Browsing by Author "Fawole, AA"

Now showing 1 - 2 of 2
  • Item
    Critically ill obstetric admissions into a tertiary hospital’s intensive care unit.
    (Medical Research Society and College of Medicine and Health Sciences, Abia State University, 2015) Fawole, AA; Bolaji, Benjamin Olusomi; Oyedepo, Olanrewaju Olubukola; Adeniran, AS
    BACKGROUND: Intensive Care Unit (ICU) management is a critical care and may be life saving in critically ill obstetric patients, but mortality remains high in low-resource countries. OBJECTIVE: To review obstetric admissions into a tertiary hospital ICU. DESIGN: Retrospective descriptive study. SETTING: The ICU of the University of Ilorin Teaching Hospital, Ilorin, Nigeria. SUBJECTS: Women admitted to the ICU during pregnancy or within 42 days of the end of the pregnancy. MATERIALS AND METHODS: A list of all eligible participants was compiled, the case files were retrieved and relevant data extracted; the results were presented in tables and percentages. RESULTS: Obstetric patients constituted 12.3% of the total ICU admissions and 0.84% of all deliveries with 45.6% mortality; the mean age was 29.2 ± 5.4 years (range 18 – 42 years), mean parity was 2.0 ± 1.5 (range 0-6), 15 (28.8%) had no formal education, 39 (75.0%) were of low social class, 22 (42.3%) had no antenatal care, 41 (78.9%) were admitted for obstetric reason, and post partum haemorrhage was the most common indication for admission (19[36.5%]). In all 44 (84.6%) were admitted post partum, 45 (86.5%) had organ dysfunction at ICU admission, 36 (69.2%) had mechanical ventilation while most common drugs administered were antibiotics. CONCLUSION: Obstetric patients are important intensive care users, but maternal mortality remains high among them in low-resource countries despite the care received.
  • Item
    Epidemiology of severe pre-eclampsia and eclampsia in Ilorin.
    (Library and Publications Committee, University of Ilorin, Ilorin,, 2013) Bolaji, Benjamin olusomi; Oyedepo, olubukola Olanrewaju; Saidu, Rakiya; Aderibigbe, SA; Fawole, AA; Balogun, Olayinka Rabiu; Aboyeji, Abidun Peter; Jimoh, AbdulGaffar AG; Olawumi, Hannah O; Adebisi, SA
    This study was carried out over a 10-month period in the University of Ilorin Teaching Hospital to determine the frequency and epidemiological factors of severe preeclampsia and eclampsia in Ilorin, North-central Nigeria. This was a prospective study of severely preeclamptic and eclamptic patients admitted to the labour ward of the UITH. Patients with normal pregnancies who agreed to participate were the control group. Demographic, clinical variables, maternal and foetal outcomes, and, complications were assessed. One hundred women (50 study group & 50 control group) participated in the study. Statistically significant findings among the study group included lower GA at delivery (p=0.0001), family history of hypertension (p=0.02), new partner (0.001), more interventions at delivery (p=0.000), higher number of preterm deliveries (0.000). Though 2 maternal deaths and 5 perinatal deaths were recorded in the study group, none occurred in the control group. Deeper understanding of the epidemiology of severe preeclampsia and eclampsia is very important to finding ways to further lower its contribution to maternal mortality in our societies