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Item Assisted reproductive techniques and gamete donation; knowledge, attitude and willingness to participate among students in a Nigerian tertiary institution(Zambia Medical Association, 2020) Ogunbode, O. O.; Obajimi, G. O.Background: Infertility is a worldwide problem affecting about 10-15% of married couples and has social, economic and psychological implications1. A significant number of couples will require assisted reproduction following failure of common treatment options. Undergraduates form a rich source of potential gamete donors and it is imperative to assess their knowledge, attitude and willingness to participate in the expanding gamete donor programs in a developing country like Nigeria. Objectives: This study aimed to assess the knowledge and attitude of participants about assisted reproduction and to further evaluate their willingness to donate gametes for assisted conception or act as surrogates. Methodology: This was a cross-sectional descriptive study of 1150 participants consisting of 511 male students and 639 female students of the University of Ibadan. Participants were selected by simple random sampling technique. A semistructured, self-administered questionnaire was used to obtain information on sociodemographic characteristics, knowledge, attitude and willingness to participate in gamete donor programs. Participation was voluntary and data obtained was treated with utmost confidentiality. Data was analyzed using the Statistical Package for Social Sciences (IBM SPSS, New York) version 22. Descriptive statistics were generated, and the results summarized with the aid of a bar chart and frequency tables. Results: Eight seven percent of the respondents had good knowledge of Assisted Reproductive Techniques (ART) and the most common source of awareness was the media (63.3%). More respondents were aware of sperm donation (75.5%) compared to egg donation (61.9%). Ninety percent of the participants were correctly able to identify the places where ART could be practiced in Nigeria. Most of the respondents (81.5%) supported ART services and the most common reason for not supporting was due to ethical considerations (45.1%). Only about 54.9% were willing to participate in gamete donor programs. Nine (0.8%) female respondents had previously participated in egg (oocyte) donation while none of the male respondents had ever donated sperm. About threequarters of the respondents demonstrated good knowledge about the practice of surrogacy. Conclusion: Despite good knowledge about ART, only about half of the respondents were willing to participate in gamete donor programs. Religious and health concerns were primarily responsible for their reluctance. Providing Information, Education and Communication (IEC) materials about the safety of ART will increase the level of awareness and confidence in ART thereby increasing participation by potential donors particularly undergraduates in a developing country like Nigeria.Item Acceptability of artificial insemination by donor among infertile women attending the Gynaecological Clinic of the University College Hospital, Ibadan(Wolters Kluwer - Medknow, 2017) Obajimi, G. O.; Ogunbode, O. O.; Adetayo, C. O.; Ilesanmi, A. O.Background: Artificial insemination by donor (AID) is specifically indicated in cases of incurable male infertility. Acceptability depends on perceptions largely influenced by religious and sociocultural perspectives. Male factor accounts for 20-50% of the causes of infertility and shows geographic variation in Nigeria. Method: A descriptive cross-sectional survey of all infertile women attending the gynecology clinic of the University College Hospital, Ibadan, between January and June 2014. 181 self-administered questionnaires were distributed to all consenting infertile women, however only 163 were suitable for analysis. Data analysis was descriptive and inferential at 95% confidence interval and a P value of less than 0.05 was considered statistically significant. Result: The mean duration of infertility was 5.7 ± 4.33 years. Fifty seven (35.0%) respondents were willing to accept artificial insemination by donor, while ninety three (57.1%) were unwilling to accept artificial insemination. Socio-cultural factor (48.1%) was the major reason for non-acceptability of artificial insemination by donor. Acceptability of AID was influenced by adequate knowledge about the procedure (P < 0.01). Sixty percent of the respondents had good knowledge and over half of them obtained the information from the news/print media. In this Study, acceptability of AID was not influenced by the age of the respondents, family structure, duration or type of infertility or educational status. (P > 0.05). Conclusion: This study revealed a low acceptance rate for Artificial insemination by donor. Providing information on AID as a treatment option during counseling and routine infertility management may be the needed drive to improve awareness and promote uptake when necessary.Item Ethical dilemmas in assisted reproduction; Perspectives from a developing country(College of Medicine, University of Ibadan, 2017) Obajimi, G. O.; Ogunbode, O. O.; Ilesanmi, A. O.Background: Ethical dilemmas continue to unfold as a result of the expanding roles of assisted reproduction. Understanding the basic ethical principles of Autonomy, Justice, Beneficence and Non-maleficence as key components of practice when providing advanced fertility management cannot be over emphasized. Ethics simply refers to the moral principles that govern a person or groups behavior. It is also defined as a code of moral principles derived from a system of values and beliefs that help define the correctness of our actions. Critical opinions have been expressed in the area of commodification of human tissue. There are also growing concerns about cross border reproductive care and its implication on reproductive health. Since ethical dilemmas may not be resolved at once, continuous appraisal of the current situation with the aim of developing locally relevant ethical frameworks is desirable. Examining these ethical concerns which confront our daily practices is not only pertinent but expedient as there has been a gradual expansion of assisted conception services in Nigeria.Item Gynaecological emergencies: The role of imaging in clinical practice(Scribe and Merchants Nigeria Limited., 2024) Obajimi, G. O.; Ogunbode, O. O.