Obstetrics. & Gynecology
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Item The woman trial: overview and progress(Onemedia Studios, Bodija, Ibadan., 2011) Bello, F. A.; Aimakhu, C. O.; Ogunbode, O. O.; Adeyemi, A. B.; Oluwasola, T. O. A.; Olayemi, O.; Fawole, A. O.Item What’s in your hands? A systematic review of dietary assessment methods and estimation of food sizes in a Primary Care Clinic(Wolters Kluwer - Medknow, 2018) Ogunbode, A. M.; Owolabi, M. O.; Ogunbode, O. O.; Ogunniyi, A.Introduction: Many patients with non-communicable diseases such as obesity are attended to in Family Practice Clinics where quick dietary assessment along with estimation of food sizes as part of lifestyle modification and appropriate intervention could be offered. We performed a systematic review to determine the dietary assessment methods with the best evidence that can be employed in a Family Practice Clinic. Methods: Preferred Reporting Items for Systematic Reviews and Meta Analysis (PRISMA) guidelines were used to conduct a systematic review of PubMed, Google, and Google Scholar databases from 1992 to 2017. Results: We found 730 original research articles, case–control studies, review articles, proceedings, transactions, and textbooks. Thirty-seven articles were selected out of which two were secondary data, 12 were review articles, 10 were descriptive surveys, and one was a prospective cohort study. There were two randomized controlled trials, two mixed study designs, one working paper, and seven guides. Food portion size estimation using household objects and the hand guide, then the food pyramid guide along with the food-sized plate intervention was documented. Conclusion: In view of the busy nature of Family Practice Clinics in several countries, in performing dietary assessment, food portions can be estimated using household measures and the hand portion guide. The pyramid guide and the portion-sized plate can then be used for intervention.Item Hearing loss following spinal anaesthesia among obstetric patients at the University College Hospital Ibadan(African Journals Online (AJOL), 2017) Adebayo, M. R.; Eyelade, O. R.; Sanusi, A. A.; Ogunbode, O. O.; Lasisi, A. O.; Arowojolu, A. O.Background: Sensorineural hearing loss (SNHL) is a rarely reported complication of subarachnoid block and may go unnoticed unless audiometric test is performed. Objective: The aim of this study was to determine the prevalence of sensorineural hearing loss following spinal anaesthesia in obstetric patients. Patients and Methods: Seventy patients of ASA physical status classes I and II scheduled for elective Caesarean section were randomized into two groups (A & B). Lumbar puncture was performed using 25 gaugepencil point spinal needle type in group A and 25 gauge Quincke cutting tip type in group B. Spinal anaesthesia was achieved in both groups with 12.5mg (2.5ml) of 0.5% hyperbaric bupivacaine subarachnoid injection in the sitting position. Each patient had a preoperative pure tone audiometry (PTA) test done before spinal anaesthesia as a baseline; this was repeated on the first and third days after the surgery for each patient. Results: Twelve (34.3%) patients in group A and 24 (68.6%) in group B had more than one attempt at lumbar puncture; and 5[1 (2.9%) from group A and 4 from group B (11.4%)] developed Post Dural Puncture Headache(PDPH), p= 0.36. Of the 4 patients in group B who developed PDPH, 2 had associated transient sensorineural hearing loss. Conclusion: This study shows that spinal anaesthesia may lead to transient hearing loss among few obstetric patients without long term sequelae. Use of Quincke spinal needle type was more likely to cause PDPH and transient hearing loss.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 Antenatal care visits’ absenteeism at a secondary care medical facility in Southwest Nigeria.(Taylor & Francis, 2016) Oloko, O. O.; Ogunbode, O. O.; Roberts, O.; Arowolo, A. O.Antenatal care (ANC) is a specialised pattern of care organized for pregnant women with the goal of maintaining good health and promoting safe delivery of healthy infants. It is an indispensable part of effective maternity care services. This study identified the factors responsible for absenteeism from ANC follow-up visits. It was a hospital-based prospective cross-sectional descriptive study conducted at a faith based secondary healthcare facility in Ibadan, Nigeria. Relevant data were retrieved using interviewer administered structured questionnaires and antenatal health record cards. The major reasons identified for absenteeism were delay in receiving hospital services due to long queues at service points and understaffing. The pregnant women aged 35 years and above were the most likely to miss the visits. Therefore, there is the need for hospital administrators and health care givers to make the services patient-friendlyItem Breast self-examination practices in nigerian women attending a tertiary out-patient clinic(Medknow Publications, 2015) Ogunbode, A. M.; Fatiregun, A. A.; Ogunbode, O. O.BACKGROUND: The morbidity and mortality caused by breast cancer can be decreased by early detection with breast self‑examination (BSE).The objective of this study was to determine the prevalence and the factors determining the practice of BSE. MATERIALS AND METHODS: The study was conducted on 140 women aged above 18 years who presented consecutively in a General Outpatient’s clinic in a tertiary hospital in Nigeria. This was the baseline study from an intervention study which looked at the effect of demonstration of BSE on improving Clinical Breast Examination (CBE) among two groups of respondents. Structured questionnaires were validated and administered by an interviewer and the data were analyzed using Statistical Package for Social Sciences (SPSS) version 12. RESULTS: The overall self-reported prevalence of BSE practice was 62.1% among the respondents. Older women (16, 76.2%), married women (63, 65.6%) and women with tertiary education (51, 68.9%) had the highest prevalence of BSE practice. Prevalence rate was highest for civil servant (25, 78.1%), P = 0.04. The practice of BSE was higher among women with a previous history of breast disease (15, 68.2%) and in respondents with a family history of breast disease (7, 63.6%), Only 11 (12.6%) performed BSE as per guidelines, which was once in a month. CONCLUSION: The prevalence of BSE was found to be high, especially in those with tertiary education and in those with a past personal or family history of breast disease. In resource‑constrained countries, BSE is a screening tool that can be employed to help reduce the breast cancer burden because routine mammography screening is not yet feasible. Women need to be informed about the when and how to perform BSEItem Weight control, alcohol reduction, smoking cessation, health promotion, exercise and diet (WASHED)’: a mnemonic for lifestyle modification in obesity(Department of Family Medicine, University College Hospital, Ibadan, 2015) Ogunbode, A. M.; Owolabi, M. O.; Ogunniyi, A.; Ogunbode, O. O.Item Primary Ovarian Pregnancy Mimicking Abdominal Pregnancy(Wolters Kluwer Medknow Publications, 2015) Ogunbode, O. O.; Aremu, O. O.; Okolo, C. A.The objectives of this study were to emphasise that ectopic pregnancy (EP) can occasionally occur in rare sites such as the ovary, and to show that it may be difficult making the diagnosis clinically and radiologically. It also highlighted the benefit of early surgical intervention in reducing mortality and morbidity from this condition. The case was a 31‑year‑old nulliparous woman who presented with amenorrhoea of 20 weeks and a 2‑month history of lower abdominal pain. Radiological studies suggested abdominal pregnancy coexisting with uterine fibroids for which she had an exploratory laparotomy, which revealed a primary right ovarian pregnancy necessitating the performance of right ovariectomy. Locating the sites of EP may still pose a diagnostic challenge. Despite the benefits and reliability of ultrasound scanning, there will still be situations where the definitive diagnosis can only be confirmed at surgery.Item Informed consent for caesarean section at a nigerian university teaching hospital: patients' perspective(Journalgurus, 2015-04) Ogunbode, O. O.; Oketona, O. O.; Bello, F. A.Background: Caesarean section is one of the commonest obstetrics surgery and has become increasingly safer compared with the early 20th century. The practice of informed consent has also become universally adopted for surgical procedures. However, with increasing knowledge about ethics and rights, issues on consent is one of the frequent grounds for litigation and malpractice claims. Aims and Objectives: To audit the process of informed consent for emergency and elective caesarean section in a Nigerian tertiary health care setting. Methodology: This was a descriptive cross-sectional study involving 150 patients who had caesarean delivery at the study site within the study period. Results: The mean age of the respondents was 32±1.8 years with 118(79%) of the surgeries being emergency Cesarean sections. The consent for CS were mostly given by the patients (96, 64.0%) and husbands (43, 28.6%). Majority of the respondents 123(81.5%) had the consent obtained in the labour ward with profuse bleeding (86.0%) and blood transfusions (88.7%) being the most commonly discussed risks. Many of the respondents expressed satisfaction with the consent form and felt it was well written (75.3%), attractive (76.0%) and simple to read (75.3%). Conclusion: This study found out that although patients were satisfied with the consent process for caesarean section, only information about major risks was commonly discussed. There is therefore the need for customized and detailed consent forms to be adopted for different surgical procedures.