Browsing by Author "Olagunju, A. S."

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Convert Contraceptive use among women of reproductive age in Ibadan, Nigeria
(Wolters Kluwer - Medknow, 2019) Awolude, O. A.; Olagunju, A. S.
BACKGROUND: This study assessed the prevalence and determinants of covert contraceptive use among women of reproductive age in Ibadan, Nigeria. METHODS: A cross sectional study among women attending a family planning clinic in a maternity teaching hospital in Ibadan, Nigeria was conducted. Data was collected on sociodemographic characteristics, contraceptive use and partner awareness of use. The socio-demographic predictors of covert contraceptive use were explored using logistic regressions. RESULTS: Twenty-five (6.8%) of the 365 respondents were practicing covert contraception. Their mean age was 34.7+6.67 years, 98.6% were married and with modal parity of 3 (29.6%). A logistic regression analysis showed that participants' age (p = 0.555), occupation (p = 0.679), education (p = 0.642), parity (p = 0.385) and husbands' education (p = 0.926) were not statistically associated with covert contraceptive use while husbands' financial supports (p = 0.000) and approval for family planning use (p = 0.000) were associated with reduction in the likelihood covert contraceptive use. CONCLUSIONS: Covert contraceptive use exist among our women. Poor financial support and disapproval by the husbands were the strongest predictors of the practice. Greater male involvement in contraceptive service provision will help address these negative factors promoting covert contraceptive practices.
Partograph utilization and clinical decision making: A veritable tool in reducing maternal mortality in the 21st century.
(2023) Famutimi, E. O.; Oluwasola, T. A. O.; Oni, O. O.; Olagunju, A. S.; Okanlawon, F. A.
Introduction and Objective: Poor obstetric outcomes in Nigeria with its attendant implications for measuring health indices have remained a significant health concern. The occurrence of adverse events due to unsafe care is a major contributor to the causes of maternal morbidity and mortality globally. The main objective of this study was to assess the pattern of admission as well as the outcome of Obstetrics practices in Oluyoro Catholic Hospital (OCH) Ibadan. Methodology: This was a retrospective, cross-sectional descriptive analysis of medical records of 194 cases managed between Janu-ary and December 2018. Using a proforma, data was obtained on obstetric characteristics of patients, indications for admission, outcome of pregnancy and the interventions received during patient's admission into the maternity ward. The socio-demographic characteristics were described sequentially with frequency tables and percentages. Chi-square statistics was used to determine the association between categorical variables at 5% level of statistical significance. Results: The mean age of the participants was 30.45 + 4.83 years and the majority, 183 (94.3%), of them were booked. Common indications for admission were onset of labour pains 74 (38.1%), and elective induction of labour 38 (19.6%). Two-fifths, 79 (40.7%) of the respondents had intrapartum augmentation of labour with oxytocin. The prevalence of episiotomy in this study was 22.2% while 5.2% had laceration. Majority, 182 (93.8%) had live babies out of which 8.2% required admission into the neonatal intensive care unit. Conclusion: Overall findings showed that the obstetric practices in the study setting were within the margin of acceptable standard and efforts to sustain the obstetric skills and practices of healthcare providers should be maintained.
Practice of Hot Abdominal Compression among Parturient Women at the University College Hospital, Ibadan, Nigeria
(Association of Public Health Physicians of Nigeria (APHPN), 2019) Awolude, O. A.; Olagunju, A. S.; Agbana, R. D.
Background: The postpartum period is an important period of excitement with the arrival of the newborn. The body then starts physiological adaptations to revert to the pregnancy states. These physiological adaptations can be associated with some cultural practices like hot abdominal compress (HAC) which may have harmful effects such as hot water burns, abdominal wrinkling and darkening. This study assessed the practice of HAC among mothers seen at the postnatal clinic of the University College Hospital (UCH), Ibadan, Nigeria. Methods: This was a cross-sectional study among 290 postpartum women recruited consecutively at the postnatal clinic in UCH between 1st December 2015 and 29th February 2016. Data collection was by pretested self-administered questionnaire and was analyzed using SPSS version 22.0. p value was set at < 0.05. Results: The participants’ mean age was 31.88 (SD+ 5.1 years), 97.2% of the women had ANC in formal setting and 53.8% had vaginal delivery. Of the 290 participants, 264 (91.0%) were aware of HAC and 51.7% practiced HAC. The return of uterus to normal size (34.7%) and mothers’ encouragements (24.7%) were the commonest reason for practice of HAC. Mothers’ and mothers-in-law’ assisted with HAC in 46.2% and 36.6% of cases, respectively. More vaginally-delivered women practiced HAC (p < 0.001). Conclusion: This study showed that practice of postpartum HAC is high and the reasons for the practice are more of tradition and cultural beliefs. There is need for more studies to better understand this culturally deep-rooted practice.