Browsing by Author "Adeniran, A.S"
Now showing 1 - 7 of 7
Results Per Page
Sort Options
Item Clinical profile of patients with uterine rupture at a tertiary facility in North Central Nigeria.(College of Health Sciences, University of Port Harcourt, 2019-04) Adewale, F.B; Adeniran, A.S; Ijaiya, M.A.Background: 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 Comparative analysis of Amsel criteria and Nugent score in the Diagnosis of Bacterial vaginosis in pregnancy.(Nigerian Society for Microbiology, 2021-12) Adeniran, A.S; Ogunniran, B.D; Akanbi II, A.A; Saidu, RAbstract: The Amsel criteria and Nugent score are common diagnostic methods for BV and efforts continue to establish which method is superior. The study was a prospective cross-sectional study which compared the diagnosis of BV using the Amsel criteria and Nugent score. Participants were 316 consenting antenatal clinic attendees in the second trimester. All participants had two high vaginal swab samples collected which were analyzed using both Amsel criteria and Nugent score. Data analysis was done using SPSS version 20.0 and P<0.05 was considered statistically significant. Among the 316 study participants, the prevalence of BV was 24.1% with Nugent score and 15.5% with Amsel criteria. Also, post-treatment BV persistence rate was 25.0% with Nugent score and 11.8% with Amsel criteria. Nugent score was superior to Amsel criteria for the diagnosis of BV (χ2=74.764, P0.001). Among 76 women diagnosed BV positive by Nugent score, 36(47.4%) were diagnosed by Amsel criteria while among 240 women diagnosed BV negative with Nugent score, 14(5.8%) were diagnosed as positive by Amsel criteria. Nugent score had a higher sensitivity (93.3% vs. 80.4%), lower specificity (92.1% vs. 94.2%), higher positive (94.0% vs. 72.0%) and negative (90.0% vs. 85.0%) predictive values, lower false positive (2.0% vs. 5.8%) and false negative rate (15.0% vs. 52.6%) and higher accuracy (94.0% vs. 82.9%) compared to Amsel criteria. In conclusion, Nugent score offers an advantage over Amsel criteria in the diagnosis of BV in pregnancy, thus it should be the preferred diagnostic methodItem Comparative analysis of caesarean delivery among out-of-pocket and Health insurance clients in Ilorin, Nigeria.(National Postgraduate Medical College of Nigeria, 2020-04-11) Adeniran, A.S; Aun, II; Fawole, A.A; Aboyeji, A.PBackground: Although out‑of‑pocket (OOP) payment for health services is common, information on the experience in maternal health services especially caesarean delivery (CD) is limited. Aim: To compare the pregnancy events and financial transactions for CD among OOP and health‑insured clients. Materials and Methods: A comparative (retrospective) study of 200 women who had CD as OOP (100 participants) or health‑insured clients (100 participants) over 30 months at Anchormed Hospital, Ilorin, using multistage sampling was conducted. The data were analysed using Chi‑square, t‑test and regression analysis; P < 0.05 was considered statistically significant. Results: Of 1246 deliveries, 410 (32.9%) had CD; of these, 186 (45.4%) were health‑insured and 224 (54.6%) were OOP payers. The health‑insured were mostly civil servants (60.0% vs. 40.0%; P = 0.009) of high social class (48.0% vs. 29.0%; P = 0.001). The payment for CD was higher among OOP (P = 0.001), whereas duration from hospital discharge to payment of hospital bill was higher for the health‑insured (P = 0.001). On regression, social class (odds ratio [OR]: 0.23, 95% confidence interval [CI]: −0.0891252–0.112799; P = 0.048), amount paid (OR: 48.52, 95% CI: −7.14–6.68; P = 0.001) and duration from discharge to payment (OR: 28.68, 95% CI: 51.7816–70.788; P = 0.001) were statistically significant among participants. The amount paid was lower (P = 0.001), whereas time interval before payment was longer (P = 0.001) for the public‑insured compared to private‑insured clients. Conclusion: OOP payers are prone to catastrophic spending on health. The waiting time before reimbursement to health‑care providers was significantly prolonged; private insurers offered earlier and higher reimbursement compared to public insurers. The referral and transportation of health‑insured clients during emergencies is suboptimal and deserve attention.Item Knowledge and attitude of pregnant women towards anaesthetic techniques for cesarean delivery in a North Central Teaching Hospital(College of Health Sciences, University of Ilorin, 2016) Adegboye, M.B; Suleiman, Z.A.; Adeniran, A.SItem Knowledge and Attitudes of Pregnant women towards Anaesthetic Techniques for Caesarean Delivery in a North Central Teaching Hospital(Published by College of Health Sciences, University of Ilorin., 2016) Adegboye, Majeed B; Suleiman, Z.A; Adeniran, A.SItem National guidelines on the syndromic management of sexually transmitted infections (STIs) and other reproductive tract infections(Feral Ministry of Health, 2016-05) Bakare, R.A; Olatinwo, A.W.O; Olayinka, A.T; Gadzama, G; Adinma, A; Ofondu, E.O; Abdullahi, A; Obunge, O.K.; Adeniran, A.S; Oduyebo, O; Ebede, S.O; Asuquo, A; Giwa, F; Ibinabo, O; Ibrahim, A; Oladosu, PItem Pregnancy Outcome in Cervical Incompetence: Comparison of Outcome Before and After Intervention.(Society of Obstetrics and Gynaecology of Nigeria (SOGON), 2014-04) Adeniran, A.S; Aboyeji, A.P; Okpara, E.U; Fawole, A.A; Adesina, K.T