*
C O N F E R E N C E
PR O CEE DI N GS
2011
IBADAN UNIVERSITY LIBRARY
—
Promoting Universal Access to Maternal & Newborn Health
First published 2013
Copyright © Society of Gynaecology and Obstetrics of Nigeria (SOGON), Ibadan 2013
ISBN: 978-978-919-132-1
All Rights Reserved.
No part of this book may be reproduced, stored in a retrieval system, or transmitted in any 
form or by any means, electronic, mechanical, photocopying, recording or otherwise, without 
the prior written permission of SOGON.
in
IBADAN UNIVERSITY LIBRARY
PROMOTING UNIVERSAL ACCESS TO MATERNAL AND NEWBORN HEALTH (SOGON 2011)
Table of Contents
PL-0 V EDITORIAL COMMENTARY
PL-1 01 Young Gynaecologist Majekodunmi Award Competition
The Prevalence, Pattern Of Presentation And Perception Of Domestic Violence Among 
Women In Rural And Urban Communities In Enugu.
L. O Ajah, B.A.N Nwakoby, P.O.Nkwo And C.A I'yoke
PL-2 05 50g Oral Glucose Challenge Test In Screening For
Gestational Diabetes Mellitus At University College Hospital Ibadan, Oyo State
Dr. Oluwasomidoyin BELLO
PL-3 08 Is Ascorbic Acid Effective In The Treatment Of Asymptomatic Bacteriuria In Vesico-Vaginal 
Fistula Patients?
Oladeinde O, Sunday-Adeoye, Uneke J, Dimejesi
/P L-4 10 Sexual Practices To Achieve Conception Among People Living With Hiv In Ibadan.
Temitope I. Akinola, Olutosin A. Awolude, Olubukola A. Adesina, Isaac F. Adewole
PL-5 14 Comparing Hysteroscopic Findings Between Infertile Nigerian And Indian Women.
Ajayi V D , Ajayi A .B , Kolade C.O, Ramesh B
PL-6 17 Childbearing Desires And Intentions Of Nigerians Living With HIV Infection
Femi Oloyede
PL-7 22 Fetal Medicine Workshop On Nuchal Translucency Scan
Femi Oloyede
PL-8 29 Office Hysteroscopy
Prof. A. O. Arowojolu
PL-9 39 The Role Of The Cardiotocography In The Management Of High Risk Pregnancies
Dr Olajuwon Alabi.
PL-10 41 Doppler Ultrasound In Obstetrics The When Where And How
Justin C Konje
PL-11 56 The Principles Of Electro-Surgery In Endoscopic Surgery
Mr O. A. Odukoya
PL-12 1A A Community Based Approach For Screening For Obstetric Fistula (OF) In Ebonyi State, 
Nigeria
Onu F. A ;  Oladeinde O.B; & Sunday-Adeoye I.
PL-13 76 Group Psychological Therapy In Obstetric Fistula Care: A Complementary Recipe For The 
Accompanying Mental III Health Morbidities?
O A Ojengbede, E Baba, I O Morhason-Bello, M Armah, And D Buwa
PL-14 77 Prevalence And The Associated Trigger Factors Of Urinary Incontinence Among 5,000 Black 
Women Population In Sub-Saharan Africa: Findings From A Community Survey
Oladosu A. Ojengbede, Imran O. Morhason-Bello, Babatunde O. Adedokun, Ngozi S. Okonkwo, 
Charles O Kolade
PL-15 82 Intracervical Fistula (ICF): A Preventable Scourge
Oladeinde. O Mbb; Sunday-Adeoye I & Dimejesi I.
PL-16 84 Theories Of Urinary Incontinence Causation: Aetiological Descriptions By Sub-Saharan 
African Women
Imran Morhason-Bello, Oladosu Ojengbede, Babatunde Adedokun, Stella Morris Okonkwo, Charles 
Kolade,
PL-17 86 Help Seeking Behavior Among Women Currently Leaking Urine In Nigeria: Is It Any Different 
From The Rest Of The World?
Okonkwo N.S, Ojengbede O.A, Morhason-Bello I.O., Adedokun B.O
PL-18 92 Seeking An Early Integration For Fistula Sufferers Through An Adventure: Is Day Case 
Surgery A Realistic Approach?
Ojengbede O.A And Morhason-Bello 1.0
PL-19 94 Antepartum Haemorrhage And Pregnancy Outcome In Lautech Teaching Hospital, Osogbo,
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PROMOTING UNIVERSAL ACCESS TO MATERNAL AND NEWBORN HEALTH (SOGON 2011)
Southwest, Nigeria.
Dr. Adekanle
PL-20 97 Assessing The Knowledge Of Risk Factors For Congenital Abnormalities And Prenatal 
Diagnosis Among Pregnant Women Attending Anc In South Western Nigeria:llch, 2011.
Oranye B.C.
PL-21 100 Barriers To Utilization Of Modem Methods Of Family Planning Amongst Women In A 
Community South-South Nigeria.
Utoo, B .T , Swende, T.Z, Utoo, PM
PL-22 102 Breastfeeding Knowledge And Attitude Amongst Grass Root Health Workers In A Mission 
Hospital In Niger-Delta, Nigeria
Utoo, B.T, Ochejele S, Obulu M.A
PL-23 105 Comparison Of Pregnancy Outcome Of Booked And Unbooked Women At University Of 
Nigeria Teaching (Unth), Enugu
Aniebue, U U, And Ezenkwele, E P
PL-24 105 Software For Diagnosis Of Bleeding In Late Pregnancy
Adelaiye, S. M; Oladapo S.O; Dr Obiniyi A.A;And S. B. Junaidu
PL-25 114 Maternal Morbidity After Childbirth At A Secondary Health Care Facility In Southern Nigeria
Utoo B T,Musa J , Karshima J A
PL-26 117 The Woman TriakOverview And Progress
Bello FA , Aimakhu C O, Ogunbode O O, Adeyemi A B, Oluwasola O A, Olayemi O, Fawole A O
PL-27 121 Quality Improvement Of Antenatal Care Services Through The Use Of Standard Based 
Management And Recognition Approach In Selected Health Facilities In Akwa Ibom State Of 
Nigeria
Bright C. Orji, Enobong U. Ndekhedehe, William Brieger, Gbenga Ishola, Emmanuel Otolorin
PL-28 127 Medical Students' Choices Of Postgraduation Specialty In The Gambia: The Need For Career 
Counselling
Mustapha Bittaye, Akin-Tunde A. Odukogbe, Akinyinka O. Omigbodun Bintou Junaidi Jallow, Ousman 
Nyan
PL-29 129 Idiosyncrasies In Obstetric Practice: Ethical Issues And Litigation
Ogu RN, Azubuike IJ, Dick N, Enyindah CE, Okpani AOU.
PL-30 132 Introducing Modcal CTS: A Self Paced E-Learning Course For Trainers
E.O. Otolorin
PL-31 136 Increasing Access To MNCH/FP Services At The Primary Care Level -  Building On The 
Midwives Service Scheme In Sokoto
Shoretire K A
PL-32 139 Newborn Tracking By Traditional Birth Attendants (Tba) In Sokoto: A Role Identification
Shoretire K A,
PL-33 141 Perception And Attitude Of People Towards Caesarean Section In lle-lfe
Loto 0  M, Fasubaa O B, Odebiyi A 1
PL-34 142 Hepatitis In Pregnancy: A Wake Up Call
Nzeribe E. A, Maduagwu A. O And Amajuoyi O.
PL-35 143 Outcome Of An Intervention To Improve Case Management Of Eclampsia In Tertiary 
Hospitals In Nigeria. Safe Motherhood Committee Of The Society Of Gynecology And 
Obstetrics Of Nigeria (Sogon)
Friday E Okonofua, Adetokunbo O Fabamwo, James T Akuse Innocent 0  Ujah, Hadiza S Galadanci, 
Eric 1 Archibong, Calvin M Cham,Hyacinth E Onah, Rosemary N Ogu
PL-36 147 Decision-Delivery Interval (DDI) For Emergency Caesarean Section In University College 
Hospital, Ibadan
T. A. Tsele, F. A. Bello
PL-37 152 What Do Women Know About Induction Of Labour?An Evaluation Of Awareness And 
Knowledge Among Antenatal Attendees In Ibadan
Dr. O.O. Enabor
PL-38 156 Training The Obstetrics And Gynaecology Resident In The 21st Century -  The Royal College
Perspective
Justin C Konje
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PROMOTING UNIVERSAL ACCESS TO MATERNAL AND NEWBORN HEALTH (SOGON 2011)
PL-39 161 Methods Of Assessment In Obstetrics And Gynaecology
Case Based Discussions (CBD), Direct Observation Of Practical Procedures (DOPPS), OSATS, NINI- 
CEXS, Reflective Practice
PL-40 165 Training The Obstetrics And Gynaecology Resident In The 21st Century -  West African College 
Of Surgeons Perspective.
Bissallah Ekele
PL-41 169 Highlights Of 2010 National PMTCT Guidelines
PL-42 176 Elimination Of Mother-To-Child Transmission Of HIV: A Joint Responsibility
ProfAtiene Solomon Sagay
PL-43 181 HIV Diagnosis In Children
Edna Iroha
PL-44 183 Overview Of Prevention Of Mother To Child Transmission Of HIV (PMTCT) Programme In 
Nigeria
Dr. Wapada Balami Mni
PL-45 185 PMTCT National Guidelines: Infant Feeding and EID Recommendations
Edna Iroha
PL-46 189 The Ethics Of In-Vitro Fertilisation (IVF) In Nigeria
Dr. Richard Ajayi
PL-47 203 Innovating To Save Lives At Birth
Harshad Sanghvl
PL-48 212 Evidence Synthesis: Implications For Clinical Guideline Development In Nigeria
Dr. Bukola Fawole
PL-49 214 WHO Guideline Development Process
Femi Oladapo
PL-50 220 Pre-eclampsia/Eclampsia In Nigeria: Burden And Common Prevention And Treatment 
Modalities
Bissallah Ekele
PL-51 223 Unlocking The Skills For Fistula Care In Nigeriartf Jeaching Hospitals
O A Ojengbede
PL-52 223 From Training To Service Delivery -  Current Plans By The Federal Ministry Of Health For Of 
Services
Dr. C. O. Isokpunwu
PL-53 225 Opportunities For Fistula Repairs At Tertiary Hospitals Panel Discussion- "Unlocking The Skills 
At Tertiary Hospitals For Fistula Repairs"
O A Ojengbede
PL-54 226 Unlocking The Skills For Fistula Care In Nigerian Teaching Hospitals 
Teaching Hospital -  Skills In Situ; How Accessible?
O A Ojengbede
PL-55 227 Institutional Capacity To Repair Obstetric Fistula: A Situational Report From Supported 
Facilities
Dr Ada mu Isah
PL-56 229 A Giant Mucinous Cystadenoma Of The Ovary Coexisting With Pregnancy At 21 Weeks- A 
Case Report.
Erhatiemwornon A.R., Bello S..A., Hassan M., Sadiqm.
PL-57 232 Primary Post-Partum Haemorrhage: A Five Year Review At The Federal Medical Centre, 
Abeokuta (2004-2008).
Awonuga D.O, Aikhuele E.H, Hunyinbo K.l, Ogunme S.A.N.
PL-58 234 Hysterectomy For Benign Gynaecological Conditions At The Federal Medical Centre, 
Abeokuta.
Omoya S.O, Awonuga D.O, Hunyinbo K.l, Alao M.O.
J *  PL-59 236 Integration Of VIA Into Staff Medical Exercise As Prevention Strategy
Babatunde O. Akinwunmi; Olutosin A. Awolude; Olubukola A. Adesina; Femi Akingbola; Isaac F. 
Adewole
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PROMOTING UNIVERSA1 ACCESS TO MATERNAL AND NEWBORN HEALTH (SOGON 2011)
238 Assessment Of A Structured Cheklist For Detecting Gestational Diabetes In
Fawole AO; Ezeasor C; Bello FA; Roberts OA; Awoyinka BS; Tongo O; Adeleye J
242 Hysterectomy For Benign Conditions At The Federal Medical Centre, Abeokuta.
Omoya S.O, Awonuga D.O, Hunyinbo K.l, Alao M.O.
244 Contribution Of Male Factor To Infertility In A Tertiary Hospital In South East Nigeria - 
Analysis Of 512 Semen Samples
Esike Chidi O.U, Ukwuani Edith O, Umeora Ugochukwu OJ, Ezeonu Paul O.
245 Nutrition To Enhance Fetal Health And Neonatal Wellness; A Background Discuss
Dr M.A Salisu
247 The Study Of The First Consecutive 35 Planned Hysterectomies At The Specialist Hospital 
(Now Upgraded ATBUTH) Bauchi, Nigeria.
Erhatiemwomon, A.R., Isah H., Bello S.A., Mohammed F. S., Igbele T. M.
255 Assessment Of The Risk Approach To The Reduction Of Maternal Mortality In North-Central 
Nigeria
Ochejele S, Obulu M A., Hwande T S, Ijiko E B.,Ochogwu M 0., Onoviran O 0., Irowa O,
258 Contraceptive Implants: Reasons For Clients Using Them Beyond The Recommended Duration 
In Jos, Nigeria
Mutihir J  T., Nyango D D., Ocheke A N.
261 Case Report.Right Ampullary Ectopic Pregnancy Following Bilateral Tubal Ligation Using 
Spring Clips.
Dr G.O. Obajimi
263 Burden Of Malaria Parasitaemia With Advancing Gestational Age.
Dr. Osinuga E.T., Adesina O.A., Fehintola F.A. Roberts O.A.,
265 The Effects Of Etonorgestrel Implant (Implanon) On The Lipid Profile Of Nigerian Women
Adekunle A O; Fawole AO; Roberts OA; Okunlola M A; Arinola O G
268 Barriers To Utilization Of Modern Methods Of Family Planning Amongst Women In A 
Community South-South Nigeria.
Utoo, BT , Swende, TZ, Utoo, PM
271 Maternal Demand For Cesarean Section (Mdcs): Perception And Willingness To Request By 
Nigerian Antenatal Clients
Okonkwo NS, Ojengbede O.A, Morhason-Bello Imran 0., Adedokun B.O
272 Maternal Morbidity After Childbirth At A Secondary Health Care Facility In Southern Nigeria
Utoo B T , Musa J , Karshima Ja
275 Resumption Of Sexual Intercourse And Contraceptive Use By The Post-Natal Visit At The 
University College Hospital Ibadan
Okonkwo NS, Ojengbede O.A
278 Acceptability Of Transvaginal Scan In Ibadan, South-West Nigeria
Odeku AO,Daramola 0 0 , Bello FA.
279 Massive Ascites, An Uncommon Presentation Of Endometriosis: A Case Report
Oranye BC
281 PMTCT In Lagos Island Maternity Hospital (Limh).-The Journey So Far
Ohihoin A.G
284 Pregnancy Following Laparoscopic Ovarian Drilling For Clomiphine Resistant PCOS In 
University College Hospital Ibadan
Dr GC Nkwocha,
286 Burden, Challenges And Associated Factors Of TB/HIV
Ezechi OC1, Gab-Okafor CV, Onwujekwe D l, Oladele DA, Oke B,Adu RA, Kalejaiye 0 0 , Onubogu C, 
Audu, RA, Ujah IAO
289 Cosmetic Laser Vaginoplasty In A Private Practise
Akinwuntan AL, Osinowo OS, Olaleye A, Olutayo AA, Iwuh UE
289 Myomectomy Using Laser In A Private Practise
Akinwuntan AL, Osinowo OS, Olutayo AA, Iwuh UE, Olaleye A
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PROMOTING UNIVERSAL ACCESS TO MATERNAL AND NEWBORN HEALTH (SOGON 2011)
PL-81 290 Laparoscopic Findings In Women With Primary Amenorrhoea: Nnewi Experience
Ikechebelu Jl, Eleje GU, Umeobika JC, Eke N.O.
PL-82 291 Challenges Of Setting Up Laparoscopic Surgery Unit In A Developing
Gerry Nkwocha
PL-83 292 Utilizing Community Health Workers As Skilled Birth Attendants In Rural
Ochejele S., Okoli U„ Abdullahi M J., Musa J„ Yoharma J„ Ezeama E, Omietimi J  E, Okusanya B., And 
Bamigbade O. O.
PL-84 294 Assessing The Maternal, Newborn And Child Health Situation In Nigeria Using The Mobile 
Application Data Exchange System (Madex)
Ochejele S, Okoli U, Abdullahi M J, Pate M , Uduh S .
PL-85 297 Ectopic Pregnancy At The Federal Medical Centre, Abeokuta: A Five Year Review
Awonuga D.O, Aikhuele E.H, Hunyinbo K.l, Ogunme S.A.N.
PL-86 299 Prelabour Rupture Of Fetal Membranes (Prom) At Federal Medical Centre, 
Abeokuta:Maternal And Neonatal Outcome
Fashola Z.O, Awonuga D.O, Hunyinbo K.l, Oladimeji A.O
PL-87 302 Ethics And The Obstetrician
Malomo.A.O.
PL-88 304 Litigation And The Obstetrician
Prof. J.I.B. Adinma
PL-89 307 Audit, accountability and maternity care
Julia Hussein
PL-90 314 The Paradox Of Our Times And Why We Must Act.
Ejike Oji,
PL-91 318 Adequate Nutrition To Enhance Foetal And New Born Wellness
Dr R. A. Sanusi
PL-92 320 Cross Sectional Survey Of Malaria Parasitaemia Amongst Pregnant Women Attending 
Antenatal Booking Clinic At Adeoyo Maternity Hospital, Ibadan, Nigeria
Drs.Osinuga E.T., Roberts O.A., Adesina O.A., Fehintola F.A.
S f PL-93 321 Postpartum Contraceptive Choices Made By Hiv- Infected Women At The University College 
Hospital, Ibadan
Adesina OA, Awolude O, Oladokun A, Roberts A, Adewole IF,
PL-94 322 Sogon: The Umbrella Organization For Care And Advocacy Of Women Reproductive Health
SOGON, Subspecialties and Special Interest Associations
PL-95 323 Roliten Tolterodine 2 Mg
Dr. Amarinder Singh
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repair outcome
Failed repair
Success at 
repair
■  89%
• The bacteria isolated included Escherichia coli (47.3%), Proteus (21.1%), Pseudomonas species (21.1%) and klebsiella 
(10.5%)
RESULTS
• Then a repeat urine microbial study on the 11th day of surgery revealed persistent significant bacteriuria in 5(26.3%) out 
of the 19 initial positive samples (this excludes the 12 patients treated for UTI who equally had repeat microbiological 
analysis)
• Fourteen (73.7%) of the patients urine culture yielded no significant bacterial growth after lOdays therapy with ascorbic 
acid.
CONCLUSION
• The findings from this exploratory study suggest that ascorbic acid may play a significant role in the reduction of 
asymptomatic bacteriuria among VVF patients.
• It calls for more elaborate studies with larger sample size on the efficacy of ascorbic acid in treatment of asymptomatic 
bacteriuria among VVF patients.
• It equally calls for a long term follow up of treated VVF patients for urinary tract infection or pyelonephritis in the light of 
the possible progression of asymptomatic Bacteriuria
PL-04
SEXUAL PRACTICES TO ACHIEVE CONCEPTION AMONG PEOPLE LIVING WITH HIV IN 
IBADAN.
Temitope I. Akinola, Olutosin A. Awolude, Olubukola A. Adesina, Isaac F. Adewole 
BACKGROUND
• Improving quality of life and changing sexual and reproductive behaviour and decisions among People Living with HIV 
(PLWHIV) are fast becoming realities in our environment.
• Among such decisions is procreation .
• For us in developing Country, especially Nigeria:
• It is important to understand the ways by which PLWHIV achieve their fertility desires.
• It is also important to understand the associated determinants.
• This is because of the need to balance successful conception without increasing the risk of heterosexual and vertical HIV 
transmission.
• This study assesses the sexual practices in achieving conception by PLWHIV and the implications of these on the principle 
of safer sexual practice.
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PROMOTING UNIVERSAL ACCESS TO MATERNAL AND NEWBORN HEALTH (SOGON 2011)*
OBJECTIVES
• The objective of the study was to assess
1. The sexual practices in achieving conception by PLWHIV
2. The implications of these practices on the principle of safer sex.
METHODOLOGY
• The study was carried out at the PMTCT clinic of the UCH-PEPFAR partnered ARV clinic between June-December 2009.
Age Group of Respondents (%)
36+
31-35 
26-30 
21-25 
1620
Number of Living Children (%)
40 
30 
20 
10 
0
1 2 3 4 5 6 8
• The survey was carried out on 301 female PLWHIV using a 20- stem questionnaire.
• The inclusion criterion, among others, was that the respondent must have been enrolled in the program for a minimum of 
6 months prior to conception.
RESULTS
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PROMOTING UNIVERSAL ACCESS TO MATERNAL AND NEWBORN HEALTH (SOGON 2011)
Awareness of Viral load at 
conception (%)
■ No 
Yes
Partner HIV status (%)
Never tested 
Not known 
Positive 
Indeterminate 
Negative
• The mean age was 30.32 ( ±3.2)years.
• Majority ( 67.4%) of the pregnancies were planned.
• Most of the women were not aware of their viral load before conception (68.8%).
• Having more children was the reason for getting pregnant (61.4%)
• Majority had more than 3 children before getting pregnant again.
• The number of living children had no significant effect on desire to get pregnant again.
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PROMOTING UNIVERSAL ACCESS TO MATERNAL AND NEWBORN HEALTH (SOGON 2011)
Partner's Awareness of Respondent's 
status (%)
■ Not Aware
■ Aware
Counselled on Contraceptive methods
(% )
No Yes
• Unprotected sexual intercourse (94.4%) was the mode of getting pregnant while .
• Majority (48.2%) of the partners were HIV negative and 231 (76.7%) of the respondents had disclosed their HIV status to 
their partners before getting pregnant.
• Two hundred and eight (69.1%) respondents had no counseling on contraception methods but 182 (60.5%) had been 
using contraception since HIV diagnosis.
• 153 (50.8%) of the respondents used condom as a form of contraception.
• The use of HAART was positively correlated to desire to get pregnant (p=0.004).
CONCLUSIONS
• The study showed that being HIV positive has no negative effect on PLWHIV fertility desires.
• However, there is need to strengthen safer sex practice counseling.
• It is also important to make provisions for risk reduction fertility procedures to ensure a good balance of achieving desired 
reproductive right and preventing heterosexual and vertical HIV transmission.
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PROMOTING UNIVERSAL ACCESS TO MATERNAL AND NEWBORN HEALTH (SOGON 2011)
ACKNOWLEDGEMENTS
• My co-authors, The staffs of APIN Plus/Harvard PEPFAR Program, Management of University College Hospital, Ibadan, 
Nigeria, The Patients, Organisers of 45th SOGON 2011 Conference
Fig l:Hysteroscopy, (Source: Google images)
• Hysteroscopy is considered the gold standard in 
assessing the uterine cavity for pathology
• Uterine factors are among causes of infertility and 
may constitute up to 5% of causes!
• A Nigerian study found uterine factor in up to 30% 
of infertile women studied.2
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