Browsing by Author "Fawole, Adegboyega"
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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 Critically Ill Obstetric admissions into a tertiary hospital's intensive care unit(College of Medicine and Health Sciences, Abia State University and Abia State University Medical Research Society, 2015-01) Fawole, Adegboyega; Bolaji, Benjamen; Oyedepo, Olanrewaju; Adeniran, AbiodunBackground: Intensive Care Unit (ICU) management is a critical care and may be lifesaving 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 postpartum hemorrhage was the most common indication for admission (19 [36.5%]). In all, 44 (84.6%) were admitted postpartum, 45 (86.5%) had organ dysfunction at ICU admission, 36 (69.2%) had mechanical ventilation while the most common drug 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 Current features of urethral mucosa prolapse among children in Ilorin, Kwara State, Nigeria(The Nigerian Journal of General Practice, 2014-03) Adeniran, Abiodun; Okpara, Enoch; Fawole, Adegboyega; Ijaiya, Munirdeen; Abdul, Ishaq; Adesina, Kikelomo; Ezeoke, GraceSetting: Urethral mucosa prolapse is a benign gynaecological condition which is commoner among young black children. Objective: To evaluate the presentation, management, outcome and current status of urethral mucosa prolapse at atertiary centre. Design/ methods: A retrospective descriptive study of49 patients managed at the Obstetrics and Gynaecology department of the University of Ilorin Teaching Hospital, Ilorin. The case files of all patients who were managed from 1st January 2001 to 31st December 2010were retrieved from the medical records department and relevant information extracted. the results were expressed in tables and compared with an earlier study from the centre. Results: A total of 49 patients were managed, the prevalence of urethral mucosa prilapse 1.3% of all gynaecological admissions; all were Nigerians aged 3 to 12 years. The commonest presenting complaint was blood stain on underwear in 37[75.5%], 28[57.1%] presented with multiple symptoms and 32[65.3%] had failed medical treatment prior to presentation. Surgical management was 100% successful, minor post operative complications occurred in eightpatients [16.6%] and the commonest was urinary retention in 5[10.2%] patients. The results were generally similar to a previous study conducted a decade earlier in this centre. Conclusion: Urethral mucosa prolapse is not a common conditioninthis environment; medical and conservative management with higherfailure should be discouraged while surgical management which was curative with no longterm complication is highly recommened as the treatment choice.Item Domestic violence and obstetric outcome among pregnant women in Ilorin, North Central Nigeria(International Federation of Obstetrics and Gynaecology, 2014) Eno, Enang; Fawole, Adegboyega; Aboyeji, Peter; Adesina, Kikelomo; Adeniran, AbiodunItem Domestic Violence and Obstetric Outcome among Pregnant Women in Ilorin, North Central, Nigeria.(International Federation of Obstetrics and Gynaecology (FIGO), 2014) Eno, Enang; Fawole, Adegboyega; Aboyeji, Abiodun; Adesina, Kikelomo; Adeniran, AbiodunItem 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 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 Grandmultiparity: Evaluating obstetric and neonatal outcomes after eliminating confounders(National Postgraduate Medical College of Nigeria, 2014-03) Adeniran, Abiodun; Fawole, Adegboyega; Fakeye, Olurotimi; Ijaiya, Munirdeen; Adesina, KikelomoAims and Objectives: The objective was to evaluate obstetric and neonatal outcomes in booked grandmultiparas (para e”5) and compare with outcome in age and social status matched booked multiparas (para 2-4) after eliminating confounders. Patients and Methods: A cohort study with grandmultiparas (subjects) and age and social status matched multiparas as controls. All participants were counseled and an informed consent obtained at the antenatal clinic. Maternal demography and history were taken; they were subsequently monitored during pregnancy, labour and immediate puerperium. The main outcome measures were obstetric and neonatal outcomes among subjects and controls. Results: The incidence of grandmultiparity was 4.1%. During antenatal period, grandmultiparas had statistically significantly higher occurrence of late antenatal booking (P=0.0202), anaemia (P=0.0024) and past history of poor perinatal outcome (P=0.0124). Grandmultiparas had statistically significant occurrence of preterm delivery (P=0.0389) and higher but not statistically significant mean duration of labour (P=0.3532), intrapartum complications (P=0.2014) and postpartum haemorrhage (P=0.2126). Neonates of grandmultiparas had statistically significant low first minute Apgar scores (P=0.0011) with higher but not statistically significant occurrence of low birth weight (P=0.1613) and neonatal intensive care admission (P=0.7202). The perinatal mortality rates were 136 and 75 per 1 000 deliveries for grandmultiparas and multiparas. There were no maternal deaths during the study period. Conclusion: After controlling for age and social class, booked grandmultiparas had poorer obstetric and neonatal outcome compared to booked multiparas but these were majorly statistically insignificant due to effect of modern antenatal care.Item Grandmultiparity: Reasonfor index pregnancy, contraception and relationship to the Millenium Development Goals(School of Medicine, Kenyatta University, Kenya, 2014) Adeniran, Abiodun; Fawole, Adegboyega; Fakeye, OlurotimiObjective: To evaluate the reasons for index pregnancy and contraceptive use among grandmultiparas and relate these to the Millennium Development Goals (MDG).Design: A matched case control study. Setting: The antenatal clinic of the Department of Obstetrics andGynaecology of the University of IlorinTeaching Hospital, Ilorin, Nigeria. Subjects/ participants: Subjects weregrandmultiparas (para ≥5) who presented for antenatal care at the antenatal clinicof the hospital while controls were equal number of age, educational level and social status matched multipara (para 2-4) at the antenatal clinic from 1st January to 31st June, 2010 selected by purposive sampling. Main outcome measures: Level of education, social status, awareness and use of contraceptives, reasons forindex pregnancy and the relationship of these characteristics to the Millennium Development Goals. The data was analyzed using EPI-INFO 6 statistical package with p-value, odds ratio and confidence interval. Results: There were 66 grandmultiparas during the study period; 30% had no formal education while 66.7% were of low social status with 30.3% in social class IV and 36.4% in class V. Contraceptive awareness and use were similar in grandmultiparas and controls; awareness was [90.9% vs. 93.9%, OR=0.65, CI= 0.17-2.4, P 0.7422] while use was 6.4% vs. 40.9%, OR= 0.83, CI= 0.41-1.66, P=0.7207. In both groups, the commonest contraceptive method was Depo-provera [16.7% vs. 15.1%, OR=1.12, CI=0.44-2.85, P 0.8120] while barrier method was the least used [3.0% vs. 6.1%, OR=0.48, CI=0.09-2.74, P=0.6761]. The mother’s reasons for index pregnancy were desire for more children in 33.3%, previous perinatal death in 28.8% and desire for a specific gender in 19.7% of grandmultiparas. Conclusions: Majority of grandmultiparas were poor, uneducated with desire for large families, poor contraceptive users and suffered previous poor perinatal outcome. This is an indicator of a huge gap to fill in attaining the Millennium Development Goal-5 to improve maternal health by reducing maternal mortality by three quarters by 2015.Item The high dependency unit in the management of critically Ill obstetric patients in low resource countries(university of Sierra Leone, Freetown, Sierra Leone, 2015-12) Adeniran, Abiodun; Bolaji, Olusomi; Fawole, Adegboyega; Oyedepo, Olanrewaju; Gbadeyan O, Ejilude OThe care of the obstetric population requiring critical care at the intensive care unit is associated with challenges that have made the establishment of obstetric high dependency units (HDU) a priority in the developed unlike low resource countries. The objective was to evaluate the need to establish obstetric HDUs in low resource countries. The study was a retrospective descriptive study of obstetric patients admitted into the intensive care unit of the University of Ilorin Teaching Hospital from 1st January 2010 to30th June 2013. Those that were suitable for management at a HDU were compared with those who needed ICU care. The statistical analysis was with SPSS version 20 with p-values, x2 and odds ratio; p value <0.05 was considered significant. All the 52 patients were postpartum; 16(30.8%) were suitable for HDU care. Of the HDU eligible patients, 11(68.8%) were of low social class, 12(75%) were booked, 11(68.8%) had no further complication at ICU and mortality was 1(6.25%). Compared to those who needed ICU care, there were no statistical significance in maternal age, parity, duration of ICU admission and total cost of ICU care. There were more cases with statistical significance of organ involvement (p<0.001), severity of Glasgow coma score at admission (p<0.001), further complications at ICU (p<0.001) and maternal mortality (p<0.001) among those needing ICU care compared to those needing HDU care. In conclusion, establishment of the HDU will reduce cost and the burden on the few ICUs in low resource countries without increasing maternal mortalityItem IMMUNE THROMBOCYTOPAENIC PURPURA IN PREGNANCY: A CASE OF NEAR MISS MORTALITY IN A NIGERIAN.(SOGON, 2013-04) Adesina, Kikelomo; Fawole, Adegboyega; Durotoye, Idayat; Aboyeji, Abiodun; Musa, Omoyine; Olarinoye, Adebunmi; Eno, Enang; Adepoju, AyodejiThrombocytopenia occurs in pregnancy like in the non-pregnant state and can be due to immune thrombocytopaenic purpura (ITP). The hyperoestrogenic state of pregnancy has been identified as a precipitating factor. This is a case report of a thirty year old Nigerian lady, who at a gestational age of 26 weeks developed ITP as a near miss mortality. Although, most literatures reported that the perinatal outcome is usually favourable in this condition, we report a case managed in our facility that had intrauterine death and non- remission until delivery; despite corticosteroid therapy and transfusion of eleven (11) units of blood. This report is relevant in a developing world where a rare condition almost caused a maternal death in spite of the high maternal mortality rates from other conditions. Baseline full blood count is advocated at booking to identify and monitor rare haematological disorders like this 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 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 Maternal near-miss in a great grandmultipara following unsafe abortion: A focus on the uncommon contributing factors(International Medical and Technological University, Tanzania, 2014-04) Adeniran, Abiodun; Fawole, Adegboyega; Adesina, Kikelomo; Aboyeji, Peter; Ezeoke, GraceUnsafe abortion and its complications have been limited to adolescents lacking family and partner support without attention to older, married women and their peculiarities regarding unsafe abortions. Main objective of the study was to focus on uncommon contributing factors to unsafe abortion in older women. A 40year old, great grandmultipara [Para 10+1,8 alive] with awareness on modern contraception underwent unsafe abortion following in severe morbidity [severe anaemia, perforated gangrenous uterus and septicaemia] which necessitated exploratory laparotomy and subtotal hysterectomy. Adequate puerperal care, cultural re- orientation, review of information in family planning jingles and liberalization of abortion law will assist in preventing unsafe abortions among older women.