Browsing by Author "Suleiman, B. K."

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Management outcome of premature rupture of membranes in a tertiary facility in South Western Nigeria. Annals Ibadan
(2021) Suleiman, B. K.; Bello, O. O.; Tijani, A. M.; Oluwasola, T. A. O.
Background: Pre-labour rupture of membranes (PROM) contributes immensely to the potential risk of maternal morbidity and mortality. Objective: To explore the incidence and management outcome of PROM at Ladoke Akintola University of Technology Teaching Hospital (LTH), Ogbomoso, Nigeria Methods: A retrospective study of 61 cases of PROM managed at LTH, Ogbomoso over a 3-year period. Information on the socio-demographics and obstetrics characteristics, management instituted, and outcomes were obtained using a structured proforma. Data were analysed using SPSS version 20. Level of significance was set at <0.05 and 95% confidence interval. Results: The incidence of PROM was 4.1% with a perinatal mortality rate of 0.18 per 1000 deliveries. Twenty (33%) were pre-term while 41 (67%) were term PROM with 10% of the perinatal death occurring among those with preterm PROM. The mean age of the women was 36.9 (SD=2.1) years and median parity of 1(range 1-5) children. There was a significant association between the women’s gestational age at which PROM occurred with the latency period (p< 0.001). Fetal birth weight, apgar score and neonatal intensive care unit (NICU) admission were all significantly associated with the gestational age at which PROM occurred (p<0.05). There was a significant difference between the intervention instituted and mode of delivery (p=0.009). Conclusion: The incidence of PROM at term was high and conservative/ expectant management was effective. The latency period and fetal outcomes such as birth weight, apgar score and NICU admission were determined by the gestational age at which PROM occurred.
Mid-trimester maternal serum placental growth factor (PLGF) and soluble fms-like tyrosine kinase-1 (sFlt-1) combined with fetal Doppler studies in prediction of preeclampsia.
(2022) Bankole, A. O.; Oluwasola, T. A. O.; Olayemi, O.; Akinmoladun, J. A.; Suleiman, B. K.
Background: There have been many studies on prediction of preeclampsia but there is no single test which has demonstrated sufficient predictive value. Combination of maternal biomarkers with fetal Doppler studies are the promising predictors. Objective: The purpose of this study was to evaluate midtrimester maternal serum PLGF, sFlt-1 and fetal Doppler studies in predicting preeclampsia. Methodology: This is a cohort study of 120 consenting pregnant women between the gestational ages of 18–24weeks had blood sample collected for PLGF and sFlt-1and Doppler obstetrics Ultrasound scan was performed at recruitment. The women were followed up longitudinally throughout pregnancy. Standard statistics methods were adopted as applicable. The level of statistical significance was set at 5% (P-value <0.05). Results: A total of 115 participants had complete data for analysis and 16 (13.9%) developed preeclampsia. There was a statistically significant difference in the serum level of sFlt-1 and the sFlt-1/PLGF in those that developed preeclampsia with P-values of 0.009 and 0.014 respectively. There was a significant statistical difference in those with abnormal uterine artery PI and RI, Umbilical artery PI and RI among those that developed preeclampsia. Combining sFlt-1 and sFlt-1/PLGF with uterine and umbilical arteries PI and RI on Receiver operating characteristics (ROC) curve yielded an Area under the curve (AUC) of 0.925 with a sensitivity of 93.8% at a specificity of 65.7%. Conclusion: The combination of the serum PLGF, sFlt-1 and fetal doppler in the midtrimester had highest sensitivity in predicting preeclampsia compared to when they are used singly, and this will form a valuable tool in predicting preeclampsia in those presenting late in second trimester.
Pattern of infertility at LAUTECH teaching hospital, Ogbomoso, Nigeria.
(2019) Suleiman, B. K.; Bello, O. O.; Tijani, A. M.; Oluwasola, T. A. O.
Background and Objectiver Infertility is a socially destabilising health problem, which remains a cause of stigma and threat to couples desirous of conception in Nigeria. This sludy aimed to ecxamine the pattern of presentation and management outcome of infertility at LAUTECH Teaching Hospital (LTH), Ogbomoso. Methods A descriptive retrospective study of infertile couples attending the gynaecological clinicovera 3-yearpe-riod was conducted. Intonation on sociodemographic and gynaccological characteristics, medical history and management outcome was obtained from the medical reconls of the patients using a stctured proforma Data was analysed using SPSS version 20.0. Results The incidence of infertility was 34.30ol The mean age of the infertile women was 6.44 4.7 ycars. Secondary infertility/ accounted for the majority of the cases (73.0") with the_ mean duration of infertility being3,92 1 years. Male factor was identified in 10.4 of cases while female factor wasscen in 4L6"ot cases Both partners contributed to infertility in 34% while there was no identifiable cause in 14%. The commonest causes of infertility in the women were inadequate coital exposure, previous abnormal vaginal discharge and previous induced abortion representing 39.5%, 37.1%, and 33.7% respectively. Pregnancy was achieved in 3.0% of the women following treatment Conclusion The institutional incidence of infertility was high with a preponderance of secondary infertility. Pregnancy rate following conventional treatment was poor