Browsing by Author "Salaudeen, A.G"
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Item Assisted Reproduction Technology: Comparison of Anesthetic Techniques for Oocyte Retrieval in a Tertiary Health Facility in Ilorin(2017) Omokanye, Lukman O.; Olatinwo, Abdulwaheed O.; Saadu, L.O.; Biliaminu, S.A.; Durowade, K A.; Salaudeen, A.GBackground: Transvaginal ultrasound‑guided oocyte retrieval (TUGOR) technique is minimally invasive and requires shorter time compared to previous techniques. Yet, it is a potentially stressful and painful procedure and thus requires some form of analgesia with or without sedation. The effects of various anesthetic techniques used for TUGOR on reproductive outcomes remain controversial. Aims and Objectives: This study aimed at comparing the efficacy of paracervical block (PCB) and conscious sedation for pain relief and pregnancy outcomes during TUGOR. Materials and Methods: This is a cross‑sectional comparative study of 137 eligible clients that underwent assisted reproduction program in our facility. All clients were treated with antagonist protocol for controlled ovarian hyperstimulation. The choice of analgesia for TUGOR was influenced by clients’ and/or clinicians’ preference. PCB and conscious sedation were administered for TUGOR in 66 and 71 clients, respectively. Pain was assessed using a 10‑cm Visual Analog Scale (VAS), while clients’ overall satisfaction was rated using Likert scoring system. Results: There was no statistically significant difference in the clinical pregnancy, miscarriage, and live birth rates between the two groups. The mean VAS 10‑point scores at 1, 6, and 24 h postretrieval and on the day of embryo transfer were significantly higher for paracervical group. The mean Likert score for conscious sedation group was significantly higher than that of paracervical group. Conclusion: Conscious sedation is superior to PCB as anesthetic/analgesic agent for pain relief and clients’ satisfaction for TUGOR. However, a multimodal approach to anesthesia/analgesia for TUGOR is suggested to further improve overall clients’ satisfaction.Item Assisted Reproduction Technology: Perceptions among infertile couples in Ilorin, Nigeria.(A taif University Saudi, 2017) Omokanye, Lukman O.; Olatinwo, Abdulwaheed O.; Durowade, K A.; Raji, S.T.; Biliaminu, S.A.; Salaudeen, A.GBackground: Infertility is a global health problem and a socially destabilizing condition for couples carrying several stigmas and a cause of marital disharmony. Assisted reproduction technologies (ARTs) offers a chance at parenthood to couples, who until recently would have had no hope of having a “biologically related” child. Aims and Objectives: This study aimed to determine the awareness and perception of ART services among infertile couples at a public health facility in Ilorin, Nigeria. Materials and Methods: This is a cross‑sectional descriptive study of consecutively consenting infertile couples seen at the ART unit of the Department of Obstetrics and Gynaecology, University of Ilorin Teaching Hospital, Ilorin, between January 1, 2012, and December 31, 2015. Results: The patients aged 22–52 years with a mean age of 36.1 ± 6.6 years and mean duration of infertility of 7.3 ± 5.8 years. Most (60.8%) belonged to middle social class. Of the 559 infertile couples interviewed, 87.3% were aware of ART services. Less than half (48.8%) were aware of surrogacy while majority (85.7%) rejected the use of surrogate mother. Reasons to decline surrogacy were desire to carry one’s own child (51.7%) and “do not like the idea” (22.3%). Female partner age, duration of infertility, and religion had a significant influence on acceptance of donor egg (P < 0.05). Conclusion: Despite the high level of awareness of ART, its low utilization remains a gap in the delivery of these services. Government and nongovernmental agencies need to institute interventions to stem the trend.Item Correlation of Bacterial Isolates from Middle Ear and Nasopharynx in Patients with Chronic Suppurative Otitis Media in Ilorin, Nigeria(Published by Penerbit Universiti Sains Malaysia, 2015) Afolabi, O.A; Ologe, F.E; Nwabuisi, C; Salaudeen, A.G; Ajiboye, O.A; Nwawolo, C.C.Purpose: To determine the association between isolates in the middle ear (ME) and nasopharynx of patients with chronic otitis media in Ilorin, north-central Nigeria. Methods: An ethically approved case control study was carried out in the Ear, Nose, and Throat clinic amongst consenting cases using normal subjects as controls. A microbiology investigation form giving the results for otoscopy, aspirate and swabs was filled out for both the ME and nasopharynx. The experimental procedure was carried out and bacteria were identified according to colony characteristics, morphological appearance, Gram-staining, and standard biochemical testing. Data obtained were analysed with SPSS version 16.0 and Epi Info 3.5.1 using the mean, standard deviation and chi-square results. Results: A total of 140 cases and 70 controls, were recruited. The Gram stain reaction of the ME aspirates were positive in 28.6% and negative in 71.4% of cases. Nasopharyngeal swabs revealed 64.3% Gram positive and 35.7% negative organisms. Overall, there was no relationship between the ME and nasopharyngeal isolates amongst cases, with a P value of 0.000. However, there was a relationship amongst the isolate from the nasopharynx of cases and controls, with the exception of Klebsiella pneumoniae, at P < 0.009. Conclusion: There was no relationship amongst the bacterial isolate from the ME and nasopharyngeal specimen of patients with otitis media.Item Female surgical sterilization at University of Ilorin Teaching Hospital, Ilorin: 10-year review(Nigerian Medical Association, Anambra state, 2012) Omokanye, Lukman O.; Salaudeen, A.G; Jimoh, A.A.G.; Panti, Abubakar A.; Saidu, R.; Balogun, O.RBackground: Given technological advances over the past few decades, female surgical sterilization has become a safe, convenient, easy, and highly effective birth control method for the long term. Objective: This study aims at determining the uptake, indications, timing, surgical technique and complications of voluntary surgical sterilization in Ilorin. Methodology: A retrospective study involving all clients who have undergone female sterilization by mini-laparotomy at the University of Ilorin Teaching Hospital Family Planning Clinic between January 2002 and December 2011. Clinical data were retrieved from the case notes and the information obtained was analyzed with SPSS version 16 of the computer. All the case notes had adequate information for the study, and none was missing. Results: There were 25,418 deliveries with 205 cases of female surgical sterilizations out of which 95 were through mini-laparotomy, giving an incidence of 8% and 3.7 per 1000 deliveries, respectively. The mean age at sterilization was 38.9years. Grand-multiparity and completed family size were the main indications. Seventy-nine percent of the clients had interval procedure and Pomeroy’s method was used among 70.5% of the clients. Local infiltration was used for most (60%) of the clients. Complication attributable to the procedures occurred in 5.3% of the clients. These include, wound sepsis (2.1%), urinary tract infection (1.05%) and one failed sterilization (1.1%). Conclusion: Concerted efforts at female reproductive health education and counseling will help to dispel some of the rumours and misconceptions associated with the procedure.Item Missed diagnosed bicornuate unicollis uterus presenting as acute abdomen(West african college of physician and west african college of surgeons, 2014) Omokanye, Lukman O.; Salaudeen, A.G; Olatinwo, Abdulwaheed O.; Balogun, O.RItem Obstetric Outcome of Grand-multiparous Women in Ilorin, Nigeria. A Five year review(College of Health Sciences, Obafemi Awolowo University and Obafemi Awolowo University Teaching Hospital Complex (OAUTHC), Ile-Ife,Osun state, Nigeria, 2012) Omokanye, Lukman O.; Salaudeen, A.G; Olatinwo, Abdulwaheed O.; Adewara, E,O.; Saidu, R.; Balogun, O.R; Abdul, I.FItem Pattern and predictor of contraception uptake among women in Olufadi community Ilorin- south Local Government Area, Kwara State, Nigeria(College of Health Sciences, Delta state University, Abraka, Nigeria, 2013) Durowade, K A.; Salaudeen, A.G; Elegbede, O.E.; Babatunde, O.A.; Fasiku, M.M.; Adebola, O.E.; Omokanye, Lukman O.; Fawowe, A.A.Item Predisposing Factors, Clinical Presentation and Management of Utero-Vaginal Prolapse: Experience from a Teaching Hospital in Nigeria.(2012) Omokanye, Lukman O.; Salaudeen, A.G; Balogun, O.RItem Pregnancy following laparoscopic ovarian drilling for clomiphene resistant Polycystic Ovarian Syndrome in Nigeria(College of Health Sciences, Osun state University, NIgeria, 2013) Omokanye, Lukman O.; Olatinwo, Abdulwaheed O.; Salaudeen, A.GItem Prevalence of Anaemia at booking in a semi-urban Community in North-Central, Nigeria(National Postgraduate Medical College of Nigeria, 2014) Adewara, E,O; Omokanye, Lukman O.; Olatinwo, Abdulwaheed O.; Durowade, K.A.; Panti, Abubakar A.; Salaudeen, A.GAims and objectives: This study was carried out to determine the prevalence of anaemia at booking clinic, describe the antenatal booking pattern, and categorize the degree of anaemia with certain demographic features. Subjects and methods: This is a descriptive cross-sectional study carried out over a six month period between 1st April and 30th September 2008. A questionnaire was used to obtain demographic information and venous blood samples were collected from 1,086 consecutive patients who consented to participate in the study. The blood samples were tested for haemoglobin levels, genotype and blood group. Results: Seven hundred and thirty two (67.4%) of the women anaemic at booking. Anaemia was more prevalent among multgravidae than primigravidae (p<0.05). Six hundred and sixty nine (61.6%) had mild anaemia while 40(4.4%) had moderate anaemia and 15 (1.4%) were severely anaemic, of which 8 (53.3%) were below 18 years of age. Varied degrees of anaemia were more common among women aged 24-28 years and in the 3rd trimester of pregnancy (80.7%) (p<0.05). One hundred and seventy (15.7%) of the enrolled booked for antenatal care in the 1st trimester, while 703(64.7%) booked in the 2nd trimester and 213 (19.6%) in the 3rd trimester of their pregnancies. Thirteen (1.2%) had sickle cell anaemia. Conclusion: Prevalence of anaemia at booking remains high in our society. Urgent need for public health education on early antenatal booking and improved literacy level of women is suggested to reduce the burden of anaemia in pregnancy.Item Randomized controlled trial on Transcutaneous Electrical Nerve Stimulation(Society of Gynaecology and Obstetrics of Nigeria, 2014) Omokanye, Lukman O.; Jimoh, A.A.G.; Salaudeen, A.G; Sulaiman, Z.A.; Durowade, K.A.; Adewara, E.O.Item Reproductive health problems and health seeking behavior of female sex workers in Sabon Gari Local Government Area, Zaria, Nigeria(Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria, 2014) Omokanye, Lukman O.; Salaudeen, A.G; Yusuf, A.S.Background: The sexual and reproductive health needs of sex workers have been neglected both in research and public health interventions. Among the reasons for this are the condemnation, stigma and ambiguous legal status of sex work in Nigeria. This study was aimed at determining the reproductive health problems and health-seeking behavior of brothel-based female sex workers (FSW). Materials and Methods: This cross-sectional study was conducted among brothel-based FSW in Sabon-Gari Local Government in Zaria, Nigeria between 1st January 2011 and 31st June 2011. A total of 208 FSW were randomly selected and information was obtained with the use of the semi-structured questionnaire. Data entry was done with the help of structured codes in Microsoft Excel. Descriptive analysis was carried out using the statistical package (SSPS 16-University of Bristol). Results: Majority 90.7% of the respondents had experienced reproductive morbidity in the last 3 months. Frequently experienced symptoms were vaginal discharge (63.8%), acute lower abdominal pain (57.5%), menstrual irregularities (37%) and genital ulcer (32.3%). Genital tear occurred in only 25 (9.8%) respondents. Furthermore, 178 (63.6%) had a termination of unwanted pregnancies. Most (32.3%) sought care for their reproductive health problems from chemist shops; followed by the private hospitals in 23.6% of respondents. Others took self-medication for their ailments. Post-treatment success was the most frequently mentioned reason for the choice of place of treatment, followed by fi nance. Conclusion: The most commonly reported reproductive health problem among FSW was vaginal discharge and many of them have poor health seeking behavior. Health promotion and client sensitive health care services specifi cally targeting FSW should be developed, packaged and delivered to improve reproductive health of FSW. There should be concerted efforts by the government and other stakeholders in reproductive health to develop a policy framework to addressing the challenges in health of FSW.Item Trends in Caeserean Delivery at Federal Medical Centre, Bida, Niger State, Nigeria.(College of Health Sciences, Obafemi Awolowo University and Obafemi Awolowo University Teaching Hospital Complex (OAUTHC), Ile-Ife,Osun state, Nigeria, 2012) Adewara, E.O; Omokanye, Lukman O.; Balogun, O.R; Salaudeen, A.G; Saidu, R.; Jimoh, A.A,G.