Browsing by Author "Balogun, O.R."
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Item Ectopic Pregnancy in Ilorin, Nigeria(National Postgraduate Medical College of Nigeria, 2013) Omokanye, Lukman O.; Balogun, O.R.; Salaudeen, A.G.; Olatinwo, Abdulwaheed O.; Saidu, R.Aims and Objectives: This is to study the incidence, predisposing factors, clinical presentation and management of ectopic pregnancy that presented over a four year period. Patients, Materials and Methods: This is a retrospective study of 98 ectopic pregnancies managed at the gynaecological unit of University of Ilorin Teaching Hospital, Ilorin from 1st January 2004 to 31st December 2007. Information was obtained from the case notes, theatre and labour ward registers. Results: A total of 10,054 deliveries were recorded while 1,430 gynaecological patients were admitted. Ninety eight patients had ectopic gestation accounting for 1% of all deliveries and 6.9% of all gynaecological admissions. The peak age group was 25-29 years (33%); 70 (74.5%) were married and 16 (17%) were students mostly undergraduates. Previous pelvic inflammatory disease 78 (83%), previous pelvic surgery 7 (7.4%) and previous history of ectopic pregnancy 2 (2.1%) were the most common risk factors in the patients. Lower abdominal pain 90 (95.7%), missed period 82 (87.2%), dizziness/fainting attack 57( 60.6%) and vaginal bleeding 50 (53.2%) were the predominant symptoms at presentation. There were 2 (2.1%) bilateral ampullary tubal ectopic with one unruptured ectopic which was treated with linear salpingostomy. Only one (1.1%) case of heterotrophic pregnancy. Open abdominal surgery was the treatment employed in all the patients. No Mortality was recorded. Conclusion: The incidence of ectopic pregnancy can be reduced by putting in place measures to reduce induced abortion and pelvic inflammatory disease. In addition, early presentation, prompt diagnosis and efficient blood transfusion services will decrease the morbidity and mortality associated with ectopic pregnancy.Item Female genital mutilation and reproductive outcome(Department of obstetrics and cynaecology, unilorin teaching hospital, 2015) Kasim, Y. M.; Abdul, . I.F.; Balogun, O.R.Item The Impact of Body Mass Index on haematological parameters of pregnant women at booking in Ilorin, Nigeria(University of Ilorin, 2013) Adesina, K.T.; Balogun, O.R.; Aderibigbe, A.S.; Babatunde, A.S.; Sanni, A.; Olarinoye, A.O.; Ezeoke, G.G.ABSTRACT: Background: 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 Impact of Malaria Parasitaemia on Haematologic Parameters in Pregnant Women at Booking in Ilorin, Nigeria(Science Alert, 2009) Adesina, K.T.; Balogun, O.R.; Babatunde, A. S.; Sanni, M.A.; Fadeyi, A.; Aderibigbe, S.We determined the pattern of haematological parameters in malaria in pregnancy. Five hundred pregnant women who presented for booking in the antenatal clinic of the University of Ilorin Teaching Hospital, Ilorin, Nigeria were recruited. Their blood samples were analyzed for malaria parasites, MCV, MCHC and MCHC, WBC, absolute RBC count, platelet count, haemoglobin level and PCV. The prevalence of peripheral malaria parasitaemia at booking was 32.4%, out of which 46.9 and 53.1% had moderate and high parasite densities, respectively. Plasmodium falciparum was the only species identified. The MCHC was higher in malaria parasitaemia (34.28 g dL-1±1.72, p = 0.0452) while RBC was higher without parasitaemia (10.46x1012 L-1±1.30, p = 0.01). The WBC in women with high parasite density (7.02x109 L-1) was higher than the value in those with moderate parasite density (6.26x109 L-1) p = 0.03). Asymptomatic Plasmodium falciparum infection in pregnancy is associated with higher MCHC; WBC increases with rise in the parasite density in Ilorin, Nigeria. A rise in MCHC and WBC in pregnancy may indicate malaria.Item Malaria Parasitaemia and Anaemia among First Antenatal Clinic Attendees in Ilorin, Nigeria(Pan Africa Medical Journal, 2010) Fadeyi, A.; Balogun, O.R.; Babatunde, A.S.; Adesina, K.T.; Aderibigbe, S.; Sani, M.A.The burden of malaria and anaemia in pregnancy is unknown in Ilorin, Nigeria despite malaria being threat to 2.4 billion lives world-wide including Nigerians particularly the children and pregnant women. To determine the prevalence of malaria parasitaemia and anaemia in pregnancy among first antenatal clinic attendees at the University of Ilorin Teaching Hospital (UITH), Ilorin, Nigeria, 500 consecutive, consenting pregnant women presenting for antenatal care at UITH, Ilorin for the first time were screened for malaria parasitaemia and anaemia over a 1 year period starting from June 2008. Information about participants’ socio-demographic data, fever, anti-malaria therapy including prophylaxis using intermittent preventive treatment with sulfadoxine-pyrimethamine (IPTp/SP) among others were also obtained at recruitment. The prevalence of malaria parasitaemia and anaemia in the women were 32.4% and 25.8 respectively. The women’s age, parity and educational level did not affect either malaria parasitaemia (MP) or mean parasite density (MPD) but gestational age (GA) significantly (F = 6.02, p = 0.002) affected MPD as women in the first trimester (35.7%) were most infected. The mean haemoglobin concentration (MCH) was significantly associated with maternal age (f = 3.33, p = 0.005) and parity ((f – 23.97, p = 0.000), and varied inversely as the MPD. Maternal fever was not a good predictor of MP as only 7 (46.7%) of 162 (32.4%) malaria parasitaemic women were febrile. There was no significant difference (f = 1.4, p = 0.23) in the mean malaria parasite densities of anaemic compared with non-anaemic women but there was significant difference in the prevalence of MP (X2 = 1.135, p = 0.0007549) and anaemia (X2 = 8.634, p = 0.0000) among users and non-users of IPTp/SP. Malaria parasitaemia and anaemia remains a threat in pregnancy in Ilorin, Nigeria with the affected often afebrile. Since users of IPTp/SP in pregnancy were better protected against malaria parasitaemia and anaemia in pregnancy, early antenatal booking and use of IPTp/SP is desired.Item Oncogenesis(West African College of Surgeons, 2016) Balogun, O.R.; Fawole, A.A.; Olatunji, A.L; Omokanye, Lukman O.; Adeniran, A.S.Item Prevalence of Congenital Malaria in Ilorin, Nigeria.(2009) Kolawole, O.M.; Jimoh, A.A.G.; Babatunde, A.S.; Balogun, O.R.; Kanu, I.G.Abstract A Seven months (March-September 2006) study on the prevalence of congenital malaria was carried out at the labour unit of three different hospitals within Ilorin metropolis: Eyitayo Hospital, Surulere Medical Hospital and Children Specialist Hospital Centre Gboro Ilorin. A total of 130 blood samples were collected from the mothers and their newborn babies and examined for malaria parasite using both thin and thick films. Maternal packed cell volume (PCV), and genotype was also determined using haematocrit method and cellulose acetate electrophoresis respectively. The prevalence rate of maternal, fetal, placental and cord parasitaemia were 37(28.46%), 29(22.31%), 33(25.38%) and 30(23.08%) respectively. Malaria infected maternal blood had a mild reduction in PCV level (p<0.05). Genotype showed strong correlation with maternal, fetal, placental and cord parasitaemia (p<0.05). However, the effect of malaria prophylaxis was shown to be more protective for the placentalparasitaemia (p<0.05). Finally maternal age and parity did not show strong correlation with Maternal, fetal, placental and cord parasitaemia (p>0.05).Item Sexual activities of post secondary school students versus illiterate traders and market attendant of same age group(2008) Abdul, I.F.; Balogun, O.R.; Imohagene, A.Item Some Biochemical and Haematological Studies on the Prevalence of Congenital Malaria in Ilorin, Nigeria.(The Nigerian Society for Experimental Biology, 2007) Kolawole, O.M.; Jimoh, A.G.; Babatunde, A.S.; Balogun, O.R.; Kanu, I.G.Abstract: A seven month study (March-September 2006) on the prevalence of congenital malaria was carried out at the labour unit of three different hospitals within Ilorin metropolis: Eyitayo Hospital, Surulere Medical Hospital and Children Specialist Hospital Centre Gboro Ilorin. A total of 130 blood samples were collected from the mothers and their newborn babies and examined for malaria parasite using both thin and thick films. Maternal packed cell volume (PCV) and genotype was also determined using haematocrit method and cellulose acetate electrophoresis respectively. The prevalence rate of maternal, fetal, placental and cord parasitaemia were 37(28.46%), 29(22.31%), 33(25.38%) and 30(23.08%) respectively. Malaria infected maternal blood had a mild reduction in PCV level (p<0.05). Genotype showed strong correlation with maternal, fetal, placental and cord parasitaemia (p<0.05). However, the effect of malaria prophylaxis was shown to be more protective for the placental parasitaemia (p<0.05). Finally maternal age and parity did not show strong correlation with Maternal, fetal, placental and cord parasitaemia (p>0.05).Item Sperm Bank Scheme And Surrogacy Institution;-willingness And Utilization Of Assisted Reproductive Technology Among Women Of Reproductive Age Group In Ilorin. Nigeria(Nigerian Fertility Society, 2013) Jimoh, A.A.G.; Saka, M.J.; Saidu, R.; Salaudeen, A.G.; Saka, A.O.; Raji, H.A.; Yahaya, L.A.; Balogun, O.R.; Ijaiya, M.A.; Omokanye, Lukman O.; Dare, J