FACULTY OF CLINICAL SCIENCES

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Author: search.filters.author.Oluwasola, T. A. O.Subject: search.filters.subject.Outcome

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    Partograph utilization and clinical decision making: A veritable tool in reducing maternal mortality in the 21st century.
    (2023) Famutimi, E. O.; Oluwasola, T. A. O.; Oni, O. O.; Olagunju, A. S.; Okanlawon, F. A.
    Introduction and Objective: Poor obstetric outcomes in Nigeria with its attendant implications for measuring health indices have remained a significant health concern. The occurrence of adverse events due to unsafe care is a major contributor to the causes of maternal morbidity and mortality globally. The main objective of this study was to assess the pattern of admission as well as the outcome of Obstetrics practices in Oluyoro Catholic Hospital (OCH) Ibadan. Methodology: This was a retrospective, cross-sectional descriptive analysis of medical records of 194 cases managed between Janu-ary and December 2018. Using a proforma, data was obtained on obstetric characteristics of patients, indications for admission, outcome of pregnancy and the interventions received during patient's admission into the maternity ward. The socio-demographic characteristics were described sequentially with frequency tables and percentages. Chi-square statistics was used to determine the association between categorical variables at 5% level of statistical significance. Results: The mean age of the participants was 30.45 + 4.83 years and the majority, 183 (94.3%), of them were booked. Common indications for admission were onset of labour pains 74 (38.1%), and elective induction of labour 38 (19.6%). Two-fifths, 79 (40.7%) of the respondents had intrapartum augmentation of labour with oxytocin. The prevalence of episiotomy in this study was 22.2% while 5.2% had laceration. Majority, 182 (93.8%) had live babies out of which 8.2% required admission into the neonatal intensive care unit. Conclusion: Overall findings showed that the obstetric practices in the study setting were within the margin of acceptable standard and efforts to sustain the obstetric skills and practices of healthcare providers should be maintained.
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    Pattern of infertility at LAUTECH teaching hospital, Ogbomoso, Nigeria.
    (2019) Suleiman, B. K.; Bello, O. O.; Tijani, A. M.; Oluwasola, T. A. O.
    Background and Objectiver Infertility is a socially destabilising health problem, which remains a cause of stigma and threat to couples desirous of conception in Nigeria. This sludy aimed to ecxamine the pattern of presentation and management outcome of infertility at LAUTECH Teaching Hospital (LTH), Ogbomoso. Methods A descriptive retrospective study of infertile couples attending the gynaecological clinicovera 3-yearpe-riod was conducted. Intonation on sociodemographic and gynaccological characteristics, medical history and management outcome was obtained from the medical reconls of the patients using a stctured proforma Data was analysed using SPSS version 20.0. Results The incidence of infertility was 34.30ol The mean age of the infertile women was 6.44 4.7 ycars. Secondary infertility/ accounted for the majority of the cases (73.0") with the_ mean duration of infertility being3,92 1 years. Male factor was identified in 10.4 of cases while female factor wasscen in 4L6"ot cases Both partners contributed to infertility in 34% while there was no identifiable cause in 14%. The commonest causes of infertility in the women were inadequate coital exposure, previous abnormal vaginal discharge and previous induced abortion representing 39.5%, 37.1%, and 33.7% respectively. Pregnancy was achieved in 3.0% of the women following treatment Conclusion The institutional incidence of infertility was high with a preponderance of secondary infertility. Pregnancy rate following conventional treatment was poor