Browsing by Author "Oluwasola, T."

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Burden and outcomes of postpartum haemorrhage in Nigerian referral-level hospitals.
(2024) Adebayo, T.; Adefemi, A.; Adewumi, I.; Akinajo, O.; Akinkunmi, B.; Awonuga, D.; Aworinde, O.; Ayegbusi, E.; Dedeke, I.; Fajolu, I.; Imam, Z.; Jagun, O.; Kuku, O.; Ogundare, E.; Oluwasola, T.; Oyeneyin, L.; Adebanjo-Aina, D.; Adenuga, E.; Adeyanju, A.; Akinsanya, O.; Campbell, I.; Kuti, B.; Olofinbiyi, B.; Salau, Q.; Tongo, O.; Ezekwe, B.; Lavin, T.; Oladapo, O. T.; Tukur, J.; Adesina, O.
Objective: To determine the prevalence of primary postpartum haemorrhage (PPH), risk factors, and maternal and neonatal outcomes in a multicentre study across Nigeria. Design: A secondary data analysis using a cross-sectional design. Setting: Referral-level hospitals (48 public and six private facilities). Population: Women admitted for birth between 1 September 2019 and 31 August 2020. Methods: Data collected over a 1-year period from the Maternal and Perinatal Database for Quality, Equity and Dignity programme in Nigeria were analysed, stratified by mode of delivery (vaginal or caesarean), using a mixed-effects logistic regression model. Main outcome measures: Prevalence of PPH and maternal and neonatal outcomes. Results: Of 68 754 women, 2169 (3.2%, 95% CI 3.07%–3.30%) had PPH, with a prevalence of 2.7% (95% CI 2.55%–2.85%) and 4.0% (95% CI 3.75%–4.25%) for vaginal and caesarean deliveries, respectively. Factors associated with PPH following vaginal delivery were: no formal education (aOR 2.2, 95% CI 1.8–2.6, P < 0.001); multiple pregnancy (aOR 2.7, 95% CI 2.1–3.5, P < 0.001); and antepartum haemorrhage (aOR 11.7, 95% CI 9.4–14.7, P < 0.001). Factors associated with PPH in a caesarean delivery were: maternal age of >35 years (aOR 1.7, 95% CI 1.5–2.0, P < 0.001); eferral from informal setting (aOR 2.4, 95% CI 1.4–4.0, P = 0.002); and antepartum haemorrhage (aOR 3.7, 95% CI 2.8–4.7, P < 0.001). Maternal mortality occurred in 4.8% (104/2169) of deliveries overall, and in 8.5% (101/1182) of intensive care unit admissions. One-quarter of all infants were stillborn (570/2307), representing 23.9% (429/1796) of neonatal intensive care unit admissions. Conclusions: A PPH prevalence of 3.2% can be reduced with improved access to skilled birth attendants.
Provision of sex-related education to children in Camps for internally displaced people in Benue State, Nigeria: mothers’ attitudes and practices.
(2023) Ngwibete, A.; Oluwasola, T.
Mothers continue to be a major source of sex education for their children. This study explored the attitudes and practices of internally displaced mothers in providing sex-related education to their chil-dren in a camp settlement in Nigeria. A qualitative approach was used, and data were elicited from women in three focus group discussions. A thematic approach was adopted for data analysis. Mothers had a positive attitude towards the provision of sex educa-tion, primarily to the female child. The content of sex education as they understood included health and hygiene, changes in the repro-ductive health system, and susceptibility to reproductive tract infec-tions, while they excluded education on nutrition and the art of sex. Despite reports of sexual and gender-based violence in the camps, less information was provided to the children on prevention and options for care. Mothers’ delivery of sex education seemed affected by their level of education and multiple socio-cultural factors. Overall, there were gaps in the provision of sex-related education to the children of internally displaced mothers in Benue State. There is an urgent need to improve access to sex educational content while empowering mothers with strategies to facilitate the provision of age-appropriate sex education in these settlements.
Reproductive health challenges among women in internally displaced camps in Benue State: A protocol for a community-based health education interventional study.
(2023) Ngwibete, A.; Ogunbode, O.; Oluwasola, T.; Omigbodun, A.
Sexual and reproductive health (SRH) services are a necessity for marginalized persons such as the displaced. The protocol describes an intervention that can contribute to overcoming challenges associated with SRH service delivery of three selected reproductive health (RH) services: HIV/AIDS, contraception, and cervical cancer screening. A pre-and post-intervention approach will be used to evaluate the effect of an intervention with trained Community-Based Reproductive Health Personnel (CBRHP) and/or mHealth technology within the selected IDP camps. Three (3) months of health education through the CBRHP and/or via mHealth technology will be provided. Using a questionnaire, interviews, and Focus Group Discussion (FGD) guide, the researcher will assess the suitability of this intervention to attain the objectives. Data analysis will be done with SPSS version 26. Univariate analysis will include mean and standard deviation, bivariate analysis will include a chi-square test of goodness for the association of variables, and McNemer’s test to evaluate the effect of the intervention by comparing consistency in response across the variables under study. Multivariate analysis will be used to assess if sociodemographic, knowledge and health service impacts access and use of RH services. For qualitative analysis, findings will be grouped into themes. The outcomes of each theme will be used to complement the findings of the quantitative analysis. The primary outcome measures will include the level of knowledge of SRH, the number of people who want to access RH services and which RH services are most sought by the respondents. If the use of CBRHP is successful, there will be an increase in knowledge and use of HIV/AIDS, contraception and cervical cancer services. Challenges associated with access and uptake of RH services will also be assessed.