Obstetrics. & Gynecology

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Author: search.filters.author.Adebusoye, L. A.Subject: search.filters.subject.Nigeria

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    Factors associated with sexual dysfunction among female patients in a Nigerian ambulatory primary care setting
    (Association of Resident Doctors (ARD), University College Hospital (UCH), Ibadan, 2020) Adebusoye, L. A.; Ogunbode, O.; Owonokoko, K. M.; |Ogunbode, A. M.; Aimakhu, C.
    Background: Sexual dysfunction is a common but under-reported problem of public health importance among female adults in Nigeria. Empirical evidence on sexual dysfunction among female Nigerians is scarce. Objectives: To determine the prevalence and risk factors associated with sexual dysfunction among female patients presenting at the General Outpatient Clinic (GOPC), University College Hospital (UCH), Ibadan, Nigeria. Methods: This was a cross-sectional study of 480 married female patients who presented consecutively at the GOPC, UCH, Ibadan, Nigeria. The 28-item Sexual Function Questionnaire (SFQ-28) was used to determine sexual dysfunction. Information on their sociodemographic characteristics, obstetric and gynecological history were obtained. Bivariate and multivariate analyses were carried out and alpha was set at 0.05. Results: Point prevalence of sexual dysfunction was 80.0%. The most common sexual dysfunction was problems with sexual desire (99.4%), while the least common was problems with arousal cognition (5.8%). There was a significant association between the prevalence of sexual dysfunction and age, years of relationship, number of children alive, parity, level of education, age at coitarche and family dysfunction. Age (OR=0.893; 95% CI=0.821–0.972, p=0.008), parity (OR=3.093; 95% CI=1.174– 8.151, p=0.022), having family dysfunction (OR=2.096; 95% CI= 1.129–3.891, p=0.019) and having >10 years of formal education (OR=4.808; 95% CI= 2.604–8.928, p<0.0001) were found to be the predictors of sexual dysfunction. Conclusion: Sexual dysfunction among female married adults in our setting was high. We propose that modifiable factors such as socio-demographic and gynaecological variables should be evaluated during the consultation of female patients at first contact
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    Sexual dysfunction among women in a Nigerian gynecological outpatients unit
    (Society of Gynaecology and Obstetrics of Nigeria (SOGON), 2019) Ogunbode, O. O.; Aimakhu, C. O.; Ogunbode, A. M.; Adebusoye, L. A.; Owonikiko, K. M.
    Background: Sexual dysfunction is an important public‑health problem, which is often less reported or explored through opportunistic evaluation during medical consultations. Objective: This study was designed to determine the prevalence and patterns of female sexual dysfunction (FSD) including the sexual quality of life among female patients attending a gynecological outpatients unit in Southwest Nigeria. Materials and Methods: This is a cross‑sectional descriptive study of 146 consenting women who attended the gynecological outpatients’ clinic of the University College Hospital, Ibadan, Nigeria, during the study period. Participants were selected using multistage sampling technique. The survey instruments were previously validated questionnaires such as Sexual Function Questionnaire (SFQ28), Sexual Quality of Life‑Female Questionnaire (SQOL‑F), and the Family Adaptation, Partnership, Growth, Affection and Resolve (APGAR) score. The results were analyzed using Statistical Package for Social Sciences version 17 and P value was set at 5%. Results: The mean age was 33.8 ± 5.7 years. Most (85.6%) respondents had at least one form of sexual dysfunction. The commonest dysfunction was arousal‑sensation (62.4%) while the least was pain (3.4%). The mean SFQ28 and SQOL‑F scores were 58.0 ± 12.57 and 28.0 ± 11.94, respectively. There were no statistically significant differences in the SFQ28 and SQOL‑F scores across sociodemographic factors. Women classified as belonging to dysfunctional family on Family APGAR score similarly had poorer scores for sexual dysfunction (100%, P = 0.016). Conclusion: FSD is common among women attending gynecological outpatients clinic. Managing clinicians should be aware of this condition and proffer appropriate care in addition to the main presenting complaint.
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    Prevalence of obesity among women attending a Nigerian primary care clinic
    (College of Health Sciences, University of Ilorin, 2010-01) Ogunbode, A. M.; Ladipo, M. M. A.; Ajayi, I. O.; Ogunbode, O. O.; Adebusoye, L. A.; Fatiregun, A. A
    The objective was to determine the prevalence of obesity and associated risk factors among women in a Nigerian Out-Patient clinic. A pre-tested structured questionnaire was administered on women at the General Outpatients’ Department (G. O. P.D) of the University College Hospital (U.C.H), Ibadan. The prevalence of obesity was 41.8%. Age was significantly associated with obesity, p=0.001. Majority of the obese participants (68.9%) in comparison to non-obese (46.4%) were traders, p=0.001. Many of the obese respondents were married (82.6%) in comparison to non-obese respondents who were widows (67.4%), p=0.001. Many of the obese respondents were multiparous (44.3%) having more than 4 children in comparison to the non-obese respondents with the highest proportion of women with no children (36.1%), p=0.001. Fewer of the obese women had no formal education (28.1%) and no primary education (26.4%), in comparison to the non-obese with 32.2% having secondary education and 27% having secondary education and 27% having post-secondary education, p=0.015. Majority of the obese women (62.3%) were pre-menopausal in comparison to the non-obese with 79.0% being pre-menopausal, p=0.001. Multivariate analysis done using logistic regression showed that risk factors for obesity included age group 50-59 years (odds Ratio 15.914, 95% CI=1.389-182.26, p=0.026), and being menopausal (Odds Ratio 1.452.95% CI=0.587-3.594, p=0.017). Having greater than five children was also found to be a risk factor for obesity (OR=3.321, 95%CI=1.236-8.921,p=0.017). The prevalence of obesity among Nigerian women remains high. There is a need to plan and implement measures for control.