Browsing by Author "Oyewopo, C.I"

Now showing 1 - 4 of 4
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    An appraisal of anaesthetic technique for caesarean delivery in a tertiary Institution, North Central Nigeria.
    (Society of Gynaecology and Obstetrics of Nigeria, 2019) Adegboye, M.B; Oyewopo, C.I; Adegboye, K.A; Josiah, J; Ibegbula, E.O
    Background: The rate of caesarean delivery is on the rise globally and our institution is not left out. Therefore we set out to assess the trends, indications and anaesthetic techniques for caesarean delivery in our environment. Methods: This was a retrospective review of all caesarean deliveries between 1st January 2015 and 31st December 2017 from the anaesthetic chart, anaesthetic theatre records and labour ward record of the University of Ilorin Teaching Hospital (UITH). Patient’s demographic data, indication for caesarean section, nature of caesarean section, ASA physical status, anaesthetic technique used, cadre of anaesthetist and the total number of deliveries were recorded. Data were analysed and presented as frequencies and percentages using statistical package for social sciences (SPSS software version 22). Results: During the study period a total of 7940 patients delivered and 1822 patients had undergone caesarean delivery. The caesarean section rate at the institution is around 22.9%. The commonest indication for caesarean delivery was previous caesarean section (31.6%) followed by hypertensive disorder in pregnancy(14.7%). Most of the caesarean section was performed as emergency (80%). Regional anaesthesia was the most frequently used for both emergency(91.3%) and elective (98.7%) caesarean section, and spinal anaesthesia(88.9%) was the commonest regional anaesthetic technique used. Conclusion: The rate of caesarean section is high in our institution, with majority being performed under spinal anaesthesia. We need to improve on other regional anaesthetic technique so that our parturients can have the best and safest option.
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    An appraisal of anaesthetic technique of parturients with placenta previa that underwent caesarean section in a tertiary institution North-Central Nigeria.
    (Faculty of Clinical Sciences, Delta State University, 2019) Adegboye, M.B.; Oyewopo, C.I; Oladosu, O.O
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    Maternal satisfaction towards spinal anaesthesia for caesarean section
    (Egyptian Society of Anesthesiologist, 2022) Adegboye, M.B; Kolawole, I.K; Adegboye, K.A; Oyewopo, C.I; Oladosu, O.O
    Background: There has been an increase in the use of spinal anaesthesia for Caesarean section (CS) in Nigeria in the past decades. There is, therefore, a need to evaluate the level of satisfaction among patients that had spinal anaesthesia, as an index of the quality of reproductive health care. Methodology: A prospective observational study of 380 consenting parturients in ASA classes I, II, and III, who underwent CS under spinal anaesthesia between January and December 2019. Satisfaction score was assessed using a three-point Likert scale. Data were analysed using [IBM SPSS software version-22]. The level of statistical significance was set at p-value <0.05. Results: A total of 380 consenting patients underwent spinal anaesthesia within the study period with 219 (57.6%) aged ≥30 years. Most were emergency CS 267 (70.3%). Most patients 294 (77.4%) expressed satisfaction for being involved in decision-making about the choice of anaesthesia technique. The majority of the patients 333 (87.6%) were satisfied with pain relief during the operation. The complications experienced by the patients intraoperatively included dizziness, 50 (13.2%), shivering, 139 (36.6%), and intraoperative nausea and vomiting, 48 (12.6%). Overall, 295 (77.6%) of the patients expressed willingness to have spinal anaesthesia again in the future, out of the 295, 293 (99.4%) were satisfied with the current spinal anaesthesia. P = 0.000 Conclusion: Maternal satisfaction to spinal anaesthesia in this study was high. This could be attributed to patient’s participation in decision-making, prompt treatment of complications, and overall good anaesthetic care.
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    Retrospective analysis of anaesthesia for hypertensive disorders in pregnancy at University of Ilorin Teaching Hospital, Kwara State
    (Faculty of Medicine, Ahmadu Bello University, Zaria, Nigeria, 2019) Adegboye, M.B; Adegboye, K.A; Oyewopo, C.I; Josiah, C; Kolawole, I.K.
    Background: Hypertensive disorders are one of the most common medical complications of pregnancy. It is a major cause of fetomaternal morbidity and mortality. Objectives: This article compares the clinical outcome of anesthetic techniques for parturients with hypertensive disorder undergoing cesarean section. Methods: We conducted a retrospective review of the medical records of patients with hypertensive disorders in pregnancy, who underwent cesarean section from January 2016 to December 2017. Data collected included demographic profiles, specific hypertensive disorders, anesthetic techniques, and maternal and neonatal outcome. Result: Over the reviewed period, 1294 cesarean sections were done, out of which 95 (7.3%) patients had hypertensive disorders in pregnancy. Preeclampsia was the most common hypertensive disorder (45.3%) and it was more common among the multiparus patients. Eight-two patients (86.3%) underwent subarachnoid block with 0.5% heavy bupivacaine, 10 patients (10.5%) had general anesthesia with relaxant technique using isoflurane as the volatile agent, whereas three patients (3.2%) had epidural block with 0.5% plain bupivacaine. Eighty-six patients (90.5%) were done as emergency whereas nine patients (9.5%) were done as elective. A total of 82 (86.3%) neonates had good APGAR score of >7. There was no significant difference between the anesthetic techniques and neonatal outcome, P= 0.642. The proportion of blood loss was more during emergency surgeries. There was no statistical significant difference between the nature of surgery and estimated blood loss, P= 0.691. Out of the 95 parturient, 12 (12.6%) had hypotension that necessitated use of vasopressor (ephedrine), out of which 11 cases were done as emergency whereas one was done as elective. There was no significant difference between the nature of the surgery and the use of vasopressor, P=0.942. Conclusion: The choice of anesthesia did not have a significant difference on maternal and neonatal outcome following cesarean section in parturient with hypertensive disorders in pregnancy