Lawrence Ikeako - Academia.edu (original) (raw)

Papers by Lawrence Ikeako

OALib, 2018

Introduction: Family planning allows people to attain their desired number of children and determ... more Introduction: Family planning allows people to attain their desired number of children and determine the spacing of pregnancies. It is achieved through use of contraceptive methods and the treatment of infertility. The aim of this study was to determine various factors that influenced the uptake of modern family planning among women of reproductive age in Northern Nigeria. Methodology: The study used data obtained from Nigeria Demographic and Health Survey (NDHS) 2013. Factors considered were drawn from the dataset. Analysis was carried out using Stata version 12.1. Multivariate logistic regression analysis was used to determine relationship between various factors and use of modern family planning methods. Level of significance was set at 0.05. Results: The total number of participants in the study was 21, 037. The mean age of respondents was 29.0 ± 7.1 years. Only 5.3% of the participants were currently using modern family planning methods. The highest proportion of use was 14.3% in the Northcentral zone of Northern Nigeria, while the lowest was 2.38% in Northwest. Identified predictors of modern family planning use were: Having at least secondary education (OR = 3.8, 95% CI: 3.3-4.4), being from the Northcentral (OR = 3.9, 95% CI: 3.4-4.5

American Journal of Clinical Medicine Research, 2014

Worldwide, vaginal route is the gynaecologist's route of surgery. However, abdominal route is the... more Worldwide, vaginal route is the gynaecologist's route of surgery. However, abdominal route is the favoured route of hysterectomy in Nigeria inspite of the advantages of vaginal route. This descriptive review is to awaken interest in the teaching and surgical exposure of residents in obstetrics and gynaecology in the field of vaginal surgeries. The ratio of vaginal hysterectomy to abdominal hysterectomy in Nigeria ranges from 1:4 to 1:9. The frequency of vaginal hysterectomy in centres in Nigeria ranges from 10-23%. These rates are lower than the figures quoted from the United States (25%), France (50%), Australia (40-50%) and Saudi Arabia (28%). Vaginal hysterectomy is under-utilized in Nigeria. Most centres hardly do up to five vaginal hysterectomies in a year. Residents in training hardly perform vaginal hysterectomy and may not have watched or assisted in up to ten vaginal hysterectomies before the residency programme is completed. This is completely inadequate for acquisition of proficiency. There is inadequacy and under exposure of residents in the art of vaginal surgeries in Nigeria. There is need for workshops, training and retraining of residents in the field of vaginal surgeries to meet these challenges. This would ensure production of quality gynaecologists with skills and proficiency in vaginal surgery.

The Journal of Perinatal & Neonatal Nursing, 1999

Annals of Medical and Health Sciences Research, 2018

Background: Bleeding per vaginum is a common first trimester emergency. Accurate diagnosis is ver... more Background: Bleeding per vaginum is a common first trimester emergency. Accurate diagnosis is very necessary to enable the clinician to institute appropriate and prompt treatment. The implications of false diagnosis include inappropriate treatment and delay in treatment. Aims and Objectives: The study evaluated the accuracy of clinical diagnosis of first trimester vaginal bleeding according to the cadre of the care giver using ultrasound as a gold standard. Methods: This was a retrospective study of patients referred to a Specialist Diagnostic Clinic in Nigeria with a history of first trimester bleeding from January 2016 to April 2017. Data was collected from the radiologist’s report and request forms of patients with the above presenting symptoms. The patients’ data retrieved included age, gestational age, parity, clinical and ultrasound diagnosis. All the data collected were analyzed using SPSS version 23 to produce frequency tables and charts. There were cross tabulations to expl...

Department of Community Medicine, Nnamdi Azikiwe University/University Teaching Hospital, Nnewi, ... more Department of Community Medicine, Nnamdi Azikiwe University/University Teaching Hospital, Nnewi, Anambra State, Nigeria. Department of Community Medicine, Chukwuemeka Odumegwu Ojukwu University/University Teaching Hospital, Awka, Anambra State, Nigeria. Department of Obstetrics and Gynaecology, Chukwuemeka Odumegwu Ojukwu University/University Teaching Hospital, Awka, Anambra State, Nigeria. Department of Surgery, Chukwuemeka Odumegwu Ojukwu University/University Teaching Hospital, Awka, Anambra State, Nigeria. Faculty of Medicine, Nnamdi Azikiwe University, Nnewi Campus, Anambra State, Nigeria.

Journal of Advances in Medicine and Medical Research, 2017

Journal of Advances in Medicine and Medical Research, 2017

Background: Decades after several concerted efforts were made to contain the scourge, maternal de... more Background: Decades after several concerted efforts were made to contain the scourge, maternal deaths continue to have a devastating effect in many developing countries. Strengthening the strategies to reduce these calamitous losses is necessary to achieve a palpable decline in the commonly affected regions. Aim: This study was undertaken to determine the Maternal Mortality Rate (MMR) in Chukwuemeka

British Journal of Medicine and Medical Research, 2015

International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2015

The quest for detailed evaluation of the uterus, fallopian tubes, and ovaries that is radiation f... more The quest for detailed evaluation of the uterus, fallopian tubes, and ovaries that is radiation free, inexpensive, readily available, non-invasive, relatively less time consuming and easily repeatable in female infertility has resulted in further studies. However, ultrasonography (US) remains the first line indispensable tool for gynecologic workup, monitoring and treating infertility. The aim is to review the current knowledge regarding the application of ultrasonography in female infertility. This was a descriptive review of ultrasonography in female infertility. We searched several databases (Medline, Google scholar, PubMed) with keywords "ultrasonography and female infertility", "evaluation of female infertility", "role of ultrasonography in female infertility:, and imaging in female infertility". Female infertility is multifactorial in origin. Ultrasonography is the most widely used imaging in gynecology and has revolutionized the management of female infertility worldwide. The recognition, evaluation and treatment of female infertility are complicated, complex, stressful and emotionally devastating for most couples. The couple's emotional state should be supportive, informative and well tolerated. Female infertility is an immense stress to couples, families and relatives worldwide. The causes are multifactorial in origin with both congenital and acquired problems of the uterus, fallopian tubes and ovaries. Ultrasound plays an important role in female infertility workup with hysterosalpingography (HSG), sonohysterography (Sono-HSG) and magnetic resonance imaging (MRI), each playing a complimentary role in the screening, diagnosis and/or management of female infertility.

Nigerian journal of medicine: journal of the National Association of Resident Doctors of Nigeria

Endometriosis is a common mysterious and fascinating gynaecological condition with diverse clinic... more Endometriosis is a common mysterious and fascinating gynaecological condition with diverse clinical manifestations, highly variable and unpredictable clinical course with decreased quality of life. Despite extensive research, endometriosis is fraught with controversies. Review of pertinent literature on endometriosis, selected references, internet services through gynaecological search which have been critical in the understanding of this puzzling gynaecologic condition were included in the review. Endometriosis most commonly afflict women in there late 20s and 30s. The classic symptom complex include dysmenorrhoea, dyspareunia, menorrhagia and infertility. About 30% of the patients are asymptomatic. The incidence of infertility amongst women suffering from endometriosis ranges from 30%-40%. The factors implicated in causing endometriosis-associated infertility are multiple and its management is shrouded in controversy, complex and imperfectly understood. Inspite of diverse clinical...

Journal of Basic and Clinical Reproductive Sciences, 2015

Background: Postabortion care (PAC) is aimed at reducing maternal morbidity and mortality resulti... more Background: Postabortion care (PAC) is aimed at reducing maternal morbidity and mortality resulting from the incomplete abortion and abortion complications. The use of analgesia is an integral part of high quality PAC. Knowledge of the pattern of use of analgesia in PAC by healthcare professionals would help in planning group specific training programs for more effective PAC. Aim: This study is aimed at assessing the use of analgesia in PAC among healthcare professionals in South Eastern Nigeria. Subjects and Methods: This is a cross-sectional questionnaire-based survey carried out among healthcare professionals in Anambra State, Nigeria between June 1 and September 30, 2006. Participants were chosen using a multistage sampling technique. Pretested questionnaires assessing the practice of postabortion counseling were then administered. The data were analyzed using SPSS version 20.0 software. Frequencies were within 95% confidence limits. Results: A total of 437 health professionals were included in the study. The mean age was 38.2 (10.4) years. Formal PAC training influenced the use of analgesia positively (P < 0.001). The use of analgesia in PAC was also significantly higher among professionals working in tertiary healthcare center and private specialist hospitals when compared with other facilities (P = 0.02). In general complications were more when analgesia was not employed. Older professionals were more likely to employ pain relief in PAC (P = 0.01). Furthermore, doctors were significantly more likely to employ pain relief in PAC when compared to nurses (P = 0.001). Conclusion: This study revealed a low level of use of analgesia in PAC among the healthcare professionals. It also demonstrated a significant association between formal PAC training and use of analgesia in PAC. It is, therefore, recommended that increased PAC training and retraining activities with emphasis on the need for analgesia should be conducted for healthcare professionals to improve the quality of PAC received by clients.

British Journal of Medicine and Medical Research, 2015

Background: Pelvimetry is a poor predictor of obstetric outcome. The predictive value of clinical... more Background: Pelvimetry is a poor predictor of obstetric outcome. The predictive value of clinical pelvimetry remains limited except in extreme pelvic contracture or an excessively large fetus. Objective: To determine the attitudes of primigravidae to routine clinical pelvimetry. Subjects and Methods: This was a cross-sectional study of primigravidae at the University of Nigeria Teaching Hospital (UNTH), Enugu between January 1 and December 31, 2009. Selfadministered, structured, and pre-tested questionnaires were distributed to the consenting selected women by trained medical interns. Data was analyzed using SPSS version 16. P< 0.05 was considered statistically significant. Results: A total of 195 primigravidae were selected at random for this study. One hundred and thirty eight primigravidae (138/195, 70.77%) were aware of clinical pelvimetry while 29.23% Original Research Article Okeke et al.; BJMMR, 8(11): 931-936, 2015; Article no.BJMMR.2015.523 932 (57/195) were not aware of clinical pelvimetry. One hundred and twenty five primigravidae (90.58%, 125/138) desired clinical pelvimetry to continue while thirteen (9.42%, 13/138) did not desire clinical pelvimetry to continue. There was statistically significant difference between those who were aware and unaware of pelvimetry in their desire for pelvimetry [X 2 =18.903, p=0.0001, OR 5.2, 95% confidence interval=2.20 to 12.44]. Conclusion: There is profound awareness and the desire to continue clinical pelvimetry among primigravidae at the UNTH, Enugu, Nigeria, where majority of the women showed strong preference for it.

British Journal of Medicine and Medical Research, 2015

Background: The female condom remains the only fem ale - initiated means of preventing both pregn... more Background: The female condom remains the only fem ale - initiated means of preventing both pregnancy and sexually transmitted infections, including HIV. Unfortunately uptake in the West and in some developing countries has been low thus precluding the realization of the dual benefits of this device. Aim: T he aim of the study was to determine the prevalence of the use of the female condom and factors associated with its use among female students in a tertiary institution of learning in Enugu, Nigeria. Methods: This was a questionnaire based non comparative s tudy. Sampling was by multi - stage technique. Data was collected using a semi - structured self administered questionnaire. Data was analyzed using SSPS statistical software version 17.0 for windows [Chicago IL, USA]. Bivariate

British Journal of Medicine and Medical Research, 2015

Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria

As a result of alteration in the physiological, biochemical and psychological environment of a wo... more As a result of alteration in the physiological, biochemical and psychological environment of a woman due to menopause, there may be need for hormone replacement therapy (HRT). This concept is new in our poor resource setting, thus the knowledge and perception of HRT will be invaluable to appropriate adjustment to menopausal period. The objective of this study was to determine the knowledge and perception of hormone replacement therapy among women in Enugu South-East Nigeria. This was a cross sectional survey of gynaecology clinic attendees at the university of Nigeria Teaching Hospital (UNTH), Enugu. These women were randomly selected. Data were analyzed using SPSS software. The primary method used was cross tabulation. The knowledge and perception of HR among women of South East Nigeria is poor and related to the level of education. One hundred and sixty eight women (38.9%) had knowledge of HRT and only 48 (11.1%) had taken it in the past. Currently none was using HRT despite exper...

Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria

Episiotomy is the most commonly performed obstetric procedure. The indications and efficacy are p... more Episiotomy is the most commonly performed obstetric procedure. The indications and efficacy are poorly established and its practice has remained controversial. To determine the rate and the determinants of episiotomy in the parturients at the UNTH, Enugu. A five year retrospective review of episiotomy at UNTH Enugu between 1st January, 2000 and 31st December, 2004. Out of 3032 vaginal deliveries, 1201 women had episiotomy during vaginal delivery, giving a rate of 39.6%. The rate fluctuated between 38.7% in 2000 to 32.7% in 2004. The risk of receiving episiotomy is significantly higher among primigravidae than multigravidae [OR = 10.92, (95% CI = 8.98,13.28)]. Similarly, macrosomia (birth weight > 4 kg) significantly increases the risk of episiotomy [OR = 0.096, (95% CI = 0.06, 0.15)]. Women who had instrumental or destructive vaginal delivery are significantly more likely to receive episiotomy than those who had spontaneous vaginal delivery [OR = 0.13 (95% CI = 0.07, 0.26)]. The ...

Annals of medical and health sciences research, 2011

Female genital mutilation is known to exist especially in many third world countries including Ni... more Female genital mutilation is known to exist especially in many third world countries including Nigeria with many women being victims of this harmful practice and its complications. The practice is rife in Southeast Nigeria and efforts have been made to discourage it. To determine women's views on aspects of female genital mutilation and the prevalence among the study population. Women attending the antenatal clinics of two university teaching hospitals in Southeast Nigeria were interviewed by means of structured pre-tested interviewer- administered questionnaires. The data obtained were analysed using SPSS version 10.0 and the results expressed in descriptive statistics as percentages. The prevalence of FGM was 42.1%. However, only 14.3% of the respondents circumcised their own daughters or showed willingness to circumcise their daughters indicating considerable reduction in uptake of the practice. A larger proportion (63.7%) would support legislation against FGM. There is a hig...

Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria

Uterine fibroid is the commonest female genital tumour occurring within the reproductive age grou... more Uterine fibroid is the commonest female genital tumour occurring within the reproductive age group, and abdominal myomectomy is the most offered surgical treatment in our environment. There is need to audit this practice in our centre so as to observe the practice pattern and outcome of myomectomies in Enugu, Nigeria. To audit myomectomies, the practice pattern and outcome at the University of Nigeria Teaching Hospital Enugu-Nigeria. A 5-year retrospective study of myomectomies performed in UNTH Enugu between January 1, 2004 and December 31, 2008. Data relating to socio-demographic characteristics, indication for surgery, intraoperative haemostatic measures, estimated blood loss, use of drain, duration of hospital stay and complications were abstracted and analyzed. A total of 122 abdominal myomectomies were performed and 70.5% of the patients were aged 30-39 years and 80% were nullipara. Lower abdominal swelling and discomfort were the commonest presentation and indication for the ...

The Southeast Asian journal of tropical medicine and public health, 2010

This study investigates knowledge and practices of post abortion care (PAC) services among health... more This study investigates knowledge and practices of post abortion care (PAC) services among health care professionals in the Anambra State of southeastern Nigeria. This was a prospective, cross-sectional, questionnaire based study conducted between 1 June and 30 September, 2006. The study involved a multi-staged sampling of all registered health facilities in Anambra State, with the selection of 60 health facilities from which 450 participants were recruited. A pre-tested, structured questionnaire was employed to obtain information from the studied respondents. Obtained data were analyzed using Epi-Info version 2001. A total of 437 questionnaires out of 450 administered were accurately completed, giving a response rate of 97.1%. The respondents were comprised of general practitioners (214, 49.0%), nurses (161, 36.8%), specialist doctors (56, 12.8%), and resident doctors (5, 1.1%). The mean age of the respondents was 38.2 +/- 10.5 years. Most participants (203, 52.6%) were males; the ...

OALib, 2018

Introduction: Family planning allows people to attain their desired number of children and determ... more Introduction: Family planning allows people to attain their desired number of children and determine the spacing of pregnancies. It is achieved through use of contraceptive methods and the treatment of infertility. The aim of this study was to determine various factors that influenced the uptake of modern family planning among women of reproductive age in Northern Nigeria. Methodology: The study used data obtained from Nigeria Demographic and Health Survey (NDHS) 2013. Factors considered were drawn from the dataset. Analysis was carried out using Stata version 12.1. Multivariate logistic regression analysis was used to determine relationship between various factors and use of modern family planning methods. Level of significance was set at 0.05. Results: The total number of participants in the study was 21, 037. The mean age of respondents was 29.0 ± 7.1 years. Only 5.3% of the participants were currently using modern family planning methods. The highest proportion of use was 14.3% in the Northcentral zone of Northern Nigeria, while the lowest was 2.38% in Northwest. Identified predictors of modern family planning use were: Having at least secondary education (OR = 3.8, 95% CI: 3.3-4.4), being from the Northcentral (OR = 3.9, 95% CI: 3.4-4.5

American Journal of Clinical Medicine Research, 2014

Worldwide, vaginal route is the gynaecologist's route of surgery. However, abdominal route is the... more Worldwide, vaginal route is the gynaecologist's route of surgery. However, abdominal route is the favoured route of hysterectomy in Nigeria inspite of the advantages of vaginal route. This descriptive review is to awaken interest in the teaching and surgical exposure of residents in obstetrics and gynaecology in the field of vaginal surgeries. The ratio of vaginal hysterectomy to abdominal hysterectomy in Nigeria ranges from 1:4 to 1:9. The frequency of vaginal hysterectomy in centres in Nigeria ranges from 10-23%. These rates are lower than the figures quoted from the United States (25%), France (50%), Australia (40-50%) and Saudi Arabia (28%). Vaginal hysterectomy is under-utilized in Nigeria. Most centres hardly do up to five vaginal hysterectomies in a year. Residents in training hardly perform vaginal hysterectomy and may not have watched or assisted in up to ten vaginal hysterectomies before the residency programme is completed. This is completely inadequate for acquisition of proficiency. There is inadequacy and under exposure of residents in the art of vaginal surgeries in Nigeria. There is need for workshops, training and retraining of residents in the field of vaginal surgeries to meet these challenges. This would ensure production of quality gynaecologists with skills and proficiency in vaginal surgery.

The Journal of Perinatal & Neonatal Nursing, 1999

Annals of Medical and Health Sciences Research, 2018

Background: Bleeding per vaginum is a common first trimester emergency. Accurate diagnosis is ver... more Background: Bleeding per vaginum is a common first trimester emergency. Accurate diagnosis is very necessary to enable the clinician to institute appropriate and prompt treatment. The implications of false diagnosis include inappropriate treatment and delay in treatment. Aims and Objectives: The study evaluated the accuracy of clinical diagnosis of first trimester vaginal bleeding according to the cadre of the care giver using ultrasound as a gold standard. Methods: This was a retrospective study of patients referred to a Specialist Diagnostic Clinic in Nigeria with a history of first trimester bleeding from January 2016 to April 2017. Data was collected from the radiologist’s report and request forms of patients with the above presenting symptoms. The patients’ data retrieved included age, gestational age, parity, clinical and ultrasound diagnosis. All the data collected were analyzed using SPSS version 23 to produce frequency tables and charts. There were cross tabulations to expl...

Department of Community Medicine, Nnamdi Azikiwe University/University Teaching Hospital, Nnewi, ... more Department of Community Medicine, Nnamdi Azikiwe University/University Teaching Hospital, Nnewi, Anambra State, Nigeria. Department of Community Medicine, Chukwuemeka Odumegwu Ojukwu University/University Teaching Hospital, Awka, Anambra State, Nigeria. Department of Obstetrics and Gynaecology, Chukwuemeka Odumegwu Ojukwu University/University Teaching Hospital, Awka, Anambra State, Nigeria. Department of Surgery, Chukwuemeka Odumegwu Ojukwu University/University Teaching Hospital, Awka, Anambra State, Nigeria. Faculty of Medicine, Nnamdi Azikiwe University, Nnewi Campus, Anambra State, Nigeria.

Journal of Advances in Medicine and Medical Research, 2017

Journal of Advances in Medicine and Medical Research, 2017

Background: Decades after several concerted efforts were made to contain the scourge, maternal de... more Background: Decades after several concerted efforts were made to contain the scourge, maternal deaths continue to have a devastating effect in many developing countries. Strengthening the strategies to reduce these calamitous losses is necessary to achieve a palpable decline in the commonly affected regions. Aim: This study was undertaken to determine the Maternal Mortality Rate (MMR) in Chukwuemeka

British Journal of Medicine and Medical Research, 2015

International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2015

The quest for detailed evaluation of the uterus, fallopian tubes, and ovaries that is radiation f... more The quest for detailed evaluation of the uterus, fallopian tubes, and ovaries that is radiation free, inexpensive, readily available, non-invasive, relatively less time consuming and easily repeatable in female infertility has resulted in further studies. However, ultrasonography (US) remains the first line indispensable tool for gynecologic workup, monitoring and treating infertility. The aim is to review the current knowledge regarding the application of ultrasonography in female infertility. This was a descriptive review of ultrasonography in female infertility. We searched several databases (Medline, Google scholar, PubMed) with keywords "ultrasonography and female infertility", "evaluation of female infertility", "role of ultrasonography in female infertility:, and imaging in female infertility". Female infertility is multifactorial in origin. Ultrasonography is the most widely used imaging in gynecology and has revolutionized the management of female infertility worldwide. The recognition, evaluation and treatment of female infertility are complicated, complex, stressful and emotionally devastating for most couples. The couple's emotional state should be supportive, informative and well tolerated. Female infertility is an immense stress to couples, families and relatives worldwide. The causes are multifactorial in origin with both congenital and acquired problems of the uterus, fallopian tubes and ovaries. Ultrasound plays an important role in female infertility workup with hysterosalpingography (HSG), sonohysterography (Sono-HSG) and magnetic resonance imaging (MRI), each playing a complimentary role in the screening, diagnosis and/or management of female infertility.

Nigerian journal of medicine: journal of the National Association of Resident Doctors of Nigeria

Endometriosis is a common mysterious and fascinating gynaecological condition with diverse clinic... more Endometriosis is a common mysterious and fascinating gynaecological condition with diverse clinical manifestations, highly variable and unpredictable clinical course with decreased quality of life. Despite extensive research, endometriosis is fraught with controversies. Review of pertinent literature on endometriosis, selected references, internet services through gynaecological search which have been critical in the understanding of this puzzling gynaecologic condition were included in the review. Endometriosis most commonly afflict women in there late 20s and 30s. The classic symptom complex include dysmenorrhoea, dyspareunia, menorrhagia and infertility. About 30% of the patients are asymptomatic. The incidence of infertility amongst women suffering from endometriosis ranges from 30%-40%. The factors implicated in causing endometriosis-associated infertility are multiple and its management is shrouded in controversy, complex and imperfectly understood. Inspite of diverse clinical...

Journal of Basic and Clinical Reproductive Sciences, 2015

Background: Postabortion care (PAC) is aimed at reducing maternal morbidity and mortality resulti... more Background: Postabortion care (PAC) is aimed at reducing maternal morbidity and mortality resulting from the incomplete abortion and abortion complications. The use of analgesia is an integral part of high quality PAC. Knowledge of the pattern of use of analgesia in PAC by healthcare professionals would help in planning group specific training programs for more effective PAC. Aim: This study is aimed at assessing the use of analgesia in PAC among healthcare professionals in South Eastern Nigeria. Subjects and Methods: This is a cross-sectional questionnaire-based survey carried out among healthcare professionals in Anambra State, Nigeria between June 1 and September 30, 2006. Participants were chosen using a multistage sampling technique. Pretested questionnaires assessing the practice of postabortion counseling were then administered. The data were analyzed using SPSS version 20.0 software. Frequencies were within 95% confidence limits. Results: A total of 437 health professionals were included in the study. The mean age was 38.2 (10.4) years. Formal PAC training influenced the use of analgesia positively (P < 0.001). The use of analgesia in PAC was also significantly higher among professionals working in tertiary healthcare center and private specialist hospitals when compared with other facilities (P = 0.02). In general complications were more when analgesia was not employed. Older professionals were more likely to employ pain relief in PAC (P = 0.01). Furthermore, doctors were significantly more likely to employ pain relief in PAC when compared to nurses (P = 0.001). Conclusion: This study revealed a low level of use of analgesia in PAC among the healthcare professionals. It also demonstrated a significant association between formal PAC training and use of analgesia in PAC. It is, therefore, recommended that increased PAC training and retraining activities with emphasis on the need for analgesia should be conducted for healthcare professionals to improve the quality of PAC received by clients.

British Journal of Medicine and Medical Research, 2015

Background: Pelvimetry is a poor predictor of obstetric outcome. The predictive value of clinical... more Background: Pelvimetry is a poor predictor of obstetric outcome. The predictive value of clinical pelvimetry remains limited except in extreme pelvic contracture or an excessively large fetus. Objective: To determine the attitudes of primigravidae to routine clinical pelvimetry. Subjects and Methods: This was a cross-sectional study of primigravidae at the University of Nigeria Teaching Hospital (UNTH), Enugu between January 1 and December 31, 2009. Selfadministered, structured, and pre-tested questionnaires were distributed to the consenting selected women by trained medical interns. Data was analyzed using SPSS version 16. P< 0.05 was considered statistically significant. Results: A total of 195 primigravidae were selected at random for this study. One hundred and thirty eight primigravidae (138/195, 70.77%) were aware of clinical pelvimetry while 29.23% Original Research Article Okeke et al.; BJMMR, 8(11): 931-936, 2015; Article no.BJMMR.2015.523 932 (57/195) were not aware of clinical pelvimetry. One hundred and twenty five primigravidae (90.58%, 125/138) desired clinical pelvimetry to continue while thirteen (9.42%, 13/138) did not desire clinical pelvimetry to continue. There was statistically significant difference between those who were aware and unaware of pelvimetry in their desire for pelvimetry [X 2 =18.903, p=0.0001, OR 5.2, 95% confidence interval=2.20 to 12.44]. Conclusion: There is profound awareness and the desire to continue clinical pelvimetry among primigravidae at the UNTH, Enugu, Nigeria, where majority of the women showed strong preference for it.

British Journal of Medicine and Medical Research, 2015

Background: The female condom remains the only fem ale - initiated means of preventing both pregn... more Background: The female condom remains the only fem ale - initiated means of preventing both pregnancy and sexually transmitted infections, including HIV. Unfortunately uptake in the West and in some developing countries has been low thus precluding the realization of the dual benefits of this device. Aim: T he aim of the study was to determine the prevalence of the use of the female condom and factors associated with its use among female students in a tertiary institution of learning in Enugu, Nigeria. Methods: This was a questionnaire based non comparative s tudy. Sampling was by multi - stage technique. Data was collected using a semi - structured self administered questionnaire. Data was analyzed using SSPS statistical software version 17.0 for windows [Chicago IL, USA]. Bivariate

British Journal of Medicine and Medical Research, 2015

Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria

As a result of alteration in the physiological, biochemical and psychological environment of a wo... more As a result of alteration in the physiological, biochemical and psychological environment of a woman due to menopause, there may be need for hormone replacement therapy (HRT). This concept is new in our poor resource setting, thus the knowledge and perception of HRT will be invaluable to appropriate adjustment to menopausal period. The objective of this study was to determine the knowledge and perception of hormone replacement therapy among women in Enugu South-East Nigeria. This was a cross sectional survey of gynaecology clinic attendees at the university of Nigeria Teaching Hospital (UNTH), Enugu. These women were randomly selected. Data were analyzed using SPSS software. The primary method used was cross tabulation. The knowledge and perception of HR among women of South East Nigeria is poor and related to the level of education. One hundred and sixty eight women (38.9%) had knowledge of HRT and only 48 (11.1%) had taken it in the past. Currently none was using HRT despite exper...

Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria

Episiotomy is the most commonly performed obstetric procedure. The indications and efficacy are p... more Episiotomy is the most commonly performed obstetric procedure. The indications and efficacy are poorly established and its practice has remained controversial. To determine the rate and the determinants of episiotomy in the parturients at the UNTH, Enugu. A five year retrospective review of episiotomy at UNTH Enugu between 1st January, 2000 and 31st December, 2004. Out of 3032 vaginal deliveries, 1201 women had episiotomy during vaginal delivery, giving a rate of 39.6%. The rate fluctuated between 38.7% in 2000 to 32.7% in 2004. The risk of receiving episiotomy is significantly higher among primigravidae than multigravidae [OR = 10.92, (95% CI = 8.98,13.28)]. Similarly, macrosomia (birth weight > 4 kg) significantly increases the risk of episiotomy [OR = 0.096, (95% CI = 0.06, 0.15)]. Women who had instrumental or destructive vaginal delivery are significantly more likely to receive episiotomy than those who had spontaneous vaginal delivery [OR = 0.13 (95% CI = 0.07, 0.26)]. The ...

Annals of medical and health sciences research, 2011

Female genital mutilation is known to exist especially in many third world countries including Ni... more Female genital mutilation is known to exist especially in many third world countries including Nigeria with many women being victims of this harmful practice and its complications. The practice is rife in Southeast Nigeria and efforts have been made to discourage it. To determine women's views on aspects of female genital mutilation and the prevalence among the study population. Women attending the antenatal clinics of two university teaching hospitals in Southeast Nigeria were interviewed by means of structured pre-tested interviewer- administered questionnaires. The data obtained were analysed using SPSS version 10.0 and the results expressed in descriptive statistics as percentages. The prevalence of FGM was 42.1%. However, only 14.3% of the respondents circumcised their own daughters or showed willingness to circumcise their daughters indicating considerable reduction in uptake of the practice. A larger proportion (63.7%) would support legislation against FGM. There is a hig...

Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria

Uterine fibroid is the commonest female genital tumour occurring within the reproductive age grou... more Uterine fibroid is the commonest female genital tumour occurring within the reproductive age group, and abdominal myomectomy is the most offered surgical treatment in our environment. There is need to audit this practice in our centre so as to observe the practice pattern and outcome of myomectomies in Enugu, Nigeria. To audit myomectomies, the practice pattern and outcome at the University of Nigeria Teaching Hospital Enugu-Nigeria. A 5-year retrospective study of myomectomies performed in UNTH Enugu between January 1, 2004 and December 31, 2008. Data relating to socio-demographic characteristics, indication for surgery, intraoperative haemostatic measures, estimated blood loss, use of drain, duration of hospital stay and complications were abstracted and analyzed. A total of 122 abdominal myomectomies were performed and 70.5% of the patients were aged 30-39 years and 80% were nullipara. Lower abdominal swelling and discomfort were the commonest presentation and indication for the ...

The Southeast Asian journal of tropical medicine and public health, 2010

This study investigates knowledge and practices of post abortion care (PAC) services among health... more This study investigates knowledge and practices of post abortion care (PAC) services among health care professionals in the Anambra State of southeastern Nigeria. This was a prospective, cross-sectional, questionnaire based study conducted between 1 June and 30 September, 2006. The study involved a multi-staged sampling of all registered health facilities in Anambra State, with the selection of 60 health facilities from which 450 participants were recruited. A pre-tested, structured questionnaire was employed to obtain information from the studied respondents. Obtained data were analyzed using Epi-Info version 2001. A total of 437 questionnaires out of 450 administered were accurately completed, giving a response rate of 97.1%. The respondents were comprised of general practitioners (214, 49.0%), nurses (161, 36.8%), specialist doctors (56, 12.8%), and resident doctors (5, 1.1%). The mean age of the respondents was 38.2 +/- 10.5 years. Most participants (203, 52.6%) were males; the ...