Browsing by Author "Akande, Halimat"
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Item An observation of umbilical coiling index in a low risk population in Nigeria(World Association of Perinatal Medicine, 2017) Adesina, Kikelomo; Ogunlaja, Olumuyiwa; Olarinoye, Adebunmi; Aboyeji, Peter; Akande, Halimat; Fawole, Adegboyega; Adeniran, AbiodunObjectives: The umbilical coiling index (UCI) is one of cord parameters for foetal assessment with limited studies in our environment. With recent advances in its evaluation, its significance, pattern, abnormalities and correlates need to be defined in our parturients. Methods: The umbilical cords of 436 neonates were examined. Gross examination was done within 5 min of delivery. The UCI was defined as the number of complete coils per centimetre of cord. Normal UCI was defined as values between the 10th and 90th percentiles of the study population. Results: The mean umbilical cord length was 52.7 ± 11.5 cm, mean number of coils was 10.8 ± 5.1 and mean UCI was 0.21 ± 0.099. The range was between 0.0 and 1.0. UCI values of 0.13 and 0.30 were 10th and 90th percentiles, respectively. Normal UCI was observed in 351 (80.5%) neonates, 44 (10.4%) and 41 (9.1%) had hypo- and hypercoiled cords, respectively. Congenital abnormalities occurred in the normocoiled and hypercoiled groups but was not demonstrated in the hypocoiled group. The mean value of UCI in neonates with congenital abnormalities was 0.29 ± 0.12 (P = 0.011). There was no significant statistical relationship between foetal outcome and degree of UCI. Conclusion: The UCI was not associated with adverse perinatal outcome in this study.Item An Observation of Umbilical Coiling Index in a low risk population in Nigeria(DE GRUYTER, 2017-09-15) Adesina, Kikelomo; Ogunlaja, Olumuyiwa; Olarinoye, Adebunmi; Aboyeji, Abiodun; Akande, Halimat; Fawole, Adegboyega; Adeniran, AbiodunObjectives: The umbilical coiling index (UCI) is one of cord parameters for foetal assessment with limited studies in our environment. With recent advances in its evaluation, its significance, pattern, abnormalities and correlates need to be defined in our parturients. Methods: The umbilical cords of 436 neonates were examined. Gross examination was done within 5 min of delivery. The UCI was defined as the number of complete coils per centimetre of cord. Normal UCI was defined as values between the 10th and 90th percentiles of the study population. Results: The mean umbilical cord length was 52.7 ± 11.5 cm, mean number of coils was 10.8 ± 5.1 and mean UCI was 0.21 ± 0.099. The range was between 0.0 and 1.0. UCI values of 0.13 and 0.30 were 10th and 90th percentiles, respectively. Normal UCI was observed in 351 (80.5%) neonates, 44 (10.4%) and 41 (9.1%) had hypo- and hypercoiled cords, respectively. Congenital abnormalities occurred in the normocoiled and hypercoiled groups but was not demonstrated in the hypocoiled group. The mean value of UCI in neonates with congenital abnormalities was 0.29 ± 0.12 (P = 0.011). There was no significant statistical relationship between foetal outcome and degree of UCI. Conclusion: The UCI was not associated with adverse perinatal outcome in this study.Item Relationship between gross placental characteristics and perinatal outcome of low-risk singleton deliveries(National Postgraduate Medical College of Nigeria, 2016-10) Adesina, Kikelomo; Ogunlaja, Olumuyiwa; Aboyeji, Peter; Akande, Halimat; Adeniran, Abiodun; Olarinoye, Adebunmi; Fawole, AdegboyegaBackground: Gross examination of the placenta may provide useful insight into the aetiology of newborn and maternal complications. A review of literature revealed only a few epidemiological studies that determined the relationships between placental abnormalities, gestational age and occurrence of adverse outcome in babies of healthy pregnant women in our region. Patients and Methods: A prospective cross-sectional study was conducted at the Department of Obstetrics and Gynecology of University of Ilorin Teaching Hospital, between 1st February and August 2013. Pregnant women in labour at ≥28 weeks’ gestational age with singleton pregnancies were recruited. Gross examination of the placenta and umbilical cord after delivery were performed. Results: Four hundred and twenty-eight singleton deliveries were studied. The average placental weight was 580.8 ± 130.6 g (range = 125–1500 g). The mean values of the umbilical cord length and width were 52.7 ± 10.5 cm and 1.96 ± 1.11 cm, respectively. Placental abnormalities occurred in 1.2%. The umbilical cord was centrally inserted in 290 (67.8%), marginally in 31% of cases. There was significant but weak positive correlation between the placental weight, birth weight and gestational age at 40 weeks (P ≤ 0.001, r = 0.356). Placental weight was directly related to birth weight (P < 0.0001, r = 0.244) and greater in babies with congenital abnormalities (P = 0.002). Conclusions: There was an association between placental parameters and foetal outcome at birth. Placental weight was positively correlated with birth weight, gestational age and occurrence of congenital abnormalities.Item Ultrasound estimation of amniotic fluid and perinatal outcome in normotensive and pre-eclamptics in a Nigerian tertiary Hospital(School of Medicine and Health Sciences, University for Development Studies, Tamale, Ghana, 2015) Ogunlaja, Oluwamuyiwa; Fawole, Adegboyega; Adeniran, Abiodun; Adesina, Kikelomo; Akande, Halimat; Ogunlaja, I. P; Bojuwoye, O.M; Idowu, APre-eclampsia is a subtype of hypertensive disorder in pregnancy which is described as a disorder of widespread vascular endothelial malfunction and vasospasm that manifest clinically after 20 weeks gestation and can present as late as 4-6 weeks postpartum. However, the focus in modern obstetric care is on reduction of maternal and perinatal morbidity and mortality through preventive strategies. The objective of this study was to determine the usefulness of ultrasound scan measure-ment of the amniotic fluid indices in determining perinatal outcome in normotensive and pre-eclamptic paturients at term. This was an observational study involving 120 consenting pre-eclamptics and 120 normotensive women. An analysis of the measures of perinatal outcome in this study revealed a statistical significant difference when meconium stained liquor, route of delivery, fetal outcome and birth weight in pre-eclamptic women were compared with those of normotensive women. Ultrasound estimation of amniotic fluid in pre-eclamptic and normotensive paturients has been found to be useful in the management of these patients with the aim of improving perinatal outcome. Hence, there may be a need to include this in the protocol of management; however, ran-domized control trials will be needed to further justify the finding of this recommendation.Item Umbilical cord parameters in Ilorin: Correlates and foetal outcome(Kenya Medical Association, 2014-08) Adesina, Kikelomo; Ogunlaja, Olumuyiwa; Aboyeji, Peter; Olarinoye, Adebunmi; Adeniran, Abiodun; Fawole, Adegboyega; Akande, HalimatBackground: The anthropometric parameters of the umbilical cord have clinical significance. Current parameters of the cord, its correlates and related foetal outcome are lacking in our parturients. Objectives: To describe the anthropometric parameters and abnormalities of the umbilical cord; and determine their maternal correlates and foetal outcome. Design: A cross sectional analytical study. Setting: The Obstetric and Gynaecology Department of the University of Ilorin Teaching Hospital, between September 2012 and June 2013. Subjects: Healthy pregnant women with singleton pregnancies. Results: Four hundred and twenty- eight (428) singleton deliveries were studied. The respective mean values of the cord length and width were526.87±115.5mm and 19.56±11.12mm.Short cord (< 40cm) occurred in 7.2% while long cord (> 69cm) was found in9.3% of the parturient. The incidences of single umbilical artery, cord round the body and knots were 7%, 8.4% and 14.5% respectively. Nuchal cord was the most common (91.4%). Only gestational age had significant statistical relationship with cord length abnormalities (P = 0.0093). The cord length was an important correlate of cord helices, knots and vessels (P< 0.05).Parity had correlations with the number of vessels(R= 0.099, P=0.042). The cord coiling index was statistically related to the presence of congenital abnormalities (P=0.011). Other perinatal events were not related to umbilical cord parameters. Perinatal asphyxia was the most common indication for NICU admission (3.5%) but there was no significant statistical difference between NICU admission and cord parameters. Conclusion: The umbilical cord parameters in apparently healthy parturients in Ilorin were comparable with others elsewhere. The cord length and helix are important correlates of gestational age and congenital abnormalities. Parity may be related to abnormal umbilical vessels. Cord length,coils, coil index and umbilical vessels should be examined post-natally.