Dr Fehintola publications
PREDICTORS AND ACCEPTABILITY OF HUMAN PAPILLOMA VIRUS VACCINE UPTAKE AMONG SENIOR SECONDARY SCHOOL STUDENTS IN ILE-IFE
Abstract: Introduction: Cervical cancer is the second most common cancer in women worldwide and in Nigeria. Human papilloma virus (HPV), has been implicated as the causative agent of cervical cancer. The fact that HPV vaccination can prevent the occurrence of this deadly cancer is well established. Though the vaccine has been licensed in Nigeria since 2009 with widespread availability, it is yet to be included in National immunization program in Nigeria. This study aimed to assess the predictors and acceptability of the HPV vaccine among senior secondary girls in Ile-Ife.
Antenatal Dexamethasone for Early Preterm Birth in Low-Resource Countries
Abstract: Preterm birth is a leading cause of death in infants and children younger than 5 years of age globally.1 Infants born preterm are also at increased risk for a wide range of short-term and long-term respiratory, infectious, metabolic, and neurologic conditions, with higher risks among those born during the early preterm period.2,3 On the basis of trials conducted largely in
high-resource countries, antenatal glucocorticoids have long been promoted as the key intervention for reducing preterm infant mortality and morbidity.4,5 However, the generalizability of this evidence to low-resource settings was called into question in 2015, when a large population-based trial conducted in six low-resource countries showed that efforts to scale up the use of antenatal glucocorticoids could lead to harm.
An audit of uterovaginal prolapse in Ogbomoso, south-west Nigeria.
Abstract: Uterovaginal prolapse (UVP) as a gynaecological problem is very common especially in multipara. This condition is important to gynaecologists practicing in Sub-Saharan Africa because of its strong link with multiparity, poor conduct of labour, and most importantly, its role as a cause of chronic morbidity in many post-menopausal women necessitating major gynaecological surgeries..
Predictors of Adolescent Parent Communication and Safe Sexual Behavior among In-School Adolescents
Abstract: Adolescents in communicating about their sexual and reproductive health (SRH) issues are faced with the obstacles created by expected social norms and taboos related to sexuality and gender. This study aims to determine the relationship between adolescent-parent communication and its relationship with safe sex behavior among adolescents. The study was a descriptive cross-sectional. Data was collected from 400 adolescents in Ife-East local government using a pre-tested semi-structured questionnaire. We used a multistage sampling technique to select the required study subjects. We carried out simple frequencies and chi-square.
Eight-hour versus 24-h urethral catheter removal following elective caesarean section for reducing significant bacteriuria: A randomized controlled trial
Abstract: There is no consensus on the preferred time to remove urethral catheter post caesarean section.
research Aim is To compare rate of significant bacteriuria and urinary retention following 8-h (study) and 24-h urethral catheter
removal (control) post elective caesarean section.
Preliminary report of experience with gynaecologic laparoscopy in Ogbomoso, Nigeria
Abstract: Gynaecologic laparoscopy (GL) had remained in latency in Nigeria because of widespread lack of equipment and skilled personnel. This study presents a pioneer experience with laparoscopic procedures in Gynaecological unit of the Bowen University Teaching Hospital (BUTH), Ogbomoso, Nigeria. Consecutive patients who had laparoscopic procedures from May 2014 to April 2015 were prospectively studied
Lidocaine 10% sprays versus oral diclofenac sodium for pain relief in women undergoing hysterosalpingography for infertility workup: A randomized clinical trial
Abstract:Tubal disease is the leading cause of female infertility in the West African subregion and hysterosalpingography (HSG) is the first-line imaging technique in its assessment. HSG is an acutely painful procedure. Various studies on analgesia for HSG were inconclusive. We compared the efficacy of 10 mg lidocaine 10% spray and 50 mg oral diclofenac sodium for pain relief during HSG.
CASE REPORT From traditional birth attendants to hospital: a maternal near-miss
Abstract: ‘Maternal near-miss’ is defined as a woman who nearly died during pregnancy or following delivery but survived. The story of many women in sub Saharan Africa is that of an escape from death if they do eventually have a safe delivery [1]. This
situation is not unconnected to several factors as it concerns these women, their families, the society and the choices they
make.
Nigerian Journal of Medicine
Nigerian Journal of Medicine (Print ISSN : 1115-2613 Online ISSN: 2667- 0526), the official publication of the Nigerian Association of Resident Doctors (NARD), is a peer-reviewed online journal with bimonthly print on demand compilation of issues published. The journal will cover clinical interest and implications. It allows open access to its contents and permits authors to self-archive final accepted version of the articles on any OAI-complaint institutional/subject-based repository. Articles with clinical interest and implications will be given preference. The Journal publish issues Bi-monthly
Prospective Evaluation of Outcomes of Mechanical Devices in Women with Symptomatic Pelvic Organ Prolapse in Ogbomoso, South-Western Nigeria
Symptomatic pelvic organ prolapse (POP) impacts the sufferers’ quality of life negatively. There is a preference for a mechanical device in certain conditions though the definitive management of POP is surgical. Objectives: We conducted the study to evaluate the outcome of management of POP using mechanical devices. Methods: It was a prospective study. It took place in the gynecology unit of the Bowen University Teaching Hospital Ogbomoso between May 2014 and April 2019. We followed up with eligible patients who opted for pessary use for a median duration of 18 months (Range 12 – 84 months). We excluded those who refuse to participate in the study
Analgesic Efficacy of Paracervical Block for Manual Vacuum Aspiration of Incomplete Abortions: A Randomized Controlled Trial
Abortion (or miscarriage) is one of the most common causes of gynaecological consultation and hospital admission [1] and irrespective of the cause, instituting a timely care could go a long way in securing the woman’s reproductive health. Abortion could be spontaneous (i.e. Miscarriage) or Induced.
Prevalence and Outcome of Higher‑Order Multiples in Ilesa, Nigeria
Higher‑order multiple (HOM) is the delivery of more than two foetuses during childbirth. It is equally termed higher‑order pregnancy. The incidence of HOM worldwide was uncommon but increasing due to the advent of assisted reproductive technology (ART).1,2 HOM is associated with increased morbidity and mortality compared to singleton pregnancies or even twin pregnancies. The higher the number of foetuses, the higher the risk of developing complications.3 These complications are not just limited to the mother and the foetuses; they also affect the family and society (in terms of financial burden).1,4 These complications are myriads and could include; miscarriage, gestational hypertension, preeclampsia, eclampsia, gestational diabetes, preterm pre‑labour rupture of membrane and its sequelae. There is an increase in surgical intervention rate (e.g. caesarean section), and an increased incidence of antepartum and postpartum haemorrhage, to mention a few.
THE BURDEN OF VESICO-VAGINAL FISTULA IN ILE-IFE, SOUTH WESTERN NIGERIA
Vesicovaginal fistula is an abnormal communication between the epithelium of the bladder and vagina.
It is a very unpleasant experience for the patients and is considered as one of the most dehumanizing conditions that affect women who often experience a lot of social problems (1). Vesicovaginal fistula is rare in the developed world but still remains a public health problem in developing countries. This condition is much more prevalent in Northern Nigeria than the southern Nigeria where it is estimated that more than 150 000 unrepaired fistulae still exist (1).
The Outcome of Laparoscopic Ovarian Drilling in Patients with Clomiphene-resistant Polycystic Ovarian Syndrome in Ogbmoso, Nigeria: A Prospective Evaluation
Polycystic ovary syndrome (PCOS) is commonly encountered in women with anovulatory infertility. The surgical ovarian drilling procedure aims to restore spontaneous ovulatory cycles. This function is similar to the goal of clomiphene citrate and/or metformin. We conducted this study to determine the outcome of laparoscopic ovarian drilling (LOD) among patients who presented with clomiphene-resistant PCOS.