FACULTY OF CLINICAL SCIENCES
Permanent URI for this communityhttps://repository.ui.edu.ng/handle/123456789/265
Browse
11 results
Search Results
Item Umbilical vein injection of oxytocin for retained placenta(2010) Ekele, B.A.; Morhason-Bello, I.O.Item 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 genderItem 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 communityItem 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.Item Sexual behaviour and contraceptie usage of secondary school adolescents in Ibadan, Nigeria(2007-12) Oladokun, A.; Morhason-Bello, I.O.; Enakpene, C. A.; Owonikoko, K.M.; Akinyemi, J.O.; Obisesan, K.A.Objective To determine the prevalence and pattern of sexual activity as well as the contraceptive practices among the selected secondary school adolescents in Ibadan, Nigeria. Methods A descriptive cross-sectional study was conducted among the selected senior secondary school students in Ibadan, Nigeria, following a stratified multistage random sampling technique. Results There were 695 respondents out of which the females constituted 51% and the males were 49%. Less than one third (28.3%) of the respondents have had previous sexual exposure at the time of the study. The median age of sexual debut among the sexually exposed was 15 years in both the males and the females. Bivariate analysis of sociodemographic characteristics of respondents with previous sexual exposure showed that, sex, religion, father’s and mother’s educational background and level of class were statistically significant(P<0.001). Further analysis using logistic regression model revealed that male respondents were 3 times more likely than females (95% CI 1.92-4.56) to have had sexual experience while those whose mother had tertiary educational background were less likely to have had previous sexual experience compared to those with secondary and lower educational background (OR= 1.76, 95% CI 1.11- 2.77). Of all the sociodemographic characteristics of respondents considered with the age of sexual partners using bivariate analysis showed that only level of class was significant (P=0.018). Less than half of the sexually active males (44.2%) were using modern method (male condom) of contraception, while 54.4% of the sexually active females were using different types of modern methods. Conclusion It is quite obvious that risky sexual behaviors are in practice among the secondary school students studied and by extension in the country. It therefore means that reproductive health issues especially concerning the adolescents will have to be openly discussed by all with our youths while abstinence/chastity should be cherishedItem Oral misoprostol for the prevention of primary post-partum hemorrhage during third stage of labor(2007-12) Enakpene, C. A.; Morhason-Bello, I.O.; Enakpene, E. O.; Arowojolu, A. O.; Omigbodun, A. O.Aim: To assess the effectiveness of oral misoprostol compared with methylergometrine in the prevention of primary post-partum hemorrhage during the third stage of labor. Methods: This was a randomized controlled trial of 864 singleton low-risk pregnant women. The outcomes were total blood loss, duration of the third stage of labor and peripartal change in hematocrit. Comparisons were by the c2-test and Student t-test. Relative risks were calculated for side-effects profile. A P-value of less than 0.05 was statistically significant. Results: The biodata of all the participants were similar. The mean blood loss for the misoprostol and methylergometrine groups was 191.6 _ 134.5 mL and 246.0 _ 175.5 mL, respectively (95% CI: -79.3 to -39.5 mL). The mean duration of the third stage of labor was 19.6 _ 2.4 min and 9.4 _ 3.3 min in the misoprostol and methylergometrine groups, respectively (95% CI: 9.82–10.58 min). More subjects had blood loss >500 mL, 42 (9.7%) versus 6 (1.4%), and peripartal hematocrit change greater than 10%, 38 (8.8%) versus 5 (1.2%), in the methylergometrine group than in the misoprostol group, respectively. Also, more subjects received additional oxytocic in the methylergometrine group, compared to the misoprostol group (80 [18.5%] versus 33 [7.6%] patients, respectively). Conclusions: Orally administered misoprostol was more effective in reducing blood loss during the third stage of labor than intramuscular methylergometrine. However, there were more subjects in the misoprostol group in whom duration of the third stage of labor was greater than 15 min and who also had manual placental removal than in the methylergometrine groupItem One-stage repair for combined fistulas: myth or reality?(2007) Ojengbede, O.A.; Morhason-Bello, I.O.; Shittu, O.Objective: The repair of combined vesico-vaginal fistulas (VVFs) and recto-vaginal fistulas (RVFs) is challenging to both surgeon and patient. The multistage approach involves at least 3 surgical sessions, all associated with morbidity and sometimes with a colostomy procedure as well. The outcomes of the 1-stage approach were examined. Methods: Twenty patients aged between 16 and 38 years were recruited for a multicenter study conducted from March 2005 to August 2006. Prolonged obstructed labor was the cause of all fistulas. The VVFs were mainly midvaginal (60%), juxtaurethral (25%), and juxtacervical (15%). The RVFs measured between 1 and 3 cm, they were low in 70% of cases, and 1 was associated with fourth-degree perineal tear. Bowel preparation was performed in all patients prior to surgery. No patient underwent temporary colostomy. Results: Both VVFs and VVFs were successfully closed in all patients, as evidenced by thecontinence dye test. Conclusion: The combined repair relieves economic constraints and emotional challenges, and it accelerates restoration to health and social reintegration for women affected with both VVFs and RVFsItem 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 anestheticItem Female condom awareness, use and concerns among Nigerian female undergraduates(Taylor & Francis, 2006) Okunlola, M. A.; Morhason-Bello, I.O.; Owonikoko, K. M.; Adekunle, A. O.A cross-sectional study of female condom awareness, usage and concerns among the female undergraduates of the University of Ibadan was conducted in September 2004. The results of 850 out of the 879 female students interviewed were used for analysis (96.6%). Over 80% had knowledge of the female condom as a form of modern contraception and the majority of them learnt about it through the mass media (39.9%) and health workers (34.4%). However, only 11.3% had ever used the female condom, with most (40%) using it to prevent both unwanted pregnancy and sexually transmitted infections including HIV (STI/HIV). The sexual partners’ approval was appreciable, accounting for about 42.7% among those that had experience of the female condom usage. Major concerns mentioned such as difficulty of inserting it into the vagina and lack of sexual satisfaction, were not different from those in earlier studies. The result of this study looks promising judging from a high awareness level of the female condom, even though its usage is low. The female condom may be an alternative strategy to combat unsafe sexual practises and its sequelae in a country like Nigeria that is male dominatedItem Cardiovascular changes in pregnancy(2016) Adesina, O.A.; Morhason-Bello, I.O.