Browsing by Author "Morhason-Bello, I. O."

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Assessment of tubal factor contribution to female infertility in a low resource setting (southwest Nigeria): hysterosalpingography vs laparoscopy
(2005) Okunlola, M. A.; Adebayo, O. J.; Odukogbe, A. A.; Morhason-Bello, I. O.; Owonikoko, K. M.
Attitude and preferences of Nigerian antenatal women to social support during labour
(Cambridge University Press, 2007) Morhason-Bello, I. O.; Olayemi, O.; Ojengbede, O.A.; Adedokun, B. O.; Okuyemi, O. O.; Orji, B.
This was a hospital-based cross-sectional study of 224 randomly selected antenatal women receiving care at the University College Hospital, Ibadan, Nigeria. The study aimed to seek the attitude and preferences of respondents about social support during childbirth and also identify variables that may influence their decisions. Seventy-five per cent of respondents desired companionship in labour. Approximately 86% preferred their husband as companion while 7% and 5% wanted their mother and siblings as support person respectively. Reasons for their desire for social support were emotional (80•2%), spiritual (17•9%), errands (8•6%) and physical activity (6•8%). Socio-demographic variables found to be statistically significant on logistic regression analysis for the desire of a companion in labour were nulliparity (OR 3•57, 95% CI 1•49–8•52), professionals (OR 3•11, 95% CI 1•22–7•94) and women of other ethnic groups besides Yoruba (OR 2•90, 95% CI 1•02–8•26), which is the predominant ethnic group in the study area. Only those with post-secondary education were found to want their husbands as doula (OR 2•96, 95% CI 1•08–8•11). More than half of the respondents wanted information about labour prior to their experience. It is important that Nigerian women are allowed the benefit of social support during childbirth, particularly as there is a lack of one-to-one nursing care and other critical services, including epidural analgesia in labour, at many of the health care facilities in Nigeria. Men could play a pivotal role in the process of introducing support in labour so as to improve the outcome for both the mother and her newborn
Awareness and use of emergency contraceptive methods among Intern medical doctors at Ibadan
(IJEJAS Ventures, Printers and Publishers, 2008) Morhason-Bello, I. O.; Adesina, O. A.; Ifemeje, A. A.; Okunlola, M. A.; Adedokun, B. O.; Abdu-Salam, R. A.; Adekunle, A. O.
Comparative evaluation of haemoglobin estimation amongst pregnant women in Ibadan: Hemocue – B Haemoglobin analyzer versus haemiglobincyanide (Standard) method as the gold standard
(2008-08) Ojengbede, O.A.; Okonkwo, S. N.; Morhason-Bello, I. O.
This was a comparative crossectional study that was conducted among 557 antenatal women at the University College Hospital, Ibadan, Nigeria between 1st April and 30th May 2006. The study compared the accuracy of haemoglobin estimation using an automated HemoCue B analyzer kit with a standard laboratory method (haemogloincyanide) as the gold standard. The result showed a positive correlation of HaemoCue haemoglobin results when compared with the standard methods (Pearson’s correlation coefficient = 0.892; p value = 0.000). We concluded that the use of the automated HemoCue kit for haemoglobin estimation gives an objective assessment which overcomes the challenge of extra skilled manpower or power outages in rural areas thereby enhancing access to quality of care in resource poor countries
A comparative study of two surgical management methods for cervical incompetence at the University College Hospital, Ibadan
(Nigerian Medical Association, Akwa Ibom State Branch, 2007-02) Oladokun, A.; Adesina, O. A.; Odukogbe, A. A.; Morhason-Bello, I. O.; Adewole, I. F.
Incompetence of the internal uterine cervical os is associated with recurrent pregnancy loss. Different surgical techniques are in practice to correct the defect. The objective of this study therefore was to review the outcome of pregnancies following cervical using either of the two procedure among patients diagnosed as having incompetence of the cervix. A comparative study of 2 standard methods of cerclage used in our hospital, McDonald & Shirodkar, in a group of 80 patients was done. All the patients had cervical cerclage insertion done between the 14 & 16 weeks of gestation using either of the two methods. There was no significant morbidity with either of the 2 methods. The overall success rates, as measured by continuation of the pregnancy to term, were similar. Both methods of cervical cerclage are equally effective in producing the desired outcome, but since the McDonald method is technically simpler to perform, it may be desirable to adopt this approach more frequently.
Contraceptive practice and commodity sources amongst female undergraduates in Ibadan, Southwest Nigeria
(2008-09) Okunlola, M. A.; Morhason-Bello, I. O.; Adekunle, A O. .
Objective: To determine the pattern of contraceptive use, and its sources among female undergraduates of the University of Ibadan. Methodology: A cross-sectional study design using self administered questionnaire. The study was conducted from November 2005 till March 2006. Results: The result of one thousand six hundred and thirty respondents were analysed out of 1800 interviewed. The commonest age group was 21-25years and about half were in their second and third undergraduate training year. They were mostly single, Christians and of the Yoruba ethnic group. Among those interviewed, 84% admitted to previous sexual activity. However, only a third had ever used any form of modern contraception. The commonest method of contraception ever used was male condom (82.0%) and the least was implantable contraception (1.4%). Other methods used included spermicides, oral contraceptive pills, and injectables. Of those that used contraception, 59.0% procured the service/commodity from pharmacy shops and patent medicine outlet. Other sources mentioned included; non-governmental organization private hospitals, and friends/relatives. Some did not indicate the source of procurement. Conclusion: The study revealed that students in Nigeria engage in risky sexual practices which may be detrimental to the future reproductive activities. Even those that claim to use contraceptives may not have been properly counseled prior to use. We recommend that safer sexual practices should be encouraged and some emphasis on abstinence. Advocacy on appropriate sources of contraceptives commodities should be pursued
Discontinuation pattern of norplant among implant acceptors at the family planning clinic, University College Hospital, Ibadan, Nigeria
(2006) Okunlola, M. A.; Owonikoko, K.M; Adekunle, A O. .; Morhason-Bello, I. O.
This is a retrospective study of 136 Norplant acceptors. We assessed the reasons for the discontinuation during the prescribed 5-year period of use. The continuation rates for the first, second and third years were 94.1%, 83.8%, and 79.4% respectively. The commonest reason for discontinuation was menstrual irregularities (40.43%) of clients followed by the desire for pregnancy in 29.79%. Contraceptive failure as a reason for discontinuation of Norplant use was not recorded in any of the clients in this series. In conclusion, ii is our belief that to sustain high continuation rates of Norplant use the clients require proper and effective counselling and support on the side effects of irregular bleeding patterns, which when occurs will be better coped with
Do women want disclosure of fetal gender during prenatal ultrasound scan?.
(2010) Maaji, S. M.; Ekele, B. A.; Bello, S. O.; Morhason-Bello, I. O.
Background/Objectives: It is possible that not all women would want the disclosure of fetal gender by the sinologist during a prenatal scan. The objectives of this study were to determine the proportion of women who do not want fetal gender disclosure at the time of prenatal ultrasonography and document their reasons. Method: A cross-sectional survey of women that were 20 weeks or more pregnant that had prenatal ultrasound at a private health facility in January 2006. The sonologist asked each of the women during the procedure whether they wanted to know fetal sex or not. Those that consented had disclosure of fetal sex while those that declined gave their reasons, which were documented. Results: Two hundred and one (201) women were studied within the study period. Most of the women (82%) were of the Hausa/Fulani ethnic group and were predominantly of the Islamic faith (90%). One hundred and ninety women (94.5%) consented to disclosure of fetal gender, while eleven (5.5%) declined. The main reason for not wanting to know fetal sex was: ‘Satisfied with any one that comes’. Conclusion: Most of the pregnant women (94%) would want disclosure of fetal gender at prenatal ultrasound scan. Only 5.5% of the women would not want fetal sex disclosure because they were satisfied with whichever that was there. It is advisable for the sonologist to be discrete on what to say during the procedure especially as it relates to fetal sex so as not to hurt those that do not want disclosure
Human papillomavirus infection and related cancers in Sub-Saharan Africa: burden and tools for prevention
(2013) Awolude, O. A.; Morhason-Bello, I. O.; Denny, L. A.; Adewole, I. F.
The influence of health-seeking behavior on the incidence and perinatal outcome of umbilical cord prolapse in Nigeria
(Dovepress, 2010-06-30) Enakpene, C. A.; Odukogbe, A. T.; Morhason-Bello, I. O.; Omigbodun, A.O.; Arowojolu, A. O.
Objectives: To determine the influence of health-seeking behavior of urban women in South- West Nigeria on the incidence and perinatal outcome of umbilical cord prolapse (UCP). Methods: A retrospective study comparing two groups of urban women using information extracted from medical records of patients who had UCP, and were managed at the University College Hospital Ibadan, Nigeria from January1st 1995 to December 31st 2005. The data was analyzed using SPSS software (version 15). Analysis included simple tabulation, proportion and comparison of incidence, perinatal morbidity, and mortality of UCP between the two groups of women using Chi-square or Fisher’s exact test. Odds ratio (OR) and 95% confidence intervals (CI) were calculated whenever necessary. P-value of 0.05 or less was statistically significant. Results: Women without prenatal care were more likely to have fetuses with UCP (54, 75%), than in women who had prenatal care (18, 25%). The risk of perinatal death from UCP was higher in women without prenatal care, as compared with those who received prenatal care (OR 3.02, 95% CI: 0.879 to 10.356; P-value = 0.061). The risk of perinatal morbidity and neonatal intensive care admission was also higher among women without prenatal care as compared with women who received prenatal care (OR 4.09, 95% CI: 1.03 to 16.30; P-value = 0.041). The overall perinatal mortality rate in the study population was 403 per 1000 total births, and this was five times more than that of the hospital perinatal mortality rate of 80 per 1000 total births during the study period. The perinatal mortality rate was higher among women without prenatal care, 463 per 1000 total births, as compared with 222 per 1000 total births in women who received prenatal care. Perinatal death before arrival at the hospital is less likely to occur in women with prenatal care when compared with women without prenatal care (OR 0.0635; 95% CI: 0.0052 to 0.776; P-value = 0.03). Conclusion: A high index of suspicion and an identification of risk factors, with early diagnosis, prompt intervention, and provision of health care facilities can reduce the incidence and poor outcome of UCP in developing countries
Knowledge of the human papilloma virus vaccines, and opinions of gynaecologists on its implementation in Nigeria
(Women’s Health and Action Research Centre, 2013) Morhason-Bello, I. O.; Adesina, O. A.; Adedokun, B. O.; Awolude, O.; Okolo, C. A.; Aimakhu, C. O.; Akinwunmi, B. O.; Oladokun, A.; Adewole, I. F.
The objective of this study was to determine the knowledge and perception of Nigerian Obstetricians and Gynaecologists towards human papilloma virus vaccine use in Nigeria. A cross sectional study was conducted amongst participants that attended the 42nd Society of Gynaecology and Obstetrics of Nigeria. The findings revealed that 44.5% knew the correct HPV vaccine schedule. Regarding implementation in Nigeria, 87.4% suggested its incorporation into the national immunization program and about a third agreed that it should be a precondition for school enrollment. Regression analysis showed that senior residents were more likely to have adequate knowledge of the vaccine compared to junior residents (AOR 7.181 95% CI OR=1.792 – 28.782). We conclude that the knowledge of eligibility and schedule is poor. It is recommended that adequate information should be provided to this group of health workers because of their strategic position in its implementation in Nigeria.
Knowledge of the human papilloma virus vaccines, and opinions of gynaecologists on its implementation in Nigeria
(2013-06) Morhason-Bello, I. O.; Adesina, O. A.; Adedokun, B. O.; Awolude, O.; Okolo, C. A.; Aimakhu, C. O.; Akinwunmi, B. O.; Oladokun, A.; Adewole, I. F.
The objective of this study was to determine the knowledge and perception of Nigerian Obstetricians and Gynaecologists towards human papilloma virus vaccine use in Nigeria. A cross sectional study was conducted amongst participants that attended the 42nd Society of Gynaecology and Obstetrics of Nigeria. The findings revealed that 44.5% knew the correct HPV vaccine schedule. Regarding implementation in Nigeria, 87.4% suggested its incorporation into the national immunization program and about a third agreed that it should be a precondition for school enrolment. Regression analysis showed that senior residents were more likely to have adequate knowledge of the vaccine compared to junior residents (AOR 7.181 95% CI OR=1.792 – 28.782). We conclude that the knowledge of eligibility and schedule is poor. It is recommended that adequate information should be provided to this group of health workers because of their strategic position in its implementation in Nigeria
Pattern of sexual activity amongst pregnant women in Ibadan
(Society of Gynaecology and Obstetrics of Nigeria, 2007) Kolade, C. O.; Adesina, O. A.; Morhason-Bello, I. O.; Adeyanju, A. O.; Adekanbi, A. A.; Ifemeje, A. A.
Postpartum Haemorrhage
(2017) Morhason-Bello, I. O.; Oladokun, A.
Promoting universal access to maternal and newborn health: myth or fact
(Corporate Office, One Media Studies, Ibadan, 2013) Morhason-Bello, I. O.; Aimakhu, C. O.; Adesina, O. A.; Olayemi, O.; Fasubaa, O. B.; Ladipo, O. A.
Promoting universal access to maternal and newborn health: myth or fact
(2013) Morhason-Bello, I. O.; Aimakhu, C.O.; Adesina, O.A.; Olayemi, O.; Fasubaa, O.B.; Ladipo, O.A.
Repair of spontaneous perineal laceration at delivery, a cultural taboo: a case report
(Association of Resident Doctors, University College Hospital, Ibadan, Nigeria, 2006-12) Morhason-Bello, I. O.; Adesina, O. A.; Okunlola, M. A.; Oladokun, A.; Onibokun, A. A.; Ojengbede, O. A.
Although genital trauma is a recognized maternal complication of vaginal birth, the presence of skilled birth attendants at delivery and judicious use of episiotomy has been shown to reduce this risk to the barest minimum. Prompt repair of these traumas averts the resultant complications that may arise. A case of a booked 18-year-old nulliparous Guinea-Conakry woman with a second-degree perineal tear who declined repair due to a cultural reason is presented. The need for supervised delivery as well as immediate and long-term health implications of her decision is discussed.
Repair of spontaneous perineal laceration at delivery, a cultural taboo: a case report
(2006) Morhason-Bello, I. O.; Adesina, O. A.; Okunlola, M.A.; Oladokun, A; Onibokun, A.A.; Ojengbede, O.A.
Although genital trauma is a recognized maternal complication of vaginal birth, the presence of skilled birth attendants at delivery and judicious use of episiotomy has been shown to reduce this risk to the barest minimum. Prompt repair of these traumas averts the resultant complications that may arise. A case of a booked 18-year-old nulliparous Guinea-Conakry woman with a second-degree perineal tear who declined repair due to a cultural reason is presented. The need for supervised delivery as well as immediate and long-term health implications of her decision is discussed
The role of ethnicity on pain perception in labour among parturients at the University College Hospital
(2009-04) Olayemi, O.; Morhason-Bello, I. O.; Adedokun, B. O.; Ojengbede, O. A.
Aims: In developing countries, the major mechanism by which parturients cope with labor pain is psychological. This study aims to assess the effect of ethnicity on the perception of pain by parturients in labor at the University College Hospital, Ibadan. Materials and Methods: The study was conducted between the 1 November 2006 and the 30 March 2007 at the University College Hospital Ibadan. The main outcome measure was pain perception assessed by the Box Numerical Scale (BNS). Univariate analysis was by t-test for continuous variables and c2 test for categorical variables. The multiple linear regression method was utilized for multivariate analysis. The level of statistical significance was set at P < 0.05. Results: The lowest adjusted mean BNS score was found in theYoruba ethnic group: they had scores lower than the mean scores for the other ethnic groups (-0.636 [95% confidence interval (CI) -0.959, -0.313]). The presence of a doula also reduced the mean BNS scores significantly (-0.533 [95% CI -0.844, -0.222]. Increasing parity also reduced pain scores (-0.182 [95% CI -0.342, -0.022]). Increasing educational attainment increased pain scores in labor (0.189 [95% CI 0.017, 0.361]). The influence of increasing age was not statistically significant in this model. In conclusion, ethnicity of the parturient relative to that of the predominant ethnicity in the place of birth has a significant effect on the perception of labor pain by the parturient. In our resource-challenged environment, trained doulas may help make labor less painful for the parturient
Sexual behaviour of in-school adolescents in Ibadan, South-West Nigeria
(2008) Morhason-Bello, I. O.; Oladokun, A.; Enakpene, C. A.; Fabamwo, A .O.; Obisesan, K.A.; Ojengbede, O. A.
This study was a crossectional survey conducted among 716 senior secondary school adolescents in Ibadan from March to August 2005. The result of 695 that was analyzed revealed that the mean age of 15±2.6years. 28.3% of the respondents had previous sexual exposure with higher proportions being male (p=0.00043). Majorities’ first sexual exposure was unplanned. Family settings and educational level do not have significant influence on the previous sexual exposure. The methods of sexual activity were mainly through vagina route while some had also practiced oral and anal sex. Most of those that are sexually exposed had more than one partner. About half of the respondents learn about sex from their friends while others through their parents and media. We conclude that in-school adolescents practiced unsafe sexual activity and they are therefore predisposed to STI/HIV and other reproductive health risks