Browsing by Author "Adedokun, B. O."

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Attitude and preferences of Nigerian antenatal women to social support during labour
(Cambridge University Press, 2007) Morhason-Bello, I. O.; Olayemi, O.; Ojengbede, O.A.; Adedokun, B. O.; Okuyemi, O. O.; Orji, B.
This was a hospital-based cross-sectional study of 224 randomly selected antenatal women receiving care at the University College Hospital, Ibadan, Nigeria. The study aimed to seek the attitude and preferences of respondents about social support during childbirth and also identify variables that may influence their decisions. Seventy-five per cent of respondents desired companionship in labour. Approximately 86% preferred their husband as companion while 7% and 5% wanted their mother and siblings as support person respectively. Reasons for their desire for social support were emotional (80•2%), spiritual (17•9%), errands (8•6%) and physical activity (6•8%). Socio-demographic variables found to be statistically significant on logistic regression analysis for the desire of a companion in labour were nulliparity (OR 3•57, 95% CI 1•49–8•52), professionals (OR 3•11, 95% CI 1•22–7•94) and women of other ethnic groups besides Yoruba (OR 2•90, 95% CI 1•02–8•26), which is the predominant ethnic group in the study area. Only those with post-secondary education were found to want their husbands as doula (OR 2•96, 95% CI 1•08–8•11). More than half of the respondents wanted information about labour prior to their experience. It is important that Nigerian women are allowed the benefit of social support during childbirth, particularly as there is a lack of one-to-one nursing care and other critical services, including epidural analgesia in labour, at many of the health care facilities in Nigeria. Men could play a pivotal role in the process of introducing support in labour so as to improve the outcome for both the mother and her newborn
Awareness and desirability of the Nigerian antenatal women about analgesia use during childbirth
(2007-12) Oladokun, A.; Morhason-Bello, I.O.; Eyelade, O. R.; Adedokun, B. O.; Akinycmi, J O.; Adewole, I. F.
Awareness and use of emergency contraceptive methods among Intern medical doctors at Ibadan
(IJEJAS Ventures, Printers and Publishers, 2008) Morhason-Bello, I. O.; Adesina, O. A.; Ifemeje, A. A.; Okunlola, M. A.; Adedokun, B. O.; Abdu-Salam, R. A.; Adekunle, A. O.
Effects of educational intervention on women’s knowledge and uptake of cervical cancer screening in selected hospitals in Ibadan, Nigeria
(Taylor & Francis, 2017) Ndikom, C. M.; Ofi, B. A.; Omokhodion, F. O.; Adedokun, B. O.
This study evaluated the effects of an educational intervention (El) on women's knowledge and uptake of cervical cancer screening (CCS) services. A quasi-experimental study, conducted in the antenatal clinics of eight hospitals in Ibadan, Nigeria. The hospitals were randomly clustered into four in intervention group (IG) and four in control group (CG), and 846 women were selected in the two groups using Systematic random sampling at baseline and post-intervention (PI). Data were collected using a structured questionnaire. The women in the IG received educational intervention provided by hospital nurses who were exposed to an educational programme previously. Data were analysed using descriptive statistics and x2 at p <0.05. The mean age for women was 28 years ±5.8. The respondents' awareness of CC at baseline was IG: 12.9% and CG: 18.2% but this increased to 71.5% in IG and 22.1% in CG with net intervention effect (NIE) of 54.7% (p <0.0001), knowledge of the causative organism (NIE <37%, p < 0.0001), sexual intercourse as mode of transmission (NIE 53.7%, p<0.001). Screening for early detection of cervical cancer (NIE 75.6%, p < 0.001), awareness of where to receive screening (NIE 64.1%, p < 0.001). There was only a very slight increase in uptake of CCS from 1.4% at baseline to 3.6% in the IG and 2.1 to 2.3% in the CG. Over, 53.5% said unavailability of services was a major hindrance to their screening uptake. Cervical cancer screening knowledge improved in the intervention group but uptake only improved slightly with the intervention. Educational intervention is a useful tool for improving knowledge of Cervical Cancer Screening.
Factors associated with treatment success among pulmonary tuberculosis and HIV co-infected patients in Oyo State, South West-Nigeria
(Nigerian Medical Association, Rivers State Branch., 2013) Oladimeji, O. O.; Obasanya, J. O.; Daniel, O. J.; Gidado, M.; Akolo, C.; Oladimeji, K. E.; Atilola, O.; Ajayi, T.; Adeyinka, A. D.; Osman, E.; Odusote, T.; Awe, A.; Lawalu, O.; Omoniyi, A.; Dairo, D. M.; Adedokun, B. O.; Adeoye, I. A.; Igodekwe, F. C.; Hassan, A.; Onoja, M. A.
BACKGROUND The co-existence of Tuberculosis (TB) and Human immunodeficiency Virus (HIV) is known to increase morbidity and mortality in patients. The determinants of treatment success in TB- HIV co-infection are not yet well studied. Such information can help optimise treatment and reduce morbidity and mortality. OBJECTIVE To determine factors associated with anti- tubercular treatment success among TB /HIV coinfected patients. METHODS A cross sectional study was carried out in fifty three DOT clinics and treatment centres using tuberculosis patient’s records from January 2009 to December 2010 in Oyo state, Nigeria. The study population consisted of 7905 tuberculosis patients. Information on variables of interest were obtained with the use of data extraction forms. Chi-square and logistic regression were used to test the relationship between TB/ HIV co- infection and socio-demographic variables, clinical characteristics and treatment success. RESULTS Prevalence of TB /HIV co-infection was found to be 14.2%. Patients with TB-HIV co-infection were younger and more likely to be females. There were statistically significant association between treatment success and gender, marital status and patient point of care. After adjusting for other variables, it was found that patients receiving treatment in private facilities were independently less likely to be successfully treated compared with those receiving care in Public facilities. Female patients were also independently more likely to have better treatment outcome than male. CONCLUSION In addition to patients’ point of care, gender of the patients can adversely impact on their treatment success. Efforts from the government to strengthening the private public mix, health education and media awareness on adherence to treatment to improve treatment success should be intensified in the country.
Gender variation in self-reported likelihood of HIV infection in comparison with HIV test results in rural and urban Nigeria
(Biomed Central, 2011) Fagbamigbe, A. F.; Akinyemi, J. O.; Adedokun, B. O.; Bamgboye, E. A.
Background: Behaviour change which is highly influenced by risk perception is a major challenge that HIV prevention efforts need to confront. In this study, we examined the validity of self-reported likelihood of HIV infection among rural and urban reproductive age group Nigerians. Methods: This is a cross-sectional study of a nationally representative sample of Nigerians. We investigated the concordance between self-reported likelihood of HIV and actual results of HIV test. Multivariate logistic regression analysis was used to assess whether selected respondents’ characteristics affect the validity of self-reports. Results: The HIV prevalence in the urban population was 3.8% (3.1% among males and 4.6% among females) and 3.5% in the rural areas (3.4% among males and 3.7% among females). Almost all the respondents who claimed they have high chances of being infected with HIV actually tested negative (91.6% in urban and 97.9% in rural areas). In contrast, only 8.5% in urban areas and 2.1% in rural areas, of those who claimed high chances of been HIV infected were actually HIV positive. About 2.9% and 4.3% from urban and rural areas respectively tested positive although they claimed very low chances of HIV infection. Age, gender, education and residence are factors associated with validity of respondents’ self-perceived risk of HIV infection. Conclusion: Self-perceived HIV risk is poorly sensitive and moderately specific in the prediction of HIV status. There are differences in the validity of self-perceived risk of HIV across rural and urban populations.
Knowledge of the human papilloma virus vaccines, and opinions of gynaecologists on its implementation in Nigeria
(Women’s Health and Action Research Centre, 2013) Morhason-Bello, I. O.; Adesina, O. A.; Adedokun, B. O.; Awolude, O.; Okolo, C. A.; Aimakhu, C. O.; Akinwunmi, B. O.; Oladokun, A.; Adewole, I. F.
The objective of this study was to determine the knowledge and perception of Nigerian Obstetricians and Gynaecologists towards human papilloma virus vaccine use in Nigeria. A cross sectional study was conducted amongst participants that attended the 42nd Society of Gynaecology and Obstetrics of Nigeria. The findings revealed that 44.5% knew the correct HPV vaccine schedule. Regarding implementation in Nigeria, 87.4% suggested its incorporation into the national immunization program and about a third agreed that it should be a precondition for school enrollment. Regression analysis showed that senior residents were more likely to have adequate knowledge of the vaccine compared to junior residents (AOR 7.181 95% CI OR=1.792 – 28.782). We conclude that the knowledge of eligibility and schedule is poor. It is recommended that adequate information should be provided to this group of health workers because of their strategic position in its implementation in Nigeria.
Knowledge of the human papilloma virus vaccines, and opinions of gynaecologists on its implementation in Nigeria
(2013-06) Morhason-Bello, I. O.; Adesina, O. A.; Adedokun, B. O.; Awolude, O.; Okolo, C. A.; Aimakhu, C. O.; Akinwunmi, B. O.; Oladokun, A.; Adewole, I. F.
The objective of this study was to determine the knowledge and perception of Nigerian Obstetricians and Gynaecologists towards human papilloma virus vaccine use in Nigeria. A cross sectional study was conducted amongst participants that attended the 42nd Society of Gynaecology and Obstetrics of Nigeria. The findings revealed that 44.5% knew the correct HPV vaccine schedule. Regarding implementation in Nigeria, 87.4% suggested its incorporation into the national immunization program and about a third agreed that it should be a precondition for school enrolment. Regression analysis showed that senior residents were more likely to have adequate knowledge of the vaccine compared to junior residents (AOR 7.181 95% CI OR=1.792 – 28.782). We conclude that the knowledge of eligibility and schedule is poor. It is recommended that adequate information should be provided to this group of health workers because of their strategic position in its implementation in Nigeria
Maternal tetanus at the university college hospital in Ibadan Nigeria: a 15-year retrospective analysis
(2008-03) Roberts, O. A.|; Morhason-Bello, I.O.; Adedokun, B. O.; Adekunle, A. O.
Objective To determine the characteristics of women with maternal tetanus, pattern of presentation and outcome of management. Methods A total of 19 women were managed with maternal tetanus between 1990 and 2005 from the University College Hospital in Ibadan Nigeria. A retrospective study was performed. The medical records of all women managed as a case of maternal tetanus were retrieved from the central record department of the hospital. The pattern of presentation, characteristics of women, the duration of hospital admission, tetanus toxoid immunization, and outcome of care were measured. Results The records of 18 women managed were analyzed. The mean age at presentation was 25.2 ± 5.3 years. The patients were mostly single, nulliparous and had primaryschool education. The maternal tetanus cases seen mainly complicated induced abortion while 5 and 2 other cases were due to childbirth complication and leg wound respectively. The portal of entry of the remaining 3 cases could not be ascertained. None of the patient managed had complete immunization schedule. The average duration of admission was 11.2 ± 6.7 d. Five women had intensive care with 3 of them requiring ventilatory support. The case fatality rate was 66.7%. The only factor that significantly improved survival was presence of generalized spasm at presentation (P=0.006) Conclusion The occurrence of maternal tetanus is a reflection of low quality of health care delivery and lack or inefficient routine immunization coverage in any community
Misconception about ultrasound among Nigeiran women attending specialist and tertiary health institutions in Ibadan
(2012-08) Adekanmi, A. J; Morhason-Bello, I. O; Atalabi, O. M.; Adedokun, B. O.; Adeniji-Sofoluwe, A. A.; Marinho, A. O.
Background: In women health, ultasound is well established as a safe tool, and it is often the first imaging modality employed in the, screening, investigation and treatment of conditions in obstetrics and gynaecology. However, women's misconceptions about health issues, aetiology and treatment of diseases conditions may have negetive impact on thier health care seeking behaviour. Client's perspective of diagnosis including investigation process is therefore crucial in health care. This study aimed at finding out the misconceptions expressed by clients about ultrasound, and the potential predictors associated with this attitude among women in Nigeria. Method: A descriptive cross-sectional survey was conducted among 3137 women who presented for transabdominal ultrasound scan between August and November 2010 in two referral hospitals in Nigeria. Data were obtained using a questionnaire. Descriptive and multivariate analysis was performed applying logistic regression analysis; predictors of misconceptions expressed by clients about ultrasoung, and misconception among women in Nigeria were identified using SPSS statistics (SPSS Inc, Chicago, IL) version 17 software. Results: The mean age of the women was 33.8 years (standard deviation=7.0), with 88.8% currently married. More than half of the respondents had tertiary education (56.6%), followed by secondary school education (34.5%), primary education(7.8%) and no formal education (1.1%). There were 59 women who held the misconception that ultrasound was dangerous to health accounting for 1.9% of the study population. The reasons given by this group of women included; 'ultrasound can kill or destroys the body cells'(35.6%); 'it can cause cancer' (15.3%); 'the radiation is only dangerous to some organs of the body' (6.8%); 'it can harm or deform the fetus'(6.7%); 'it is only dangerous when exposure is frequent'(5.1%) and 'only dangerous when handled by unskilled medical personnel' (1.7%). Conclusion: This study provides insight to the wide range of issues about clients' perception and misconception regarding ultrasound safety. These issues have to be addressed to improve better compliance and patronage about ultrasound scans in Nigeria. We suggest that robust conseling sessions is imperative to address all the views and possible concerns of clients to improve better service delivery.
The role of ethnicity on pain perception in labour among parturients at the University College Hospital
(2009-04) Olayemi, O.; Morhason-Bello, I. O.; Adedokun, B. O.; Ojengbede, O. A.
Aims: In developing countries, the major mechanism by which parturients cope with labor pain is psychological. This study aims to assess the effect of ethnicity on the perception of pain by parturients in labor at the University College Hospital, Ibadan. Materials and Methods: The study was conducted between the 1 November 2006 and the 30 March 2007 at the University College Hospital Ibadan. The main outcome measure was pain perception assessed by the Box Numerical Scale (BNS). Univariate analysis was by t-test for continuous variables and c2 test for categorical variables. The multiple linear regression method was utilized for multivariate analysis. The level of statistical significance was set at P < 0.05. Results: The lowest adjusted mean BNS score was found in theYoruba ethnic group: they had scores lower than the mean scores for the other ethnic groups (-0.636 [95% confidence interval (CI) -0.959, -0.313]). The presence of a doula also reduced the mean BNS scores significantly (-0.533 [95% CI -0.844, -0.222]. Increasing parity also reduced pain scores (-0.182 [95% CI -0.342, -0.022]). Increasing educational attainment increased pain scores in labor (0.189 [95% CI 0.017, 0.361]). The influence of increasing age was not statistically significant in this model. In conclusion, ethnicity of the parturient relative to that of the predominant ethnicity in the place of birth has a significant effect on the perception of labor pain by the parturient. In our resource-challenged environment, trained doulas may help make labor less painful for the parturient
Sociodemographic factors and clerkship experience influence Ibadan medical students' preference for radiology specialty
(2013) Atalabi, O. M.; Adedokun, B. O.; Agunloye, A.
Transvaginal ultrasonography: a survey of the acceptability and its predictors among a native African women population.
(Dove Medical Press Ltd, 2012) Atalabi, O. M; Morhason-Bello, I. O; Adekanmi, A. J.; Marinho, A. O.; Adedokun, B. O.; Kalejaiye, A. O.; Sogo, K.,; Gbadamosi, S. A.
Objective:To determine the acceptability of transvaginal ultrasonography (TVU) and associated factors among Nigerian women. Method: A cross-sectional survey was conducted among 3137 women who presented for transabdominal ultrasound scan between August and November 2010 in two referral hospitals in Nigeria. Data were obtained using a questionnaire. Descriptive and multivariate analysis was performed applying logistic regression analysis; predictors of willingness of participants regarding transvaginal ultrasound were identified using SPSS Statistics (SPSS Inc, Chicago, IL) version 17 software. Results: The mean age of the women was 33.8 years (standard deviation =7.9), with 88.8% currently married. About 84% were willing to have TVU, while 54.2% were indifferent about the gender of the sonologist. About 17.3% believed that the procedure is painful. Significant predictors of willingness to have TVU were previous sexual experience and douching, prior painful vaginal examination, and vaginal surgery. Conclusion: The majority of Nigerian women expressed a willingness to have the TVU pro-cedure without necessarily opting for any gender preference of the operator. Women should be adequately counseled on the operations of the procedure so as to be able to psychologically prepare for them.
Uncomplicated midvaginal vesico-vaginal fistula repair in Ibadan: a comparison of the abdominal and vaginal routes
(2008-12) Morhason-Bello, I. O.; Ojengbede, O. A.; Adedokun, B. O.; Okunlola, M. A.; Oladokun, A.
Background: Obstetric fistula is a resultant effect of prolonged obstructed labour. The best surgical management of simple uncomplicated fistula determines the outcome of care. Objective: To compare outcome of uncomplicated mid-vaginal fistula between vaginal and abdominal route of repair. Materials and Method: This was a hospital based retrospective study conducted at the University College Hospital, Ibadan from January, 2000 till December, 2006. Result: Of the 71 midvaginal fistulae managed, 40.8% had abdominal repair while the remainder were through vaginal approach. The overall repair success rate was 79.2% with comparable outcome in both groups-78.3% for the abdominal and 80% for the vaginal group (p=0.999). The duration of hospital stay did not differ significantly between the groups (p=0.972). Post operative complications were found in 41.4% of the abdominal group compared to none in the vaginal group (p<0.001). The complications were failed repair (20.7%) and urinary tract infection (20.7%). The mean estimated blood loss was 465.5ml in the abdominal group compared to 332.9ml for the vaginal group (p=0.303). Conclusion: Despite the comparable surgical repair outcome of the two methods, the vaginal approach is associated with lesser blood loss and lower risk of post-operative complications. It is recommended that the vaginal route should be employed in the repair of uncomplicated midvaginal fistula unless there are other compelling reasons to the contrary