Correlation between hysterosalpingography diagnosis and final hysterolaparoscopy with dye-test diagnosis in women with utero-tubal infertility: A cross-sectional study of the implication for which test should be the first-line investigation.

Objective: To assess the accuracy of hysterosalpingography in diagnosis of uterine and/or tubal factor infertility, using hysterolaparoscopy with dye test as the gold standard with an implication for which test should be the first-line investigation.

Methods: A prospective cross-sectional study of 96 women who underwent hysterosalpingography and hysterolaparoscopy with dye test. All women within reproductive age group with utero-tubal infertility who underwent both hysterosalpingography and hysterolaparoscopy with dye-test procedure were included.

Eight-hour versus 24-h urethral catheter removal following elective caesarean section for reducing significant bacteriuria: A randomized controlled trial.

Background: There is no consensus on the preferred time to remove urethral catheter post caesarean section.

Aim: To compare rate of significant bacteriuria and urinary retention following 8-h (study) and 24-h urethral catheter removal (control) post elective caesarean section.

Methods: A randomized controlled trial of eligible participants that underwent elective caesarean section under spinal anaesthesia between March 2019 and November 2019 was conducted.

Impact of COVID-19 on the cost of surgical and obstetric care: experience from a Nigerian teaching hospital and a review of the Nigerian situation.

The public health impact of the COVID-19 pandemic cannot be overstated. Its impact on the cost of surgical and obstetric care is significant. More so, in a country like Nigeria, where even before the pandemic, out-of-pocket spending (OOPS) has been the major payment method for healthcare.

Impact of the COVID-19 Pandemic on Surgical Residency Training: Perspective from a Low-Middle Income Country.

Background: The COVID-19 pandemic has drastically impacted postgraduate training programmes worldwide. This study aims to evaluate the Nigerian situation with respect to surgical training, with a view to identifying gaps and proffering solutions.

Methods: A cross-sectional survey of surgical residents in Nigeria was conducted between 27 July 2020 and 14 August 2020.

Prevalence of and risk factors for gestational diabetes using 1999, 2013 WHO and IADPSG criteria upon implementation of a universal one-step screening and diagnostic strategy in a sub-Saharan African population.

Objectives: To investigate the impact of the new consensus diagnostic criteria on the prevalence of gestational diabetes, evaluate risk factors, and missed opportunities for diagnosis if selective screening strategy was employed.

Study Design: A prospective observational data of 1059 women with singleton pregnancy screened for gestational diabetes between 24 and 32 weeks gestation in a universal one-step screening and diagnostic strategy using 75-g oral glucose tolerance testing in an obstetric unit in Nigeria. Logistic regression was used to identify risk factors for GDM.

Comparison of short versus long term antibiotic prophylaxis in elective caesarean section at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria.

Aims And Objectives: This study was to determine any significant difference between the incidence of infectious morbidity with the use of a 24 hour antibiotics regimen compared to a 7-day course of antibiotics following elective caesarean section using a cheap and easily available combination of Ampicillin/Cloxacillin and Metronidazole.

Patients And Methods: Two hundred patients planned to have elective caesarean section for various indications and who satisfied the inclusion criteria were enrolled in the study in two groups of 100 patients each between the period of January to June 2010. Patients were randomized to receive either Ampiclox as 4 intravenous doses of 1g stat and 500 mg each 6 hourly and Metronidazole as 3 intravenous doses of 500 mg each 8 hourly both for 24 hours or same combination intravenously for 48 hours and subsequent oral use for 5 days.

Semen quality of male partners of infertile couples in Ile-Ife, Nigeria.

Objectives: The objective was to evaluate seminal fluid indices of male partners of infertile couples so as to identify the current status of the contributions of male factor to infertility in our environment.

Materials And Methods: This is a prospective study of the seminal fluid indices of consecutively consenting male partners of infertile couples seen at the Fertility and Endocrinology Research unit of the Department of Obstetrics Gynaecology and Perinatology, Obafemi Awolowo University Teaching Hospital Ile-Ife between May 2004 and June 2008.

Results: The results of the semen analysis of 661 male partners of the infertile couples were retrieved and analyzed.

The effect of post-cesarean rectal misoprostol on intestinal motility.

Objective: To determine whether rectally administered misoprostol can induce intestinal motility compared with oxytocin infusion when used to prevent primary postpartum hemorrhage after cesarean delivery.

Methods: In a prospective randomized double-blind study in Nigeria, 218 parturients undergoing cesarean delivery who had risk factors for primary postpartum hemorrhage were enrolled between July 1, 2010, and March 31, 2011. Participants received 600 μg of rectal misoprostol or 20 intravenous units of oxytocin for 4 hours after surgery.

Accuracy of intra-partum prediction of birth weight using maternal anthropometric parameters.

Aims And Objectives: This study aimed at predicting foetal birth weight using various clinical methods and to determine which of the methods is the most accurate in this population.

Subjects And Methods: Parturients of all parities admitted into the labour ward of OAUTHC, Ile-Ife at term for delivery were recruited for this study. They had their symphysiofundal height, abdominal circumference at the umbilical level, height and weight measured.

Risk factors for retained placenta in southwestern Nigeria.

Introduction: This study aimed to determine the incidence of, and identify independent risk factors to retained placenta in Ile-Ife, southwestern Nigeria.

Methods: This was a prospective case-control study involving 120 women with retained placenta after vaginal birth at the Obafemi Awolowo University Teaching Hospital, Ile-Ife, southwestern Nigeria over a period of seven years. Two consecutive normal deliveries after each retained placenta served as controls.

Retained second twin: experience from Ile-Ife, Nigeria.

Background: Retained second twin contributes significantly to perinatal morbidity and mortality, as well as maternal morbidity and mortality, usually arising as a result of intervention to salvage the retained foetus.

Objective: To review the current incidence, management, fate and outcome of both the retained foetus and its mother, with a view to proffering solution.

Design: Retrospective review over a 12 year period from January 1988 to December 1999.

Experience of tubal surgery for infertility at the Obafemi Awolowo University Teaching Hospital, Ile-Ife, Nigeria.

The magnitude of fallopian tube disease and their contribution to infertility in Nigeria and in Africa are gross among the cohorts of women presenting with difficulty in childbearing. The objective of the study is to assess the trend and pattern of tubal disease in infertility and pregnancy rate among patients undergoing tubal surgery at the Obafemi Awolowo University Teaching Hospital Complex. A descriptive retrospective study of all cases of tubal disease in infertility who admitted for surgery between January 1st 1993 and December 31st, 2000 at the Obafemi Awolowo University Teaching Hospital Complex.

Delivery outside hospital after antenatal care: prevalence and its predictors.

Over a period of 5 years (1994 - 1998), of 9519 women who booked for antenatal care at the two tertiary hospitals of the Obafemi Awolowo University Teaching Hospital Complex, Ile Ife,-Nigeria,12.8% (1220) defaulted from hospital delivery. The casenotes of these patients were retrieved from the medical records department and were sorted into two groups of defaulters and non-defaulters from hospital delivery.

Socioeconomic barriers to safe motherhood among booked patients in rural Nigerian communities.

This study examines the socioeconomic barriers to safe motherhood in booked patients in the Ife-Ijesha health administrative zone, Nigeria. During the period of study (January 1998 to December 1998), 161 booked patients of Ife State Hospital, Ile-Ife and Wesley Guild Hospital, Ilesha presented with an avoidable obstetric emergency, Seventeen (10.6%) presented during the antenatal period, while 89 (55.

Impact of post-abortion counselling in a semi-urban town of Western Nigeria.

This study is designed to evaluate the impact of post-abortion counselling in bringing about changes in sexual behaviour among patients who had treatment for an induced abortion and/or its complication in the department of gynaecology and obstetrics of Wesley Guild Hospital Ilesa and Folasola Specialist Hospital between January 1999 and December 2001. A structured questionnaire designed to evaluate the impact of counselling was administered to 108 patients, who formed part of 238 patients who had undergone induced abortion and who benefitted from the behavioural contract counselling technique. The results showed that the percentage of women using contraception increased from 30 (27.

Sociodemographic characteristics of HIV-positive mother-child pairs in Ile-Ife, Nigeria.

This study was designed to identify sociodemographic characteristics of HIV-positive mother-child pairs in the southwest of Nigeria. The aim was to identify factors that will be helpful in designing initiatives for preventing mother to child transmission (MTCT) of the virus. It was a hospital-based, case-control study carried out at the Obafemi Awolowo University Teaching Hospital, Ile-Ife, Nigeria from August 2000 to July 2002.

Utilization of approved health facilities for delivery in Ile-Ife, Osun State, Nigeria.

This was a cross-sectional population survey carried out to determine utilization of approved health facilities for delivery by mothers in Ile-Ife and factors influencing the observed utilization. A total number of 117 mothers who had delivered once or many times were selected using the systematic sampling method. Information was collected using pretested structured interview administered questionnaire.

Uncomplicated Caesarean section: is prolonged hospital stay necessary?

Background: Caesarean section among the Yoruba of western Nigerian is surrounded by a lot of fears, miseries, aversion, guilt and misconceptions for reasons varying from the desire by women to have a natural vaginal birth, fear of surgery, morbidity and deaths from the operation and prolonged hospital stay.

Objective: To examine issues of reduced hospital stay following Caesarean section with a view of making the operation more acceptable and proffering solution to some of the problems faced by women when Caesarean section is indicated.

Design: A prospective case control study.

Decision-intervention interval in ruptured uteri in Ile-Ife, Nigeria.

Objective: To determine the decision-intervention interval in ruptured uterus with a view of overhauling the management strategy thereby improving the maternal and perinatal outcome.

Design: Cross-sectional survey based on secondary data done between 1990-1999.

Setting: Obafemi Awolowo University Teaching Hospital Complex, Ile-Ife, Nigeria.

Antenatal HIV screening in South West Nigeria: the client's perspective.

This study was carried out at the Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria with the aim of assessing pregnant clients' opinions on the issue of antenatal HIV screening which is at present very controversial in Nigeria. Five hundred and eighty-six clients were interviewed at the antenatal clinic using a close-ended questionnaire. Three hundred and eighty-five (67.

Determinants of mission house delivery among booked patients in a Nigerian teaching hospital.

This study examines the determinants of Mission House Delivery among booked patients in Ile-Ife, Nigeria. During the 12 months of the study (1 May 199930 April 2000) 196 booked patients at Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife who delivered at mission houses were analysed. All ages and parity groups, educational level and social classes were involved.

Occupational health hazards among health care workers in an obstetrics and gynaecology unit of a Nigerian teaching hospital.

The occupational health hazards among health-care workers in an obstetrics and gynaecology unit were investigated. A total of 78 pretested questionnaires were administered to the doctors, nurses and ward orderlies in the unit of Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria. The common occupational health hazards were work-related stress (83.

A politico-medical perspective of induced abortion in a semi-urban community of Ile-Ife, Nigeria.

This study is designed to document a semi-urban community perspective on induced abortion in Ile-Ife, Nigeria, with a view to estimating community awareness, attitudes and implications of its existence in the community and providing relevant sociopolitical policies and pragmatic educational guidelines for policy makers to solve some of its problems within the Nigerian landscape and beyond. This was a cross-sectional study conducted in April 2000, at Oranfe community in Ile-Ife, South West, Nigeria, which has an estimated population of 5250 inhabitants. We used the survey method with the aid of a well-structured questionnaire.

Sexuality among pregnant women in South West Nigeria.

The sexual activity of 500 pregnant women in Ilesa, Nigeria was investigated in a prospective study carried out at the antenatal clinic of the Wesley Guild Hospital, Ilesa between December 1999 and September 2000. While the sexual desire in pregnancy of most of the women (60%) remains the same as in the non-pregnant state, coital frequency was reduced in majority of them (64%). The reasons given by the respondents for reduced sexual activity include nausea and vomiting of early pregnancy (30%), fear of miscarriage (12%), fear of harming the fetus (12%), physical awkwardness (20%), lack of interest (10%), discomfort (6%), fear of membrane rupture (8%), fear of infection (8%) and fatigue (10%).