Browsing by Author "Eyelade, O. R."

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Awareness and desirability of the Nigerian antenatal women about analgesia use during childbirth
(2007-12) Oladokun, A.; Morhason-Bello, I.O.; Eyelade, O. R.; Adedokun, B. O.; Akinycmi, J O.; Adewole, I. F.
Blood transfusion requirement during caesarean delivery: risk factors
(Association of Resident Doctors, University College Hospital, Ibadan, Nigeria, 2015-06) Eyelade, O. R.; Adesina, O. A.; Adewole, I. F.; Adebowale, S. A.
Background: Group specific blood is often cross-matched ready for all patients scheduled for caesarean section in anticipation of haemorrhage during the surgery. This study was conducted to determine the risk factors for blood transfusion during anaesthesia for caesarean section. Methods: This was a prospective cross-sectional study. A total of 706 pregnant patients scheduled for emergency or elective Caesarean section at the University College Hospital, Ibadan, Nigeria between March and August 2011 were recruited. Participants were followed-up from the date of delivery till the end point of the study which could fall into either of the following conditions: satisfactory postoperative clinical status up to 48 hours post-delivery or death. Transfusion rate was determined and Chi-square test was used to determine if there exist an association between blood transfusion status and preoperative haematocrit level, years of experience of obstetrician, indication for Caesarean Section(CS), CS type (primary or repeat) and HIV status. Results: Transfusion rate was 9.1 %; variables found to be significantly associated with blood transfusion were; preoperative haematocrit less than 26%, increasing parity, years of experience of resident obstetrician, indication for CS (bleeding or not bleeding) and estimated blood loss. Being HIV positive does not increase the need for blood transfusion. Conclusion: Preoperative anaemia, increasing parity and severe blood loss at surgery significantly contribute to the requirement for blood transfusion in patients undergoing caesarean section.
Hearing loss following spinal anaesthesia among obstetric patients at the University College Hospital Ibadan
(African Journals Online (AJOL), 2017) Adebayo, M. R.; Eyelade, O. R.; Sanusi, A. A.; Ogunbode, O. O.; Lasisi, A. O.; Arowojolu, A. O.
Background: Sensorineural hearing loss (SNHL) is a rarely reported complication of subarachnoid block and may go unnoticed unless audiometric test is performed. Objective: The aim of this study was to determine the prevalence of sensorineural hearing loss following spinal anaesthesia in obstetric patients. Patients and Methods: Seventy patients of ASA physical status classes I and II scheduled for elective Caesarean section were randomized into two groups (A & B). Lumbar puncture was performed using 25 gaugepencil point spinal needle type in group A and 25 gauge Quincke cutting tip type in group B. Spinal anaesthesia was achieved in both groups with 12.5mg (2.5ml) of 0.5% hyperbaric bupivacaine subarachnoid injection in the sitting position. Each patient had a preoperative pure tone audiometry (PTA) test done before spinal anaesthesia as a baseline; this was repeated on the first and third days after the surgery for each patient. Results: Twelve (34.3%) patients in group A and 24 (68.6%) in group B had more than one attempt at lumbar puncture; and 5[1 (2.9%) from group A and 4 from group B (11.4%)] developed Post Dural Puncture Headache(PDPH), p= 0.36. Of the 4 patients in group B who developed PDPH, 2 had associated transient sensorineural hearing loss. Conclusion: This study shows that spinal anaesthesia may lead to transient hearing loss among few obstetric patients without long term sequelae. Use of Quincke spinal needle type was more likely to cause PDPH and transient hearing loss.