Publications by authors named "Joseph A Olamijulo"

Article Synopsis
  • The study analyzed trends in instrumental vaginal delivery (IVD) and cesarean section (CS) rates at Lagos University Teaching Hospital from 2002 to 2017, using retrospective case records and statistical modeling.
  • Findings showed a low IVD rate of 1.36% with a significant decline over the years, while the CS rate was much higher at 44.9 per 100 deliveries, increasing annually by about 3.7%.
  • The research highlighted the need for improved training on IVD techniques to potentially lower the rising CS rates, as the most common reasons for IVD were related to prolonged labor.
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Article Synopsis
  • A study was conducted to explore the link between prenatal anaemia and the risk of postpartum haemorrhage (PPH) among 1222 healthy pregnant women in Lagos, Nigeria.
  • The analysis indicated that while initial results suggested a slight association between anaemia and PPH, further sensitivity tests showed no significant correlation after considering other factors like uterine fibroids and delivery methods.
  • Ultimately, the findings concluded that prenatal anaemia does not have a significant impact on postpartum blood loss, challenging previous conflicting studies on the topic.
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Studies have suggested the potential roles of serum macronutrients such as calcium and magnesium in the development of uterine fibroids. The primary objective was to assess the association between serum magnesium and calcium levels and the prevalence of uterine fibroids in women of reproductive age. A cross-sectional study of 194 parity-matched women with or without a sonographic diagnosis of uterine fibroids enrolled at a university teaching hospital in Lagos, Southwest Nigeria.

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Article Synopsis
  • A study conducted in Lagos, Nigeria, examined the relationship between serum calcium and magnesium levels and the presence of uterine fibroids in 194 reproductive-age women.
  • The results showed that lower serum calcium levels were significantly associated with a higher likelihood of having uterine fibroids, whereas no significant link was found between magnesium levels and fibroids.
  • The study suggests that calcium-rich diets may help prevent uterine fibroids in Nigerian women, but more long-term studies are needed to confirm these findings.
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Background: An efficient, comprehensive emergency obstetrics care (CEMOC) can considerably reduce the burden of maternal mortality (MM) in Nigeria. Information about the risk of maternal death within 120 h of admission can reflect the quality of CEMOC offered.

Aim: This study aims to determine the predictors and causes of maternal death within 120 h of admission at the Lagos University Teaching Hospital, LUTH, Lagos South-Western, Nigeria.

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Background: Nigeria has one of the worst global maternal mortality ratios (MMR). Institutional audit is invaluable in providing useful information for formulating preventive interventions.

Objective: To evaluate the trends, causes and socio-demographic characteristics of maternal mortality at a tertiary institution in South-western Nigeria over a period of 13 years (2007-2019).

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Uptake and continuation of long acting reversible contraceptives (LARC) such as subdermal levonorgestrel implants are pivotal to the achievement of some sustainable development goals (SDG). We evaluated Jadelle uptake and factors affecting its discontinuation in the first three years of initiation at the Family Planning Clinic of the College of Medicine, University of Lagos (CMUL), Nigeria. A retrospective cohort study was conducted among 517 consecutive new Jadelle acceptors, at the family planning clinic of CMUL, between 1 October 2007 and 30 September 2010, who were followed up till 30 September 2011.

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Background: Globally, approximately 9 million neonates develop perinatal asphyxia annually of which about 1.2 million die. Majority of the morbidity and mortality occur in Low and middle-income countries.

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Background: There is uncertainty in the trend of ectopic pregnancy incidence in the Southwest region, though the region has a lower fertility rate and a higher contraceptive use than some other regions of Nigeria. The study objective was to determine the temporal trends, presentation and management outcome of ectopic pregnancy at the Lagos University Teaching Hospital (LUTH), Lagos, South-Western Nigeria over a decade.

Subjects And Methods: This is a retrospective study of ectopic pregnancies at LUTH, Lagos, Nigeria, from January 2005 to December 2014.

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The impact on healthcare services in settings with under-resourced health systems, such as Nigeria, is likely to be substantial in the coming months due to the COVID-19 pandemic, and maternity services still need to be prioritized as an essential core health service. The healthcare system should ensure the provision of safe and quality care to women during pregnancy, labor, and childbirth, and at the same time, maternity care providers including obstetricians and midwives must be protected and prioritized to continue providing care to childbearing women and their babies during the pandemic. This practical guideline was developed for the management of pregnant women with suspected or confirmed COVID-19 in Nigeria and other low-resource countries.

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Objective: To determine the prevalence of Chlamydia trachomatis infection among Nigerian women undergoing hysterosalpingography (HSG) and to identify any correlation between chlamydial antibody levels and a diagnosis of tubal disease.

Methods: A prospective cross-sectional study was conducted from January 1 to June 30, 2013, among women scheduled to undergo HSG in the radiology department of Lagos University Teaching Hospital, Nigeria. Endocervical swabs and serum samples were collected to assess the levels of chlamydial antigen and antibody, respectively.

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This cross-sectional study was undertaken to determine the prevalence of asymptomatic bacteriuria (ASB), the commonest bacterial isolates and the antibiotic sensitivity pattern among 556 pregnant women in Lagos University Teaching Hospital (LUTH), Nigeria. Women with a bacterial count over 100,000 colony-forming units per millilitre of the same organisms in paired urine samples were considered to have ASB. The prevalence of ASB was 14.

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Background: Recent reports suggest that the burden of maternal mortality remains heavy in Sub-Saharan Africa; and that the fifth millennium development goal might not be achieved. As the target date 2015 draws near, we carried out a review of maternal mortality in a Teaching Hospital unitto assess the current situation.

Objectives: To determine the Maternal Mortality Ratio (MMR), the clinical causes of maternal deaths and the numerical and etiological trends in maternal mortality at the Lagos University Teaching Hospital (LUTH).

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Background: An overwhelming proportion of the annual global perinatal deaths occur in developing countries. However few data on perinatal mortality are available from these countries. Reducing perinatal deaths requires adequate data that can be used to develop appropriate strategies.

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Abstract Osteogenesis imperfecta (OI) is an important inheritable thanetrophic disorder with wide ranging variable implications and prognosis for babies in utero and those who survive the perinatal period. The diagnosis of the severe forms can be readily made but some forms of the disease are known to go unrecognised until childhood.

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