Browsing by Author "Adesina, K.T"

Now showing 1 - 8 of 8
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    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, AS
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    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, 00K
    Background: 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.
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    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, AO
    Abstract 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.
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    Patterns of contraceptive usage in family planning clinics in ilorin
    (Bangladesh medical journal, 2015) : Ajiboye, A.; Adesina, K.T; Abdul, I.F; Ezeoke, G.G.
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    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.P
    Objectives: 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.
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    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
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    Serum Zinc, Copper and Albumin in Paired Mothers and Their Term Newborn in a Tertiary Hospital in Nigeria.
    (Journal of Pediatrics. ., Published by Scientific Research Publishing, 2018) 25. Ojuawo, A.; Saka, A.O.; Omotayo, A.; Adesina, K.T
    Objective: This study assessed the serum zinc, copper and albumin levels in paired mother and newborns in the immediate neonatal period to establish the relationship between the pair, and the influence of maternal micronutrient status on that of the newborn if any. Methods: The sociodemographic characteristics of the mothers were obtained using a structured questioner after informed consent was obtained from the parents of the baby. At delivery, paired mother and newborns had their serum zinc, copper and albumin assayed, using cord blood in the newborn. Result: One hundred and thirty five mothers and their paired term newborns completed the study. The mean age of the mothers was 29.2 ± 4.6 years with 67% within the age bracket 20 to 30 years. Seventy three percent of the mothers attained tertiary education and 22% had secondary education. The mean serum zinc was significantly higher in the newborn (3.67 ± 1.49 μmol/L) than in the mothers (2.20 ± 1.01 μmol/L), p = 0.0001, with a feto-maternal ratio of 1.6 to 1. Copper was significantly higher in the mothers (4.27 ± 1.77 μmol/L), than in the newborns (2.84 ± 0.92 μmol/L) (p = 0.001), with a maternal-fetal ratio of 1.5 to 1. Mean serum albumin was significantly lower in the newborns than in the mothers (p > 0.011). Conclusion: This study established that term newborns have higher serum zinc, a lower serum copper and albumin levels than their maternal levels. The distribution of these trace elements is probably protective in the newborns against infection.
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    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.