- Professor of obstetricsedit
Background: Rural Igbo women frequently perceive disorders of menstruation in the context of their inability to achieve pregnancy, and may otherwise not volunteer information on such abnormalities in the gynaecological clinic. This study... more
Background: Rural Igbo women frequently perceive disorders of menstruation in the context of their inability to achieve pregnancy, and may otherwise not volunteer information on such abnormalities in the gynaecological clinic. This study determined the prevalence and pattern of menstrual disorders in rural Igbo women of Ebonyi State, South East Nigeria. Materials and Methods: Data was collected from 1500 women in randomly selected communities in rural Ebonyi State by trained research assistants using pre tested questionnaires in a cross sectional study that spanned three months, March to May 2005. Information obtained related to their socio demographic variables, menstrual characteristics and disorders. Data obtained was analyzed using the epi info statistical programme. Results: One thousand, four hundred and sixty-three questionnaires were analyzed. The mean cycle length and mean menstrual flow duration in our study population were 29.6 days and 4.4 days respectively. Eight hundred and twenty-nine (56.7%) of the respondents had one or a combination of menstrual disorders. Dysmenorrhoea occurred in 51.3% of the women and was the commonest menstrual disorder noted. Intermenstrual bleeding, found in forty-five (3.1%) respondents was the least common. Short cycle length ( 35 days), menstrual flow duration lasting more than 7 days and heavy menstrual loss were significantly more prevalent among the adolescents than other age groups. Conclusion: Menstrual complaints which are important indices of women's well being are commonly encountered in Igbo women of Southeast Nigeria, and may indicate underlying gynaecological pathology. Keywords : disorders, menstrual, menorrhagia, Igbo, health Journal of College of Medicine Vol. 12 (2) 2007: pp. 61-66
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Increasing caesarean section rate is a source of concern to obstetricians due to the attendant increased health risk, its commonest complication is bleeding, which occasionally may be life threatening. Tranexamic acid has recently been... more
Increasing caesarean section rate is a source of concern to obstetricians due to the attendant increased health risk, its commonest complication is bleeding, which occasionally may be life threatening. Tranexamic acid has recently been investigated as a potentially useful adjunct for the prevention of maternal morbidity. The research aim to evaluate the efficacy of tranexamic acid at reducing blood loss during elective caesarean section. The method used was a double blind randomized placebo controlled trial among women who had elective caesarean section at the Federal Teaching Hospital Abakaliki (FETHA) and Mile 4 Hospital Abakaliki. Data analysis was done using statistical Package for Social Science (IBM SPSS) software (version 20, Chicago II, USA). The results from the finding show that mean estimated blood loss was significantly lower in the tranexamic acid group (566.78±267.42 ml versus 819.09±348.36 ml, p 1000 ml was also significantly lower in the study group compared with the...
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Background : The adolescent period represents a time of considerable change in a woman\'s lifetime as reproductive capacity is achieved and sexual activity commences. This period might be attended by different gynaecological... more
Background : The adolescent period represents a time of considerable change in a woman\'s lifetime as reproductive capacity is achieved and sexual activity commences. This period might be attended by different gynaecological disorders. Objective: This study was to determine the common gynaecological disorders among adolescents, who presented at the gynaecological clinic of the Ebonyi State University Teaching Hospital. Method: A retrospective study of all cases of adolescent gynaecologic presentations seen in the gynaecologic clinic. Emergency cases seen at the Accident and Emergency clinic were excluded. The study spanned 5 years - September 2000 to August 2005. Information was extracted from case notes retrieved from the central records department and analyzed. Result: Adolescents constituted 5.4% of the 3,703 new gynaecologic patients seen during the review period. They presented mainly with menstrual disorders (21%), abortion complications (18%) and reproductive tract infections (15%). Other presentations included: infertility 6.5%, pelvic masses 6%, sexual assault 4%, labial fusion 3%, and utero-vaginal prolapse 2%. Urethral prolapse, vesicovaginal fistula, Bartholin\'s cyst and Asherman\'s syndrome were also seen. Conclusion: Adolescents constitute a significant number of gynaecological clinic patients with varied disorders. Doctors and other health care personnel directly involved in the management of adolescents in gynaecology must be equipped to treat this delicate group with empathy and expertise. Early marriages should be discouraged. Keywords : Abakaliki, Adolescents, Disorders, Gynaecological, Nigeria. Ebonyi Medical Journal Vol. 6 (2) 2007: pp. 89-93
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No Abstract. Ebonyi Medical Journal Vol. 5 (2) 2006: pp. 63-6
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Context: Induction of labour (IOL) is a therapeutic challenge and an alternative to Caesarean section. Objectives: To evaluate the success rate of IOL and its determinants at the Ebonyi State University Teaching Hospital (EBSUTH),... more
Context: Induction of labour (IOL) is a therapeutic challenge and an alternative to Caesarean section. Objectives: To evaluate the success rate of IOL and its determinants at the Ebonyi State University Teaching Hospital (EBSUTH), Abakaliki. Methods: A retrospective study involving 251 parturients who had induction of labour over a five-year period. Results: IOL accounted for 2.9% of the 8,676 deliveries during the study period. The overall success rate for labour induction in EBSUTH was 83.1%. Multiparous women achieved a success rate of 91.4%, grandmultipara 95.7%, and primigravida 58.2%. IOL using Misoprostol had a success rate of 83.1% and Oxytocin titration with synchronous fore water amniotomy 83.1%. Common indications for IOL included prolonged pregnancy (69.0%), and hypertensive disorders in pregnancy (15.7%). Factors influencing outcome included parity, booking status, gestational age, pre-induction cervical status and latent period interval. Conclusion: Induction of labour EBSUTH had a high success rate of 83.1%. Booking status, pre induction cervical Bishop's score ans parity amongst others significantly influenced the success rate in this study. Key Words: Induction, labour, oxytocin, misoprostol, EBSUTH, outcome.
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Ebonyi State has an HIV prevalence rate of 11.1%. The state has 2.1 million inhabitants, who are mainly rural dwellers where traditional birth attendants play pivotal role in healthcare delivery. This study assesses the awareness of HIV... more
Ebonyi State has an HIV prevalence rate of 11.1%. The state has 2.1 million inhabitants, who are mainly rural dwellers where traditional birth attendants play pivotal role in healthcare delivery. This study assesses the awareness of HIV infection and its route of transmission among the traditional birth attendants in Ebonyi State. A hundred and nine traditional birth attendants (TBAs) randomly selected were interviewed using a semi-structured questionnaire in a cross sectional study that spanned 11 months. Most respondents (88.9%) had no formal education. Only 65.1% have heard of HIV and none had practices directed towards HIV prevention. Aseptic/sterilization procedures were minimal. The level of awareness of the HIV pandemic was low among TBAs. Their practices were sub standard and may encourage the spread of HIV/AIDS among their clients. A strategy considering the unique characteristics and needs of the TBAs is advocated to integrate them into the National Prevention of mother-to-child-transmission (PMTCT) programmes. Keywords : awareness, aseptic, delivery, infection, transmission. The Nigerian Medical Practitioner Vol. 51 (1&2) 2007: pp. 6-10
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Background: Patients’ perception of the aetiopathogenesis of VVF is important in preventing recurrence of the fistula. Objective: To assess patients’ knowledge of the causes of the fistula and their attitude towards future pregnancy.... more
Background: Patients’ perception of the aetiopathogenesis of VVF is important in preventing recurrence of the fistula. Objective: To assess patients’ knowledge of the causes of the fistula and their attitude towards future pregnancy. Materials and methods: Cross sectional descriptive study using Interviewer-administered semi structured questionnaire on VVF patients between 2008 and 2010 at the Southeast fistula centre Abakaliki. A focus group discussion was held with the nurses in charge of the patients in the ward who educate the patients of the precaution needed to prevent future occurrences. Results: A total of 147 patients participated in the study. The mean age was 34.3 +11.9 years. One hundred and forty two (96.6%) of the fistulae occurred as a result of prolonged obstructed labour. One hundred and thirty two of those with obstructed labour identified the cause of their fistula correctly. Other causes as perceived by the patient include; instrumental delivery, caesarean section, incorrect delivery method. God’s will and witchcraft were among the background factors identified as leading to the fistula. Sixty participants said they would want to get pregnant again, 10% of them were indifferent while 20% were apprehensive about the next pregnancy. The focused group discussion revealed a deficient pre and post operative counseling policy. Conclusion: A number of VVF patients do not correctly appreciate the aetiopathoenesis of the condition. There is need for a comprehensive counseling guideline for such patients. Training of care providers and public health education are advocated. Key words: Perception, cause, vesicovaginal fistula, attitude
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Research Interests: Obstetrics and Medicine
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Objective: To evaluate the incidence and clinical presentation of cervical cancer in a Nigerian tertiary health institution. Methods: A review of retrieved retrospective data relating to patients managed for cancer of the cervix at the... more
Objective: To evaluate the incidence and clinical presentation of cervical cancer in a Nigerian tertiary health institution. Methods: A review of retrieved retrospective data relating to patients managed for cancer of the cervix at the University of Benin Teaching Hospital (UBTH), Benin City between January 1991 and December, 2000 was done and is presented as frequency tables. Results: Cancer of the cervix constituted 72.9% of all gynaecological malignancies seen at the University of Benin Teaching Hospital (UBTH) and accounted for 4.8% of all new gynaecological admissions. The mean age at presentation was 49.1+5.7 years, with a peak age of 41 years to 50 years. Commonest presenting feature was abnormal vaginal bleeding while the modal stage at presentation was IIIB. The squamous cell variety was commonly encountered. Conclusion: Cancer of the cervix is of Public health importance in Benin City, Nigeria. Late presentations render curative protocols ineffective. Public enlightenment targeting sexually active women in the lower socio economic strata to boost uptake of screening services should be undertaken. Keywords : cancer, cervix, late, Benin City Orient Journal of Medicine Vol. 19 (1-4) 2007: pp. 24-30
Research Interests: Incidence Geometry, Cancer, Medicine, Benin City, Cervical Cancer, and 3 moreGynecology, Late, and Cervix
Background: Reproduction occurs under conditions that threaten the life and well-being of women resulting in a very high level of maternal mortality and morbidity. Prominent among these morbidities is obstetric fistula which when occurs... more
Background: Reproduction occurs under conditions that threaten the life and well-being of women resulting in a very high level of maternal mortality and morbidity. Prominent among these morbidities is obstetric fistula which when occurs threatens the reproductive health of the . womanAim and Objective: To examine the reproductive health expectations of women who had successful Obstetric VVF repair in South East Nigeria.Methods: A qualitative study based on an in-depth interview was conducted of six successfully repaired post vvf repair women at the South East Fistula Centre.Results: Six women who had successful repair of their fistulae participated in the in depth interview. Their mean age was 28.7+ 6.4 years (2SD). Majority belonged to low social economic class. Their VVF resulted from prolonged obstructed labour and they were well aware of this. All participants had established mentrual function during the period of the condition. Five desired future pregnancy would gladly access ...
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Background: Nigeria bears a sizeable proportion of the global HIV burden; mother to child transmission as a major contributor and prevention of mother to child transmission the hope for a HIV-free generation. Objective: To find evaluate... more
Background: Nigeria bears a sizeable proportion of the global HIV burden; mother to child transmission as a major contributor and prevention of mother to child transmission the hope for a HIV-free generation. Objective: To find evaluate how booked antenatal attendees intend to utilize the labour and delivery services of the state teaching hospital in Abakaliki in their index pregnancies and if they tested HIV positive. Methods: This was a cross-sectional survey of the attendees to the booking clinic. Data on patients' ages, marital status, past obstetric history, where clients would deliver their index pregnancies normally and if they tested positive to HIV, and the reasons behind their decisions, were collected with pretested self-administered questionnaires and analyzed using SPSS version 15. Results: Four hundred and twenty-three (84.6%) of the questionnaires were analyzed. There were 288 patients who had been previously pregnant, of whom 274 (95.1%) booked for antenatal care...
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Context: Traditional birth attendants (TBAs) play a pivotal role in maternity care delivery in rural areas where modern health facilities and personnel are scanty. Referrals to modern medical institutions are poor. Assessing the pattern... more
Context: Traditional birth attendants (TBAs) play a pivotal role in maternity care delivery in rural areas where modern health facilities and personnel are scanty. Referrals to modern medical institutions are poor. Assessing the pattern and outcomes of such referrals is important to evaluate services provided by the TBAs and the ability of orthodox facilities to offer emergency obstetric care. Objectives: To examine the nature and outcomes of referred cases from TBAs to a rural hospital. Methods: Data were collected prospectively on parturients presenting from the TBAs over two years in a rural mission hospital. The hospital serves as a referral centre for the population in the host community and her neighbours. Main Outcome Measures: Maternal and perinatal morbidity and mortality among the subjects. Results: Two hundred and forty one (32.2%) of the 747 maternities were referred from the TBAs. One hundred and twenty eight of these attended antenatal clinics at the mission hospital; ...
Research Interests: Obstetrics and Medicine
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Context: Comprehensive prenatal care impacts positively on both maternal and perinatal outcomes. Free maternal health care policy in a tertiary health institution improved access to antenatal care and resulted in a 5-fold decrease in... more
Context: Comprehensive prenatal care impacts positively on both maternal and perinatal outcomes. Free maternal health care policy in a tertiary health institution improved access to antenatal care and resulted in a 5-fold decrease in maternal mortality rates. Current uptake of services is declining and the reasons for this are unclear. Objective: This study was done to ascertain some of the hidden costs of the free maternity care provided by our teaching hospital. Study Design/Subjects: This cross sectional study that spanned six months involved consecutively recruited postpartum mothers at the Ebonyi State University Teaching Hospital (EBSUTH) who were interviewed with a pretested questionnaire to collect information on medical expenses incurred during their pregnancy through delivery. Main Outcome Measure: The total amount spent on purchase of medical services as well as opportunity cost for seeking institutional care during pregnancy and childbirth. Results: The mean monthly inco...
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Context: Adequate prenatal and maternity services reduce maternal and perinatal morbidity and mortality in a population. In Nigeria, only a percentage of pregnant women attend prenatal clinics and deliver in the hospital. Objective: To... more
Context: Adequate prenatal and maternity services reduce maternal and perinatal morbidity and mortality in a population. In Nigeria, only a percentage of pregnant women attend prenatal clinics and deliver in the hospital. Objective: To evaluate the level of utilization and factors militating against uptake of maternal health services at the secondary health care facility. Methods: The researchers using semi-structured questionnaire in a cross-sectional study interviewed consenting expectant mothers from 3 randomly selected communities in Ebonyi State. Medical officers at the secondary level Healthcare facilities were also interviewed to assess volume of referrals. The study lasted 3 months. Main Outcome Measures: Utilization of maternal health services by the respondents. Results: About 90% of the 150 respondents were aware of the prenatal/maternity services in the General hospitals. The mean age of the respondents was 26.3+1 year. Women of the lower parities (<4) were more likel...
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Research Interests: Developing Countries, Nigeria, Medicine, Maternal Mortality, Prospective studies, and 15 morePregnancy, Humans, Female, Incidence, Infant and Maternal Mortality, Blood Transfusion, Public Art Hospitals, Near miss, Cross Sectional Studies, Postpartum Hemorrhage, Pre Eclampsia, Eclampsia, Cause of death, Pregnancy complications, and Medical and Health Sciences
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Many pregnant women see unorthodox medical providers in labour before presentation to the modern medical facilities after obstetric complications have arisen. This study evaluates the contribution of unorthodox medical facilities to the... more
Many pregnant women see unorthodox medical providers in labour before presentation to the modern medical facilities after obstetric complications have arisen. This study evaluates the contribution of unorthodox medical facilities to the delays subsisting maternal mortality in a rural, poor and illiterate community. Data was collected prospectively on all referrals from outside the St. Vincent's hospital, over a three-year period. Seven hundred and fifty women were referred to the hospital and there were a total of thirty maternal deaths out of the 1268 live births, giving a maternal mortality ratio of 2366/100,000. Most of the referrals were patient-driven and verbal and came from traditional birth attendants (TBAs). The majority of the patients (86.7%) came in poor clinical conditions and some were moribund. The TBAs contributed most to maternal deaths. Prolongation of labour for more than 24 hours correlated positively with maternal mortality. Ruptured uterus complicating obst...
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Gender-based violence, though deeply entrenched in some cultures and religions, has remained a neglected area in health research in South-east Nigeria. This study assessed the prevalence, pattern and background factors precipitating... more
Gender-based violence, though deeply entrenched in some cultures and religions, has remained a neglected area in health research in South-east Nigeria. This study assessed the prevalence, pattern and background factors precipitating domestic violence in a population of prenatal clinic attendees. This was a cross-sectional questionnaire-based study. Booked antenatal women were recruited into the study after informed consent. Trained research assistants administered the questionnaires in the local dialects of the women. Analysis was by the Epi Info Statistical Software package version 3.2.2 of 2005. A total of 500 women were involved in the study that spanned 3 months. Of these, 68 were exposed to gender-based violence. Verbal abuse/insult was the commonest form of male engendered violence. Others were sexual abuse, financial deprivation, threats and physical harm. Financial and domestic issues were the major sources of disagreements. Some 17.6% sustained physical injury, while all admitted to some degree of psychological trauma. Routine assessment in a non-judgemental way of antenatal population for gender-based violence is advocated. This will determine the true prevalence and pattern of domestic violence, and form a rational basis for the formulation of interventional strategies.
Research Interests: Obstetrics, Domestic Violence, Nigeria, Adolescent, Medicine, and 15 morePregnancy, Humans, Female, Obstetrics and Gynaecology, Risk factors, Prevalence, Questionnaires, Adult, Risk Factors, Cross Sectional Studies, Prenatal Care, Spouse abuse, Pregnancy complications, Paediatrics and reproductive medicine, and Referral
This study evaluated the rate and factors influencing male uptake of infertility investigations. Infertility constituted 11.2% of all new gynaecological consultations in the centre during the study period. A total of 61 (70.1%) males... more
This study evaluated the rate and factors influencing male uptake of infertility investigations. Infertility constituted 11.2% of all new gynaecological consultations in the centre during the study period. A total of 61 (70.1%) males consented to seminal fluid studies without much hesitation, 12.4% after much persuasion, while the remainder (17.5%) refused. Obliging doctor&#39;s recommendation was the primary motivation for those who willingly had seminal fluid studies while the claim to be healthy and not being responsible for infertility were the commonest barriers for reluctance or refusal to be investigated. Fears of exposure of semen so obtained to witchcraft and rituals were also contributory. Gynaecologists working in rural South-east Nigeria should through systematic public enlightenment dispel misconceptions of necessary medical intervention.
Research Interests: Obstetrics, Developing Countries, Infertility, Nigeria, Medicine, and 15 moreHumans, Female, Male, Obstetrics and Gynaecology, Patient Compliance, Incidence, Male Infertility, Middle Aged, Questionnaires, Adult, Risk Factors, Cohort Studies, attitude to health, cultural characteristics, and Paediatrics and reproductive medicine
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Background : Maternal health indices are poor in Nigeria. Regular audit of maternal deaths is vital to maternal health care planning and delivery in Nigeria and other developing countries. Objectives : The aim of the study was to audit... more
Background : Maternal health indices are poor in Nigeria. Regular audit of maternal deaths is vital to maternal health care planning and delivery in Nigeria and other developing countries. Objectives : The aim of the study was to audit maternal deaths in EBSUTH and determine the trend and factors associated with such mortality. Method : A retrospective review and analysis of all maternal deaths between January 2004 and December 2007 at Ebonyi State University Teaching Hospital was carried out. Result : There were thirty-five deaths out of the 3471 live births during the study period giving a maternal mortality ratio (MMR) of 1,008 per 100,000 live births. This represents a 41.2% decline from the preceding immediate triennia ratio. The commonest cause of maternal death during the period were obstructed labour/ ruptured uterus which accounted for 40% of the deaths as against sepsis which was responsible for 33% of deaths in the preceding triennia. The un-booked parturients and rural d...
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Many cultures hold on to different beliefs and retain community-defined restrictions for menstruating women. The Igbo society of southeast Nigeria is rich in culture, myths and superstitions but, surprisingly no documentation exists on... more
Many cultures hold on to different beliefs and retain community-defined restrictions for menstruating women. The Igbo society of southeast Nigeria is rich in culture, myths and superstitions but, surprisingly no documentation exists on menstrual beliefs and practices among the population. This questionnaire-based cross sectional study supplemented with in-depth interviews evaluated the beliefs, myths and traditional practices associated with menstruation within rural Igbo communities. It revealed that the menstrual egress is of great significance in Igbo culture and must be disposed of carefully to avoid exposure to witchcraft and rituals. Some respondents observed self-imposed restrictions on exercises, food items, visits and sex in order to maintain physical and spiritual cleanliness, lessen discomfort and avoid embarrassment. Gynaecologists working in this region should utilize the opportunities of clinical consultations to discuss menstrual health issues with their female patien...
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Introduction: Osteoporosis is a global public health problem characterized by reduction of bone mineral density (BMD). This study aimed to assess the prevalence of osteoporosis among antenatal clinic attendees in a rural Southeastern... more
Introduction: Osteoporosis is a global public health problem characterized by reduction of bone mineral density (BMD). This study aimed to assess the prevalence of osteoporosis among antenatal clinic attendees in a rural Southeastern hospital. Material and Methods: This was a cross-sectional study of booking Antenatal Clinic Attendees at Mile 4 Catholic Hospital, Abakaliki, between October 2014 and February 2015. The study participants were selected through systematic random sampling. The BMD of the right calcaneal bone of the participants was measured using the OsteoPro, a Quantitative ultrasound scan. Results: A total of 327 eligible women participated in the study. The average age of the participants was 29 ± 4.5 years. The average parity was 2 ± 1.6 childbirths. The mean T-score was −1.19 ± 4.9. Osteoporosis and osteopenia were recorded in 119 women (36.4%) and 56 women (17.1%), respectively, whereas 152 (46.5%) were within normal range. History of regular exercise by the respon...
Abstract Fetal weight estimation is important in the management of labour and delivery. This study aimed to compare the accuracy of the clinical and ultrasound methods of fetal weight estimation. This was a prospective study involving 110... more
Abstract Fetal weight estimation is important in the management of labour and delivery. This study aimed to compare the accuracy of the clinical and ultrasound methods of fetal weight estimation. This was a prospective study involving 110 term cephalic singleton pregnancies delivered within 24 hours of clinical fetal weight estimation using Johnson’s and Dare’s formulae and ultrasound estimation at a Tertiary hospital in Abakaliki, Nigeria. The data were analysed with Stata 11 software. The sonographic estimation within 10% of the actual birth weight (ABW) of 68.2% was significantly greater than the accuracy of Johnson’s (23.6%), Dare’s (26.4%), and the combined clinical formulae (27.1%). The clinical methods overestimated the fetal weight. Both methods showed a positive correlation with the ABW. In conclusion, the sonographic method had a better accuracy than the clinical methods. However, fetal weight overestimation by clinical methods warrants their usefulness in resource-poor settings such that the clinical determination of a normal weight foetus will exclude fear of complications from macrosomia. Impact statement What is already known on this subject? An accurate estimation of fetal weight is important in the management of labour and delivery. However, there is limited evidence that any of the available methods of fetal weight estimation is more accurate than the others. What do the results of this study add? This study showed that the clinical methods using Johnson’s and Dare’s formulae had a significantly higher mean percentage and absolute mean percentage error compared to the sonographic estimation of fetal weight. The sonographic estimation within 10% of actual birth weight (ABW) of 68.2% was significantly greater than that of Johnson’s and Dare’s formulae with 23.6% and 26.4%, respectively. All of the methods showed a positive correlation with the ABW. What are the implications of these findings for clinical practice and/or further research? This implies that the sonographic method has a better accuracy than the clinical methods in estimating the fetal weight. However, the overestimation of fetal weight by the clinical methods warrants their usefulness in resource-poor settings such that the clinical determination of a normal weight foetus will exclude the fear of complications from macrosomia.
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The objective of the study was to review the implementation of Post Abortion Care and effective linkage to other post abortion services in Ebonyi State University Teaching Hospital, Abakaliki, Nigeria. Data on PAC over a five year period... more
The objective of the study was to review the implementation of Post Abortion Care and effective linkage to other post abortion services in Ebonyi State University Teaching Hospital, Abakaliki, Nigeria. Data on PAC over a five year period (July, 2004 to June, 2009) were analyzed and a standardized questionnaire was administered to 45 direct PAC service providers. Abortion complications constituted 41.4% of all Gynaecological admissions. Maternal mortality from complications of abortion was 11.5% of all the maternal mortality at the centre. Women aged 19 years and less were 37 (7.1%) and single women were 132, constituting 25.3% of all cases. About 31% of the PAC care providers had formal training for the implementation of the PAC services. Fifteen percent of the care givers were satisfied with the linkage between PAC and the Family Planning services. There is poor integration between emergency post abortion care and other reproductive health services in the centre.
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Higher-order multiple births have implications for perinatal and maternal morbidity and mortality. This study aimed to determine the incidence and outcomes of higher-order multiple pregnancies in a rural area in Southeast Nigeria. The... more
Higher-order multiple births have implications for perinatal and maternal morbidity and mortality. This study aimed to determine the incidence and outcomes of higher-order multiple pregnancies in a rural area in Southeast Nigeria. The study reviewed the data on all higher-order multiple deliveries conducted in two tertiary health institutions in Abakaliki over a seven-year period from January 2000 to December 2006. Higher-order multiple births constituted 0.13 percent of the 16,968 deliveries at the two institutions. There were 21 triplet births and one quadruplet delivery. Mothers with higher-order multiple pregnancies had more antenatal admissions for preterm uterine contractions and had more preterm deliveries. The vaginal route was the preferred method of delivery. Stillbirth was recorded in 12.7 percent of the triplets, with 25.5 percent involving triplets I, II and III, who suffered birth asphyxia. The perinatal mortality rate was 276 per 1,000. The Igbo women of Ebonyi State,...
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The recommended WHO antenatal focused visits with reduced number of visits and tests is yet to be implemented in many communities in rural Nigeria. This paper evaluated the attitude of antenatal clients in a rural mission hospital to the... more
The recommended WHO antenatal focused visits with reduced number of visits and tests is yet to be implemented in many communities in rural Nigeria. This paper evaluated the attitude of antenatal clients in a rural mission hospital to the new antenatal model. Focus group discussions were carried out bi-weekly for 12 weeks with consenting booked antenatal clients. The topic guide was developed following interactions with prenatal clients at a referral tertiary center. One hundred and forty-four clients were interviewed. Prior to discussion, none had heard of the new antenatal care model. More than half of them will prefer the traditional policy with multiple visits to the new model. The traditional visit was said to be more reassuring and provides the clients time away from their routine chores/occupations and afford them the opportunity to interact with other expectant mothers and get acquainted with the health care providers. To realize the goals of the new WHO recommended antenatal...
Research Interests: Rural, Focus Groups, Developing Countries, Qualitative Research, Nigeria, and 15 moreAdolescent, Medicine, Pregnancy, Humans, Female, Patient Satisfaction, Adult, Clients, Prenatal Diagnosis, Community Based Mental Health Services, Prenatal Care, Rural Population, Interviews as topic, Community health services, and Medical and Health Sciences
Low birth weight (less than 2500g) is a cause of increased neonatal morbidity and mortality. This study aims to determine the incidence of and risk factors associated with delivery of low birth weight singletons at term at UBTH, Benin... more
Low birth weight (less than 2500g) is a cause of increased neonatal morbidity and mortality. This study aims to determine the incidence of and risk factors associated with delivery of low birth weight singletons at term at UBTH, Benin City. This was a review of retrospective data extracted from the case records of all booked parturients who had low birth weight singletons at term at the Teaching Hospital over a four-year period. Booked parturients just before and after each case who had normal birth weight infants at term served as controls. Term low birth weight singletons constituted 3.4% of the 4735 term deliveries at the UBTH Benin City. Six parameters were found to have significant association with term low birth weight delivery. Birth interval of less than 2 years lost this association after controlling for confounding variables. Hypertensive disorder of pregnancy was the most significant risk factors isolated. Others were nulliparity, social classes IV and V, and maternal ana...
Research Interests: Anthropometry, Nigeria, Medicine, Birth Weight, Pregnancy, and 15 moreHumans, Hypertension, Female, Male, Incidence, Risk factors, Newborn Infant, Adult, Retrospective Studies, Risk Factors, Pregnancy Outcome, Case Control Studies, Pre Eclampsia, Socioeconomic Factors, and Medical and Health Sciences
To examine the effect of marriage, pregnancy and child bearing on the academic performance of the Nigerian female medical student. Self administered cross sectional questionnaires were distributed to female and male medical students of... more
To examine the effect of marriage, pregnancy and child bearing on the academic performance of the Nigerian female medical student. Self administered cross sectional questionnaires were distributed to female and male medical students of Ebonyi State University, Nigeria. Academic records were examined, and data obtained analysed using the Epi info statistical software package. Sixteen (19.3%) of the female students were married, thirteen after admission into the Faculty. Fourteen of these had children and mean parity was 2. The married female students were older, had more resit examinations than their male and single female counterparts. The difference was statistically significant. Marriage and child bearing which play a central and prominent role in the traditional African culture, may serve as an additional burden on the Nigerian female medical student, affecting her academic performance. The specific problems associated with marriage, pregnancy and childbirth need to be recognised...
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Early pregnancy losses are a source of deep emotional trauma to any woman, her family and the attttending Gynaecologist. This study evaluated the prelence, pattern and management outcomes of such losses at a tertiary Health Institution.... more
Early pregnancy losses are a source of deep emotional trauma to any woman, her family and the attttending Gynaecologist. This study evaluated the prelence, pattern and management outcomes of such losses at a tertiary Health Institution. Data of all women who suffered early pregnancy losses between 1st January, 2002 and 31st December, 2004, were reviewed in a descriptive study. Information obtained from their case notes which related to the early pregnancy event, their socio demographics, obstetric history and management outcomes were collated. Univariate analysis was performed and frequency tables and figures were constructed where appropriate. Early pregnancy losses comprised miscarriages, molar pregnancy and ectopic gestations accounted for 32.1% of all gynaecological admissions during the period. Miscarriages were the commonest diagnosis and incomplete abortion constituted the bulk of this. Women of all parities were involved but rate of loss increased down the socio economic class strata. Majority were unbooked. A maternal mortality rate of 1.8% attended all forms of early pregnancy losses during the period. Early pregnancy loss constitutes a major gynaecological problem in our centre. Health care providers must institute prompt and appropriate clinical management for a good clinical outcome.