epidemiology and pregnancy outcome in a low-resource setting.(College of Health Sciences, University of Port Harcourt, 2018-09) Adeniran, Abiodun; Elegbua, Callistus; Ezeoke, Grace; Adesina, Kikelomo; Balogun, OlayinkaBackground: Abruptio placentae are a life-threatening obstetric emergency associated with high maternal, foetal and neonatal morbidity and mortality. Aim: The aim of this study is to determine the modes of presentation, management and pregnancy outcome of pregnancies complicated by abruptio placentae at a tertiary health facility. Methods: A descriptive study (retrospective) of women managed for abruptio placentae over a period of 3 years. The inclusion criteria were diagnosis of abruptio placentae (clinical or radiological), delivery at the study site and availability of the case files for review. Exclusion criteria included patients with other conditions except abruptio placentae, delivery at other facilities or failure to retrieve the case files. Data collection was from the case files of participants, and the results were represented in tables. Results: Out of 8,931 deliveries during study , 64 had for abruptio placentae (prevalence 0.72% or 7.2/1000); however, 60 satisfied the inclusion criteria and were included in subsequent analysis. Twenty (33.3%) were above 35 years old, 14 (23.3%) were grandmultipara and the most common risk factor was hypertensive disorders (26; 43.3%). Thirty (50.0%) presented with vaginal bleeding, retroplacental clot was present at delivery in 27 (45.0%), 37 (61.7%) had emergency abdominal delivery, 51 (85.0%) had anaemia at presentation while 37 (61.6%) had blood transfusion. Forty-four (73.4%) were preterm (mean gestational age 35 ± 2.9 weeks) and neonatal survival was 50.0%; among survivors, 25 (83.3%) required neonatal intensive care due to perinatal asphyxia. Perinatal mortality was 50% (500/1,000), but no maternal death among study participants. Conclusion: Abruptio placentae remain a potential cause of maternal, foetal and neonatal complications; however, emergency caesarean delivery appears to improve neonatal survival in complicated cases with live foetuses.Item Attitude and practice of birth attendants regarding the presence of male partner at delivery in Nigeria(Jimma University, Ethiopia, 2017-03-10) Adeniran, Abiodun; Adesina, Kikelomo; Aboyeji, Peter; Balogun, Olayinka; Adeniran, Peace; Fawole, AdegboyegaBACKGROUND: Despite increasing request for the male partners’ presence at delivery in developing countries, the view and practice of birth attendants remained poorly understood.This study aimed to evaluate the perception, attitude and practice of birth attendants concerning the requests in Nigeria. METHODS: A prospective, cross-sectional survey involving consenting birth attendants was conducted in six public and six private health facilities in North Central Nigeria. Statistical analysis was done with SPSS-version 20.0; p-value <0.05 was considered statistically significant. RESULTS: Among 564 participants (24.8% male, 75.2% female), 465(82.4%) support the presence of male partners at delivery, 409(72.5%) desire to be with their partner at delivery, 434(77.0%) had previous request for male partner’s presence at delivery while 225(51.8%) declined it due to perception that men will disturb. Among the male partners allowed at delivery, 92(44.0%) did not disturb the birth attendant while 5(2.4%) ended in litigation. Among birth attendants who allowed men at delivery in the past, 160(76.6%) will allow men in the future. There was no statistical significance regarding the age, gender, cadre or year of service of birth attendants and attitude to a protocol change to allow men at delivery. Birth attendants who support the presence of men at delivery showed positive attitude (OR33.178, 95%CI6.996-157.358; p<0.001) while those who opined that men would disturb at delivery had a negative attitude (OR0.306, 95%CI0.124-0.755); p0.010) to possible protocol change. CONCLUSION: Despite perceived negative effects of allowing male partners at delivery, many birth attendants are willing to allow them if necessary structural modifications are instituted.Item Attitudes to female genital mutilation/ cutting among male adolescents in Ilorin,Nigeria(South Africa Medical Association, 2016-08) Adeniran, Abiodun; Ijaiya, Munirdeen; Fawole, Adegboyega; Balogun, Olayinka; Adesina, Kikelomo; Olatinwo, Abdulwaheed; Olarinoye, Adebunmi; Adeniran, PeaceBackground. The central role of males in female reproductive health issues in patriarchal societies makes them an important group in the eradication of female genital mutilation/cutting (FGM/C). Objectives. To determine knowledge about and attitudes to FGM/C among male adolescents, and their preparedness to protect their future daughters from it. Methods. A cross-sectional survey among male adolescent students in Ilorin, Nigeria. Participants completed a self-administered questionnaire after consent had been obtained from them or their parents. Statistical analysis was with SPSS version 20.0 (IBM, USA). A p-value of <0.05 was taken as significant. Results. Of 1 536 male adolescents (mean age 15.09 (standard deviation 1.84) years, range 14 - 19), 1 184 (77.1%) were aware of FGM/C, 514 (33.5%) supported female circumcision, 362 (23.6%) would circumcise their future daughters, 420 (27.3%) were of the opinion that FGM/C had benefits, mostly as a necessity for womanhood (109, 7.1%), and 627 (40.8%) perceived it as wickedness against females; 546(35.5%) were aware of efforts to eradicate FGM/C, and 42.2% recommended education as the most important intervention to achieve this. Conclusion. Education and involvement in advocacy may transform male adolescents into agents for eradication of FGM/C.Item Attitudes to female genital mutilation/cutting among male adolescents in Ilorin, Nigeria(South Africa Medical Journal, 2016-08) Adeniran, Abiodun; Ijaiya, Munir'deen; Fawole, Adegboyega; Balogun, Olayinka; Adesina, Kikelomo; Olatinwo; Olarinoye, Adebunmi; Adeniran, PeaceBackground. The central role of males in female reproductive health issues in patriarchal societies makes them an important group in the eradication of female genital mutilation/cutting (FGM/C). Objectives. To determine knowledge about and attitudes to FGM/C among male adolescents, and their preparedness to protect their future daughters from it. Methods. A cross-sectional survey among male adolescent students in Ilorin, Nigeria. Participants completed a self-administered questionnaire after consent had been obtained from them or their parents. Statistical analysis was with SPSS version 20.0 (IBM, USA). A p-value of <0.05 was taken as significant. Results. Of 1 536 male adolescents (mean age 15.09 (standard deviation 1.84) years, range 14 - 19), 1 184 (77.1%) were aware of FGM/C, 514 (33.5%) supported female circumcision, 362 (23.6%) would circumcise their future daughters, 420 (27.3%) were of the opinion that FGM/C had benefits, mostly as a necessity for womanhood (109, 7.1%), and 627 (40.8%) perceived it as wickedness against females; 546 (35.5%) were aware of efforts to eradicate FGM/C, and 42.2% recommended education as the most important intervention to achieve this. Conclusion. Education and involvement in advocacy may transform male adolescents into agents for eradication of FGM/C.Item Bacteria vaginosis: prevalence and associated risk factors among non-pregnant women of reproductive age attending a Nigerian tertiary hospital(University of Malawi and Malawi Medical Association, 2017-12) Abdulateef, Rasheedat; Ijaiya, Munirdeen; Fadeyi, Abayomi; Adeniran, Abiodun; Idris, HarunaAim To determine the prevalence and risk factors associated with bacterial vaginosis (BV) among non-pregnant women of reproductive age group. Methods A cross-sectional study among non-pregnant asymptomatic women aged 19 to 45 years, attending the gynaecological clinic at University of Ilorin Teaching Hospital, Ilorin, Nigeria. Participants were counselled and an informed consent was obtained. This was followed by vaginal swabs for microscopy, culture and sensitivity. Diagnosis of BV was by Nugent’s criteria. Data analysis was by Statistical Package for Social Sciences (SPSS) version 20.0. Chi-square and Yates corrected chi-square were calculated, and p value <0.05 was significant. Results Among the 212 participants, prevalence of BV was 40.1%; it was common among women aged 25-34 years (50; 58.8%), the married (77; 90.6%) and those with tertiary education (39; 45.9%). The risk factors for BV were common among women with laboratory evidence of the infection, however statistically significant risk factors were the use of intrauterine device (OR 1.61, 95%CI 0.543-4.759; p0.020) and previous voluntary termination of pregnancy (OR 1.04, 95%CI 0.600-1.808; p0.047). Conclusion There was high prevalence of bacterial vaginosis in the study population. Universal screening and treatment of cases may assist in lowering the associated morbidity.Item The burden of severe maternal outcomes and indicators of quality of maternal care in Nigerian hospitals: a secondary analysis comparing two large facility-based surveys.(Royal College of Obstetricians and gynaecologists, 2019-05-14) Vogel, Joshua; Fawole, Bukola; Adeniran, Abiodun; Adegbola, O; Oladapo, OlufemiObjective To compare severe maternal outcomes (SMOs) from two multi-centre surveys in Nigerian hospitals, and to evaluate how the SMO burden affects quality of secondary and tertiary hospital care. Design Two facility-based surveys of women experiencing SMO (maternal near-miss or maternal deaths). Setting Sixteen secondary and five tertiary facilities in Nigeria [WHO Multi-Country Survey on Maternal and Newborn Health (WHOMCS)] and 42 public tertiary facilities in Nigeria (Nigeria Near-Miss and Maternal Death Survey). Population 371 women in WHOMCS-Nigeria and 2449 women in Nigeria Near-Miss and Maternal Death Survey who experienced SMO. Methods Secondary analysis and comparison of SMO data from two surveys, stratified by facility level. Main outcome measures Maternal mortality ratio (MMR) per 100 000 livebirths (LB), maternal near-miss (MNM) ratio per 1000 LB, SMO ratio per 1000 LB and mortality index (deaths/ SMO). Results Maternal mortality ratio and mortality indices were highest in tertiary facilities of the WHOMCS-Nigeria (706 per 100 000; 26.7%) and the Nigeria Near-Miss and Maternal Death Survey (1088 per 100 000; 40.8%), and lower in secondary facilities of the WHOMCS-Nigeria (593 per 100 000; 17.9%). The MNM ratio and SMO ratio were highest in secondary WHOMCS- Nigeria facilities (27.2 per 1000 LB; 33.1 per 1000 LB). Conclusions Tertiary-level facilities in Nigeria experience unacceptably high maternal mortality rates, but secondary-level facilities had a proportionately higher burden of severe maternal outcomes. Common conditions with a high mortality index (postpartum haemorrhage, eclampsia, and infectious morbidities) should be prioritised for action. Surveillance using SMO indicators can guide quality improvement efforts and assess changes over time. Keywords Maternal death, maternal health, maternal near-miss, quality of care, severe maternal outcome.Item Clinical profile of patients with uterine rupture at a tertiary facility in North Central Nigeria(College of Health Sciences, University of Port Harcourt, 2019-01) Adewale, Folorunsho; Adeniran, Abiodun; Ijaiya, MunirdeenBackground: Uterine rupture is a major obstetric emergency and an important cause of maternal and perinatal morbidity and mortality. Aim: To determine the prevalence, clinical presentation, management options and pregnancy outcomes following uterine rupture. Methods: It is a 5-year, descriptive, retrospective study of parturients who had uterine rupture between 1 January 2011 and 31 December, 2015, at Federal Medical Centre, Bida, North Central Nigeria. The case files of all parturients who had uterine rupture during this period were retrieved from the Medical Records department, and relevant information including maternal age, risk factors for uterine rupture, presenting symptoms, site of rupture and the definitive treatment as well as maternal and neonatal outcome using a data collection sheet was entered into a computer with SPSS version 20.0, which was also used for the analysis. Results: The prevalence of uterine rupture was 1 in 202 deliveries (48/9,718); of these, 24 (50.0%) were aged 36–40 years and 28 (58.3%) were grandmultipara (parity ≥5); 42 (87.5%) cases had previous uterine scar, whereas 15 (31.3%) had labour augmentation with oxytocin while attempting vaginal birth after caesarean section. The common presenting complaints were intrapartum vaginal bleeding (24; 50%) and abdominal pain (10; 20.8%). The most common site of rupture was anterolateral (24; 50.0%), while the most common surgical intervention was uterine repair with bilateral tubal ligation (30; 62.5%). The case fatality rate was 18.8% (9/48), neonatal survival rate was 12.5% (6/48) and perinatal mortality rate was 875/1000 deliveries (42/48). Conclusion: Uterine rupture remains an important cause of poor pregnancy outcomes in low-income settings. Previous caesarean delivery is the most common risk factor; women attempting vaginal birth after caesarean delivery should be managed by skilled health personnel in facilities with provision for emergency surgical intervention.Item Comparing perioperative vaginal misoprostol with intraoperative pericervical hemostatic tourniquet in reducing blood loss during abdominal myomectomy: A randomized controlled trial.(Turkish-German Gynecological Association, 2019) Afolabi, Muhibat; Ezeoke, Grace; Saidu, Rakiya; Ijaiya, Munirdeen; Adeniran, AbiodunObjective: To compare the effectiveness of perioperative vaginal misoprostol with intraoperative pericervical hemostatic tourniquet in reducing blood loss during abdominal myomectomy. Material and Methods: A randomized controlled trial involving women with uterine leiomyoma who underwent abdominal myomectomy was conducted at a tertiary facility in Nigeria. Participants were recruited after they gave informed consent and randomized into group I (single dose 400 μg vaginal misoprostol one-hour before surgery) and group II (intraoperative pericervical hemostatic tourniquet). Eighty participants (40 in each group) were recruited. Uterine size was measured in centimeters above the pubic symphysis, and blood loss estimation involved direct volume measurement and gravimetric methods. The main outcome measures were intraoperative blood loss, blood transfusion, and recourse to hysterectomy. Ethical approval and trial registration were obtained; the data were analyzed using the SPSS software version 21.0; p<0.05 was considered significant. Results: Participants in group I had higher mean intraoperative blood loss (931.89±602.13 vs 848.40±588.85 mL, p=0.532), intra-operative blood transfusion rates (60 vs 55%; p=0.651) and mean units of blood transfused (1.30±1.20 vs 1.20±1.30; p=0.722) compared with group II. The mean uterine size (19.50±6.93 vs 20.05±6.98 cm; p=0.725) and number of fibroid nodules (11.25±7.99 vs 11.45±8.22; p=0.912) were comparable. The change in post-operative hematocrit was 2.66±2.21% vs 3.24±2.85% (p=0.315) and post-operation blood transfusion was 2.5 vs 5% (p=0.556). There was no recourse to hysterectomy in either of the study groups. While adverse effects of misoprostol occurred in 5 (12.5%) participants of group I. Conclusion: The effectiveness of perioperative vaginal misoprostol is comparable to intra-operative hemostatic pericervical tourniquet in reducing blood loss during abdominal myomectomy. (J Turk Ger Gynecol Assoc 2019; 20: 23-30)Item Critically Ill Obstetric admissions into a tertiary hospital's intensive care unit(College of Medicine and Health Sciences, Abia State University and Abia State University Medical Research Society, 2015-01) Fawole, Adegboyega; Bolaji, Benjamen; Oyedepo, Olanrewaju; Adeniran, AbiodunBackground: Intensive Care Unit (ICU) management is a critical care and may be lifesaving 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 postpartum hemorrhage was the most common indication for admission (19 [36.5%]). In all, 44 (84.6%) were admitted postpartum, 45 (86.5%) had organ dysfunction at ICU admission, 36 (69.2%) had mechanical ventilation while the most common drug 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 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 Determinants of contraceptive usage among female apprentices in Ilorin, Nigeria(Sudan Medical Association, 2018-08) Olarinoye, Adebunmi; Adesina, Kikelomo; Olarinoye, John; Adeniran, Abiodun; Aderibigbe, Sunday; Ezeoke, GraceAbstract Background: Maternal mortality is high in most developing countries and a significant number are from complications arising from induced unsafe abortion. The single, young and sexually active women are often more vulnerable, majority of the female apprentices fall within this group. Use of contraceptive among female apprentices in Ilorin, Nigeria was studied in this article. Methods: Five hundred and sixteen respondents participated in this survey through interview administered questionnaires. Results: The mean age of respondents was 22.34 ± 6.8years; of menarche was 13.28 ± 2.12 years and of first sexual exposure was 18.45 ± 3.9 years. The most common vocation was apprentice medicine/chemist vendor 124 (24%), followed by tailoring 114 (22%), 304 (59%) were single, 112 (21.7%) were married while 148 (28.7%) had primary education. Among the respondents, 79.5% and 64% were aware of condoms and combined oral contraceptive pills respectively. Only 48.3% had used at least one contraceptive method in the past. Most commonly used contraceptive was the male condom (42.9%). The least used was the combined pill (11.8%). Use of emergency pills was related to educational level (p = 0.027), used only by apprentices with formal education. Contraception as a contradiction to religious beliefs was the commonest reason for non-use followed by fear of future infertility as a complication of contraception. Conclusion: Religious beliefs and fear of complications were the major hindrances to contraceptive uptake despite the high level of awareness. Although the widespread use of male condom, which protects against sexually transmitted diseases, in this high risk group is acceptable and encouraging, attempts should still be focused on improving contraception uptake among apprentices.Item Domestic violence and obstetric outcome among pregnant women in Ilorin, North Central Nigeria(International Federation of Obstetrics and Gynaecology, 2014) Eno, Enang; Fawole, Adegboyega; Aboyeji, Peter; Adesina, Kikelomo; Adeniran, AbiodunItem 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 Duration of labour with spontaneous onset at University of Ilorin Teaching Hospital (UITH), Ilorin Nigeria(Medknow, 2011-06) Ijaiya, Munirdeen; Adesina, Kikelomo; Raji, Hadijat; Aboyeji, Peter; Olatinwo, Abdulwaheed; Adeniran, Abiodun; Adebara, Idowu; Isiaka-Lawal, SalamatBackground/Objective: Duration of labor varies from one pregnancy to another and a period of less than 12 hours is regarded as normal. Modern obstetric practice involves active management of labor with the aim of preventing prolonged labor and its sequelae. The main objective of this study was to determine and compare the average duration of labor of spontaneous onset between nulliparas (Po) and multiparas (P 1) and to determine factors affecting duration of labor. Materials and Methods: This study was a prospective study carried out between 15 May and 14 June 2004 at the Labor Ward of the University of Ilorin Teaching Hospital, Ilorin, Nigeria. Two hundred and thirty-eight women who satisfi ed the inclusion criteria were studied. The inclusion criteria were term pregnancy with vertex presentation, labor with spontaneous onset, live fetus at presentation and spontaneous vertex delivery. Results: The mean ± SD admission–delivery interval in labor ward was shorter (3.77 ± 2.88 hours) among multiparas than that of nulliparas (5.00 ± 3.17 hours) (P = 0.235). The mean ± SD duration of labor (from the onset of labor to delivery) was shorter among multiparas (8.73 ± 4.17 hours) than that of nulliparas (11.23 ± 4.29 hours) (P = 0.426). The differences were not signifi cant (t-test, P > 0.05). Maternal age and individual parity had signifi cant correlation with the duration of labor in this study (Pearson correlation = −0.019, −0.027, respectively, P < 0.05). Conclusion: Interestingly, duration of labor was not signifi cantly different among multiparas and nulliparas although it was shorter. Correlation existed between duration of labor and maternal age and individual parity.Item Effect of counseling on contraceptive uptake in Nigeria(School of Medicine and Health Sciences, University for Development Studies, Tamale, Ghana, 2017) Balogun, Olayinka; Adewole, Adebayo; Adeniran, Abiodun; Adegboye, RDespite multiple options for contraception, choices are limited with low satisfaction among clients in low resource countries. Effective counseling may improve satisfaction and compliance if adequately pursued. The objective of this study was to evaluate the influence of counseling on contraceptive choices and its as-sociated factors. This was a prospective, descriptive study involving consenting family planning clients at the family planning clinic of a tertiary hospital in Ilorin, Nigeria. All participants completed an interviewer-administered questionnaire designed for the study. Statistical analysis was done using SPSS version 21.0 (IBM, USA) and p value <0.05 was significant. Among the 260 participants, the mean age was 30.3±5.7 years, mean parity 3.0±1.0 and modal age 20–39years (93.5%). The commonest preferred contraceptive pre and post-counseling was intrauterine device (36.5% vs. 53.5%); increased post-counseling desire was report-ed for injectables (28.8% vs. 35.4%) and implant (0% vs. 3.1%). Preferences increased post-counseling for highly effective methods (38.1% vs. 60.4%; p<0.0001), long term methods (38.1% vs. 60.4%; p<0.0001) and permanent methods (1.5% vs. 3.8%; p<0.001). Significant predictor of contraceptive choice pre-counseling was level of education (p=0.032) and parity (p<0.001) post-counseling. The study shows that counseling can improve choices, encourage satisfaction and possibly enhance compliance among contraceptive clients.Item Effect of male partner's support on spousal modern contraceptive in a low resourse setting(Jimma University, Ethiopia, 2016-09) Balogun, Olayinka; Adeniran, Abiodun; Fawole, Adegboyega; Adesina, Kikelomo; Aboyeji, Peter; 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 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 Endometriosis: Evaluation and management in a low-resource country(Kenya Medical Association, 2019) Adeniran, Abiodun; Adeoye, Oladapo; Adesina, Kikelomo; Ezeoke, Grace; Ige, O.A.; Imhoagene, Aleakhuei; Akanbi, O.R.; Ibrahim, Kazeembackground: 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 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 Evaluation of Menstrual Pattern Before and After Treatment for Intrauterine Adhesion(College of Medical Sciences, University of Maiduguri, 2017) Adeniran, Abiodun; Elegbua, Callistus; Balogun, OlayinkaObjective: To determine the pattern of menstrual disorders and treatment outcome among women managed for intrauterine adhesion at a tertiary centre in Ilorin, Nigeria. Methodology: A descriptive study of women with intrauterine adhesion managed at the University of Ilorin Teaching Hospital over a three year period. Diagnosis was confirmed with hysterosalpingography; the case files were retrieved from the medical records department to review the management, extract relevant data and analyse the data using SPSS version 20.0 and p<0.05 was significant. Results: The incidence of intrauterine adhesion was 1.5% of all gynaecological clinic attendees; the modal age group was 25 to 29 years (36; 48.0%), 28(37.3%) were nulliparous, 47(62.7%) followed dilatation and curettage among which 34(45.3%) were performed for induced abortion. Menstrual disorder was reported in 73(97.3%) of participants; these were secondary amenorrhea (34; 45.3%), hypomenorrhea (29; 38.7%) and oligomenorrhea (10; 13.3%) while 2(2.7%) had normal menstruation. Treatment was by hysteroscopic 55(73.30%) or blind 20(26.70%) adhesiolysis. After treatment, normal menstruation resumed in 79.3% of those who presented with hypomenorrhea, 70% for oligomenorrhea and 66.7% for secondary amenorrhea. The treatment outcome was significantly improved following hysteroscopic compared to blind adhesiolysis (p 0.029). Conclusion: Complications from dilatation and curettage for induced abortion remains the commonest risk factor for intrauterine adhesion; safe abortion services and post abortion care may reduce the morbidity. Hysteroscopic adhesiolysis should be the preferred treatment modality for uterine synaechiae.
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