Publications by authors named "Folasade A Bello"

Article Synopsis
  • This study focused on the use of admission cardiotocography (CTG), a noninvasive method for assessing fetal oxygenation, and its correlation with neonatal outcomes.
  • Researchers analyzed data from 206 pregnant women and found that 73.3% had normal CTG results; however, those with pathological CTG faced higher risks such as low birth weight and neonatal death.
  • The findings highlight the importance of admission CTG for identifying at-risk pregnancies, recommending prompt intervention for delivery if results are abnormal to improve neonatal outcomes.
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Postpartum haemorrhage (PPH) is responsible for over 50,000 maternal deaths every year. Most of these deaths are in low- and middle-income countries. Tranexamic acid (TXA) reduces bleeding by inhibiting the enzymatic breakdown of fibrin blood clots.

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Background: Postpartum haemorrhage (PPH) is a leading cause of maternal mortality worldwide. Maternal anaemia greatly increases the risk of PPH, and over a third of all pregnant women are anaemic. Because anaemia reduces the oxygen-carrying capacity of the blood, anaemic women cannot tolerate the same volume of blood loss as healthy women.

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Objective: To evaluate the capability of high-volume comprehensive emergency obstetric care (CEmOC) health facilities on the provision of comprehensive postabortion care (PAC) in Sub-Saharan Africa and to determine the frequency of women with severe abortion-related complications in high capability facilities.

Methods: A cross-sectional analysis conducted across 11 countries in Sub-Saharan Africa, using facility-level information from the World Health Organization (WHO) Multi-Country Survey on Abortion-related morbidity (MCS-A) between 2017 and 2018. PAC signal functions were adapted to assess facilities' capability to deliver comprehensive PAC through infrastructure, standard comprehensive capability, and extended comprehensive capability to provide PAC.

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Article Synopsis
  • * Analysis of data from over 9,200 women revealed that 10.6% had infections, significantly affecting maternal health, with an alarming case fatality rate of 27.4% for severe cases.
  • * The primary treatment involved antibiotics and other medical interventions, showing a notable trend where younger women, single women, and those further along in pregnancy were at a higher risk of infection.
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Objective: To estimate the prevalence of women who were admitted to health facilities with abortion-related complications who reported feeling anxious/stressed during their stay, and to identify sociodemographic, facility, and abortion-related characteristics associated with self-reported experience of anxiety/stress.

Methods: We used data from four countries in Eastern and Southern Africa (Kenya, Malawi, Mozambique, and Uganda) collected from 2017-2018 as part of the World Health Organization (WHO) Multi-Country Survey on Abortion-related morbidity (MCS-A). Information was extracted from women's medical records and their participation in audio computer-assisted self-interviews (ACASI).

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Diabetes mellitus, an endocrine disorder, has been implicated in many including hypogonadism in men. Given the fact that diabetes mellitus is becoming a fast-growing epidemic and the morbidity associated with it is more disabling than the disease itself. This study sought to assess the prevalence of low testosterone levels and predictors in type 2 diabetes mellitus patients and non-diabetic men in a district hospital in Ghana.

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Objective: To assess satisfaction with care for abortion-related complications experienced among adolescents compared to older women.

Methods: A secondary analysis of the WHO Multi-Country Survey on Abortion-related Morbidity and Mortality-a cross-sectional study conducted in health facilities in 11 Sub-Saharan African countries. Women with abortion-related complications who participated in an audio computer-assisted self-interview were included.

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Objective: To investigate the level and determinants of nonreceipt of contraception among women admitted to facilities with abortion-related complications in East and Southern Africa.

Methods: Cross-sectional data from Kenya, Malawi, Mozambique, and Uganda collected as part of the World Health Organization (WHO) Multi-Country Survey on Abortion-related morbidity. Medical record review and the audio computer-assisted self-interviewing system were used to collect information on women's demographic and clinical characteristics and their experience of care.

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Rationale: high premium is placed on infertility in Nigerian culture. Data is limited on its association with emotional problems in Nigeria.

Aims: to develop content for a culturally relevant and cost-effective psychoeducational intervention package and to evaluate its effectiveness for reducing symptoms of anxiety and depression.

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Introduction: Complications due to unsafe abortions are an important cause of morbidity and mortality in many sub-Saharan African countries. We aimed to characterise abortion-related complication severity, describe their management, and to report women's experience of abortion care in Africa.

Methods: A cross-sectional study was implemented in 210 health facilities across 11 sub-Saharan African countries.

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Article Synopsis
  • The study aimed to determine if a 12-hour intravenous magnesium sulfate (MgSO4) dose is as effective as a 24-hour dose for managing severe pre-eclampsia in pregnant women.
  • Conducted at University College Hospital in Nigeria, the trial involved 80 women, split into two groups, and measured outcomes like seizures and maternal/fetal survival.
  • Results showed no significant differences in maternal and neonatal outcomes between the two dosing regimens, concluding that the 12-hour dose is both effective and safe.
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Objectives: To assess the severity of complications following misoprostol used to induce abortion compared with other methods among women admitted for postabortion complications.

Methods: A cross-sectional study of women who presented with complications of induced abortion at nine secondary and tertiary hospitals in South West Nigeria between April 1, 2013 and May 31, 2014. Face-to-face interviews were conducted and information on the current admission was extracted from patient records.

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Unsafe abortion continues to impact negatively on women's health in countries with restrictive abortion laws. It remains one of the leading causes of maternal mortality and morbidity. Paradoxically, modern contraceptive prevalence remains low and the unmet need for contraception continues to mirror unwanted pregnancy rates in many countries within sub-Saharan Africa.

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Objective: The study aimed to assess the use of misoprostol and complications associated with abortions in referral hospitals in Nigeria, a country with restrictive abortion laws.

Methods: A cross-sectional study at nine referral hospitals in South-west Nigeria. Nine years' data were retrieved from medical records, including 699 induced abortions.

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Background: The Nigerian Midwives Service Scheme (MSS) increased use of antenatal services at rural public sector clinics. However, it is unclear if women who would not have otherwise sought care, or those who would have sought care in rural private sector clinics caused this change. Additionally, it is also unclear if the reported midwife attrition was associated with a spillover of the scheme's effect on urban areas.

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Article Synopsis
  • The study investigated how common bacterial vaginosis (BV) is among women before getting an intrauterine device (IUD) and looked at complications related to BV status post-insertion.
  • Conducted from May to September 2014, the observational cohort study involved 360 women who were monitored for one month, with BV diagnosed through specific scoring.
  • Results showed a BV prevalence of 33.3% and a complication rate of 23.9%, but the difference in complications between those with and without BV wasn't significant, with a post-insertion BV incidence of 11.5%.
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. Menopause is the expected end of reproductive life. Having a positive attitude towards it has been shown to result in a positive experience, while a negative attitude is associated with negative experiences and symptoms.

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Article Synopsis
  • The study aimed to assess the knowledge, awareness, and factors influencing the use of dual contraception among female undergraduates in Ibadan, Nigeria, through a survey of 1,200 students.
  • Results showed that while a majority of the respondents were aware of dual contraception, only 41.6% had actually practiced it, with sources of information primarily being friends and radio.
  • The research identified factors such as having multiple sexual partners and previous instances of sexually transmitted infections or unwanted pregnancies as significant predictors for the use of dual contraception, highlighting the need for improved education and support for students.
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Context: The benefit of malaria prophylaxis in pregnancy is threatened by emergence of Plasmodium falciparum resistance to antimalarial agents for chemoprophylaxis and treatment.

Aim: This study aimed to compare the effectiveness of azithromycin (AZ) with sulphadoxine-pyrimethamine (SP) for malaria prevention.

Settings And Design: A prospective comparative study of antenatal clinic attendees at the University College Hospital, Ibadan, Nigeria.

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Objective: To determine the decision-to-delivery interval (DDI) for emergency cesarean deliveries (CDs) at a tertiary center in Nigeria, to evaluate causes of delay, and to assess the effects of delays on perinatal outcomes.

Methods: Between September and November 2010, a prospective, observational study was undertaken at University College Hospital, Ibadan. Events that occurred after a decision to perform an emergency CD were recorded.

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Objective: To determine the prevalence of endometriosis and identify associated symptoms among Nigerian women.

Methods: A cross-sectional study was conducted at a center in Ibadan, Nigeria, between October 2008 and December 2010. All women aged 18-45 years scheduled for their first diagnostic laparoscopy for gynecologic indications were enrolled.

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Background: Transvaginal sonography (TVS) is the standard route for gynecological and early pregnancy assessment scanning, due to the higher resolution that allowed for a better view of the pelvis. It had not been available in the study area prior to this, and it was anticipated that clients would find it intrusive and unacceptable, and thus decline it. The study was aimed at accessing the acceptability of TVS in women.

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Background: Hepatitis B infection remains a significant source of morbidity among women and infants at different levels of care particularly in developing countries.

Aim: To determine the prevalence of hepatitis B infection among pregnant women in tertiary and non-tertiary health facilities.

Materials & Methods: Women receiving antenatal care in a tertiary centre and 2 non-tertiary centres in Ibadan.

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Infertility affects 20% of couples in Nigeria. Assisted reproductive techniques (ART) offered in Nigeria include in-vitro fertilization (IVF), gamete donation and surrogacy. This cross-sectional questionnaire study aimed at assessing the acceptability of ART to women seeking infertility treatment at the University College Hospital, Ibadan, Nigeria.

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