Browsing by Author "Adewole, Adebayo"
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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 Haematological and biomedical effects of etonogestrel subdermal implant (Implanon) in Ilorin, Nigeria(College of Medicine, Qassim University, Kingdom of Saudi Arabia, 2016-10) Balogun, Olayinka; Adeniran, Abiodun; Adewole, AdebayoObjectives: To evaluate the effect of etonogestrel subdermal implant (Implanon) on haematological and biochemical parameters of its users. Methodology: A prospective observational study among healthy women using Implanon for contraception. The study site was the family planning clinic of the University of Ilorin Teaching Hospital, Ilorin, Nigeria. Informed consent was obtained and participants were followed up for three years. Follow up parameters were haematological and biochemical evaluation at insertion (baseline), first and third years post-insertion. Statistical analysis was with SPSS-version 20.0; p value <0.05 was significant. Results: 124 participants of age 20-44years were included in the study. During the period of study, a progressive increase in the weight as well as in the level of alanine transaminase and systolic blood pressure was recorded. As compared to the baseline values, statistically significant difference in the mean values of systolic blood pressure (p<0.01), alanine transaminase (p<0.01) and weight (p=0.001) were recorded at the first year. Packed Cell Volume (p=0.001), weight (p=0.001), alanine transaminase (p=0.001) and alkaline phosphatase (p<0.05) were significant at the third year. Between the first and third year post-insertion, there was statistically significant difference in Packed Cell Volume (p=0.001), urea (p<0.05), aspartate (p=0.001) and alanine transaminase (p=0.001) and weight (p=0.001). However, there were no clinically detectable abnormalities or pregnancy during the study period. Conclusion: Haematological and biochemical parameters change with Implanon use but they were not significant to cause clinical sequelae. Implanon remains a safe long term contraceptive.Item Snake bite in third trimester of pregnancy with systemic envenomation in a low resource setting: A case report.(Elsevier, 2017-10) Adewole, Adebayo; Ugiagbe, O.A; Onile, Temitope; Joseph, G.A.; Kassim, O.D.; Medupin, D.F.; Adeniran, AbiodunBackground: Snake bite in the third trimester of pregnancy with late presentation, systemic envenomation; disseminated intravascular coagulopathy and delivery of a live neonate is uncommon in a low resource setting. Case: We present a 22 year old unbooked Gravida 3 Para 1+1 1alive lentiviral positive woman at 32 weeks gestation with snake bite, leg swelling, vaginal bleeding and labour pains. At presentation, there were anemia, tachycardia, hypotension; a gravid uterus with a single fetus in longitudinal lie, cephalic presentation, regular fetal heart rate and cervical dilatation of 3 cm. Preterm labour with antepartum hemorrhage due to venomous snake bite was diagnosed. Multidisciplinary management instituted led to the survival of both mother and baby. Conclusion: In resource constrained setting, disseminated intravascular coagulopathy arising from systemic envenomation due to snake bite in pregnancy could be challenging. Obstetric outcome depends on the degree of envenomation, gestational age at presentation, timing, duration and quality of treatment.Item Vesicovaginal fistula: A review of Nigerian experience(West African College of Physicians and Surgeons, 2010-09) Ijaiya, Munirdeen; Rahman, A; Aboyeji, Peter; Olatinwo, Abdulwaheed; Esuga, S; Ogah, O; Raji, Hadijat; Adebara, Idowu; Akintobi, Abdulhakeem; Adeniran, Abiodun; Adewole, AdebayoBACKGROUND: Vesicovaginal fistula is a preventable calamity, which has been an age-long menace in developing countries. OBJECTIVE: To review the causes, complications, and outcome of vesicovaginal fistula in Nigeria. METHODS: Studies on vesicovaginal fistula were searched on the internet. Information was obtained on Pubmed (medline), WHO website, Bioline Innternational, African Journal on Line, Google scholar, Yahoo, Medscape and e Medicine. RESULTS: Many Nigerian women are living with vesicovaginal fistula. The annual obstetric fistula incidence is estimated at 2.11 per 1000 births. It is more prevalent in northern Nigeria than southern Nigeria. Obstetric fistula accounts for 84.1%–100% of the vesicovaginal fistula and prolonged obstructed labour is consistently the most common cause (65.9%–96.5%) in all the series. Other common causes include caesarean section, advanced cervical cancer, uterine rupture, and Gishiri cut. The identified predisposing factors were early marriage and pregnancy, which were rampant in northern Nigeria, while unskilled birth attendance and late presentation to the health facilities was common nationwide. Among the significant contributory factors to high rate of unskilled birth attendance were poverty, illiteracy, ignorance, restriction of women’s movement, non-permission from husband, and transportation. All but one Nigerian studies revealed that primiparous women were the most vulnerable group. Pregnancy outcome was dismal in most cases related to delivery with still birth rate of 87%–91.7%. Stigmatization, divorce and social exclusion were common complications. Overall fistula repair success rate was between 75% and 92% in a few centres that offer such services. CONCLUSION: Vesicovaginal fistula is prevalent in Nigeria and obstetric factors are mostly implicated. It is a public health issue of concern.