Browsing by Author "Balogun, Olayinka"
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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 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 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.Item Evaluation of parturient perception and aversion pre and post primary caesarean delivery in a low resourse setting(International Federation ofObstetrics & Gynaecology (FIGO), 2016) Adeniran, Abiodun; Aboyeji, Peter; Fawole, Adegboyega; Balogun, Olayinka; Adesina, Kikelomo; Isiaka-Lawal, SalamatObjective: To determine the perception of and aversion to cesarean delivery (CD) and their determinants before and after primary CD. Methods: A prospective cross-sectional survey of pregnantwomen undergoing primary CD (elective or emergency) was conducted in six health facilities in Ilorin, Nigeria. All participants completed an interviewer-administered questionnaire before the operation and 3–4 days thereafter. The statistical analysis included the calculation of odds ratios (ORs) with 95% confidence intervals (CIs) and a logistic regression. Results: Of the 254 participants, 182 (71.7%) and 53 (20.9%) had an aversion to CD before and after the procedure, respectively. A woman’s personal decision was the overriding factor influencing acceptance of the operation. Preoperative predictors of aversion were prenatal admission (OR 2.86 [95% CI,1.07–7.66]; P=0.030) and a history of previous surgery (OR 0.42 [95% CI, 0.24–0.75]; P = 0.003), whereas postoperatively a low number of prenatal clinic visits (less than four; OR 3.05 [95% CI,1.63–5.69]; P = 0.001) and a history of previous surgery (OR 0.51[95% CI, 0.27–0.96]; P = 0.034) were significant. Postprocedure, 164 (64.6%) women said they would accept a repeat CD. Conclusion: Patient education, prenatal care, and previous surgical experiences were important in determining women’s perception of and aversion to CD.Item Exploringthe practice and attutide of circumcisers in the eradication of female genital mutilation/ cutting(Kenya Medical Association, 2016) Adeniran, Abiodun; Ijaiya, Munirdeen; Adesina, Kikelomo; Balogun, Olayinka; Uthman, Mohammed; Salaudeen, Ganiyu; Adeniran, Peace; Fawole, AdegboyegaBackground: Female Genital Mutilation/Cutting (FGM/C) remains a form of violence against women despite efforts aimed at its eradication. Objectives: To explore the practice and attitude of circumcisers towards eradication of FGM/C. Methods: A descriptive (pilot) study involving local circumcisers in Kwara State, Nigeria using interviewer-administered questionnaire; analysis was done using SPSS version 21.0 and p <0.05 was significant. Results: There are 57 circumcisers including 36(63.2%) males, 49(86%) acquire the skill for circumcision as a family tradition, 3(5.3%) practice circumcision as sole occupation and 49(79%) derive higher average monthly income from other sources. Forty-two (73.7%) have a dedicated knife used for multiple clients, 44(77.2%) clean the instrument before use, 17(29.8%) wear protective gloves, 55(96.5%) apply substances to the wound mostly iodine 15(26.3%) and shea butter 11(19.3%) while 27(47.4%) have encountered complications previously. Among circumcisers, 44(77.2%) believe FGM/C prevent sexual promiscuity while 26(45.6%) think it is for culture/tradition. Thirty (52.6%) are aware of government activities to stop FGM/C, 53(93.0%) are willing to stop the act if support is provided in form of money to establish a trade 33(57.9%) or new employment 12(21.1%). Conclusions: Circumcisers are willing to discontinue FGM/C if necessary support including vocational skill acquisition, credit facilities to start a trade or new employments are provided. Efforts should be expedited to support their rehabilitation to achieve the eradication.Item Female genital mutilation/cutting: Knowledge, practice and experiences of secondary school teachers in North Central Nigeria(South Africa Medical Association, 2015-12) Adeniran, Abiodun; Fawole, Adegboyega; Balogun, Olayinka; Ijaiya, Munirdeen; Adesina, Kikelomo; Adeniran, PeaceBackground. Despite global efforts at eradicating female genital mutilation/cutting (FGM/C), the act continues to be performed globally. Objective. To determine the experience of schoolteachers about FGM/C and their possible role in contributing to its eradication. Methods. A prospective cross-sectional survey involving secondary schoolteachers from 18 secondary schools in Ilorin, North Central Nigeria, was undertaken during October and November 2014. All consenting participants completed a self-administered questionnaire on FGM/C. Statistical analysis was with SPSS version 20.0 with χ2 and logistic regression; a p-value of <0.05 was considered significant. Results. There were 371 participants (113 males (30.5%) and 258 females (69.5%)). More females than males were aware of FGM/C (205 v. 94; χ2 41.2; p=0.001); 180 women (69.8%) and 81 men (71.7%) wanted awareness and the implications of FGM/C to be taught inschools, while 46 women (17.8%) and 23 men (20.4%) had previously educated students about FGM/C. Also, 109 (42.3%) of the female teachers had been mutilated (mean (standard deviation) age 4.76 (4.86) years), and 49 mutilations (45.0%) had been performed by traditional circumcisers. Of the teachers, 44.0% of men and 24.5% of women had subjected their daughters to FGM/C (p=0.029), mostly for religious reasons. The men initiated the majority of their daughters’ mutilations, while the mothers-in-law were the main initiatorsamong the women; 44 (17.0%) women and 23 (20.4%) men held the opinion that females should be circumcised, while the majorityconsidered education and legislation to be the most important interventions to encourage its eradication. Predictors of the likelihood to support discontinuation of FGM/C include awareness of government policy about FGM/C and having a mutilated daughter. Conclusion. Education, reorientation and motivation of teachers will position them as agents for eradicating FGM/C.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 Impact of Body Mass Index on Haematological parameters at booking in Ilorin, Nigeria.(Unilorin, 2013) Adesina, Kikelomo; Aderibigbe, Adedeji; Olarinoye, Adebunmi; Balogun, Olayinka; Fadeyi, Abayomi; Babatunde, Abiola; Abdulkareem, Sanni; Ezeoke, GraceBackground: Pregnancy is associated with physiological changes that affect almost all of the systems in the body, including weight gain; these changes accommodate the demands of the feto-placental unit. Therefore, hematological parameters in pregnancy may not be comparable with those of non-pregnant women. Methodology: A total of 500 pregnant women were consecutively recruited at booking, and 465 met the inclusion criteria. Their blood samples were analyzed for some blood indices, which were compared with their body mass indices and sociodemographic characteristics. Results: The mean levels of Mean Corpuscular Volume(MCV) and Mean Corpuscular Hemoglobin Concentration(MCHC) were 82.2 fl ± 8.4 and 34.0 g/dl ± 1.9, respectively, which were within the normal reference values but close to the lower limits. The hemoglobin concentration was low (10.5 g/dl), whereas the erythrocyte sedimentation rate was high (34.1 mm/hr). Hematological parameters were compared by trimesters. MCV and Mean Corpuscular Hemoglobin(MCH) increased across the trimesters, with P values of 0.0007 and 0.011, respectively (P< 0.05). PCV was also inversely proportional to the gestational age (P0.026). There was no statistically significant difference when BMI and hematological parameters were compared (P>0.05), although RBC and PCV values increased as the maternal weight increased, suggesting a probable positive correlation between the red cell count and concentration and body mass index in pregnancy. Conclusion: This study confirmed the hemodilutional effect of pregnancy and suggests a relationship between BMI, RBC and PCV in pregnancy. Body weight may increase the red cell parameters in pregnancy.Item Implanon sub-dermal implant: an emerging method of contraception in Ilorin Nigeria(School of Medicineand Health Sciences, University forDevelopment Studies, Tamale, Ghana, 2014) Balogun, Olayinka; Olaomo, Noah; Adeniran, Abiodun; Fawole, AdegboyegaImplanon, a single rod sub-dermal implant is a relatively new contraceptive which offers long term reversible contraception for women. This study seeks to determine the safety, efficacy and acceptor characteristics of Implanon at the family planning clinic of University of Ilorin Teaching Hospital (UITH), Ilorin, Nigeria. This study involves a retrospective review of 88 clients who used Im-planon from January 2007 to December 2011 at the family planning clinic of the UITH, Ilorin. Of the 2,456 clients who had contraception during the period, 88 had Implanon giving a 3.6% uptake. The mean age of Implanon users in the study was 33.4 years, no teenager used the method and 72(81.8%) knew about the method from clinic staff. Women with two living children constituted 29(33%) of the total users, 78(88.6%) users had at least secondary education, all except one client were married and religion did not influence its use. Twenty two (25%) users had side effects, the commonest being menstrual irregularity in 13(59%) of the participants. Discontinuation rate was 26.1% and the commonest reason for discontinuation was the desire to get pregnant 8(35%). The Pearl Index for Implanon in the study was 0. Implanon is an effective long term hormonal contra-ceptive appropriate in a wide range of women with tolerable side effect profile but is currently un-derutilised. Wider publicity, education and access are needed to improve client uptake..Item Intermittent preventive therapy in pregnancy with sulfadoxine/pyrimethamine for malaria prophylaxis among parturients in Ilorin, Nigeria(Faculty of Medical Sciences, University of Jos, 2018-01) Adeniran, Abiodun; Mobolaji-Ojibara, Moji; Adesina, Kikelomo; Aboyeji, Peter; Ijaiya, Munirdeen; Balogun, OlayinkaBackground:The use of intermittent preventive treatment in pregnancy with sulfadoxine/pyrimethamine (IPTp-SP) for malaria remains an important tool for improving pregnancy outcome in malaria endemic areas. Objective: To assess the knowledge, attitude, and factors associated with the use of IPTp-SP among antenatal clinic attendees in Ilorin. Materials and Methods: A prospective, multicentre, cross-sectional study among consenting parturients receiving antenatal care at three public health facilities in Ilorin Ilorin, Nigeria. Statistical analysis was conducted with the Statistical Package for the Social Sciences version 20.0 software (SPSS Inc., Chicago, IL, United States) with the calculation of percentages, chi square, odds ratios (ORs), and confidence intervals (CIs); P < 0.05 was considered significant. Results: There were 422 participants with mean age of 28.8±4.7 years and 368 (87.2%) were aware of the use of IPTp-SP for malaria prevention, while 388 (91.9%) were willing to use IPTp-SP.Only 154 (36.5%)had prescription for IPTp-SPamong whom 139 (90.3%) were compliant; IPTp-SP uptake in preceding pregnancy was 148 (59.7%). The most common reason for the non use of IPTp-SP prescribed was the fear of harm to the fetus (53.3%). Significant determinants of willingness to use IPTp-SP were maternal age (P=0.007) and monthly income (P=0.013), IPTp-SP use in preceding pregnancy (P=0.001), and the treatment for malaria in index pregnancy (P=0.014). On logistic regression, maternal age <20 years (OR=36.457, 95% CI=2.260–588.011; P=0.011) and the use of IPTp-SP in preceding pregnancy (OR=0.051, 95% CI=0.010–0.252; P=0.001) were significant predictors of willingness to use IPTp-SP. Conclusion: Parturients desire IPTp-SP, but the prescription rate by healthcare providers was low. Health care providers should increase the prescription and address the concerns about its teratogenicity. Governments and other agencies should prioritize free provision and the availability of SP at health facilities.Item Jadelle sub-dermal implant: evaluation of acceptance, effectiveness, side effects and discontinuation in Ilorin, Nigeria(School of Medicine, Kenyatta University, Kenya, 2014) Balogun, Olayinka; Afolabi, Muibat; Adeniran, Abiodun; Saidu, RakiyaObjective: To determine the safety, efficacy, acceptability, side effects and discontinuation pattern of Jadelle® subdermal implant.Design: A retrospective descriptive study. Setting: The Family Planning Clinic of the University of Ilorin Teaching Hospital [UITH], Ilorin, Kwara State, Nigeria. Subjects: All clients who accepted Jadelle® sub-dermal implant between 1st January 2008 and 31st December 2012. Data was collected from the individual patient case files and analysed using SPSS version 20. Main outcome measures: The prevalence, efficacy, side effects and discontinuation among users of Jadelle®. Results: Of the 2,324 clients during the study period, 108 chose Jadelle® with prevalence of 4.7%. Among these acceptors, 23 (21.3%) had side-effects following insertion. The commonest side effect was menstrual irregularities (60.9%). Twelve acceptors (11.1%) discontinued before the due date for the removal of the insert. Insertion after oneyear from last childbirth (p 0.021) andtwo or more side effects (p 0.001) were significant predictors of discontinuation while previous contraceptive use, number of children alive and age were statistically insignificant. The pearl index was 0 during the study period. Conclusion: Jadelle® is an acceptable contraceptive and the side effects are tolerable to most clients in the study.Item Male partner's role during pregnancy, labour and delivery: Expectations of pregnant women in Nigeria(College of Medicine, Qassim University, Kingdom of Saudi Arabia, 2015-07) Adeniran, Abiodun; Aboyeji, Peter; Fawole, Adegboyega; Balogun, Olayinka; Adesina, Kikelomo; Adeniran, PeaceObjectives: To evaluate the expectations of pregnant women on the role of the male partner during conception and delivery. Methodology: A prospective multi-centre observational study comprising 506 pregnant women at eight health facilities in Ilorin, Nigeria from January to June 2014. Consenting women were recruited at antenatal clinics using multistage purposive sampling and a self-administered questionnaire was administered with provision for interpreters in local dialects for those without western education. The data was analyzed using SPSS using percentages and chi-square test; p <0.05 was termed significant. Results: Participants were aged 17 to 49 years (mean 30.23±4.81), 82.4% desire male partners company during antenatal clinic visits and 59.1% experienced this in index pregnancy. During labour and delivery, 427(84.4%) want company; 345(80.8%) chose the male partner with 211(57.7%) hoping men will appreciate the value of females afterwards although 27.9% feared the men may disturb the health workers, 72(14.2%) male partners attended previous delivery and 84.8% of the women were satisfied with the experience. Significant predictors of support for male partner’s presence at delivery were maternal age (p=0.001), secondary or higher education (p=0.001) and parity less than four (p=0.001); religion (x21.010; p>0.001) and social status (p>0.001) were statistically insignificant. Pregnant women wanted education for male partners on care of pregnant women (77.0%) and sex during conception (25.2%). Conclusion: Parturient desire male partners’ presence at deliveries but their past participation was low; health facility modifications and education for men are required to meet the desires.Item Male Partner’s Role during Pregnancy, Labour and Delivery: Expectations of Pregnant women in Nigeria(International Journal of Health Sciences, Qassim University, 2015) Adeniran, Abiodun; Aboyeji, Abiodun; Fawole, Adegboyega; Balogun, Olayinka; Adesina, Kikelomo; Adeniran, PeaceObjectives: To evaluate the expectations of pregnant women on the role of the male partner during conception and delivery. Methodology: A prospective multi-centre observational study comprising 506 pregnant women at eight health facilities in Ilorin, Nigeria from January to June 2014. Consenting women were recruited at antenatal clinics using multistage purposive sampling and a self-administered questionnaire was administered with provision for interpreters in local dialects for those without western education. The data was analyzed using SPSS using percentages and chi-square test; p <0.05 was termed significant. Results: Participants were aged 17 to 49 years (mean 30.23±4.81), 82.4% desire male partners company during antenatal clinic visits and 59.1% experienced this in index pregnancy. During labour and delivery, 427(84.4%) want company; 345(80.8%) chose the male partner with 211(57.7%) hoping men will appreciate the value of females afterwards although 27.9% feared the men may disturb the health workers, 72(14.2%) male partners attended previous delivery and 84.8% of the women were satisfied with the experience. Significant predictors of support for male partner’s presence at delivery were maternal age (p=0.001), secondary or higher education (p=0.001) and parity less than four (p=0.001); religion (x21.010; p>0.001) and social status (p>0.001) were statistically insignificant. Pregnant women wanted education for male partners on care of pregnant women (77.0%) and sex during conception (25.2%). Conclusion: Parturient desire male partners’ presence at deliveries but their past participation was low; health facility Objectives: To evaluate the expectations of pregnant women on the role of the male partner during conception and delivery. Methodology: A prospective multi-centre observational study comprising 506 pregnant women at eight health facilities in Ilorin, Nigeria from January to June 2014. Consenting women were recruited at antenatal clinics using multistage purposive sampling and a self-administered questionnaire was administered with provision for interpreters in local dialects for those without western education. The data was analyzed using SPSS using percentages and chi-square test; p <0.05 was termed significant. Results: Participants were aged 17 to 49 years (mean 30.23±4.81), 82.4% desire male partners company during antenatal clinic visits and 59.1% experienced this in index pregnancy. During labour and delivery, 427(84.4%) want company; 345(80.8%) chose the male partner with 211(57.7%) hoping men will appreciate the value of females afterwards although 27.9% feared the men may disturb the health workers, 72(14.2%) male partners attended previous delivery and 84.8% of the women were satisfied with the experience. Significant predictors of support for male partner’s presence at delivery were maternal age (p=0.001), secondary or higher education (p=0.001) and parity less than four (p=0.001); religion (x21.010; p>0.001) and social status (p>0.001) were statistically insignificant. Pregnant women wanted education for male partners on care of pregnant women (77.0%) and sex during conception (25.2%). Conclusion: Parturient desire male partners’ presence at deliveries but their past participation was low; health facilityObjectives: To evaluate the expectations of pregnant women on the role of the male partner during conception and delivery. Methodology: A prospective multi-centre observational study comprising 506 pregnant women at eight health facilities in Ilorin, Nigeria from January to June 2014. Consenting women were recruited at antenatal clinics using multistage purposive sampling and a self-administered questionnaire was administered with provision for interpreters in local dialects for those without western education. The data was analyzed using SPSS using percentages and chi-square test; p <0.05 was termed significant. Results: Participants were aged 17 to 49 years (mean 30.23±4.81), 82.4% desire male partners company during antenatal clinic visits and 59.1% experienced this in index pregnancy. During labour and delivery, 427(84.4%) want company; 345(80.8%) chose the male partner with 211(57.7%) hoping men will appreciate the value of females afterwards although 27.9% feared the men may disturb the health workers, 72(14.2%) male partners attended previous delivery and 84.8% of the women were satisfied with the experience. Significant predictors of support for male partner’s presence at delivery were maternal age (p=0.001), secondary or higher education (p=0.001) and parity less than four (p=0.001); religion (x21.010; p>0.001) and social status (p>0.001) were statistically insignificant. Pregnant women wanted education for male partners on care of pregnant women (77.0%) and sex during conception (25.2%). Conclusion: Parturient desire male partners’ presence at deliveries but their past participation was low; health facility modifications and education for men are required to meet the desires.Item Primary Postpartum Haemorrhage (PPH) in Ilorin: Current Trends(College of Health Sciences, University of Ilorin, 2014-07) Adeniran, Abiodun; Ijaiya, Munirdeen; Aboyeji, Peter; Balogun, Olayinka; Fawole, Adegboyega; Adesina, KikelomoPostpartum Haemorrhage [PPH] remains a major cause of maternal mortality all over the world. In line with the attainment of the Millennium Development Goal improve availability of blood and blood products for [MDG-5] which aims to reduce maternal death by three quarters, there is the need for a regular review. This study was carried out to determine the incidence of Primary Postpartum Haemorrhage following vaginal delivery and evaluate the trend at the University of Ilorin Teaching Hospital [UITH], Ilorin, Nigeria. This study was a hospital based retrospective study of all cases of Primary Postpartum Haemorrhage [PPH] following vaginal delivery at the centre between 1st January 2004 and 31 December 2008. The case notes of all women who had primary PPH over the study period were retrieved from the records department of the hospital and necessary information was extracted. The results were compared with previous studies on primary PPH at the centre from 1987-2003. There were 14,700 vaginal deliveries, primary PPH occurred in 614 giving the incidence of PPH as 4.2%. Unbooked patients had a three times higher risk of developing primary PPH than their booked counterparts; the commonest risk factor was grandmultiparity [27.0%], uterine atony was the commonest aetiology [54.1%] and 64.8% had blood transfusion. Uterine massage and uterotonics were effective in 44.3% and two maternal mortalities were recorded during the period. The trend in primary PPH over a 22 year period showed an improvement in survival and a reduction in mortality.