Preye Fiebai | University of Port Harcourt, Nigeria (original) (raw)
Papers by Preye Fiebai
African Journal for Infertility and Assisted Conception
Menstrual Cycle [Working Title]
Approximately 80-90% of women experience some symptoms in the premenstrual period at some point i... more Approximately 80-90% of women experience some symptoms in the premenstrual period at some point in their reproductive years. Teenagers often present with moderate to severe symptoms, while women in the fourth decade of life appear to have worse symptoms with the severity of the disease worsening with increasing age up until menopause. Obesity and smoking have also been identified as risk factors. Symptoms could be physical, psychological, emotional, environmental and/or behavioral and affect the ability to perform normal daily activities as well as adversely affect interpersonal relationships. Though several theories have been propounded, the exact cause of premenstrual syndrome is unknown. Management of this disorder requires a multidisciplinary approach involving the general practitioner, the general gynecologist or a gynecologist with a special interest in PMS, a mental health professional (psychiatrist, clinical psychologist or counselor), physiotherapist and dietician.
British Journal of Medicine and Medical Research, 2017
Journal of Public Health and Epidemiology, Dec 31, 2011
Caesarean section has contributed immensely to improved obstetric care throughout the world. In d... more Caesarean section has contributed immensely to improved obstetric care throughout the world. In developing countries especially the sub-Saharan Africa, there is a great aversion to caesarean section. This study aims to assess the attitudes of antenatal patients at the University of Port-Harcourt Teaching Hospital towards caesarean section. A cross-sectional study was conducted among 400 antenatal clients seen at the University of Port Harcourt Teaching Hospital between 1st and 31st September 2009. Information on their socio-demographic characteristics, knowledge, beliefs and attitudes were sought. The response rate was 100%. Data management was carried out with SPSS 15.0 statistical software. Chi-square tests were used to compare the groups as appropriate. P value of <0.05 was assumed to be statistically significant. Out of 400 women studied, 68.5% favoured caesarean section while 31.5% were averse to it. About 59% of them knew what caesarean section was. Increasing maternal level of education and age were associated with increased knowledge and support for caesarean section (X 2 =11.8, P = 0.0006). Eighty percent of the women believed caesarean section is done for medical reasons. If caesarean section is indicated in the index pregnancy, 65% would accept that the procedure be done, 19% would want to discuss with their husbands while 7.5% would default. Of the 82 women who had previous caesarean section, 73.2% would readily accept to undergo a repeat caesarean section if necessary in the index pregnancy compared to 200 (62.9%) of 318 women who had not undergone caesarean section. The difference was not significant. (X 2 = 3.03, P = 0.08). There is a high level of knowledge and acceptance of caesarean section in this study. This acceptance is directly linked with the educational status of the women. However, one third of the women were still averse to caesarean section.
International Journal of Gynecology & Obstetrics, 2014
Objective: To determine the prevalence of abnormal cervical smears and high-grade lesions among H... more Objective: To determine the prevalence of abnormal cervical smears and high-grade lesions among HIV-positive and HIV-negative women, and to assess the relationship between severity of disease and CD4 count. Methods: In a prospective cross-sectional comparative study, 250 HIV-positive and 250 HIV-negative women attending the University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria, were enrolled between January and March 2012. Cervical smear samples were collected from participants, examined, and reported via the Bethesda system. Data management and analysis was done with SPSS. Differences between the 2 study groups were determined by χ 2 test and Student t test. Results: The prevalence of abnormal cervical smears was significantly higher among HIV-positive women (34.4%) than among HIV-negative women (20.2%) (P b 0.01). The proportion of high-grade lesions was significantly higher among HIV-positive women (23.5%) than among HIV-negative women (8.2%) (P = 0.025). HIV-positive women with a CD4 count below 500 cells/mm 3 had significantly more abnormal cervical smears (28.3%) compared with those with a CD4 count of 500 cells/mm 3 or more (6.1%) (P = 0.04). Conclusion: HIV-positive women were found to be at significantly greater risk of developing abnormal cervical cytology and high-grade lesions compared with HIV-negative women.
African Journal for Infertility and Assisted Conception
Menstrual Cycle [Working Title]
Approximately 80-90% of women experience some symptoms in the premenstrual period at some point i... more Approximately 80-90% of women experience some symptoms in the premenstrual period at some point in their reproductive years. Teenagers often present with moderate to severe symptoms, while women in the fourth decade of life appear to have worse symptoms with the severity of the disease worsening with increasing age up until menopause. Obesity and smoking have also been identified as risk factors. Symptoms could be physical, psychological, emotional, environmental and/or behavioral and affect the ability to perform normal daily activities as well as adversely affect interpersonal relationships. Though several theories have been propounded, the exact cause of premenstrual syndrome is unknown. Management of this disorder requires a multidisciplinary approach involving the general practitioner, the general gynecologist or a gynecologist with a special interest in PMS, a mental health professional (psychiatrist, clinical psychologist or counselor), physiotherapist and dietician.
British Journal of Medicine and Medical Research, 2017
Journal of Public Health and Epidemiology, Dec 31, 2011
Caesarean section has contributed immensely to improved obstetric care throughout the world. In d... more Caesarean section has contributed immensely to improved obstetric care throughout the world. In developing countries especially the sub-Saharan Africa, there is a great aversion to caesarean section. This study aims to assess the attitudes of antenatal patients at the University of Port-Harcourt Teaching Hospital towards caesarean section. A cross-sectional study was conducted among 400 antenatal clients seen at the University of Port Harcourt Teaching Hospital between 1st and 31st September 2009. Information on their socio-demographic characteristics, knowledge, beliefs and attitudes were sought. The response rate was 100%. Data management was carried out with SPSS 15.0 statistical software. Chi-square tests were used to compare the groups as appropriate. P value of <0.05 was assumed to be statistically significant. Out of 400 women studied, 68.5% favoured caesarean section while 31.5% were averse to it. About 59% of them knew what caesarean section was. Increasing maternal level of education and age were associated with increased knowledge and support for caesarean section (X 2 =11.8, P = 0.0006). Eighty percent of the women believed caesarean section is done for medical reasons. If caesarean section is indicated in the index pregnancy, 65% would accept that the procedure be done, 19% would want to discuss with their husbands while 7.5% would default. Of the 82 women who had previous caesarean section, 73.2% would readily accept to undergo a repeat caesarean section if necessary in the index pregnancy compared to 200 (62.9%) of 318 women who had not undergone caesarean section. The difference was not significant. (X 2 = 3.03, P = 0.08). There is a high level of knowledge and acceptance of caesarean section in this study. This acceptance is directly linked with the educational status of the women. However, one third of the women were still averse to caesarean section.
International Journal of Gynecology & Obstetrics, 2014
Objective: To determine the prevalence of abnormal cervical smears and high-grade lesions among H... more Objective: To determine the prevalence of abnormal cervical smears and high-grade lesions among HIV-positive and HIV-negative women, and to assess the relationship between severity of disease and CD4 count. Methods: In a prospective cross-sectional comparative study, 250 HIV-positive and 250 HIV-negative women attending the University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria, were enrolled between January and March 2012. Cervical smear samples were collected from participants, examined, and reported via the Bethesda system. Data management and analysis was done with SPSS. Differences between the 2 study groups were determined by χ 2 test and Student t test. Results: The prevalence of abnormal cervical smears was significantly higher among HIV-positive women (34.4%) than among HIV-negative women (20.2%) (P b 0.01). The proportion of high-grade lesions was significantly higher among HIV-positive women (23.5%) than among HIV-negative women (8.2%) (P = 0.025). HIV-positive women with a CD4 count below 500 cells/mm 3 had significantly more abnormal cervical smears (28.3%) compared with those with a CD4 count of 500 cells/mm 3 or more (6.1%) (P = 0.04). Conclusion: HIV-positive women were found to be at significantly greater risk of developing abnormal cervical cytology and high-grade lesions compared with HIV-negative women.