Leiomyoma of the anterior vaginal wall: a rare case Saheed Olanrewaju Jimoh, GRACE GWABACHI EZEOKE, OLAYINKA RABIU BALOGUN, ADEMOLA POPOOLA, ABIODUN SULEIMAN ADENIRAN, et al. Babcock University Medical Journal, 2021 Background: Leiomyoma is a benign smooth muscle mesenchymal tumor, usually of uterine origin but may rarelydevelop in the vaginal walls. Case presentation: A case of 40-year-old para 5+0 woman with anterior vaginal wall leiomyoma is reported. Thepresentation mimics that of uterovaginal prolapse and hence presents a diagnostic challenge. The unusualappearance of the protrusion, failure to reduce at any time even while lying down, and complete absence of urinarysymptoms raised the suspicion of a rare case. The diagnosis was made through examination under anesthesia,cystoscopy, and biopsy. Histological examination of the biopsy specimen confirmed vaginal wall leiomyoma. Thepatient had complete excision of the mass without any complications. Discussion and Conclusion: Vaginal wall leiomyoma is a rare benign vaginal lesion that can easily bemisdiagnosed. Diagnosis involves critical clinical evaluation, especially during pelvic examinations. Any vaginalprotrusion should be approached with a high index of suspicion, especially in patients of reproductive age.
Atherogenic and cardiovascular risks of women on combined oral contraceptives: A comparative study OS Jimoh, IF Abdul, OR Balogun, SA Biliaminu, AS Adeniran, et al. Nigerian Journal of Clinical Practice, 2021 Background: Although combined oral contraceptive (COC) is commonly used in sub-Saharan Africa, data on its cardiovascular disease risk remains scanty. The study aimed to determine serial serum lipid profiles and cardiovascular disease risks among COC-users. Methods: This is a prospective, comparative multicentered study conducted at four health facilities in Nigeria. Participants were new users of contraceptives; 120 each of women initiating COCs (group I) and those initiating other forms of nonhormonal contraceptives (group II) were recruited and monitored over a 6-month period. Serial lipid profile, blood pressure, and atherogenic risk for cardiovascular diseases were measured at recruitment (start) and scheduled follow-up clinic visits at 3 months and 6 months for all participants. Statistical analysis was performed with SPSS (version 21.0) and P value < 0.05 was considered significant. Results: In all, 225 participants (111 COC-users, 114 nonCOC-users) that completed the study were aged 18 to 49 years. There was a statistically significant increase in the diastolic blood pressure (P = 0.001), Low Density Lipoprotein- Cholesterol (P = 0.038) and higher atherogenic risk (P = 0.001) among COC-users compared to nonCOC-users. The serial total serum cholesterol, triglyceride, High Density Lipoprotein, systolic blood pressure, and body mass index were higher among COC-users but were not statistically significant compared to nonCOC-users. Conclusion: Alterations in lipid profile and increased short-term atherogenic risk for cardiovascular disease were reported among the COC-users in this study. Serial lipid profile and atherogenic risk assessment for cardiovascular diseases are recommended for monitoring of COC-users.
Attitude and Practice of Birth Attendants Regarding the Presence of Male Partner at Delivery in Nigeria Abiodun Adeniran, Kikelomo Adesina, Abiodun Aboyeji, Olayinka Balogun, Peace Adeniran, et al. Ethiopian Journal of Health Sciences, 2017 Background Despite increasing request for the male partners' presence at delivery in developing countries, the view and practice of birth attendants remained poorly understood.This study aimed to evaluate the perception, attitude and practice of birth attendants concerning the requests in Nigeria. Methods A prospective, cross-sectional survey involving consenting birth attendants was conducted in six public and six private health facilities in North Central Nigeria. Statistical analysis was done with SPSS-version 20.0; p-value <0.05 was considered statistically significant. Results Among 564 participants (24.8% male, 75.2% female), 465(82.4%) support the presence of male partners at delivery, 409(72.5%) desire to be with their partner at delivery, 434(77.0%) had previous request for male partner's presence at delivery while 225(51.8%) declined it due to perception that men will disturb. Among the male partners allowed at delivery, 92(44.0%) did not disturb the birth attendant while 5(2.4%) ended in litigation. Among birth attendants who allowed men at delivery in the past, 160(76.6%) will allow men in the future. There was no statistical significance regarding the age, gender, cadre or year of service of birth attendants and attitude to a protocol change to allow men at delivery. Birth attendants who support the presence of men at delivery showed positive attitude (OR33.178, 95%CI6.996–157.358; p<0.001) while those who opined that men would disturb at delivery had a negative attitude (OR0.306, 95%CI0.124–0.755); p0.010) to possible protocol change. Conclusion Despite perceived negative effects of allowing male partners at delivery, many birth attendants are willing to allow them if necessary structural modifications are instituted.
Effect of Male Partner's Support on Spousal Modern Contraception in a Low Resource Setting Olayinka Balogun, Abiodun Adeniran, Adegboyega Fawole, Kikelomo Adesina, Abiodun Aboyeji, et al. Ethiopian Journal of Health Sciences, 2016 Background As efforts continue to increase contraceptive uptake, male partner support remains important in spousal modern contraceptive use. Methods A prospective cross-sectional survey involving women on modern contraception was conducted at the family planning clinic of the University of Ilorin Teaching Hospital, Nigeria, between December 2013 and April 2014. All consenting participants completed a self-administered questionnaire designed for the study, and statistical analysis was done with SPSS version 20.0 using with chi square test and logistic regression; p value <0.05 was significant. Results There were 305 participants: 208(68.2%) were multipara, the commonest current and previous contraceptives used were IUD and injectables while male partner was responsible for discontinuation in 30(23.3%) of previous users. Covert contraceptive use was 22(7.2%), male partner support was 209(68.5%) as payment for the contraceptives (203; 66.6%) or transportation to the clinic (198; 64.9%). Also, 55(18.0%) women failed to comply with contraception recently due to male partner hindrance (25; 45.5%) or inability to pay for contraceptive (11; 20%) or transportation to the clinic (8; 14.5%). Male partners hindered contraception by reporting the woman to relatives/friends (8; 32%) or denying her money for feeding allowance (6; 24%); 277(90.8%) women want contraception to be couple decision while 261(85.6%) want contraception administered only if both partners consented. The significant predictors of male partner support were awareness about the contraceptive use (p<0.001, OR0.114; CI0.041–0.319), level of education (p0.007, OR1.488; CI1.114–1.9870) and social class (p0.029, OR0.690; CI0.495–0.963). Conclusion Male partner hindrances and costs of contraceptive or transportation to clinic are important in noncompliance. Male partner education, subsidized/free contraceptives and mobile/community services will improve compliance.
Attitudes to female genital mutilation/cutting among male adolescents in Ilorin, Nigeria Abiodun S Adeniran, Munirdeen A Ijaiya, Adegboyega A Fawole, Olayinka R Balogun, Kikelomo T Adesina, et al. South African Medical Journal, 2016 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. Participants completed a self-administered questionnaire after consent had been obtained from them or their parents. Statistical analysis was with SPSS version 20.0 (IBM, USA). A p-value of <0.05 was taken as significant. RESULTS Of 1 536 male adolescents (mean age 15.09 (standard deviation 1.84) years, range 14 - 19), 1 184 (77.1%) were aware of FGM/C, 514 (33.5%) supported female circumcision, 362 (23.6%) would circumcise their future daughters, 420 (27.3%) were of the opinion that FGM/C had benefits, mostly as a necessity for womanhood (109, 7.1%), and 627 (40.8%) perceived it as wickedness against females; 546 (35.5%) were aware of efforts to eradicate FGM/C, and 42.2% recommended education as the most important intervention to achieve this. CONCLUSION Education and involvement in advocacy may transform male adolescents into agents for eradication of FGM/C.
Female genital mutilation/cutting: Knowledge, practice and experiences of secondary schoolteachers in North Central Nigeria A S Adeniran, A A Fawole, O R Balogun, M A Ijaiya, K T Adesina, et al. South African Journal of Obstetrics and Gynaecology, 2015 Background . Despite global efforts at eradicating female genital mutilation/cutting (FGM/C), the act continues to be performed globally. Objective . To determine the experience of schoolteachers about FGM/C and their possible role in contributing to its eradication. Methods . A prospective cross-sectional survey involving secondary schoolteachers from 18 secondary schools in Ilorin, North Central Nigeria, was undertaken during October and November 2014. All consenting participants completed a self-administered questionnaire on FGM/C. Statistical analysis was with SPSS version 20.0 with χ2 and logistic regression; a p-value of <0.05 was considered significant. Results . There were 371 participants (113 males (30.5%) and 258 females (69.5%)). More females than males were aware of FGM/C (205 v. 94; χ2 41.2; p=0.001); 180 women (69.8%) and 81 men (71.7%) wanted awareness and the implications of FGM/C to be taught in schools, while 46 women (17.8%) and 23 men (20.4%) had previously educated students about FGM/C. Also, 109 (42.3%) of the female teachers had been mutilated (mean (standard deviation) age 4.76 (4.86) years), and 49 mutilations (45.0%) had been performed by traditional circumcisers. Of the teachers, 44.0% of men and 24.5% of women had subjected their daughters to FGM/C (p=0.029), mostly for religious reasons. The men initiated the majority of their daughters’ mutilations, while the mothers-in-law were the main initiators among the women; 44 (17.0%) women and 23 (20.4%) men held the opinion that females should be circumcised, while the majority considered education and legislation to be the most important interventions to encourage its eradication. Predictors of the likelihood to support discontinuation of FGM/C include awareness of government policy about FGM/C and having a mutilated daughter. Conclusion . Education, reorientation and motivation of teachers will position them as agents for eradicating FGM/C.
Missed Diagnosed Bicornuate Unicollis Uterus Presenting As Acute Abdomen West African Journal of Medicine, 2014
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Ectopic pregnancy in Ilorin, Nigeria: a four year review Nigerian Postgraduate Medical Journal, 2013
Complications of unsafe abortion in South West Nigeria: a review of 96 cases. African Journal of Medicine and Medical Sciences, 2013
Trends in the use of female sterilisation through minilaparotomy for contraception at a teaching hospital in North Central Nigeria West African Journal of Medicine, 2012
Factors hindering acceptance of HIV/AIDS voluntary counseling and testing (VCT) among youth in Kwara State, Nigeria. African Journal of Reproductive Health, 2010
Risk determinants to congenital malaria in Ilorin, Nigeria Asian Journal of Microbiology Biotechnology and Environmental Sciences, 2010
A review of caesarean sections associated with perinatal mortality at the University of Ilorin Teaching Hospital, Ilorin, Nigeria Nigerian Journal of Clinical Practice, 2009
Clinical experience with injectable progestogen- only contraceptives at University of Ilorin teaching hospital: a five year review. Nigerian Postgraduate Medical Journal, 2009
Aetiology, clinical features and treatment outcome of intrauterine adhesion in Ilorin, Central Nigeria West African Journal of Medicine, 2007
Analysis of weight, packed cell volume changes and menstrual pattern in Norplant implant acceptors in Ilorin, Nigeria. Nigerian Journal of Clinical Practice, 2007
Psychological health problems of resident doctors in a Nigerian teaching hospital South African Journal of Psychiatry, 2006
Missing IUD strings: diagnosis and management at Ilorin. Nigerian Journal of Medicine Journal of the National Association of Resident Doctors of Nigeria, 2004
Female genital mutilation and reproductive outcome. Nigerian Journal of Medicine Journal of the National Association of Resident Doctors of Nigeria, 2002
Intrauterine contraceptive device (IUCD): socio-demographic characteristics of acceptors, acceptability and effectiveness in a teaching hospital in Nigeria. Nigerian Journal of Medicine Journal of the National Association of Resident Doctors of Nigeria, 2001
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