University of Ibadan
University of Ilorin
National Postgraduate Medical College of Nigeria
West Africa College of Surgeons
RESEARCH, TEACHING, or OTHER INTERESTS
Obstetrics and Gynecology, Reproductive Medicine
44
Scopus Publications
Scopus Publications
Male support for family planning and contraceptive use by their partners during the COVID-19 pandemic in selected states in Nigeria: a qualitative explorative study Tanimola M. Akande, Adesola Oluwafunmilola Olumide, Abiodun S. Adeniran, Oloruntomiwa Oyetunde, Taiwo Gboluwaga Amole, et al. Reproductive Health, 2025 Background The COVID-19 pandemic affected all facets of life, including access to health and other social services. The World Health Organization conducted a multi-country mixed methods study in India, Nigeria and Tanzania to assess the impact of the pandemic on family planning (FP) access, and the health system's capacity to provide FP and contraceptive services. In this paper, we share results of the qualitative aspect of the study that explored men’s support for FP and contraceptive use by their partners during the COVID-19 pandemic in Nigeria. Methods A qualitative exploratory study was conducted in rural and urban communities in Kano, Kwara, and Oyo states of Nigeria among women of reproductive age and their male partners. One hundred and forty-seven women and 95 male partners were purposively selected, and they participated in 68 in-depth interviews and 21 focus group discussions. The interviews and discussions were digitally recorded and subsequently transcribed. Data were organized using ATLAS.ti and analysed using content analysis. Results The mean age of the respondents was 34.4 ± 10.9 years, 90% were married, and 74% had at least secondary education. In Kano, decisions regarding FP and contraceptive use were majorly made by men alone, whereas in Kwara and Oyo states, decisions were often made jointly by the couple. The other forms of male support reported were largely comparable in the three study states. For example, communicating with their female partners about FP, providing practical support such as financial assistance and transportation, accompanying their partners to health facilities or drug stores to procure contraception, offering physical support during the procedure and emotional support. Use of contraceptive methods by men, which is a direct form of support was not frequently reported. Conclusions Males played notable roles in supporting their partners to obtain FP and contraception during the pandemic. We recommend implementing interventions that encourage greater male involvement in FP, as well as interventions that promote joint decision-making between couples in settings where decisions are mostly taken by men alone.
Handling client financial insolvency in maternity services: An occurrence, experience and policy gap qualitative analysis among healthcare stakeholders in North-Central Nigeria Abiodun S. Adeniran, Mojirola M. Fasiku, Maryam A. Jimoh, Omotayo O. Adesiyun, Oniyire Adetiloye, et al. International Journal of Gynecology and Obstetrics, 2025 ObjectiveTo assess the occurrence of client financial insolvency, experiences of key healthcare stakeholders, and policy gaps on handling the situation during maternity services.MethodsA qualitative study was conducted in North‐Central Nigeria. Participants were key healthcare stakeholders including healthcare workers from private, primary, secondary, and tertiary facilities, healthcare administrators/facility‐heads, program managers and policy makers at local and state government levels through In‐depth and Key Informant interviews. Identified themes were occurrence, experiences of stakeholders, and prevention of client financial insolvency. Data were analyzed with the Nvivo statistical package.ResultsParticipants confirmed the occurrence of client financial insolvency. Clients' inability to pay hospital bills was due to being indigent, awaiting support from relations, or clients who were uncommitted to the payment. Health facilities lack guiding policy documents; potential cases are referred from private to public or from primary to secondary/tertiary facilities. Methods of handling financial insolvency included healthcare worker‐related (staff scavenging for needed consumables, fund‐raising among facility staff), facility‐related (revolving fund, medical social welfare, welfare committee, discharge with re‐payment plan, fee‐waiver), community‐related (ward development committee, religious organizations/philanthropists) interventions, or hospital detention of insolvent clients. Although clients' bills did not increase during detention, many clients did not honor post‐discharge re‐payment agreements. Participants suggested a client‐friendly billing system, early initiation of birth preparedness, partner involvement, and a rapid scale‐up of health insurance for pregnant women to curb financial insolvency.ConclusionTackling client financial insolvency requires policy documents, support to private facilities, effective debt‐recovery mechanisms, and scale up of health insurance for pregnant women.
Impact of ‘decision-to-delivery’ interval on maternal and perinatal outcomes: a retrospective study of emergency caesarean section from 2017 to 2021 at a secondary health facility in Nigeria Mariam Abdulbaki, Fullaila O Aliyu, Musa Ayinde, Amudalat Issa, Abiodun S Adeniran, et al. BMC Pregnancy and Childbirth, 2024 Background The decision-to-delivery interval (DDI) for a caesarean section is among the factors that reflect the quality of care a pregnant woman receives and the impact on maternal and foetal outcomes and should not exceed 30 min especially for Category 1 National Institute for Health and Care Excellence (NICE) guidelines. Herein, we evaluated the effect of decision-to-delivery interval on the maternal and perinatal outcomes among emergency caesarean deliveries at a secondary health facility in north-central Nigeria. Methods We conducted a four-year retrospective descriptive analysis of all emergency caesarean sections at a secondary health facility in north-central Nigeria. We included pregnant mothers who had emergency caesarean delivery at the study site from February 10, 2017, to February 9, 2021. Results Out of 582 who underwent an emergency caesarean section, 550 (94.5%) had a delayed decision-to-delivery interval. The factors associated with delayed decision-to-delivery interval included educational levels (both parents), maternal occupation, and booking status. The delayed decision-to-delivery interval was associated with an increase in perinatal deaths with an odds ratio (OR) of 6.9 (95% CI, 3.166 to 15.040), and increased odds of Special Care Baby Unit (SCBU) admissions (OR 9.8, 95% CI 2.417 to 39.333). Among the maternal outcomes, delayed decision-to-delivery interval was associated with increased odds of sepsis (OR 4.2, 95% CI 1.960 to 8.933), hypotension (OR 3.8, 95% 1.626 TO 9.035), and cardiac arrest (OR 19.5, 95% CI 4.634 to 82.059). Conclusion This study shows a very low optimum DDI, which was associated with educational levels, maternal occupation, and booking status. The delayed DDI increased the odds of perinatal deaths, SCBU admission, and maternal-related complications.
Outcomes and quality of care for women and their babies after caesarean section in Nigeria Abiodun S. Adeniran, Duum C. Nwachukwu, Amaka N. Ocheke, Salisu O Mohammed, Abdulkarim O. Musa, et al. BJOG an International Journal of Obstetrics and Gynaecology, 2024 ObjectiveTo describe the outcomes and quality of care for women and their babies after caesarean section (CS) in Nigerian referral‐level hospitals.DesignSecondary analysis of a nationwide cross‐sectional study.SettingFifty‐four referral‐level hospitals.PopulationAll women giving birth in the participating facilities between 1 September 2019 and 31 August 2020.MethodsData for the women were extracted, including sociodemographic data, clinical information, mode of birth, and maternal and perinatal outcomes. A conceptual hierarchical framework was employed to explore the sociodemographic and clinical factors associated with maternal and perinatal death in women who had an emergency CS.Main Outcome MeasuresOverall CS rate, outcomes for women who had CS, and factors associated with maternal and perinatal mortality.ResultsThe overall CS rate was 33.3% (22 838/68 640). The majority of CS deliveries were emergency cases (62.8%) and 8.1% of CS deliveries had complications after delivery, which were more common after an emergency CS. There were 179 (0.8%) maternal deaths in women who had a CS and 29.6% resulted from complications of hypertensive disorders of pregnancy. The overall maternal mortality rate in women who delivered by CS was 778 per 100 000 live births, whereas the perinatal mortality at birth was 51 per 1000 live births. Factors associated with maternal mortality in women who had an emergency CS were being <20 or >35 years of age, having a lower level of education and being referred from another facility or informal setting.ConclusionsOne‐third of births were delivered via CS (mostly emergency), with almost one in ten women experiencing a complication after a CS. To improve outcomes, hospitals should invest in care and remove obstacles to accessible quality CS services.
Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries Adewale Adisa, Michael Bahrami-Hessari, Aneel Bhangu, Christina George, Dhruv Ghosh, et al. British Journal of Surgery, 2023 Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries.
Endometriosis-associated massive ascites in a young Nigerian lady Abiodun S. Adeniran, Munirdeen A. Ijaiya, Kazeem O.O. Ibrahim, Saidu Ibrahim, Olaleke O Folaranmi Ghana Medical Journal, 2023 Endometriosis-associated massive haemorrhagic ascites is rare and poses a diagnostic challenge to the gynaecologist due to its resemblance to malignancies, especially ovarian malignancy. We report a 31-year-old nulligravida with progressive abdominal swelling, worsening dysmenorrhea, weight loss and a family history of ovarian tumour. Pelvic ultrasonography and Computed Tomography scans suggested an ovarian mass suspected to be an ovarian malignancy. Exploratory laparotomy revealed massive haemorrhagic ascites (8.6 litre) and multiple nodular masses on the anterior abdominal wall, omentum, bowel and pelvic organs, which were biopsied and confirmed on histopathology to be endometriosis. She had drainage of ascites and hormonal suppression using progestogen (Medroxyprogesterone acetate) with no recurrence in 15 months. Endometriosis should be considered in young, nulligravid women with dysmenorrhea, weight loss and ascites.
Effect of inter-pregnancy interval on serum ferritin, haematocrit and pregnancy outcome in Ilorin, Nigeria Callistus Elegbua, Hadijat Raji, Sikiru Biliaminu, Grace Ezeoke, Abiodun Adeniran African Health Sciences, 2023 Background: Available information remains limited on inter-pregnancy interval (IPI) and its effect on maternal health and pregnancy outcome.
 Objectives: To determine the effect of IPI on maternal serum ferritin, haematocrit and pregnancy outcome.
 Materials and methods: A prospective cohort study of 316 women categorized into WHO recommended IPI of ≥24 months (group I) and IPI <24 months i.e. short IPI (SIPI) as group II after matching for gestational age and social status. Serum ferritin and haematocrit levels were assayed in first and second trimesters; primary outcome measures were maternal serum ferritin, haematocrit and pregnancy outcome gestational age at delivery, birth and placental weights, APGAR scores and neonatal intensive admission). Participants were followed up until six-week post-delivery. Data analysis was with SPSS version 21.0; p<0.05 wassignificant.
 Results: Women in group I had higher mean serum ferritin (37.40±3.15 vs. 32.61±2.68; P<0.001), booking haematocrit (33.24±3.59 vs. 27.92±2.67; P<0.001) and mean birth weight (3100±310 vs. 2700±350; P<0.001). Antenatal hospital admission (P0.002), preterm delivery (P<0.001) and neonatal intensive care admission (P<0.001) were higher for group II. There was no maternal mortality; perinatal mortality was zero (group I) and 95/1000 livebirth (group II).
 Conclusion: Low serum ferritin, haematocrit and adverse neonatal outcomes were associated with SIPI.
 Keywords: Inter-pregnancy interval; serum ferritin; haematocrit; pregnancy outcome.
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
