Browsing by Author "Ezeoke, GG"

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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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    Labour, delivery and perinatal outcomes of women with advanced maternal age: A comparative study.
    (The publication of University of Tripoli, Alahlia-Libya., 2022-03-02) Ezeoke, GG; Fawole, A.A; Bakare, Tola; Ogunlaja, OO; Jimoh, O; Adeniran, AS
    Background: Although advanced maternal age (AMA) has been identified as a risk factor for adverse obstetric outcomes, research efforts continue to gather evidence to describe the relationship. Methods: This was a comparative study conducted at a tertiary health facility. Participants were pregnant women who delivered after viability (28 weeks gestation) at the facility over a ten year period categorized into those with advanced maternal age (>35 years) and younger women (≤35 years). The source of data was the hospital delivery records; data analysis was performed with SPSS version 21.0 while p-value <0.05 was significant. Results: The prevalence of AMA was 8.8% (761/8645), 18 (2.4%) were nulliparous, 351 (46.1%) had tertiary education, 196 (25.8%) had inter-pregnancy interval >24 months while 66 (8.7%) had preterm delivery. AMA was associated with significantly higher occurrence of obstructed labour (204 vs. 129; p0.001) and primary postpartum haemorrhage (208 vs. 123; p0.001). Onset of labour (OR 95%CI [0.470, 0.063-3.493]; p0.450), augmentation of labour (OR 95%CI [0.969, 0.830-1.132]; p0.695) and need for episiotomy (OR 95%CI [1.116, 0.955-1.303]; p0.166) were not statistically different for AMA compared to younger women. The caesarean section rates were 40.0% for AMA and 23.7% for younger women while perinatal mortality rates were 391/1,000 for AMA and 110/1,000 live births for younger women. Conclusion: Pregnancy outcome in women with AMA was poorer with about twice the caesarean section rate and thrice the perinatal mortality rate compared to younger women. Therefore, efforts should be made to limit pregnancy in women with AMA.