Publications by authors named "Michael Ezeanochie"

Background: Cervical cancer is the fourth most common cancer among women globally, with quality of life (QOL) being a major concern for patients with cervical cancer, especially in low- and middle-income countries (LMICs). This is largely due to the advanced nature of the disease at presentation. Although there are a higher number of studies focusing on the QOL of high-income countries, the QOL of cervical cancer patients in LMICs is not available.

View Article and Find Full Text PDF

Objective: To determine the prevalence and factors associated with disrespect and abuse during childbirth among women who delivered in a University Teaching Hospital using a validated tool.

Methods: This was a cross-sectional study conducted at the Department of Obstetrics and Gynecology, University of Benin Teaching Hospital. Participants included women who presented for the 6-week postnatal visit.

View Article and Find Full Text PDF
Article Synopsis
  • Ovarian cancer is more prevalent among Black women in West Africa compared to those in North America, and survival rates are lower for Black women than White women, with factors like histotype and age at diagnosis affecting outcomes.
  • The study analyzed data from Nigerian patients, Caribbean-born Blacks, and US-born Blacks, revealing that Nigerians had a higher percentage of germ cell and sex-cord stromal tumors, whereas Caribbean and US-born blacks had more cases of serous ovarian cancer.
  • Nigerians were diagnosed with epithelial ovarian cancers at a younger age compared to their Caribbean and US counterparts, with all Black women showing earlier diagnosis of germ cell and sex-cord stromal tumors than White women.
View Article and Find Full Text PDF

Introduction: the novel coronavirus disease (COVID-19) pandemic has challenged health systems around the world. This study was designed to describe the socio-demographic characteristics of pregnant women with COVID-19 infection, the common clinical features at presentation and the pregnancy outcome at the University of Benin Teaching Hospital, Edo State, Nigeria.

Methods: a cross-sectional analytical study of all confirmed cases of COVID-19 infection from April to September 2020.

View Article and Find Full Text PDF

Background: The highest risk of maternal and perinatal deaths occurs during and shortly after childbirth and is preventable if functional referral systems enable women to reach appropriate health services when obstetric complications occur. Rising numbers of deliveries in health facilities, including in high mortality settings like Nigeria, require formalised coordination across the health system to ensure that women and newborns get to the right level of care, at the right time. This study describes and critically assesses the extent to which referral and its components can be captured using three different data sources from Nigeria, examining issues of data quality, validity, and usefulness for improving and monitoring obstetric care systems.

View Article and Find Full Text PDF

Unlabelled: Acute fatty liver of pregnancy (AFLP) is an uncommon condition that manifests in the third trimester of pregnancy. Its association with vaso-occlusive crisis from Sickle Cell Anaemia is not common. Published data on the simultaneous occurrence of these two conditions is rare, hence this case report.

View Article and Find Full Text PDF

Background: There is no Government endorsed HPV vaccine immunisation program in Nigeria. The Vaccine has been available at the University of Benin Teaching Hospital (UBTH) in Benin City for more than 7 years.

Objectives: The aim was to evaluate awareness about HPV, the prevalence of HPV immunisation and its associated factors among the study population.

View Article and Find Full Text PDF

Objective: To determine the relationship between the serum level of selenium and cervical intraepithelial neoplasia (CIN). Methods: A case controlled study that compared the serum level of selenium in 45 women with CIN (cases) to 45 women (age matched controls) with normal cervical cytology. Socio-demographic data and information on known risk factors for cervical cancer among the sample was compared between both groups using inferential statistics.

View Article and Find Full Text PDF

Vaccination of adolescent females against Human Papilloma Virus (HPV), the causative agent for cervical cancer has recently become available. As minors, parental acceptance of the vaccines for adolescent daughters requires exploration. This was a cross-sectional survey of 201 mothers attending the gynaecology clinic in a University Teaching Hospital in Nigeria on acceptability of the HPV vaccines and its determinants.

View Article and Find Full Text PDF

Aims And Objectives: To explore the concerns, experiences and satisfaction of women who had induction of labour at term

Materials And Methods: A cross-sectional study conducted in Nigeria, among 252 pregnant women who had induction of labour at term using a two part pre and post induction questionnaire.

Results: Concerns expressed by the women prior to labour induction were the fear of caesarean delivery (16.6%), labour pains (15.

View Article and Find Full Text PDF

Objective: To determine the incidence and correlates of stillbirths among women with severe acute maternal morbidity (SAMM).

Methods: In an observational study of 728 women who had SAMM between January 2007 and December 2010 at a referral tertiary health facility in Benin, Nigeria, the incidence of stillbirth, and the clinical and demographic correlates of stillbirth were evaluated.

Results: The rate of stillbirth among women with SAMM was 210 per 1000 deliveries.

View Article and Find Full Text PDF

Aims And Objectives: To analyse the characteristics and causes of maternal death in a referral tertiary health facility in Southern Nigeria.

Materials And Methods: This is a facility- based review of 184 maternal deaths that occurred from January 2005 to June 2009. Primary causes of death and factors that contributed to maternal death including delay in accessing health care were identified.

View Article and Find Full Text PDF

Purpose: To compare the outcome of induced labor at term using sequential intracervical Foley catheter with intravaginal misoprostol versus intravaginal misoprostol alone.

Methods: A prospective matched case control study among parturient with prolonged pregnancy and unfavorable cervix at a tertiary hospital in Nigeria.

Results: The study population was 100 with a mean age of 29.

View Article and Find Full Text PDF

Objective: To evaluate adverse pregnancy outcome in HIV infected women who received highly active antiretroviral therapy (HAART) from early pregnancy compared with untreated-maternal HIV infection.

Study Design: A cohort study.

Place And Duration Of Study: Antenatal clinic, University of Benin Teaching Hospital, Nigeria, from January 2008 to June 2009.

View Article and Find Full Text PDF

Objective: To determine the outcome of labor induction with intravaginal misoprostol among women with perception of persistent decrease in fetal movements at term.

Method: The study group comprising 107 women who had induction of labor at term for primary complaint of decreased fetal movements (DFM) were compared with equal number of women who had induction for prolong pregnancy in a university teaching hospital.

Results: Caesarean section rate (39.

View Article and Find Full Text PDF

Objective: To explore the perception and attitude of women with previous caesarean section towards repeat caesarean section.

Method: Observational study of women with prior caesarean delivery using an anonymous semi-structured questionnaire. Information elicited include the socio-demographic characteristics, outcome of the last caesarean delivery, experience of complications or domestic violence, acceptance of repeat caesarean section if advised by the doctor and the reason for any refusal.

View Article and Find Full Text PDF

Objective: To evaluate the prevalence and correlates of intimate partner violence among HIV-positive pregnant Nigerian women.

Design: Cross-sectional study using an anonymous semi-structured interviewer-administered questionnaire.

Setting: The antenatal clinic at the University of Benin Teaching Hospital, Nigeria, from June 2008 to December 2009.

View Article and Find Full Text PDF

We investigated morbidity and factors associated with failed vaginal birth after cesarean delivery (VBAC). In a retrospective cohort study maternal and neonatal outcomes of women who underwent VBAC in three Nigerian University Teaching Hospitals were reviewed. Univariate, followed by multivariate analyses, were conducted.

View Article and Find Full Text PDF

Objective: To describe the trend and identify associated risk factors for pregnancy-related domestic violence.

Methods: In a cross-sectional study of 502 women attending the sixth week postnatal clinic in a tertiary hospital in urban Nigeria, participants completed semi-structured questionnaires on experience of domestic violence before and during pregnancy, and in the puerperium. Multivariate logistic regression was used to assess risk factors associated with experiencing violence.

View Article and Find Full Text PDF

Objective: To assess preferences and concerns about infecting partner or child among HIV-positive women undergoing antiretroviral therapy and whose partners are HIV-negative.

Method: In this cross-sectional study conducted in Nigeria, 55 HIV-positive women undergoing antiretroviral therapy and married to seronegative men answered an anonymous questionnaire regarding whether they preferred to conceive naturally or by means of an assisted reproductive technique (ART).

Results: Compared with older women (mean age 33.

View Article and Find Full Text PDF

Purpose: To compare the outcome of pregnancy between HIV positive pregnant women on highly active antiretroviral therapy (HAART) and HIV negative controls.

Methods: A prospective matched case-control study.

Results: HIV positive women were significantly more likely to have anaemia in pregnancy [p < 0.

View Article and Find Full Text PDF

Purpose: To document the experience with social induction of labour (IOL) and compare its outcome with electively induced labour for prolonged pregnancy.

Methods: A prospective matched case-control study.

Result: Social IOL was significantly common in women of high social class (78.

View Article and Find Full Text PDF