A5053228744- Maternal and fetal healthcare
- Global Maternal and Child Health
- Maternal and Perinatal Health Interventions
- Reproductive Health and Contraception
- Uterine Myomas and Treatments
- Preterm Birth and Chorioamnionitis
- Pregnancy and preeclampsia studies
- Emergency and Acute Care Studies
- Assisted Reproductive Technology and Twin Pregnancy
- Endometriosis Research and Treatment
- Gynecological conditions and treatments
- Reproductive Health and Technologies
- Pregnancy-related medical research
- Pregnancy and Medication Impact
- Demographic Trends and Gender Preferences
- Cervical Cancer and HPV Research
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Pelvic and Acetabular Injuries
- Sperm and Testicular Function
- Sleep and Work-Related Fatigue
- Inflammatory Biomarkers in Disease Prognosis
- Surgical Sutures and Adhesives
- Renal and Vascular Pathologies
- Maternal Mental Health During Pregnancy and Postpartum
- Blood donation and transfusion practices
Lagos State University
2009-2024
Lagos State University Teaching Hospital
2005-2024
Bloomberg (United States)
2020
Bangabandhu Sheikh Mujib Medical University
2020
World Health Organization
2017
University College Hospital, Ibadan
2012
To investigate the burden and causes of life-threatening maternal complications quality emergency obstetric care in Nigerian public tertiary hospitals.Nationwide cross-sectional study.Forty-two hospitals.Women admitted for pregnancy, childbirth puerperal complications.All cases severe outcome (SMO: near-miss or death) were prospectively identified using WHO criteria over a 1-year period.Incidence SMO, health service events, case fatality rate, mortality index (% death/SMO).Participating...
The safety and efficacy of antenatal glucocorticoids in women low-resource countries who are at risk for preterm birth uncertain.
Several maternity units in the developing world lack facilities for caesarean section and often have to transfer patients extremis. This case controlled study aimed appraise predictive factors section.One hundred fifty two consecutive women with singleton pregnancies who had were studied. The next parturient normal delivery served as control. Variables such age, parity, marital status, booking past obstetric history, weight, height, infant birth weight assessed. Data obtained analysed using...
Abstract Background Pregnancy and delivery deaths represent a risk to women, particularly those living in low- middle-income countries (LMICs). This population-based survey was conducted provide estimates of the maternal mortality ratio (MMR) Lagos Nigeria. Methods A community-based, cross-sectional study mapped Wards Enumeration Areas (EA) all Local Government (LGAs) Lagos, among 9,986 women reproductive age (15–49 years) from April August 2022 using 2-stage cluster sampling technique....
Objective: To assess the effect of psychosocial support on labour outcomes. Methodology: A randomised control trial conducted at University College Hospital Ibadan, Nigeria, from November 2006 to 30 March 2007. Women with anticipated vaginal delivery were recruited and antenatal clinic. The experimental group had companionship in addition routine care throughout until two hours after delivery, while controls only care. primary outcome measure was caesarean section rate. Others included...
Platelets are pivotal players in the pathophysiology of pre-eclampsia, with observed lower counts affected individuals compared to normotensive counterparts. Despite advancements, elusive cause pre-eclampsia persists, motivating intense global efforts identify reliable predictors. The currently recommended predictors not readily available many resource-limited regions like Nigeria. This cohort study explores potential mean platelet volume (MPV) and distribution width (PDW) as predictive...
Screening programmes for the early detection of premalignant lesions cervix are expensive and technically difficult, especially in resource-challenged settings. There is a need cheaper equally effective alternative screening methods. This study compared efficacy visual inspection using acetic acid (VIA) with Pap smear method. A total 186 subjects had followed by 3 - 5% biopsies taken from suspicious acetowhite positive lesions. Cases abnormal cytology were recalled biopsies. 150 negative...
To determine the correct use of active management third stage labor (AMTSL) (using full complement existing standard definitions) and compare outcomes in women who received AMTSL (according to these with those did not.Observational, cross-sectional survey.Seven tertiary centers southwest Nigeria.Women undergoing non-instrumental vaginal deliveries.Prospective direct observations childbirth procedures. was defined according Cochrane review, ICM/FIGO (International Confederation...
Haemorrhage from obstetric causes is the most common cause of maternal mortality in developing world. Prevention haemorrhage will necessarily involve prompt blood transfusions among other life saving measures. There are however limited stocks fresh or stored many health care facilities Sub Saharan Africa. Caesarean section has been identified as a indication for transfusion obstetrics practice and its performance often delayed by non availability our centre. An evaluation reservation use at...
Unsafe abortion continues to impact negatively on women's health in countries with restrictive laws. It remains one of the leading causes maternal mortality and morbidity. Paradoxically, modern contraceptive prevalence low unmet need for contraception mirror unwanted pregnancy rates many within sub-Saharan Africa. This qualitative study assessed knowledge; their expectation experiences methods employed abortion; care-seeking decisions following a complicated abortion. Women who presented...
This descriptive study was carried out to assess the awareness and acceptability of Assisted Reproductive Technology (ART) among infertile women in Lagos, Nigeria. Self-administered questionnaires on knowledge ART were used. After a brief exposé ART, questions relating their attitude answered. A total 166 studied. Only 51.8% had any most these poor knowledge. 137 would embrace if offered but 29 not, for reasons such as religion, fear side-effects, failure unaffordable costs. There is paucity...
Objective The study aimed to assess the use of misoprostol and complications associated with abortions in referral hospitals Nigeria, a country restrictive abortion laws. Methods A cross-sectional at nine South-west Nigeria. Nine years' data were retrieved from medical records, including 699 induced abortions. Independent variable was method abortion; dependent variables complications, need for treatment mortality. Statistical significance tested Chi-square, Fishers' exact chi-square trend...
( BJOG. 2016;123:928–938) Achieving the fifth Millennium Development Goal (MDG-5) to reduce maternal mortality rates is a challenge in some low-income countries due lack of reliable data evaluate progress and guide appropriate actions. The aim this study, Nigeria Near-miss Maternal Death Survey, was determine burden death near-miss occurrences through surveillance collection life-threatening complications or severe outcomes (SMO) from Nigerian public tertiary hospitals.
This study highlights the extent of delays in presentation and management ovarian cancer at Lagos State University Teaching Hospital. A total 37 histologically confirmed epithelial cases managed from January 2004 to December 2008 were analysed. The time interval between onset symptoms seeking healthcare, was 36.1 ± 40.8 weeks; healthcare referral tertiary hospital, 22.7 30.4 overall for definitive care, 52.0 51.8 weeks. Private hospitals (35.1%) herbal homes (21.6%) commonest facilities...
In Brief Purpose: To discuss the role of nurses and nurse-midwives in preventing treating postpartum hemorrhage (PPH) from uterine atony developing countries examine a new device, Non-pneumatic Anti-Shock Garment (NASG), improving outcomes for these patients. Study Design Methods: this subanalysis larger preintervention phase/intervention phase study 1,442 women with obstetric hemorrhage, hypovolemic shock (N = 578) (≥750 mL blood loss; systolic pressure <100 mmHg and/or pulse >100 beats per...
To investigate the effectiveness of an intervention aimed at improving case management eclampsia.A multi-center study.Six teaching hospitals in Nigeria.Clinical records cases eclampsia treated before and 1 year after intervention.Doctors midwives selected were re-trained to manage using magnesium sulfate according Pritchard protocol.Eclampsia fatality rates, maternal perinatal mortality rates intervention.A total 219 managed over a 12-month period. There seven deaths. The post rate 3.2% was...
Abstract Aim The study investigated the effectiveness of sublingual misoprostol when used as primary treatment post‐partum hemorrhage ( PPH ) in a low‐income country. Methods Maternity care providers three N igerian hospitals administrated 800 μm to women experiencing . outcome variables were estimated blood loss and need for additional uterotonic drugs after initial with misoprostol. Entry criteria included term spontaneous labor, while exclusion operative delivery those not due atonic...
The challenge of commencing cardiac surgery in developing countries Africa is onerous. We present a model from the experience carrying out open surgical procedures at Lagos State University Teaching Hospital (LASUTH) with three separate missions between 2004 and 2006. This paper details challenges starting heart resource limited environment. propose that owing to huge financial investment needed, government sponsorship as well collaboration overseas based local non-governmental agencies may...
To determine the efficacy of bilateral uterine artery ligation in treatment symptomatic fibroids.A descriptive study.Tertiary care gynecological clinic, Lagos State University Teaching Hospital, Ikeja, Lagos, Nigeria.Fifty women who had trans-vaginal for fibroids between January 2003 and 2006.Pre-operative baseline ultrasonic measurements dominant fibroid volumes were carried out repeated at two, six, 12 weeks, then three monthly a period years. Severity menstrual blood loss, changes pain...
Cervical cancer is the second most common and leading cause of cancer-related death in women sub-Saharan Africa. It estimated that more than 200 million females older 15 years are at risk this region. This paper highlights current burden cervical Africa, reviews latest clinical data on primary prevention, outlines challenges region, offers potential solutions to these barriers. Based factors, recommendations for prevention from African Cancer Working Group expert panel presented.