This study was conducted to evaluate the approaches gynaecologists in Osun East Senatorial distri... more This study was conducted to evaluate the approaches gynaecologists in Osun East Senatorial district; South west Nigeria uses to screen and manage their infertile women for sexual dysfunction. Forty gynaecologists and their resident doctors managing infertile women at Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Nigeria, were interviewed (June -December 2020) using an in-depth-interview guide and semi-structured questionnaires. All the forty doctors assessed the sexual functioning of infertile patients. The Assessment was usually done at the first time of seeing the patient and at other times when patients start a discussion about it or when a patient’s complaints are directly related to it. Ways of eliciting sexual concerns were by asking on the frequency of sexual intercourse per week, about ejaculatory intercourse, sexual satisfaction, and dyspareunia. None of them used any standardized assessment tools to screen infertile women. Most are not aware of any standar...
In this study concentration level of calcium, cadmium, copper, iron, magnesium, manganese, nickel... more In this study concentration level of calcium, cadmium, copper, iron, magnesium, manganese, nickel, lead and zinc were determined in the amniotic fluid of pregnant women, aged 15 - 45 years enrolled at the Obafemi Awolowo University Teaching Hospitals Complex Ile - Ife. This was with a view to predict the body burden of the metals in the pregnant women and assess the health implications of the toxic elements to the pregnant women and their fetuses. Fifty samples of the amniotic fluid were collected from the pregnant women. The efficiency of extraction of trace metals using conventional wet acid digestion method (CDM) and microwave induced acid digestion method (MWD) was determined by recovery experiments. Levels of trace metals were determined using Atomic Absorption Spectrophotometry. The high percentage recoveries obtained from MWD made it a more efficient method than the CDM and hence its adoption for sample digestion. Statistical analysis of data using descriptive and inferential...
INTRODUCTION Although the third stage of labour is usually uneventful, several significant compli... more INTRODUCTION Although the third stage of labour is usually uneventful, several significant complications may be encountered that may lead to maternal morbidity and mortality, especially primary postpartum haemorrhage. The objective of this study was to compare 400 ug oral misoprostol with 10 IU intramuscular oxytocin in the active management of the third stage of labour. METHODS This was a prospective randomised controlled clinical trial in which 200 parturients at term who had vaginal delivery were randomly assigned into two groups: oral misoprostol and intramuscular oxytocin, after the delivery of the baby and the clamping of the umbilical cord. The primary outcome was the incidence of primary postpartum haemorrhage. Secondary outcomes included a drop in haemoglobin concentration 48 hours after delivery, the need for extra oxytocics, duration of the third stage of labour and side effects of the oxytocics. These results were subjected to statistical analysis using chi-square test o...
The attitudes of 200 pregnant women at the antenatal clinic, Federal Medical Centre, Abeokuta to ... more The attitudes of 200 pregnant women at the antenatal clinic, Federal Medical Centre, Abeokuta to routine HIV Screening for pregnant women were obtained between January and February 2000. One hundred and ninety six (96%) supported routine screening while 8(4%) did not. Reasons for supporting routine screening include protection of unborn baby (70%), initiation of early treatment if positive (50%), protection of other patients (40%) and protection of health care workers (20%). Reasons given by 8 (4%) who opposed routine screening include fear of a positive result 6(3%) and fear of societal discrimination 2(1%). If tested positive, 60% will request for medical treatment, 50% will inform their husband, 40% will seek divine intervention in the church, 20% do not know what to do while 10% will be isolated till death comes. The ethical, legal, emotional and societal implication of routine screening were discussed and recommendations based on available scientific evidence were made.
Surgeons are treating an increasing number of HIV-infected patients for surgical problems both re... more Surgeons are treating an increasing number of HIV-infected patients for surgical problems both related and unrelated to HIV infection. There had been vehement debate surrounding the question of preoperative HIV testing of patients. Supporters of preoperative HIV testing argued that members of the surgical team had the right to know whether they were at risk for acquiring a fatal infection after exposure to a patient's blood. However, the testing was opposed by many because of the civil rights implications of a positive HIV test result and the fear that HIV-positive patients would receive sub-optimal treatment. This paper reviewed available literature and made recommendations based on available scientific evidence with particular emphasis on the situation in Africa.
Texila International Journal of Academic Research, 2021
This study was conducted to evaluate the approaches gynaecologists in Osun East Senatorial distri... more This study was conducted to evaluate the approaches gynaecologists in Osun East Senatorial district; South west Nigeria uses to screen and manage their infertile women for sexual dysfunction. Forty gynaecologists and their resident doctors managing infertile women at Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Nigeria, were interviewed (June-December 2020) using an in-depth-interview guide and semi-structured questionnaires. All the forty doctors assessed the sexual functioning of infertile patients. The Assessment was usually done at the first time of seeing the patient and at other times when patients start a discussion about it or when a patient's complaints are directly related to it. Ways of eliciting sexual concerns were by asking on the frequency of sexual intercourse per week, about ejaculatory intercourse, sexual satisfaction, and dyspareunia. None of them used any standardized assessment tools to screen infertile women. Most are not aware of any stan...
Background: The incidence of preterm birth is increasing worldwide. Preterm birth is a common cau... more Background: The incidence of preterm birth is increasing worldwide. Preterm birth is a common cause of neonatal morbidity and mortality commonly associated with low-birth weight and deficiency of lung surfactants in the newborn. Children who were born preterm have higher rates of cerebral palsy, neurodevelopmental anomalies, learning disabilities, and respiratory illnesses compared with children born at term with attendant psychosocial and financial burden on the parents or carers. These problems may be minimized via the use of a preterm birth prediction test such as the maternal cervicovaginal fetal fibronectin test (FFT) to determine those women in genuine preterm labor and at a higher risk for preterm birth. Effective treatment can then be focused on this group of women to reduce the incidence of preterm birth. However, the FFT in preterm birth prediction is underutilized in Nigeria. Aim: To determine the role of cervicovaginal fetal fibronectin testing as a predictor of spontaneous preterm birth in symptomatic pregnant women in a local setting. Setting: This study was conducted at the obstetrics unit of the Department of Obstetrics and Gynaecology at the Obafemi Awolowo University Teaching Hospitals Complex (OAUTHC), Ile-Ife, Osun state, Nigeria. The OAUTHC comprises two obstetrics units – Ife Hospital Unit (IHU) and Wesley Guild Hospital Unit at Ilesha (WGH). Design: Cross-sectional, descriptive study. Methods: In this study, 182 booked and unbooked singleton antenatal mothers between 28 weeks and 36 weeks 6 days gestation who had symptoms suggestive of preterm labor were recruited. An interviewer administered questionnaire was filled for each subject and a sterile speculum vaginal examination was then performed to obtain a specimen of the subject's cervicovaginal secretion using a sterile cotton swab. A qualitative FFT was done on each sample collected, then recruited mothers were monitored till delivery and further data obtained. Outcome Measures: The main outcome measures were the sensitivity, specificity, negative predictive value (NPV) and positive predictive value (PPV) of FFT in predicting spontaneous preterm birth in symptomatic pregnant women. Results: A total of 182 women presenting with symptoms suggestive of preterm labor were recruited: 171 (93.96%) women delivered at term, whereas 11 (6.04%) women had preterm birth with a calculated preterm birth rate of 7.33 per 1000 deliveries during the study period. Also, 7 (3.85%) women had a positive FFT, while 175 (96.15%) women had a negative test. FFT had a sensitivity, specificity, PPV, and NPV of 9.09%, 96.49%, 14.29%, and 94.29%, respectively; a LR+ and LR- of 2.59 (95% confidence interval, CI, 0.34–19.68) and 0.94 (95% CI, 0.78–1.14) respectively; a relative risk of 2.59 (95% CI, 0.341–19.675); a calculated accuracy of 91.21% (95% CI, 86.12%–94.89%); and an area under the receiver operating characteristic curve of 0.60. Conclusion: The high NPV of fetal fibronectin sampling in a population of pregnant women with symptoms supports less intervention for patients with negative results.
Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria
Physicians face a special challenge when treating Jehovah's witnesses. As a result of Jehovah... more Physicians face a special challenge when treating Jehovah's witnesses. As a result of Jehovah's witnesses rigorous pursuit of medical alternatives to blood, many cardiac, obstetric and gynaecological, orthopaedic and urological surgeries that traditionally require blood transfusion can now be performed successfully without using blood or blood products. Despite the obvious advantages of this bloodless surgery, blood transfusion remains are important life saving procedure. Respecting the religious consciences of Jehovah's witnesses may challenge our skills. Though their reason for refusing blood transfusion may seem controversial, physicians should be careful to avoid being held liable in view of the laws that accommodate their belief. This paper attempts to give an overview on this issue.
Nothing in the field of health care generates more controversy than does the issue of abortion. T... more Nothing in the field of health care generates more controversy than does the issue of abortion. The views of 396 undergraduates of Obafemi Awolowo University, Ile-Ife, Nigeria concerning the liberalisation of abortion laws were investigated in May 2001. Ninety respondents (22.7%) supported the liberalisation of abortion laws in Nigeria because they believed that it would lead to reduction in associated morbidity and mortality, encourage more qualified personnel to perform it, encourage women to request abortion openly and encourage accurate statistics on abortion. However, the majority of the respondents (59.6%) opposed the liberalisation of abortion laws due to the fear that it would increase promiscuity, sexually transmitted diseases and abortion rates. Religious opposition and the belief that liberalisation would not reduce the level of poverty, ignorance and poor reproductive health facilities were the common factors leading to unwanted pregnancy and unsafe abortion in Nigeria. Support for the liberalisation of abortion laws shows significant relationship with increasing age (P = 0.001), male sex (P = 0.001) and a science-orientated faculty (P<0.05), but not religion. There is every indication that the issue of abortion is one that will continue to be unresolved for the forseeable future.
This study was conducted among 500 exclusively breast-feeding women in Ife Central Local Governme... more This study was conducted among 500 exclusively breast-feeding women in Ife Central Local Government Area, Osun State, Nigeria. The objectives of the study are to assess the pattern of resumption of menstruation, identify the determinants of variations in the resumption of menstruation and determine the proportion of women at risk of pregnancy. Quantitative data was collected using semistructured interviewer administered questionnaire. Data entry and analysis was done using SPSS (version 20). Univariate, bivariate and multivariate analyses done. Chi-Square were used where appropriate. P value was set at < 0.05 Four sessions of Focus Group Discussion were held. Results showed that 50 % were sexually active 125 (25%) were using Modern Contraceptive which included Condom (75); IUCD (25); Injectables (25); Implanon (10). Majority relied on Lactational amenorrhea method 375 (75%). Unplanned Pregnancy occurred among those 4 women not on contraception. Three-quarter of the primiparous wo...
It has been shown that infant feeding pattern affects mother-to-child transmission of HIV. This s... more It has been shown that infant feeding pattern affects mother-to-child transmission of HIV. This study reports the infant feeding practices of HIV-positive mothers in southwestern Nigeria.
The occupational health hazards among health-care workers in an obstetrics and gynaecology unit w... more The occupational health hazards among health-care workers in an obstetrics and gynaecology unit were investigated. A total of 78 pretested questionnaires were administered to the doctors, nurses and ward orderlies in the unit of Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria. The common occupational health hazards were work-related stress (83.3%), needle-stick injuries (75.6%), bloodstains on skin (73.1%), sleep disturbance (42.3%), skin reactions (37.2%) assault from patients (24.3%) and hepatitis (8.9%). Nearly half of the staff used diazepam, lexotan or alcohol to cope with the stress of work. A greater percentage of doctors compared to nurses and ward orderlies used safety precautions such as gloves, facemasks and aprons. All the staff employed regular handwashing after various procedures. However no category of staff adopted regularly proper disposal of needles and sharps into separate puncture-resistant containers. About 59% of the staff recap used needles. The implications of the findings were discussed and recommendations made appropriately.
Aim: Aim: Aim: Aim: Aim: Induced or spontaneous labour has implication on the eventual mode of de... more Aim: Aim: Aim: Aim: Aim: Induced or spontaneous labour has implication on the eventual mode of delivery and neonatal outcome. The objective of this study is to compare the progress and outcome of induced versus spontaneous labour among nulliparous women using the modified WHO partograph. Methods: Methods: Methods: Methods: Methods: Comparative study involving nulliparous women in active phase of labour
This study aims to assess the level of self-esteem of newly delivered mothers who had caesarean s... more This study aims to assess the level of self-esteem of newly delivered mothers who had caesarean section (CS) and evaluate the sociodemographic and obstetrics correlates of low self-esteem in them. Newly delivered mothers who had CS (n = 109) and who had spontaneous vaginal delivery (SVD) (n = 97) completed questionnaires on sociodemographic and obstetrics variables within 1 week of delivery. They also completed the Rosenberg self-esteem scale. RESULTS. Women with CS had statistically significant lower scores on the self-esteem scale than women with SVD (p = 0.006). Thirty (27.5%) of the CS group were classified as having low self-esteem compared with 11 (11.3%) of the SVD group (p = 004). The correlates of low self-esteem in the CS group included polygamy (odd ratio (OR) 4.99, 95% confidence interval (95% CI) 1.62-15.33) and emergency CS (OR 4.66, 95% CI 1.55-16.75). CS in South-Western Nigerian women is associated with lowered self-esteem in the mothers.
To determine the level of Unmet need for Contraception among women in the first year post-deliver... more To determine the level of Unmet need for Contraception among women in the first year post-delivery in Ile-Ife, Nigeria. A prospective study of 256 women attending antenatal clinic of the OAUTHC, Ile-Ife, Nigeria was carried out 9-10 months post-delivery. Using a semi-structured questionnaire, the respondents were interviewed for socio-demographic characteristics; obstetric, sexual, and contraception history were also taken. The data were analyzed using descriptive and inferential statistical methods. There was a high level of unmet need (59.4%) in the sample of Nigerian women despite a high level of awareness of common methods of contraception. Education and parity had no significant effect on usage of contraception (p &amp;amp;gt; 0.05). No reason was given for non-usage in the largest proportion (30.3%) of the non-users. Only one-third of the respondents could correctly report the &amp;amp;#39;at-risk&amp;amp;#39; period for getting pregnant in the post-partum period. There is a need to study in more detail the social and cultural factors that determine contraceptive utilization before success can be achieved in closing the gap of unmet need, as it has become evident that increasing the awareness and knowledge of contraception is not enough to achieve the objectives of family-planning programs.
This study was conducted to evaluate the approaches gynaecologists in Osun East Senatorial distri... more This study was conducted to evaluate the approaches gynaecologists in Osun East Senatorial district; South west Nigeria uses to screen and manage their infertile women for sexual dysfunction. Forty gynaecologists and their resident doctors managing infertile women at Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Nigeria, were interviewed (June -December 2020) using an in-depth-interview guide and semi-structured questionnaires. All the forty doctors assessed the sexual functioning of infertile patients. The Assessment was usually done at the first time of seeing the patient and at other times when patients start a discussion about it or when a patient’s complaints are directly related to it. Ways of eliciting sexual concerns were by asking on the frequency of sexual intercourse per week, about ejaculatory intercourse, sexual satisfaction, and dyspareunia. None of them used any standardized assessment tools to screen infertile women. Most are not aware of any standar...
In this study concentration level of calcium, cadmium, copper, iron, magnesium, manganese, nickel... more In this study concentration level of calcium, cadmium, copper, iron, magnesium, manganese, nickel, lead and zinc were determined in the amniotic fluid of pregnant women, aged 15 - 45 years enrolled at the Obafemi Awolowo University Teaching Hospitals Complex Ile - Ife. This was with a view to predict the body burden of the metals in the pregnant women and assess the health implications of the toxic elements to the pregnant women and their fetuses. Fifty samples of the amniotic fluid were collected from the pregnant women. The efficiency of extraction of trace metals using conventional wet acid digestion method (CDM) and microwave induced acid digestion method (MWD) was determined by recovery experiments. Levels of trace metals were determined using Atomic Absorption Spectrophotometry. The high percentage recoveries obtained from MWD made it a more efficient method than the CDM and hence its adoption for sample digestion. Statistical analysis of data using descriptive and inferential...
INTRODUCTION Although the third stage of labour is usually uneventful, several significant compli... more INTRODUCTION Although the third stage of labour is usually uneventful, several significant complications may be encountered that may lead to maternal morbidity and mortality, especially primary postpartum haemorrhage. The objective of this study was to compare 400 ug oral misoprostol with 10 IU intramuscular oxytocin in the active management of the third stage of labour. METHODS This was a prospective randomised controlled clinical trial in which 200 parturients at term who had vaginal delivery were randomly assigned into two groups: oral misoprostol and intramuscular oxytocin, after the delivery of the baby and the clamping of the umbilical cord. The primary outcome was the incidence of primary postpartum haemorrhage. Secondary outcomes included a drop in haemoglobin concentration 48 hours after delivery, the need for extra oxytocics, duration of the third stage of labour and side effects of the oxytocics. These results were subjected to statistical analysis using chi-square test o...
The attitudes of 200 pregnant women at the antenatal clinic, Federal Medical Centre, Abeokuta to ... more The attitudes of 200 pregnant women at the antenatal clinic, Federal Medical Centre, Abeokuta to routine HIV Screening for pregnant women were obtained between January and February 2000. One hundred and ninety six (96%) supported routine screening while 8(4%) did not. Reasons for supporting routine screening include protection of unborn baby (70%), initiation of early treatment if positive (50%), protection of other patients (40%) and protection of health care workers (20%). Reasons given by 8 (4%) who opposed routine screening include fear of a positive result 6(3%) and fear of societal discrimination 2(1%). If tested positive, 60% will request for medical treatment, 50% will inform their husband, 40% will seek divine intervention in the church, 20% do not know what to do while 10% will be isolated till death comes. The ethical, legal, emotional and societal implication of routine screening were discussed and recommendations based on available scientific evidence were made.
Surgeons are treating an increasing number of HIV-infected patients for surgical problems both re... more Surgeons are treating an increasing number of HIV-infected patients for surgical problems both related and unrelated to HIV infection. There had been vehement debate surrounding the question of preoperative HIV testing of patients. Supporters of preoperative HIV testing argued that members of the surgical team had the right to know whether they were at risk for acquiring a fatal infection after exposure to a patient's blood. However, the testing was opposed by many because of the civil rights implications of a positive HIV test result and the fear that HIV-positive patients would receive sub-optimal treatment. This paper reviewed available literature and made recommendations based on available scientific evidence with particular emphasis on the situation in Africa.
Texila International Journal of Academic Research, 2021
This study was conducted to evaluate the approaches gynaecologists in Osun East Senatorial distri... more This study was conducted to evaluate the approaches gynaecologists in Osun East Senatorial district; South west Nigeria uses to screen and manage their infertile women for sexual dysfunction. Forty gynaecologists and their resident doctors managing infertile women at Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Nigeria, were interviewed (June-December 2020) using an in-depth-interview guide and semi-structured questionnaires. All the forty doctors assessed the sexual functioning of infertile patients. The Assessment was usually done at the first time of seeing the patient and at other times when patients start a discussion about it or when a patient's complaints are directly related to it. Ways of eliciting sexual concerns were by asking on the frequency of sexual intercourse per week, about ejaculatory intercourse, sexual satisfaction, and dyspareunia. None of them used any standardized assessment tools to screen infertile women. Most are not aware of any stan...
Background: The incidence of preterm birth is increasing worldwide. Preterm birth is a common cau... more Background: The incidence of preterm birth is increasing worldwide. Preterm birth is a common cause of neonatal morbidity and mortality commonly associated with low-birth weight and deficiency of lung surfactants in the newborn. Children who were born preterm have higher rates of cerebral palsy, neurodevelopmental anomalies, learning disabilities, and respiratory illnesses compared with children born at term with attendant psychosocial and financial burden on the parents or carers. These problems may be minimized via the use of a preterm birth prediction test such as the maternal cervicovaginal fetal fibronectin test (FFT) to determine those women in genuine preterm labor and at a higher risk for preterm birth. Effective treatment can then be focused on this group of women to reduce the incidence of preterm birth. However, the FFT in preterm birth prediction is underutilized in Nigeria. Aim: To determine the role of cervicovaginal fetal fibronectin testing as a predictor of spontaneous preterm birth in symptomatic pregnant women in a local setting. Setting: This study was conducted at the obstetrics unit of the Department of Obstetrics and Gynaecology at the Obafemi Awolowo University Teaching Hospitals Complex (OAUTHC), Ile-Ife, Osun state, Nigeria. The OAUTHC comprises two obstetrics units – Ife Hospital Unit (IHU) and Wesley Guild Hospital Unit at Ilesha (WGH). Design: Cross-sectional, descriptive study. Methods: In this study, 182 booked and unbooked singleton antenatal mothers between 28 weeks and 36 weeks 6 days gestation who had symptoms suggestive of preterm labor were recruited. An interviewer administered questionnaire was filled for each subject and a sterile speculum vaginal examination was then performed to obtain a specimen of the subject's cervicovaginal secretion using a sterile cotton swab. A qualitative FFT was done on each sample collected, then recruited mothers were monitored till delivery and further data obtained. Outcome Measures: The main outcome measures were the sensitivity, specificity, negative predictive value (NPV) and positive predictive value (PPV) of FFT in predicting spontaneous preterm birth in symptomatic pregnant women. Results: A total of 182 women presenting with symptoms suggestive of preterm labor were recruited: 171 (93.96%) women delivered at term, whereas 11 (6.04%) women had preterm birth with a calculated preterm birth rate of 7.33 per 1000 deliveries during the study period. Also, 7 (3.85%) women had a positive FFT, while 175 (96.15%) women had a negative test. FFT had a sensitivity, specificity, PPV, and NPV of 9.09%, 96.49%, 14.29%, and 94.29%, respectively; a LR+ and LR- of 2.59 (95% confidence interval, CI, 0.34–19.68) and 0.94 (95% CI, 0.78–1.14) respectively; a relative risk of 2.59 (95% CI, 0.341–19.675); a calculated accuracy of 91.21% (95% CI, 86.12%–94.89%); and an area under the receiver operating characteristic curve of 0.60. Conclusion: The high NPV of fetal fibronectin sampling in a population of pregnant women with symptoms supports less intervention for patients with negative results.
Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria
Physicians face a special challenge when treating Jehovah's witnesses. As a result of Jehovah... more Physicians face a special challenge when treating Jehovah's witnesses. As a result of Jehovah's witnesses rigorous pursuit of medical alternatives to blood, many cardiac, obstetric and gynaecological, orthopaedic and urological surgeries that traditionally require blood transfusion can now be performed successfully without using blood or blood products. Despite the obvious advantages of this bloodless surgery, blood transfusion remains are important life saving procedure. Respecting the religious consciences of Jehovah's witnesses may challenge our skills. Though their reason for refusing blood transfusion may seem controversial, physicians should be careful to avoid being held liable in view of the laws that accommodate their belief. This paper attempts to give an overview on this issue.
Nothing in the field of health care generates more controversy than does the issue of abortion. T... more Nothing in the field of health care generates more controversy than does the issue of abortion. The views of 396 undergraduates of Obafemi Awolowo University, Ile-Ife, Nigeria concerning the liberalisation of abortion laws were investigated in May 2001. Ninety respondents (22.7%) supported the liberalisation of abortion laws in Nigeria because they believed that it would lead to reduction in associated morbidity and mortality, encourage more qualified personnel to perform it, encourage women to request abortion openly and encourage accurate statistics on abortion. However, the majority of the respondents (59.6%) opposed the liberalisation of abortion laws due to the fear that it would increase promiscuity, sexually transmitted diseases and abortion rates. Religious opposition and the belief that liberalisation would not reduce the level of poverty, ignorance and poor reproductive health facilities were the common factors leading to unwanted pregnancy and unsafe abortion in Nigeria. Support for the liberalisation of abortion laws shows significant relationship with increasing age (P = 0.001), male sex (P = 0.001) and a science-orientated faculty (P&lt;0.05), but not religion. There is every indication that the issue of abortion is one that will continue to be unresolved for the forseeable future.
This study was conducted among 500 exclusively breast-feeding women in Ife Central Local Governme... more This study was conducted among 500 exclusively breast-feeding women in Ife Central Local Government Area, Osun State, Nigeria. The objectives of the study are to assess the pattern of resumption of menstruation, identify the determinants of variations in the resumption of menstruation and determine the proportion of women at risk of pregnancy. Quantitative data was collected using semistructured interviewer administered questionnaire. Data entry and analysis was done using SPSS (version 20). Univariate, bivariate and multivariate analyses done. Chi-Square were used where appropriate. P value was set at < 0.05 Four sessions of Focus Group Discussion were held. Results showed that 50 % were sexually active 125 (25%) were using Modern Contraceptive which included Condom (75); IUCD (25); Injectables (25); Implanon (10). Majority relied on Lactational amenorrhea method 375 (75%). Unplanned Pregnancy occurred among those 4 women not on contraception. Three-quarter of the primiparous wo...
It has been shown that infant feeding pattern affects mother-to-child transmission of HIV. This s... more It has been shown that infant feeding pattern affects mother-to-child transmission of HIV. This study reports the infant feeding practices of HIV-positive mothers in southwestern Nigeria.
The occupational health hazards among health-care workers in an obstetrics and gynaecology unit w... more The occupational health hazards among health-care workers in an obstetrics and gynaecology unit were investigated. A total of 78 pretested questionnaires were administered to the doctors, nurses and ward orderlies in the unit of Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria. The common occupational health hazards were work-related stress (83.3%), needle-stick injuries (75.6%), bloodstains on skin (73.1%), sleep disturbance (42.3%), skin reactions (37.2%) assault from patients (24.3%) and hepatitis (8.9%). Nearly half of the staff used diazepam, lexotan or alcohol to cope with the stress of work. A greater percentage of doctors compared to nurses and ward orderlies used safety precautions such as gloves, facemasks and aprons. All the staff employed regular handwashing after various procedures. However no category of staff adopted regularly proper disposal of needles and sharps into separate puncture-resistant containers. About 59% of the staff recap used needles. The implications of the findings were discussed and recommendations made appropriately.
Aim: Aim: Aim: Aim: Aim: Induced or spontaneous labour has implication on the eventual mode of de... more Aim: Aim: Aim: Aim: Aim: Induced or spontaneous labour has implication on the eventual mode of delivery and neonatal outcome. The objective of this study is to compare the progress and outcome of induced versus spontaneous labour among nulliparous women using the modified WHO partograph. Methods: Methods: Methods: Methods: Methods: Comparative study involving nulliparous women in active phase of labour
This study aims to assess the level of self-esteem of newly delivered mothers who had caesarean s... more This study aims to assess the level of self-esteem of newly delivered mothers who had caesarean section (CS) and evaluate the sociodemographic and obstetrics correlates of low self-esteem in them. Newly delivered mothers who had CS (n = 109) and who had spontaneous vaginal delivery (SVD) (n = 97) completed questionnaires on sociodemographic and obstetrics variables within 1 week of delivery. They also completed the Rosenberg self-esteem scale. RESULTS. Women with CS had statistically significant lower scores on the self-esteem scale than women with SVD (p = 0.006). Thirty (27.5%) of the CS group were classified as having low self-esteem compared with 11 (11.3%) of the SVD group (p = 004). The correlates of low self-esteem in the CS group included polygamy (odd ratio (OR) 4.99, 95% confidence interval (95% CI) 1.62-15.33) and emergency CS (OR 4.66, 95% CI 1.55-16.75). CS in South-Western Nigerian women is associated with lowered self-esteem in the mothers.
To determine the level of Unmet need for Contraception among women in the first year post-deliver... more To determine the level of Unmet need for Contraception among women in the first year post-delivery in Ile-Ife, Nigeria. A prospective study of 256 women attending antenatal clinic of the OAUTHC, Ile-Ife, Nigeria was carried out 9-10 months post-delivery. Using a semi-structured questionnaire, the respondents were interviewed for socio-demographic characteristics; obstetric, sexual, and contraception history were also taken. The data were analyzed using descriptive and inferential statistical methods. There was a high level of unmet need (59.4%) in the sample of Nigerian women despite a high level of awareness of common methods of contraception. Education and parity had no significant effect on usage of contraception (p &amp;amp;gt; 0.05). No reason was given for non-usage in the largest proportion (30.3%) of the non-users. Only one-third of the respondents could correctly report the &amp;amp;#39;at-risk&amp;amp;#39; period for getting pregnant in the post-partum period. There is a need to study in more detail the social and cultural factors that determine contraceptive utilization before success can be achieved in closing the gap of unmet need, as it has become evident that increasing the awareness and knowledge of contraception is not enough to achieve the objectives of family-planning programs.
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Papers by ERNEST ORJI