Publications by authors named "Eziamaka Ezenkwele"
Objective: To examine the prevalence, perinatal outcomes and factors associated with neonatal sepsis in referral-level facilities across Nigeria.
Design: Secondary analysis of data from the Maternal and Perinatal Database for Quality, Equity and Dignity Programme in 54 referral-level hospitals across Nigeria.
Setting: Records covering the period from 1 September 2019 to 31 August 2020.
Objective: To determine the incidence and sociodemographic and clinical risk factors associated with birth asphyxia and the immediate neonatal outcomes of birth asphyxia in Nigeria.
Design: Secondary analysis of data from the Maternal and Perinatal Database for Quality, Equity and Dignity Programme.
Setting: Fifty-four consenting referral-level hospitals (48 public and six private) across the six geopolitical zones of Nigeria.
Background And Objectives: Coronavirus disease 2019 (COVID-19) is a pandemic that has become a major source of morbidity and mortality worldwide, affecting the physical and mental health of individuals influencing reproduction. Despite the threat, it poses to maternal health in sub-Saharan Africa and Nigeria, there is little or no data on the impact it has on fertility, conception, gestation and birth. To compare the birth rate between pre-COVID and COVID times using selected months of the year.
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- The study aimed to evaluate the impact of the COVID-19 pandemic on C-section rates, reasons for performing C-sections, and related health outcomes in Nigeria.
- It compared data of C-sections from three health institutions during a three-month period before and during the first COVID-19 wave, finding that C-section rates decreased significantly during the pandemic (40.0% vs. 46.8%).
- Results showed an increase in certain complications during the pandemic, including fetal distress and emergency C-sections, indicating the need for further research on how the pandemic has changed C-section trends.
Accuracy and cost-analysis of placental alpha-microglobulin-1 test in the diagnosis of premature rupture of fetal membranes in resource-limited community settings.
J Obstet Gynaecol Res
January 2015
Aim: To determine accuracy and costs of placental α-microglobulin-1 (PAMG-1) test compared to standard clinical assessment (SCA) for diagnosing rupture of membranes (ROM).
Methods: A multicenter double-blind study of consecutive women with symptoms and signs of ROM in Nnamdi Azikiwe University Teaching Hospital, Nnewi and University of Nigeria Teaching Hospital, Enugu, both in south-east Nigeria using SCA for ROM and the PAMG-1 test was done. ROM was diagnosed if two out of three methods from SCA (pooling, positive nitrazine test or ferning) were present and confirmed post-delivery based on presence of any two of these clinical criteria: delivery in 48 h to 7 days, evidence of chorioamnionitis, membranes overtly ruptured at delivery and adverse perinatal outcomes strongly correlated with prolonged PROM.
Objective: To assess the opinions and attitudes of Nigerian obstetricians toward women's refusal of cesarean delivery.
Method: We used a questionnaire with 5 clinical scenarios drawn from published cases in which Nigerian women refused to undergo a recommended cesarean delivery.
Results: Most obstetricians (84.