Browsing by Author "Raji, Hadijat"
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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 Duration of labour with spontaneous onset at University of Ilorin Teaching Hospital (UITH), Ilorin Nigeria(Medknow, 2011-06) Ijaiya, Munirdeen; Adesina, Kikelomo; Raji, Hadijat; Aboyeji, Peter; Olatinwo, Abdulwaheed; Adeniran, Abiodun; Adebara, Idowu; Isiaka-Lawal, SalamatBackground/Objective: Duration of labor varies from one pregnancy to another and a period of less than 12 hours is regarded as normal. Modern obstetric practice involves active management of labor with the aim of preventing prolonged labor and its sequelae. The main objective of this study was to determine and compare the average duration of labor of spontaneous onset between nulliparas (Po) and multiparas (P 1) and to determine factors affecting duration of labor. Materials and Methods: This study was a prospective study carried out between 15 May and 14 June 2004 at the Labor Ward of the University of Ilorin Teaching Hospital, Ilorin, Nigeria. Two hundred and thirty-eight women who satisfi ed the inclusion criteria were studied. The inclusion criteria were term pregnancy with vertex presentation, labor with spontaneous onset, live fetus at presentation and spontaneous vertex delivery. Results: The mean ± SD admission–delivery interval in labor ward was shorter (3.77 ± 2.88 hours) among multiparas than that of nulliparas (5.00 ± 3.17 hours) (P = 0.235). The mean ± SD duration of labor (from the onset of labor to delivery) was shorter among multiparas (8.73 ± 4.17 hours) than that of nulliparas (11.23 ± 4.29 hours) (P = 0.426). The differences were not signifi cant (t-test, P > 0.05). Maternal age and individual parity had signifi cant correlation with the duration of labor in this study (Pearson correlation = −0.019, −0.027, respectively, P < 0.05). Conclusion: Interestingly, duration of labor was not signifi cantly different among multiparas and nulliparas although it was shorter. Correlation existed between duration of labor and maternal age and individual parity.Item Vesicovaginal fistula: A review of Nigerian experience(West African College of Physicians and Surgeons, 2010-09) Ijaiya, Munirdeen; Rahman, A; Aboyeji, Peter; Olatinwo, Abdulwaheed; Esuga, S; Ogah, O; Raji, Hadijat; Adebara, Idowu; Akintobi, Abdulhakeem; Adeniran, Abiodun; Adewole, AdebayoBACKGROUND: Vesicovaginal fistula is a preventable calamity, which has been an age-long menace in developing countries. OBJECTIVE: To review the causes, complications, and outcome of vesicovaginal fistula in Nigeria. METHODS: Studies on vesicovaginal fistula were searched on the internet. Information was obtained on Pubmed (medline), WHO website, Bioline Innternational, African Journal on Line, Google scholar, Yahoo, Medscape and e Medicine. RESULTS: Many Nigerian women are living with vesicovaginal fistula. The annual obstetric fistula incidence is estimated at 2.11 per 1000 births. It is more prevalent in northern Nigeria than southern Nigeria. Obstetric fistula accounts for 84.1%–100% of the vesicovaginal fistula and prolonged obstructed labour is consistently the most common cause (65.9%–96.5%) in all the series. Other common causes include caesarean section, advanced cervical cancer, uterine rupture, and Gishiri cut. The identified predisposing factors were early marriage and pregnancy, which were rampant in northern Nigeria, while unskilled birth attendance and late presentation to the health facilities was common nationwide. Among the significant contributory factors to high rate of unskilled birth attendance were poverty, illiteracy, ignorance, restriction of women’s movement, non-permission from husband, and transportation. All but one Nigerian studies revealed that primiparous women were the most vulnerable group. Pregnancy outcome was dismal in most cases related to delivery with still birth rate of 87%–91.7%. Stigmatization, divorce and social exclusion were common complications. Overall fistula repair success rate was between 75% and 92% in a few centres that offer such services. CONCLUSION: Vesicovaginal fistula is prevalent in Nigeria and obstetric factors are mostly implicated. It is a public health issue of concern.