FACULTY OF CLINICAL SCIENCES

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Author: search.filters.author.Morhason-Bello, I.O.Subject: search.filters.subject.Nigeria

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    Profile of women seeking fetal gender at ultrasound in a Nigerian obstetric population
    (British Medical Ultrasound Society, 2008) Ekele, B. A.; Maaji, S. M.; Bello, S. O.; Morhason-Bello, I.O.
    Objective: To determine the proportion of women that wanted to know fetal gender at ultrasound, characterize them and document reasons for wanting to know fetal gender. Methodology: A cross-sectional study on consecutive pregnant women at 20 weeks or more gestation that presented for prenatal ultrasound at a private hospital in Nigeria from May to December 2005. Results: Of the 1135 women, 167 (14.7%) sought to know the fetal gender. Significant independent factors included ethnic group, as women from the predominant Hausa–Fulani were less likely when compared to those of other ethnic groups (OR: 0.4, 95% CI: 0.2–0.7). Women with tertiary education were 6.6 times (OR: 6.6, 95% CI: 3.3– 13.2) more likely. Women with a previous male baby were 30.6 times more likely (OR: 30.6, 95% CI: 13.6–68.5), while those with previous female baby were 54.3 times more likely (OR: 54.3; 95% CI: 23.4–125.8) to seek fetal gender. Main reasons for seeking fetal gender were preference for a particular fetal gender (57%); what wears to buy for the baby (24%) and curiosity (18%). Conclusion: About 15% of the study group requested to know fetal gender and it was associated with ethnic group, maternal educational level and gender of the previous baby. The most common reason for wanting to know fetal gender was the desire for a particular gender
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    Maternal tetanus at the university college hospital in Ibadan Nigeria: a 15-year retrospective analysis
    (2008-03) Roberts, O. A.|; Morhason-Bello, I.O.; Adedokun, B. O.; Adekunle, A. O.
    Objective To determine the characteristics of women with maternal tetanus, pattern of presentation and outcome of management. Methods A total of 19 women were managed with maternal tetanus between 1990 and 2005 from the University College Hospital in Ibadan Nigeria. A retrospective study was performed. The medical records of all women managed as a case of maternal tetanus were retrieved from the central record department of the hospital. The pattern of presentation, characteristics of women, the duration of hospital admission, tetanus toxoid immunization, and outcome of care were measured. Results The records of 18 women managed were analyzed. The mean age at presentation was 25.2 ± 5.3 years. The patients were mostly single, nulliparous and had primaryschool education. The maternal tetanus cases seen mainly complicated induced abortion while 5 and 2 other cases were due to childbirth complication and leg wound respectively. The portal of entry of the remaining 3 cases could not be ascertained. None of the patient managed had complete immunization schedule. The average duration of admission was 11.2 ± 6.7 d. Five women had intensive care with 3 of them requiring ventilatory support. The case fatality rate was 66.7%. The only factor that significantly improved survival was presence of generalized spasm at presentation (P=0.006) Conclusion The occurrence of maternal tetanus is a reflection of low quality of health care delivery and lack or inefficient routine immunization coverage in any community
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    Awareness and desirability of the Nigerian antenatal women about analgesia use during childbirth
    (2007-12) Oladokun, A.; Morhason-Bello, I.O.; Eyelade, O. R.; Adedokun, B. O.; Akinycmi, J O.; Adewole, I. F.
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    Local anesthesia: An appropriate technology for simple fistula repair
    (Elsevier Ireland Ltd., 2007) Ojengbede, O.A.; Morhason-Bello, I.O.
    Objectives: To assess the efficacy of local infiltrative anesthesia with lidocaine hydrochloride in patients undergoing the surgical repair of a simple vesico-vaginal fistula. Methods: The study was carried out with 21 patients undergoing the repair of a simple midvaginal vesico-vaginal fistula. The patientsT perception of pain was evaluated intraoperatively. Results: Most patients indicated that the anesthetic agent provided adequate analgesia, and all fistulas were repaired successfully without postoperative complications. Conclusion: Repairing simple vesico-vaginal fistulas is feasible with a local infiltrative anesthetic