Publications by authors named "Kikelomo T Adesina"

Article Synopsis
  • Gestational Diabetes Mellitus (GDM) is increasingly recognized as a significant issue leading to complications for mothers and babies during pregnancy.
  • A study involving 215 pregnant women found that 9% had GDM, with abnormal fasting plasma glucose and higher birth weights compared to those without diabetes.
  • GDM is associated with fewer vaginal deliveries and a 50% rate of neonatal admissions, highlighting its impact on maternal and neonatal health.
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Objectives: The study aims to determine obstetric outcomes for women in commuter marriages (CoMs) compared to women in non-CoMs, as well as the influence of living-in-companions on the obstetric outcomes.

Methods: A prospective, multicentre, comparative study was conducted among antenatal clinic attendees in CoMs (160 women) and non-CoMs (160 women). Following consent, participants were recruited and monitored from antenatal booking until six weeks postpartum.

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Objectives: The study evaluated pre and post-operative perception and aversion to caesarean delivery (CD) among men whose partners underwent the procedure.

Design: A multicentre cross-sectional study.

Setting: Two tertiary and two secondary health facilities.

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Background: Despite collaborative efforts aimed at its eradication, Female Genital Mutilation/Cutting (FGM/C) continues in endemic areas.

Objective: To evaluate the experience and preparedness of female adolescents to protect their future daughters from FGM/C.

Methods: A cross-sectional survey involving adolescent secondary school girls in North Central Nigeria.

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Background: Preventing prolongation of the decision-to-delivery interval (DDI) for emergency caesarean delivery (CD) remains central to improving perinatal health. This study evaluated the effects of the DDI on perinatal outcome following emergency CD.

Methods: A prospective cross-sectional study involving 205 consenting women who had emergency CD at a tertiary hospital in Nigeria was conducted.

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Primary umbilical endometriosis (PUE) is a rare condition affecting 0.5 - 1% of all extragenital endometriosis cases. We reviewed the data of five women with umbilical endometriosis retrospectively.

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Objectives: This study aimed to compare the efficacy of oral misoprostol with manual vacuum aspiration (MVA) in first trimester incomplete abortions.

Methods: This randomised controlled trial study was conducted at the University of Ilorin Teaching Hospital, Ilorin, Nigeria between April 2014 and November 2015. Pregnant women who presented with clinical features of incomplete abortion at a gestational age of 13 weeks or less were included.

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Information about the burden of asthma during pregnancy in Africa is scarce. To determine the prevalence of asthma and respiratory symptoms in pregnancy in Ilorin, Nigeria. This study uses the European Community Respiratory Health Survey (ECRHS) questionnaire and definitions to screen 870 pregnant women attending three hospitals for asthma.

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Background: Prescription and administration of oxygen in emergencies by healthcare providers are reported to be inappropriate in most settings. There is a huge gap in the knowledge of health care providers on various aspects of oxygen therapy, and this may be a barrier to optimal oxygen administration. Hence, it is essential to ascertain providers' knowledge of acute oxygen therapy so that appropriate educational interventions are instituted for better delivery.

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Oral diseases have been shown to negatively affect pregnancy outcomes, yet, routine oral health care is not a component of the antenatal care package in Nigeria. This study was designed to describe the pattern of the oral conditions in pregnancy compared to the non-pregnant controls. Two hundred and twenty-five pregnant women and 166 non-pregnant controls were studied from two healthcare facilities in Ilorin.

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Objectives: The umbilical coiling index (UCI) is one of cord parameters for foetal assessment with limited studies in our environment. With recent advances in its evaluation, its significance, pattern, abnormalities and correlates need to be defined in our parturients.

Methods: The umbilical cords of 436 neonates were examined.

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Background: The aim of this study was to describe the pattern, outcomes, and determinants of perioperative complications of abdominal myomectomy at the University of Ilorin Teaching Hospital, Ilorin, Nigeria.

Methods: This was a retrospective review of cases of abdominal myomectomy between January 2010 and December 2013. Data were obtained from ward and operating theatre case records and analysed using SPSS version 20.

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Article Synopsis
  • The study aimed to investigate the relationships between placental characteristics and neonatal outcomes in healthy pregnant women, as previous literature on this was limited.
  • Conducted from February to August 2013, the research involved gross examinations of placentas from 428 singleton deliveries at a teaching hospital.
  • Findings revealed that placental weight showed a weak positive correlation with birth weight and gestational age, and higher placental weight was linked to the presence of congenital abnormalities in newborns.
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Background: The central role of males in female reproductive health issues in patriarchal societies makes them an important group in the eradication of female genital mutilation/cutting (FGM/C).

Objective: To determine knowledge about and attitudes to FGM/C among male adolescents, and their preparedness to protect their future daughters from it.

Methods: A cross-sectional survey among male adolescent students in Ilorin, Nigeria.

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Background & Aims: Hepatitis C viral infection is a significant public health challenge with potential risk of progressing to liver cirrhosis and hepatocellular carcinoma (HCC). Actively infected mothers can transmit the virus to their babies who may develop liver cirrhosis and HCC as young adults. We determined the seroprevalence of HCV, its antigenaemia and associated risk factors among pregnant women.

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Objectives: To evaluate the expectations of pregnant women on the role of the male partner during conception and delivery.

Methodology: A prospective multi-centre observational study comprising 506 pregnant women at eight health facilities in Ilorin, Nigeria from January to June 2014. Consenting women were recruited at antenatal clinics using multistage purposive sampling and a self-administered questionnaire was administered with provision for interpreters in local dialects for those without western education.

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Objective: To determine the perception of and aversion to cesarean delivery (CD) and their determinants before and after primary CD.

Methods: A prospective cross-sectional survey of pregnant women undergoing primary CD (elective or emergency) was conducted in six health facilities in Ilorin, Nigeria. All participants completed an interviewer-administered questionnaire before the operation and 3-4days thereafter.

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Objective: To compare the efficacy of oral misoprostol with that of oxytocin for active management of the third stage of labor (AMTSL).

Methods: A double-blind randomized control trial was undertaken at a center in Ilorin, Nigeria, between January and June 2013. Every other eligible patient (in the first stage of labor at term, to have a spontaneous vaginal delivery, and no/low risk of postpartum hemorrhage [PPH]) were randomly assigned with computer-generated random numbers to receive oral misoprostol (600μg) plus placebo injection or oral placebo plus oxytocin injection (1mL of 10IU) in the third stage of labor.

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