Browsing by Author "Olarinoye, Adebunmi"
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Item Abdominal myomectomy: A retrospective review of determinants and outcomes of complications at the University of Ilorin Teaching Hospital, Ilorin, Nigeria.(Malawi Medical Journal, 2017-03) Adesina, Kikelomo; Owolabi, Beatrice; Raji, Hadijat; Olarinoye, AdebunmiBackground The aim of this study was to describe the pattern, outcomes, and determinants of perioperative complications of abdominal myomectomy at theUniversity of Ilorin Teaching Hospital, Ilorin, Nigeria. Methods This was a retrospective review of cases of abdominal myomectomy between January 2010 and December 2013. Data were obtained from ward and operating theatre case records and analysed using SPSS version 20. The continuous variables were analysed with Student’s t-test. The categorical variables were analysed with the chi-square test. P-values of 0.05 or less was taken to be significant. Results Total sampling yielded 204 cases, of which 170 records (80%) were adequate for analysis. Using criteria developed by Garry et al., major and minor complications occurred in 43.6% and 32.9% of procedures, respectively, while 23.5% of the patients had no complications. The commonest complication was intraoperative haemorrhage requiring blood transfusion. Mean estimated blood loss was 630.88 ± 392.42 mL. There were no cases converted to hysterectomy, and no deaths were recorded. Uterine size equivalent to 16 weeks’ gestation or more was significantly associated with heavier blood loss, blood transfusion, and fever (P = 0.034). Other significant determinants of major intraoperative haemorrhage with or without blood transfusion were menstrual flow of 6 days or more, preoperative anaemia, previous surgery, posterior incision, and surgery duration longer than 4 hours (P < 0.05). Conclusions Outcome of abdominal myomectomy is generally favourable even if uterine size is greater than 16 weeks by palpation. Nevertheless, patients should be counselled preoperatively on the risk of blood loss and the possibility of blood transfusion.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 Determinants of contraceptive usage among female apprentices in Ilorin, Nigeria(Sudan Medical Association, 2018-08) Olarinoye, Adebunmi; Adesina, Kikelomo; Olarinoye, John; Adeniran, Abiodun; Aderibigbe, Sunday; Ezeoke, GraceAbstract Background: Maternal mortality is high in most developing countries and a significant number are from complications arising from induced unsafe abortion. The single, young and sexually active women are often more vulnerable, majority of the female apprentices fall within this group. Use of contraceptive among female apprentices in Ilorin, Nigeria was studied in this article. Methods: Five hundred and sixteen respondents participated in this survey through interview administered questionnaires. Results: The mean age of respondents was 22.34 ± 6.8years; of menarche was 13.28 ± 2.12 years and of first sexual exposure was 18.45 ± 3.9 years. The most common vocation was apprentice medicine/chemist vendor 124 (24%), followed by tailoring 114 (22%), 304 (59%) were single, 112 (21.7%) were married while 148 (28.7%) had primary education. Among the respondents, 79.5% and 64% were aware of condoms and combined oral contraceptive pills respectively. Only 48.3% had used at least one contraceptive method in the past. Most commonly used contraceptive was the male condom (42.9%). The least used was the combined pill (11.8%). Use of emergency pills was related to educational level (p = 0.027), used only by apprentices with formal education. Contraception as a contradiction to religious beliefs was the commonest reason for non-use followed by fear of future infertility as a complication of contraception. Conclusion: Religious beliefs and fear of complications were the major hindrances to contraceptive uptake despite the high level of awareness. Although the widespread use of male condom, which protects against sexually transmitted diseases, in this high risk group is acceptable and encouraging, attempts should still be focused on improving contraception uptake among apprentices.Item Food taboos among pregnant Nigerian Women in Ilorin.(Unilorin, 2014) Olarinoye, Adebunmi; Adesina, Kikelomo; Olarinoye, John; Adejumo, Adebowale; Ezeoke, GraceBackground: Myths and taboos play an important role in the lives of women in the area as in other parts of the world. Some taboos can be dysfunctional or harmful. Objectives: To examine food taboos related to pregnancy and their perception by the women. Methods: There were 275 respondents through use of questionnaires applied at antenatal clinics. Results: Mean age was 29.08 years. 192(72%) of the respondent had tertiary levels of education and 32% to 75% were not in agreement with the food taboos and the possible negative effects attached. In the taboo associated with avoidance of caffeinated drink, there was a greater proportion in agreement 49% compared to 32%. Conclusion: Belief and adherence to food taboos is reducing in our environment as a result of increase in level of education, occupation and urbanization. No significant negative effect on past pregnancy outcomes was observed. Change should be approached in form of educating the women. This can be done during the health talks given by the nurses during antenatal visits and more importantly through increase in formal education especially to higher levels.Item 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 Impact of Body Mass Index on Haematological parameters at booking in Ilorin, Nigeria.(Unilorin, 2013) Adesina, Kikelomo; Aderibigbe, Adedeji; Olarinoye, Adebunmi; Balogun, Olayinka; Fadeyi, Abayomi; Babatunde, Abiola; Abdulkareem, Sanni; Ezeoke, GraceBackground: 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 Knowledge, Practice and Acceptability of HPV vaccine by mothers of adolescent girls in Ilorin, Nigeria.(A publication of Omdurman Islamic University Sudan., 2018-03-14) Adesina, Kikelomo; Saka, Aishat; Isaika-Lawal, Salamat; Adesinyan, Omotayo; Olarinoye, Adebunmi; Ezeoke, GraceBackground: Human Papilloma Virus (HPV) is a sexually transmitted cause of carcinoma of the cervix. An important determinant of the success of a primary preventive strategy like HPV vaccination is the knowledge and willingness of parents to vaccinate adolescents before sexual debut. Materials and methods of study: A cross sectional descriptive survey of mothers of girls in 8 secondary schools in Ilorin was carried out from February to April 2015. Schools were selected using multi staged sampling. Descriptive and inferential statistics were performed with Chi Square and ANOVA. Results: There were 470 questionnaires returned for analysis out of 600, giving a response rate of 78.3%. One hundred and sixty-one (34.3%) knew HPV to be sexually transmitted infection and 40.4% knew it was the cause of cervical cancer. While 35.1% were aware of HPV vaccine, only 1.9% had ever vaccinated their children. Less than half (44.9%) were willing to vaccinate their children. Women with good knowledge of HPV and cervical cancer were more willing to vaccinate their children than women with poor knowledge (P <0.001). Conclusion: There is poor knowledge of HPV and practice of vaccination among mothers in llorin. Willingness of mothers to vaccinate their daughters is suboptimal. Mother’s knowledge is an important determinant of HPV vaccination of adolescents.Item An observation of umbilical coiling index in a low risk population in Nigeria(World Association of Perinatal Medicine, 2017) Adesina, Kikelomo; Ogunlaja, Olumuyiwa; Olarinoye, Adebunmi; Aboyeji, Peter; Akande, Halimat; Fawole, Adegboyega; Adeniran, AbiodunObjectives: The umbilical coiling index (UCI) is one of cord parameters for foetal assessment with limited studies in our environment. With recent advances in its evaluation, its significance, pattern, abnormalities and correlates need to be defined in our parturients. Methods: The umbilical cords of 436 neonates were examined. Gross examination was done within 5 min of delivery. The UCI was defined as the number of complete coils per centimetre of cord. Normal UCI was defined as values between the 10th and 90th percentiles of the study population. Results: The mean umbilical cord length was 52.7 ± 11.5 cm, mean number of coils was 10.8 ± 5.1 and mean UCI was 0.21 ± 0.099. The range was between 0.0 and 1.0. UCI values of 0.13 and 0.30 were 10th and 90th percentiles, respectively. Normal UCI was observed in 351 (80.5%) neonates, 44 (10.4%) and 41 (9.1%) had hypo- and hypercoiled cords, respectively. Congenital abnormalities occurred in the normocoiled and hypercoiled groups but was not demonstrated in the hypocoiled group. The mean value of UCI in neonates with congenital abnormalities was 0.29 ± 0.12 (P = 0.011). There was no significant statistical relationship between foetal outcome and degree of UCI. Conclusion: The UCI was not associated with adverse perinatal outcome in this study.Item An Observation of Umbilical Coiling Index in a low risk population in Nigeria(DE GRUYTER, 2017-09-15) Adesina, Kikelomo; Ogunlaja, Olumuyiwa; Olarinoye, Adebunmi; Aboyeji, Abiodun; Akande, Halimat; Fawole, Adegboyega; Adeniran, AbiodunObjectives: The umbilical coiling index (UCI) is one of cord parameters for foetal assessment with limited studies in our environment. With recent advances in its evaluation, its significance, pattern, abnormalities and correlates need to be defined in our parturients. Methods: The umbilical cords of 436 neonates were examined. Gross examination was done within 5 min of delivery. The UCI was defined as the number of complete coils per centimetre of cord. Normal UCI was defined as values between the 10th and 90th percentiles of the study population. Results: The mean umbilical cord length was 52.7 ± 11.5 cm, mean number of coils was 10.8 ± 5.1 and mean UCI was 0.21 ± 0.099. The range was between 0.0 and 1.0. UCI values of 0.13 and 0.30 were 10th and 90th percentiles, respectively. Normal UCI was observed in 351 (80.5%) neonates, 44 (10.4%) and 41 (9.1%) had hypo- and hypercoiled cords, respectively. Congenital abnormalities occurred in the normocoiled and hypercoiled groups but was not demonstrated in the hypocoiled group. The mean value of UCI in neonates with congenital abnormalities was 0.29 ± 0.12 (P = 0.011). There was no significant statistical relationship between foetal outcome and degree of UCI. Conclusion: The UCI was not associated with adverse perinatal outcome in this study.Item Parental perception of human papillomavirus vaccination of prepubertal girls in Ilorin, Nigeria.(Saudi Journal of Health Sciences Wolters Kluwer - Medknow, 2018) Adesina, Kikelomo; Saka, Aishat; Isaika-Lawal, Salamat; Adesinyan, Omotayo; Gobir, Aishat; Olarinoye, Adebunmi; Ezeoke, GraceContext: Human papillomavirus (HPV) vaccination of young girls is yet to be a routine practice in Nigeria and parents’ acceptance may influence immunization of their children. Aims: The aim of this study is to determine beliefs and concerns of parents about HPV vaccination of girls. Subjects and Methods : A cross‑sectional survey of parents of girls between 10 and 15 years in 12 selected secondary schools of Ilorin using a self‑administered questionnaire designed by researchers was conducted. Statistical Analysis Used: Data analysis involved univariate and bivariate analyses with SPSS version 20. The level of significance for all tests was set at 5%. Results: The respondents were 470 mothers between 31 and 50 years, 58.1% had at least secondary school education, 70.2% were employed, and 22.8% belonged to the upper social class. Of the study participants, 35.1% were aware of HPV vaccine and 33.8% knew that the vaccine was available in Nigeria. While 55.8% of mothers believed that all girls should be vaccinated, 19.5% responded that only sexually active girls should have it. Among all respondents, full protection, need for repeated doses, and age of the girls were significantly related to willingness to vaccinate statistically (P < 0.05). These concerns were not significant among mothers that were aware of HPV vaccines. Conclusions: There is low awareness of HPV vaccine among mothers in Ilorin despite the high prevalence of cervical cancer in our environment. Parental perception of HPV vaccines in terms of concerns and beliefs was significantly related to willingness of mothers to vaccinate their daughters.Item Pattern of contraception among users in a Nigerian Public Family Planning Unit.(Sudan Medical Journal, 2016-08) Adesina, Kikelomo; Abdul, Ishaq; Olarinoye, Adebunmi; Jimoh, Abdul; Saidu, Rakiya; Ezeoke, GraceBackground: Nigeria is a developing country with high fertility rate and complications of unwanted pregnancies. Contraception is vital for fertility regulation and prevention of complications associated with unplanned pregnancy. The use of available methods depends on their acceptability by people in a community which may be determined by their social characteristics. To determine the uptake of modern contraceptive methods among women seeking family planning services in a Nigerian Tertiary Hospital and document the acceptability of methods by new clients. Materials and Methods: A retrospective review of contraceptive users that attended the family planning clinic of the University of Ilorin Teaching Hospital, Ilorin, between January 2000 and December 2009 was done Data on socio-demographic characteristics, previous method(s) of contraception, duration of use, reasons for discontinuation, side effects and reasons for current contraceptive choices were obtained from the documented case notes. Old and new users were compared. Statistical analysis used was descriptive and inferential statistics. Results: Five thousand, five hundred and three clients' records were reviewed, 59.8% of all attendees were new acceptors of modern contraceptive methods in the facility. The percentage of new acceptors per year was 31.7-51.9%. Intrauterine contraceptive device (IUCD) was the commonest method among the new and old clients and most of them required contraception for child spacing rather than completion of family size (P<0.001).Bilateral Tubal Ligation and condom were the least common methods (0.1% respectively). Most of the new clients (67%) were referred by health personnel. In conclusion, the acceptability of modern contraceptive methods by new clients at U.I.T.H between 2001 and 2009 was high. IUCD was the commonest method chosen. Use of surgical contraception was low.Item Pre-Hsg microbial isolate of endocervical swabs in infertile women in Ilorin, Nigeria(Association of Radiologists of West Africa, 2014-06-17) Oguntoyinbo A.E., A.; Adesina, Kikelomo; Olarinoye, Adebunmi; Aboyeji, Abiodun; Olanrewaju, Waheed; Oniyangi, MuritalaBackground: Genital infections contribute significantly to infertility by causing tubal disease in our environment. This can be worsened by any instrumentation of the genital tract such as hysterosalpingography (HSG), which is the most common and affordable investigation by infertile couples for tubal factor. Materials and Methods: A prospective study of 53 women who presented for HSG on account of infertility was done in a radio-diagnostic centre In Ilorin, Nigeria. Endo-cervical swabs were taken aseptically prior to standardized HSG in all clients. The swabs were sent for microscopy, culture, and antibiotic sensitivity and the HSG findings of patients were documented. Results: The age ranged between 25 and 52 years with a mean of 34.26 + 5.762 years. Both fallopian tubes were patent in 10 patients and blocked in 14 cases. There were 14 cases of unilateral hydrosalpinx and 10 (18.9) bilateral hydrosalpinges. Either pelvic or cervico-uterine cavity adhesions were observed in 35 (66.0%) of the cases. Mild to heavy growth occurred in 67.9% of the cases. Gram stain was positive in 54.7% of cases. The most common organism was Staphylococcus spp (28.3%). Forty-five percent of yields were sensitive to more than two antimicrobials. There was statistical significant relationship between the presence of pathogens in the endo-cervix and the frequency of tubal disease (x 2 = 2.71, P ≤ 0.05). Conclusion: There was a positive or significant statistical relationship between presence of pathogens in the cervix and tubal disease. Pre-HSG endo-cervical swab for microscopy, culture and sensitivity is advisable to prevent genital infections after HSG.Item Pregnancy outcome of the Obese in Ilorin(International Society for Obstetric Medicine & The Royal Society of Medicine U.K., 2011) Adesina, Kikelomo; Aderibigbe, Sunday; Fawole, Adegboyega; Ijaiya, Munir'deen; Olarinoye, AdebunmiBackground: Obesity is a nutritional disorder that is fast becoming a public health issue in the developing world. It is associated with increased incidence of maternal complications and adverse perinatal outcome. Methods and results: This is a case-control study of obesity in pregnancy carried out in the maternity wing of University of Ilorin Teaching Hospital, Nigeria. The subjects and controls were 156 obese and 80 non-obese women booked at this hospital for antenatal care. The controls were matched for age and parity. Obesity occurred more commonly among the well educated (P ¼ 0.00) and those in social classes I and II (P ¼ 0.00). The occurrence of other medical conditions was not significantly different. The obese women also had more caesarean sections (P ¼ 0.00), more assisted vaginal deliveries (P ¼ 0.00) and fewer spontaneous vaginal deliveries (P ¼ 0.00) than the non-obese parturients. The mean birth weight of infants of the obese mothers was 4.06+0.13 kg (mean+SD) while the mean for the controls was 3.36+ 0.49 kg. The difference was statistically significant (P ¼ 0.000). Also, the obese parturients had more macrosomic babies (defined as birth weight .4.2 kg) than the non-obese (P ¼ 0.00). The risks of perinatal asphyxia, birth trauma, neonatal admission and low birth weight were not increased among obese women in this study. Conclusion: This study suggests that in our community, obesity occurs more commonly among women of high socioeconomic status and is a risk factor for maternal and fetal complications.Item Relationship between gross placental characteristics and perinatal outcome of low risk singleton deliveries(National Postgraduate Medical College of Nigeria, 2016) Adesina, Kikelomo; Ogunlaja, Olumuyiwa; Aboyeji, Abiodun; Akande, Halima; Adeniran, Abiodun; Olarinoye, Adebunmi; Fawole, AdegboyegaBackground: Gross examination of the placenta may provide useful insight into the aetiology of newborn and maternal complications. A review of literature revealed only a few epidemiological studies that determined the relationships between placental abnormalities, gestational age and occurrence of adverse outcome in babies of healthy pregnant women in our region. Patients and Methods: A prospective cross-sectional study was conducted at the Department of Obstetrics and Gynecology of University of Ilorin Teaching Hospital, between 1st February and August 2013. Pregnant women in labour at ≥28 weeks’ gestational age with singleton pregnancies were recruited. Gross examination of the placenta and umbilical cord after delivery were performed. Results: Four hundred and twenty-eight singleton deliveries were studied. The average placental weight was 580.8 ± 130.6 g (range = 125–1500 g). The mean values of the umbilical cord length and width were 52.7 ± 10.5 cm and 1.96 ± 1.11 cm, respectively. Placental abnormalities occurred in 1.2%. The umbilical cord was centrally inserted in 290 (67.8%), marginally in 31% of cases. There was significant but weak positive correlation between the placental weight, birth weight and gestational age at 40 weeks (P ≤ 0.001, r = 0.356). Placental weight was directly related to birth weight (P < 0.0001, r = 0.244) and greater in babies with congenital abnormalities (P = 0.002). Conclusions: There was an association between placental parameters and foetal outcome at birth. Placental weight was positively correlated with birth weight, gestational age and occurrence of congenital abnormalities.Item Relationship between gross placental characteristics and perinatal outcome of low-risk singleton deliveries(National Postgraduate Medical College of Nigeria, 2016-10) Adesina, Kikelomo; Ogunlaja, Olumuyiwa; Aboyeji, Peter; Akande, Halimat; Adeniran, Abiodun; Olarinoye, Adebunmi; Fawole, AdegboyegaBackground: Gross examination of the placenta may provide useful insight into the aetiology of newborn and maternal complications. A review of literature revealed only a few epidemiological studies that determined the relationships between placental abnormalities, gestational age and occurrence of adverse outcome in babies of healthy pregnant women in our region. Patients and Methods: A prospective cross-sectional study was conducted at the Department of Obstetrics and Gynecology of University of Ilorin Teaching Hospital, between 1st February and August 2013. Pregnant women in labour at ≥28 weeks’ gestational age with singleton pregnancies were recruited. Gross examination of the placenta and umbilical cord after delivery were performed. Results: Four hundred and twenty-eight singleton deliveries were studied. The average placental weight was 580.8 ± 130.6 g (range = 125–1500 g). The mean values of the umbilical cord length and width were 52.7 ± 10.5 cm and 1.96 ± 1.11 cm, respectively. Placental abnormalities occurred in 1.2%. The umbilical cord was centrally inserted in 290 (67.8%), marginally in 31% of cases. There was significant but weak positive correlation between the placental weight, birth weight and gestational age at 40 weeks (P ≤ 0.001, r = 0.356). Placental weight was directly related to birth weight (P < 0.0001, r = 0.244) and greater in babies with congenital abnormalities (P = 0.002). Conclusions: There was an association between placental parameters and foetal outcome at birth. Placental weight was positively correlated with birth weight, gestational age and occurrence of congenital abnormalities.Item Retrospective review of prevalence, causes and adverse outcomes of obstructed labour at the department of Obstetrics and Gynaecology, University of Ilorin Teaching Hospital, Nigeria. (faculty of clinical sciences, Delta State University, Abraka, Delta State, Nigeria, 2015-12) Adesina, Kikelomo; Ajiboye, Adeyosoye; Abdul, Ishaq; Ezeoke, Grace; Olarinoye, Adebunmi; Bakare, Tola; Fawole, AdegboyegaItem Role of Mid Trimester Cervical Parameters in Predicting Pregnancy Outcome(SOGON, 2016) Adesina, Kikelomo; Owolabi, Omolola; Owolabi, James; Oguntoyinbo, Adewale; Olarinoye, Adebunmi; Aboyeji, Abiodun; Fawole, AdegboyegaTo determine the cervical length and internal Os diameter at mid trimester in a low risk population for preterm delivery and pregnancy outcome.Item Sociodemographic characteristics and pregnancy outcome of referred and booked parturients in a Nigerian Teaching Hospital.(Medical Journal of Zambia, 2018) Olarinoye, Adebunmi; Adesina, Kikelomo; Aderibigbe, Sunday; Akande, Tanimola; Fawole, AdegboyegaItem Transvaginal sonographic parameters of the cervix in low risk pregnancies in Ilorin.(west African medical ultrasound society., 2017) Adesina, Kikelomo; Owolabi, Omolola; Oguntoyinbo, Adewale; Owolabi, James; Aboyeji, Abiodun; Olarinoye, AdebunmiTo determine values of mid pregnancy cervical length and internal ostial diameter in a low risk population and correlate measurements with parity and gravidity. A cross sectional study of booked pregnant women at gestational age of 20 – 24 weeks with viable singleton pregnancy. Women with multiple pregnancies, cervical incompetence, cervical cerclage, previous history of cervical surgery, previous myomectomy, caesarean section scars, vaginal bleeding/low lying placenta, medical disorders in pregnancy were excluded. The transvaginal ultrasound scanning was performed with Aloka ultrasound machine at the frequency of 7.5MHz. The lubricated probe was inserted gently to a depth of 2-3 inches into the vagina. Cervical length was measured as distance between the internal and external cervical ostia along the endocervical canal. Internal Os was defined as the level where the cervical canal meets with the amniotic sac. Data were analyzed using Statistical Package for Social Sciences (SPSS) software package version 20. The results were expressed with descriptive statistics. P value of <0.05 was taken as significant. Percentiles, Pearson and Spearsman correlation tests were calculated and used. There were 159 participants. The mean age of the participants was 29.58±4.64 years and a range of 15- 39 years, primigravida were 37.7%, 57.2% w e r e m u l t i g r a v i d a s w h i l e ( 5 % ) w e r e grandmultiparous. The mean cervical length of the population was 39.72 ± 6.81mm and the range 25.00- 62.00mm.The mean Internal Os diameter was 3.06 ± 0.74 mm, range of 2.00- 5.00mm.In the study population 18.9% had internal Os diameter of < 3mm while 81.1% had internal Os diameter of 3-5 mm. The mean cervical length at 5th, 10th, 25th, 50th, 75th, 90th and 95th percentiles were 31mm, 32mm, 35mm, 39mm, 44mm 49mm and 52.00 mm respectively. Correlations between parity, gravidity and cervical parameters were not statistically significant as well as the relationship between cervical length and internal os diameter. The mean values of cervical length and internal os diameter at 20-24 weeks in singleton pregnancy with low risk for preterm delivery were found to be 39.72 ± 6.81mm and 3.06 ± 0.74 mm respectively. There was no significant correlation between the cervical parameters, parity and gravidity.