Browsing by Author "Fawole, A.A"
Now showing 1 - 7 of 7
Results Per Page
Sort Options
Item Comparative analysis of caesarean delivery among out-of-pocket and Health insurance clients in Ilorin, Nigeria.(National Postgraduate Medical College of Nigeria, 2020-04-11) Adeniran, A.S; Aun, II; Fawole, A.A; Aboyeji, A.PBackground: Although out‑of‑pocket (OOP) payment for health services is common, information on the experience in maternal health services especially caesarean delivery (CD) is limited. Aim: To compare the pregnancy events and financial transactions for CD among OOP and health‑insured clients. Materials and Methods: A comparative (retrospective) study of 200 women who had CD as OOP (100 participants) or health‑insured clients (100 participants) over 30 months at Anchormed Hospital, Ilorin, using multistage sampling was conducted. The data were analysed using Chi‑square, t‑test and regression analysis; P < 0.05 was considered statistically significant. Results: Of 1246 deliveries, 410 (32.9%) had CD; of these, 186 (45.4%) were health‑insured and 224 (54.6%) were OOP payers. The health‑insured were mostly civil servants (60.0% vs. 40.0%; P = 0.009) of high social class (48.0% vs. 29.0%; P = 0.001). The payment for CD was higher among OOP (P = 0.001), whereas duration from hospital discharge to payment of hospital bill was higher for the health‑insured (P = 0.001). On regression, social class (odds ratio [OR]: 0.23, 95% confidence interval [CI]: −0.0891252–0.112799; P = 0.048), amount paid (OR: 48.52, 95% CI: −7.14–6.68; P = 0.001) and duration from discharge to payment (OR: 28.68, 95% CI: 51.7816–70.788; P = 0.001) were statistically significant among participants. The amount paid was lower (P = 0.001), whereas time interval before payment was longer (P = 0.001) for the public‑insured compared to private‑insured clients. Conclusion: OOP payers are prone to catastrophic spending on health. The waiting time before reimbursement to health‑care providers was significantly prolonged; private insurers offered earlier and higher reimbursement compared to public insurers. The referral and transportation of health‑insured clients during emergencies is suboptimal and deserve attention.Item Domestic Violence and Obstetric Outcome among Pregnant Women in Ilorin, North Central, Nigeria.(International Federation of Obstetrics and Gynaecology (FIGO), 2014) Eno, E.E; Fawole, A.A; Aboyeji, A.P; Adesina, K.T; Adeniran, ASItem 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, AOAbstract 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.Item 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, ASBackground: 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.Item Pre-and-post-operative aversion among women whose partners had caesarean delivery in a patriarchal setting.(Ghana Medical Association, 2021-12) Adeniran, AS; Ogunlaja, OO; Ogunlaja, IP; Okesina, SB; Fawole, A.A; Adesina, K.T; Aboyeji, A.PObjectives: The study evaluated pre and post-operative perception and aversion to caesarean delivery (CD) among men whose partners underwent the procedure. Design: A multicentre cross-sectional study. Setting: Two tertiary and two secondary health facilities. Participants: Men whose partners underwent CD at the study sites. Methods: Participants were recruited by purposive sampling, data collection was through interaction via an interviewer- administered questionnaire first immediately the decision for CD was made and thereafter on the third postoperative day. Men whose partners had vaginal delivery were excluded from the study and data management was with SPSS version 21.0 while p<0.05 was significant. Results: Awareness about CD was 84.0% mainly through the healthcare workers (42.1%) and the female partner (34.1%); 88.0% of participants recommended CD for medically-indicated reasons. The greatest influence on consent was the male partner (48.8%). The major pre-operative concerns were limitation of family size (34.7%) and fear of repeat CD (34.0%). Pre-operative perceptions of CD included being expensive (60.7%), fear of the procedure (48.0%), fear of complications (45.3%) and longer hospital stay (44.0%). Aversion to CD was 30.0% pre and 5.3% post-operation; predictors of aversion were history of previous surgery among male or female partner and awareness about CD. However, there were reductions in negative perception and aversion post-operation. Conclusion: The high negative perception and aversion to CD among male partners were reduced post-operation. Healthcare workers should address the concerns and negative perceptions about CD and prioritize patient-friendly experiences during surgical operations.Item Pregnancy Outcome in Cervical Incompetence: Comparison of Outcome Before and After Intervention.(Society of Obstetrics and Gynaecology of Nigeria (SOGON), 2014-04) Adeniran, A.S; Aboyeji, A.P; Okpara, E.U; Fawole, A.A; Adesina, K.TItem Spousal participation during pregnancy and delivery in Ilorin, Nigeria.(Zambia Medical Association, 2019) Adeniran, AS; Fawole, A.A; Adesina, K.T; Aboyeji, A.P; Balogun, OR; Ijaiya, M.A.Background: The potential benefits of the active involvement of men in antenatal and intrapartum events remain largely unexplored in low-resource countries despite the reported benefits from high income areas. Aim: To evaluate male partners' attitudes and experience on their level of involvement during pregnancy, labour and delivery. Methods: A cross-sectional study conducted at four health facilities in North Central Nigeria from 1st February to 30th July 2017. Participants were male partners of women who were pregnant during the study period; recruitment was after informed consent, data management was with SPSS (version 21.0); p <0.05 was significant. Results: The male partners were aged 23 to 60 years (mean 35.96±6.76), 173 (69.2%) accompanied the partner to antenatal clinic and 150(60.0%) to ultrasound scan examination. The commonest hindrance to men's antenatal participation was commuter marriage (29; 37.7%); 171(68.4%) participants supported the presence of the man at delivery while 32(40.5%) opined that men may disturb the health provider during delivery. Also, 137(54.8%) men have requested to be present at delivery previously while 46(33.6%) were obliged among those obliged, 25(54.3%) described the experience as satisfactory while 28(60.9%) intend to be present at future deliveries. In all, 212(84.8%) suggested antepartum education classes for male partners, 202(80.8%) intend to attend such classes while 143(57.2%) suggested health facility restructuring to facilitate men's participation. Conclusion: Men are increasingly desirous of active participation at antenatal and intrapartum events; increasing male partner education, male-friendly facility infrastructures and health providers' cooperation will encourage them to fulfil these roles.