Pub Date : 2023-06-25DOI: 10.30442/ahr.0902-08-201
J. Akinmoladun, OE Fatade, OA Obilade
Hydrops foetalis (HF) is the excessive fluid accumulation in at least two foetal body cavities, including pleural, pericardial, and peritoneal cavities, with associated soft tissue oedema. Most cases of hydrops foetalis were due to severe erythroblastosis foetalis, secondary to Rhesus isoimmunization. However, other variants include non-immune hydrops foetalis (NIHF). Foetal cystic hygroma, which occurs due to lymphatic obstruction, is commonly associated with immune hydrops foetalis (IHF). A combination of the conditions in a foetus tends to portend an abysmal prognosis because it can lead to abortion, intrauterine foetal death (IUFD) and early neonatal death (ENND). We report a case of a 22-year-old woman with a prenatal ultrasound diagnosis of a combination of NIHF and foetal cystic hygroma at 20 weeks of gestation. Therefore, there is a need for early diagnosis of the anomalies so that early termination of pregnancy can be performed if the patient desires.
{"title":"Diagnosis of Non-Immune Hydrops Foetalis and Cystic Hygroma in a 20-Week Foetus: A Case Report","authors":"J. Akinmoladun, OE Fatade, OA Obilade","doi":"10.30442/ahr.0902-08-201","DOIUrl":"https://doi.org/10.30442/ahr.0902-08-201","url":null,"abstract":"Hydrops foetalis (HF) is the excessive fluid accumulation in at least two foetal body cavities, including pleural, pericardial, and peritoneal cavities, with associated soft tissue oedema. Most cases of hydrops foetalis were due to severe erythroblastosis foetalis, secondary to Rhesus isoimmunization. However, other variants include non-immune hydrops foetalis (NIHF). Foetal cystic hygroma, which occurs due to lymphatic obstruction, is commonly associated with immune hydrops foetalis (IHF). A combination of the conditions in a foetus tends to portend an abysmal prognosis because it can lead to abortion, intrauterine foetal death (IUFD) and early neonatal death (ENND). We report a case of a 22-year-old woman with a prenatal ultrasound diagnosis of a combination of NIHF and foetal cystic hygroma at 20 weeks of gestation. Therefore, there is a need for early diagnosis of the anomalies so that early termination of pregnancy can be performed if the patient desires.","PeriodicalId":52960,"journal":{"name":"Annals of Health Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45607056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-25DOI: 10.30442/ahr.0902-06-199
OC Senbanjo, T. Ottun, FM Akinlusi, Y. Oshodi, K. Rabiu, A. Adewunmi
Background: Effective treatment intervention for uterine leiomyoma is essential to prevent morbidities and associated potential mortalities. Objective: To determine the prevalence, clinical presentation of uterine leiomyoma and the outcome of surgical management options at the Lagos State University Teaching Hospital (LASUTH), Ikeja, Lagos, Nigeria. Methods: This was a descriptive retrospective study of cases of uterine leiomyoma from 01 January 2012 to 31 December 2016. The medical records of all patients with the diagnosis of leiomyoma were retrieved. Information was obtained on socio-demographics, clinical presentation, types of surgical treatment and associated postoperative complications. Results: Three hundred and thirty-five cases of leiomyoma were managed out of 1835 major gynaecological cases giving a period prevalence of 18.3%. However, only 134 case folders were available for analysis. The mean age of the women was 38.5±6.7 years. Only 21 (15.7%) cases presented within a year of the onset of symptoms. The surgical interventions used included myomectomy and hysterectomy but the former was the commonest with a frequency of 73.4%. There were no significant differences in the prevalence of postoperative complications between patients who had myomectomy and hysterectomy (p>0.05 in each case). Conclusion: Uterine leiomyoma is a common gynaecological condition. There is a need to create awareness of the need to present early to the hospital so that less invasive treatment options can be explored.
{"title":"Clinical Presentation of Uterine Leiomyoma and the Outcome of Surgical Management Options in a Nigerian Tertiary Health Facility","authors":"OC Senbanjo, T. Ottun, FM Akinlusi, Y. Oshodi, K. Rabiu, A. Adewunmi","doi":"10.30442/ahr.0902-06-199","DOIUrl":"https://doi.org/10.30442/ahr.0902-06-199","url":null,"abstract":"Background: Effective treatment intervention for uterine leiomyoma is essential to prevent morbidities and associated potential mortalities.\u0000Objective: To determine the prevalence, clinical presentation of uterine leiomyoma and the outcome of surgical management options at the Lagos State University Teaching Hospital (LASUTH), Ikeja, Lagos, Nigeria.\u0000Methods: This was a descriptive retrospective study of cases of uterine leiomyoma from 01 January 2012 to 31 December 2016. The medical records of all patients with the diagnosis of leiomyoma were retrieved. Information was obtained on socio-demographics, clinical presentation, types of surgical treatment and associated postoperative complications.\u0000Results: Three hundred and thirty-five cases of leiomyoma were managed out of 1835 major gynaecological cases giving a period prevalence of 18.3%. However, only 134 case folders were available for analysis. The mean age of the women was 38.5±6.7 years. Only 21 (15.7%) cases presented within a year of the onset of symptoms. The surgical interventions used included myomectomy and hysterectomy but the former was the commonest with a frequency of 73.4%. There were no significant differences in the prevalence of postoperative complications between patients who had myomectomy and hysterectomy (p>0.05 in each case).\u0000Conclusion: Uterine leiomyoma is a common gynaecological condition. There is a need to create awareness of the need to present early to the hospital so that less invasive treatment options can be explored. ","PeriodicalId":52960,"journal":{"name":"Annals of Health Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43486039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-25DOI: 10.30442/ahr.0902-01-194
O. Ogunlaja, TY Bakare, T. Bobo, I. Ogunlaja, Aa Fawole, Y. Olasinde
Background: Birth weight is a commonly used indicator of newborn maturity and health and a reliable predictor of postnatal survival. There is a need to determine the birth weight pattern and maternal factors that influence the birth weight in babies delivered at term. Objective: To determine the birth weight pattern and maternal factors influencing the birth weight of babies delivered at term. Methods: In this retrospective, descriptive study, the hospital records of all pregnant women who had childbirth at term in Bowen University Teaching Hospital (BUTH), Ogbomoso, Nigeria, from 01 January 2018 to 31 December 2020, were retrieved. Data on birth weight and maternal obstetric factors were retrieved for analysis. Results: The mean age of the mothers was 30.52 ± 5.23 years. A total of 1072 deliveries were recorded during the study period. These consisted of 580 (54.1%) males and 492 (45.9%) females, with a male-to-female ratio of 1.18:1. The caesarean section rate was 37.7%. The mean birth weight was 3.15±0.56 kg, and male babies had a higher mean weight (3.186±0.535kg vs 3.14±0.493kg). Normal birth weight (NBW) was recorded among 90.3%, while low birth weight (LBW) and high birth weight (HBW) were 6.7% and 3.0%, respectively. Only maternal comorbidities (p = 0.0001) and number of gestation (p = 0.0001) were significantly associated with birth weight. Conclusion: Maternal and foetal factors influenced the birth weights of the babies. Implementing measures to minimise the risk of delivering babies with abnormal birth weights is essential to improve newborn survival.
背景：出生体重是衡量新生儿成熟度和健康状况的常用指标，也是产后存活率的可靠预测指标。需要确定足月分娩婴儿的出生体重模式和影响出生体重的母体因素。目的：确定足月分娩婴儿的出生体重模式和影响出生体重的母体因素。方法：在这项回顾性描述性研究中，检索2018年1月1日至2020年12月31日在尼日利亚奥博莫索博文大学教学医院（BUTH）足月分娩的所有孕妇的医院记录。检索出生体重和产妇产科因素的数据进行分析。结果：母亲的平均年龄为30.52±5.23岁。研究期间共记录了1072次分娩。其中男性580人（54.1%），女性492人（45.9%），男女比例为1.18:1。剖宫产率为37.7%。平均出生体重为3.15±0.56kg，男婴平均体重较高（3.186±0.535kg vs 3.14±0.493kg）。正常出生体重（NBW）为90.3%，低出生体重（LBW）和高出生体重（HBW）分别为6.7%和3.0%。只有母亲的合并症（p=0.0001）和妊娠次数（p=0.001）与出生体重显著相关。结论：母体和胎儿因素影响婴儿出生体重。采取措施将分娩时出生体重异常婴儿的风险降至最低，对于提高新生儿存活率至关重要。
{"title":"A Three-Year Review of Birth Weight Pattern Among Term Deliveries in Bowen University Teaching Hospital, Ogbomoso, Nigeria","authors":"O. Ogunlaja, TY Bakare, T. Bobo, I. Ogunlaja, Aa Fawole, Y. Olasinde","doi":"10.30442/ahr.0902-01-194","DOIUrl":"https://doi.org/10.30442/ahr.0902-01-194","url":null,"abstract":"Background: Birth weight is a commonly used indicator of newborn maturity and health and a reliable predictor of postnatal survival. There is a need to determine the birth weight pattern and maternal factors that influence the birth weight in babies delivered at term.\u0000Objective: To determine the birth weight pattern and maternal factors influencing the birth weight of babies delivered at term.\u0000Methods: In this retrospective, descriptive study, the hospital records of all pregnant women who had childbirth at term in Bowen University Teaching Hospital (BUTH), Ogbomoso, Nigeria, from 01 January 2018 to 31 December 2020, were retrieved. Data on birth weight and maternal obstetric factors were retrieved for analysis.\u0000Results: The mean age of the mothers was 30.52 ± 5.23 years. A total of 1072 deliveries were recorded during the study period. These consisted of 580 (54.1%) males and 492 (45.9%) females, with a male-to-female ratio of 1.18:1. The caesarean section rate was 37.7%. The mean birth weight was 3.15±0.56 kg, and male babies had a higher mean weight (3.186±0.535kg vs 3.14±0.493kg). Normal birth weight (NBW) was recorded among 90.3%, while low birth weight (LBW) and high birth weight (HBW) were 6.7% and 3.0%, respectively. Only maternal comorbidities (p = 0.0001) and number of gestation (p = 0.0001) were significantly associated with birth weight.\u0000Conclusion: Maternal and foetal factors influenced the birth weights of the babies. Implementing measures to minimise the risk of delivering babies with abnormal birth weights is essential to improve newborn survival.","PeriodicalId":52960,"journal":{"name":"Annals of Health Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42132011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-25DOI: 10.30442/ahr.0902-07-200
OE Atekoja, JO Kio, TT Ogundare, R. Ajiboye
Background: The establishment of Childcare Centres (CCs) has increased as several parents leave their homes to work and need a place to keep their children. CCs are expected to make available equipment and materials for infection prevention. Objective: To assess the facilities for infection prevention in CCs and the occurrence of common infections among children attending CCs. Methods: Quantitative research approach was used. The study was conducted among care providers in CCs in Sagamu Local Government Area, Ogun State, Nigeria. The data were obtained using an observation checklist and a validated questionnaire with Cronbach’s alpha coefficient of 0.831. Result: The mean age of the care providers was 35.3±9.4 years. Most (92.4%) care providers worked at private school-owned CCs. The features of infection commonly exhibited by the children included running nose (73.3%), blocked nose (49.6%), cough (66.8%), and sneezing (53.1%). Most (238; 90.8%) of the CCs had suitable structures, while 160 (61.0%) had none of the required essential structures. There was a significant positive relationship between the availability of essential structures in CCs and the occurrence of infection in the children (r = -0.153; p < 0.001) and a significant positive relationship between the availability of essential equipment and the occurrence of infection in CCs (r = 0.313; p < 0.001). Conclusion: Emphasis should be placed on providing more infection prevention measures in CCs. This should include relevant policies, guidelines and monitoring mechanisms.
{"title":"Availability of Infection Prevention Measures and Occurrence of Infections in Childcare Centres in Sagamu Local Government Area, Ogun State, Nigeria","authors":"OE Atekoja, JO Kio, TT Ogundare, R. Ajiboye","doi":"10.30442/ahr.0902-07-200","DOIUrl":"https://doi.org/10.30442/ahr.0902-07-200","url":null,"abstract":"Background: The establishment of Childcare Centres (CCs) has increased as several parents leave their homes to work and need a place to keep their children. CCs are expected to make available equipment and materials for infection prevention.\u0000Objective: To assess the facilities for infection prevention in CCs and the occurrence of common infections among children attending CCs.\u0000Methods: Quantitative research approach was used. The study was conducted among care providers in CCs in Sagamu Local Government Area, Ogun State, Nigeria. The data were obtained using an observation checklist and a validated questionnaire with Cronbach’s alpha coefficient of 0.831.\u0000Result: The mean age of the care providers was 35.3±9.4 years. Most (92.4%) care providers worked at private school-owned CCs. The features of infection commonly exhibited by the children included running nose (73.3%), blocked nose (49.6%), cough (66.8%), and sneezing (53.1%). Most (238; 90.8%) of the CCs had suitable structures, while 160 (61.0%) had none of the required essential structures. There was a significant positive relationship between the availability of essential structures in CCs and the occurrence of infection in the children (r = -0.153; p < 0.001) and a significant positive relationship between the availability of essential equipment and the occurrence of infection in CCs (r = 0.313; p < 0.001).\u0000Conclusion: Emphasis should be placed on providing more infection prevention measures in CCs. This should include relevant policies, guidelines and monitoring mechanisms.","PeriodicalId":52960,"journal":{"name":"Annals of Health Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45389922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-25DOI: 10.30442/ahr.0902-03-196
E. Bamidele, C. Amaike, AA Taiwo, J. Egejuru, GO Wali, CU Ukpai, T. Olayinka
Background: Health-seeking behaviour is defined as the behaviour of people who malfunction or feel sick to find a suitable treatment. One of the critical factors influencing health-seeking behaviour is the satisfaction obtained from healthcare services, which is often linked to the quality of the service received. Objective: To assess university students' health-seeking behaviour and perception of healthcare services provided at the Babcock University Teaching Hospital, Ilishan-Remo, Nigeria. Methods: A descriptive, cross-sectional study of 425 undergraduate students of Babcock University was conducted using a validated structured questionnaire. The socio-demographic characteristics, health-seeking behaviour and perception of available services were analysed using descriptive statistics. Results: About half of the respondents (50.6%) had poor health-seeking behaviour, and most (68.5%) had a positive perception of the healthcare services rendered by the institution’s healthcare facility. Some factors that affected healthcare-seeking behaviour included the non-availability of medications (37.2%), the attitude of healthcare workers (32.5%), and the cost of care (13.6%). Conclusion: The study demonstrated good health-seeking behaviour and a positive perception of the available healthcare services. However, the factors associated with poor health-seeking behaviour included unavailable medications and the poor attitude of healthcare workers. Regular appraisal and pharmacy restocking should be done to ensure an up-to-date supply of commonly prescribed medications.
{"title":"Healthcare-Seeking Behaviours of Undergraduate Students and Their Perception of Health Services in a Nigerian Private University Health Centre","authors":"E. Bamidele, C. Amaike, AA Taiwo, J. Egejuru, GO Wali, CU Ukpai, T. Olayinka","doi":"10.30442/ahr.0902-03-196","DOIUrl":"https://doi.org/10.30442/ahr.0902-03-196","url":null,"abstract":"Background: Health-seeking behaviour is defined as the behaviour of people who malfunction or feel sick to find a suitable treatment. One of the critical factors influencing health-seeking behaviour is the satisfaction obtained from healthcare services, which is often linked to the quality of the service received.\u0000Objective: To assess university students' health-seeking behaviour and perception of healthcare services provided at the Babcock University Teaching Hospital, Ilishan-Remo, Nigeria.\u0000Methods: A descriptive, cross-sectional study of 425 undergraduate students of Babcock University was conducted using a validated structured questionnaire. The socio-demographic characteristics, health-seeking behaviour and perception of available services were analysed using descriptive statistics.\u0000Results: About half of the respondents (50.6%) had poor health-seeking behaviour, and most (68.5%) had a positive perception of the healthcare services rendered by the institution’s healthcare facility. Some factors that affected healthcare-seeking behaviour included the non-availability of medications (37.2%), the attitude of healthcare workers (32.5%), and the cost of care (13.6%).\u0000Conclusion: The study demonstrated good health-seeking behaviour and a positive perception of the available healthcare services. However, the factors associated with poor health-seeking behaviour included unavailable medications and the poor attitude of healthcare workers. Regular appraisal and pharmacy restocking should be done to ensure an up-to-date supply of commonly prescribed medications.","PeriodicalId":52960,"journal":{"name":"Annals of Health Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44324087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-25DOI: 10.30442/ahr.0902-04-197
B. Osalusi, LO Ogunjimi, A. Akinyinka, A. Aderinola, M. Olusola-Bello, D. Oboh
Background: There is growing evidence that inflammation plays a specific role in the pathogenesis of epilepsy and seizures also induce inflammation. The Neutrophil/Lymphocyte ratio (NLR) is an emerging inflammatory biomarker of epilepsy. Objectives: To determine the association between epilepsy and Neutrophil /Lymphocyte Ratio among adults. Methods: Adults with epilepsies the attending outpatient neurology clinics at two Nigerian tertiary health facilities, were recruited. One hundred cases and one hundred age-matched, healthy controls were recruited. The total white blood cell (WBC) and its differential counts were extracted from Full Blood Count (FBC) results and NLR was calculated. The predictors of the association between WBC parameters and epilepsy were established using a linear regression model derived from WBC parameters associated with epilepsy. Results: Out of 100 cases and controls, there was no gender-related statistical difference between the cases and controls (p = 0.777). There was no difference between the mean ages of cases and control (p = 0.058). The total mean white blood cell count among the cases was 8.80±9.84×109 cells/L compared to was 6.30±1.90 ×109 cells/L in the controls, (p = 0.013). The mean neutrophil count in the cases was 59.00±17.89 ×109 cells/L compared to 49.50±15.44 ×109 cells/L among the controls (p < 0.001). The mean NLR for the cases was 4.24±10.44 compared to 1.84±2.26 in the controls (p = 0.026). The Neutrophil/Lymphocyte Ratio (p = 0.013) and Basophil (p < 0.001) predicted epilepsy on linear regression analysis. Conclusion: This study shows a clear difference in the TWBC and NLR with between adults with epilepsies and health controls.
{"title":"A Case-Control Study of Neutrophil-Lymphocyte Ratio as a Biomarker of Inflammation in Adults with Epilepsy","authors":"B. Osalusi, LO Ogunjimi, A. Akinyinka, A. Aderinola, M. Olusola-Bello, D. Oboh","doi":"10.30442/ahr.0902-04-197","DOIUrl":"https://doi.org/10.30442/ahr.0902-04-197","url":null,"abstract":"Background: There is growing evidence that inflammation plays a specific role in the pathogenesis of epilepsy and seizures also induce inflammation. The Neutrophil/Lymphocyte ratio (NLR) is an emerging inflammatory biomarker of epilepsy.\u0000Objectives: To determine the association between epilepsy and Neutrophil /Lymphocyte Ratio among adults.\u0000Methods: Adults with epilepsies the attending outpatient neurology clinics at two Nigerian tertiary health facilities, were recruited. One hundred cases and one hundred age-matched, healthy controls were recruited. The total white blood cell (WBC) and its differential counts were extracted from Full Blood Count (FBC) results and NLR was calculated. The predictors of the association between WBC parameters and epilepsy were established using a linear regression model derived from WBC parameters associated with epilepsy.\u0000Results: Out of 100 cases and controls, there was no gender-related statistical difference between the cases and controls (p = 0.777). There was no difference between the mean ages of cases and control (p = 0.058). The total mean white blood cell count among the cases was 8.80±9.84×109 cells/L compared to was 6.30±1.90 ×109 cells/L in the controls, (p = 0.013). The mean neutrophil count in the cases was 59.00±17.89 ×109 cells/L compared to 49.50±15.44 ×109 cells/L among the controls (p < 0.001). The mean NLR for the cases was 4.24±10.44 compared to 1.84±2.26 in the controls (p = 0.026). The Neutrophil/Lymphocyte Ratio (p = 0.013) and Basophil (p < 0.001) predicted epilepsy on linear regression analysis.\u0000Conclusion: This study shows a clear difference in the TWBC and NLR with between adults with epilepsies and health controls. ","PeriodicalId":52960,"journal":{"name":"Annals of Health Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43616067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-25DOI: 10.30442/ahr.0902-05-198
R. Abubakar
Background: Birth preparedness and complication readiness (BP&CR) are strategies to reduce the three levels of delays contributing to high maternal mortality and morbidity in developing countries. Knowledge of BP and CR among healthcare providers, especially in Primary Health Care (PHC), is poor, and counselling on BP and CR during antenatal care visits is not routinely done in most healthcare facilities in Northern Nigeria. It is, therefore, imperative to assess the current in-depth knowledge and practice gap regarding BP and CR among health workers in PHCs. Aim: To assess Healthcare providers` knowledge and practice of focused antenatal care in PHC centres in Kaduna North Local Government (KNLG) Area of Kaduna State, Nigeria. Methods: A qualitative study was conducted using in-depth interviews. The participants were the officers-in-charge (the heads) of health facilities purposively selected from the four selected PHCs in the state. The data were collected with a tape recorder and note-taking from May to June 2017. The data resulting from the IDI were transcribed verbatim and subjected to using content analysis. Results: Two themes [poor knowledge of FANC and poor practice of BP and CR] emerged from the interviews. Conclusions: This study revealed poor knowledge, awareness and practice of BP and CR among healthcare providers. Therefore, healthcare providers should be trained and retrained on FANC and the concept of BP and CR for sustained improvement in maternal survival.
{"title":"Knowledge and Practice of Birth Preparedness and Complication Readiness among Healthcare Providers in Kaduna North Local Government Area of Kaduna State, Nigeria: A Qualitative Study","authors":"R. Abubakar","doi":"10.30442/ahr.0902-05-198","DOIUrl":"https://doi.org/10.30442/ahr.0902-05-198","url":null,"abstract":"Background: Birth preparedness and complication readiness (BP&CR) are strategies to reduce the three levels of delays contributing to high maternal mortality and morbidity in developing countries. Knowledge of BP and CR among healthcare providers, especially in Primary Health Care (PHC), is poor, and counselling on BP and CR during antenatal care visits is not routinely done in most healthcare facilities in Northern Nigeria. It is, therefore, imperative to assess the current in-depth knowledge and practice gap regarding BP and CR among health workers in PHCs.\u0000Aim: To assess Healthcare providers` knowledge and practice of focused antenatal care in PHC centres in Kaduna North Local Government (KNLG) Area of Kaduna State, Nigeria.\u0000Methods: A qualitative study was conducted using in-depth interviews. The participants were the officers-in-charge (the heads) of health facilities purposively selected from the four selected PHCs in the state.\u0000The data were collected with a tape recorder and note-taking from May to June 2017. The data resulting from the IDI were transcribed verbatim and subjected to using content analysis.\u0000Results: Two themes [poor knowledge of FANC and poor practice of BP and CR] emerged from the interviews.\u0000Conclusions: This study revealed poor knowledge, awareness and practice of BP and CR among healthcare providers. Therefore, healthcare providers should be trained and retrained on FANC and the concept of BP and CR for sustained improvement in maternal survival.","PeriodicalId":52960,"journal":{"name":"Annals of Health Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43471438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-25DOI: 10.30442/ahr.0902-09-202
AK Akiseku, M. Popoola, A. Olatunji
A uterocutaneous fistula (UCF) is a rare clinical presentation following Caesarean section (CS) and other pelvic surgeries. Presently, there are limited reports on the clinical management of UCF. This report describes a 35-year-old woman who presented with a four-year history of abdominal pain and cyclical bleeding from the skin after CS. Fistulography was carried out, and a diagnosis of UFC was made. She had a fistulectomy with the fistula tract excised, followed by debridement of the necrotic tissue and repair of the uterus. At the third-month postoperative follow-up, there was no recurrence of symptoms. A UCF is a rare condition that needs detailed investigation and timely medical and surgical management.
{"title":"Uterocutaneous Fistula Complicating Caesarean Section: A Case Report","authors":"AK Akiseku, M. Popoola, A. Olatunji","doi":"10.30442/ahr.0902-09-202","DOIUrl":"https://doi.org/10.30442/ahr.0902-09-202","url":null,"abstract":"A uterocutaneous fistula (UCF) is a rare clinical presentation following Caesarean section (CS) and other pelvic surgeries. Presently, there are limited reports on the clinical management of UCF. This report describes a 35-year-old woman who presented with a four-year history of abdominal pain and cyclical bleeding from the skin after CS. Fistulography was carried out, and a diagnosis of UFC was made. She had a fistulectomy with the fistula tract excised, followed by debridement of the necrotic tissue and repair of the uterus. At the third-month postoperative follow-up, there was no recurrence of symptoms. A UCF is a rare condition that needs detailed investigation and timely medical and surgical management.","PeriodicalId":52960,"journal":{"name":"Annals of Health Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47682121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-25DOI: 10.30442/ahr.0902-02-195
R. Oluwafemi
Background: Malaria remains an essential tropical protozoal disease, affecting both young and old. It manifests in complicated and uncomplicated forms with more grave consequences among Under-five children. Objective: To describe malaria's clinical profile and short-term outcomes in Under-five children in a secondary health facility in southwest Nigeria. Methods: This was a hospital-based and cross-sectional study. Five hundred children under the age of five years who presented with fever at the health facility were recruited into the study. The clinical manifestations were documented, and blood samples were examined for malaria parasitaemia. Results: Forty-eight children (9.6%) of the study subjects were neonates, 195 (39%) were infants, and the remaining 257 (51.4%) were aged 12 months to 5 years. One hundred and two (39.1%) of the 261 children positive for malaria presented with uncomplicated malaria, while 159 (60.9%) of this population had various complications. The overall mortality from malaria was 5.0%. Conclusion: More than 60% of the infected children had complications of malaria, and mortality was mainly due to late presentation. Therefore, malaria preventive strategies should be part of ongoing health interventions.
{"title":"Clinical Profile and Short-Term Outcome of Malaria in Febrile Under-Five Children in a Secondary Health Facility","authors":"R. Oluwafemi","doi":"10.30442/ahr.0902-02-195","DOIUrl":"https://doi.org/10.30442/ahr.0902-02-195","url":null,"abstract":"Background: Malaria remains an essential tropical protozoal disease, affecting both young and old. It manifests in complicated and uncomplicated forms with more grave consequences among Under-five children. \u0000Objective: To describe malaria's clinical profile and short-term outcomes in Under-five children in a secondary health facility in southwest Nigeria.\u0000Methods: This was a hospital-based and cross-sectional study. Five hundred children under the age of five years who presented with fever at the health facility were recruited into the study. The clinical manifestations were documented, and blood samples were examined for malaria parasitaemia.\u0000Results: Forty-eight children (9.6%) of the study subjects were neonates, 195 (39%) were infants, and the remaining 257 (51.4%) were aged 12 months to 5 years. One hundred and two (39.1%) of the 261 children positive for malaria presented with uncomplicated malaria, while 159 (60.9%) of this population had various complications. The overall mortality from malaria was 5.0%.\u0000Conclusion: More than 60% of the infected children had complications of malaria, and mortality was mainly due to late presentation. Therefore, malaria preventive strategies should be part of ongoing health interventions.","PeriodicalId":52960,"journal":{"name":"Annals of Health Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42081993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-26DOI: 10.30442/ahr.0901-01-185
O. Bakare, E. Oluwole, EH Anyanwu-Iyah, OG Aworinde, EO Lawal
Background: Skin lightening has become one of the strongest desires of Nigerian women and men, and its practice keeps increasing despite its numerous side effects. Objective: To determine the knowledge, attitude, and practices of skin lightening and the motivations for its use among the residents of Ikeja Local Government Area (LGA), Lagos State. Methods: A community-based, descriptive, cross-sectional study was conducted among 296 residents of Ikeja LGA, Lagos state, using a multistage sampling technique and an electronic, self-administered questionnaire in the Google form format. Results: The mean age of the respondents was 25.92±6.15 years, with 64.0% being females, 75.0% being single, and 75.2% had at least, a tertiary education. Most (98%) respondents demonstrated a high awareness of skin lightening; 66.9% had good knowledge, while 72% had a positive attitude. About half (52.7%) of the respondents had used various skin-lightening products, while most (71.8%) claimed the main reason for their use was to treat skin disorders. Age, gender and educational level were significantly associated with the use of skin-lightening products (p = 0.001). Conclusion: There was relatively good knowledge and a positive attitude towards skin lightening but a fair practice. The commonest reason for using skin-lightening products was for self-treatment of skin disorders. Healthcare providers should provide extensive public enlightenment on the adverse effects of skin lightening.
{"title":"Skin Lightening: Knowledge, Attitude, Practices and the Motivations for its Use Among the Residents of Ikeja Local Government Area, Lagos","authors":"O. Bakare, E. Oluwole, EH Anyanwu-Iyah, OG Aworinde, EO Lawal","doi":"10.30442/ahr.0901-01-185","DOIUrl":"https://doi.org/10.30442/ahr.0901-01-185","url":null,"abstract":"Background: Skin lightening has become one of the strongest desires of Nigerian women and men, and its practice keeps increasing despite its numerous side effects.\u0000Objective: To determine the knowledge, attitude, and practices of skin lightening and the motivations for its use among the residents of Ikeja Local Government Area (LGA), Lagos State.\u0000Methods: A community-based, descriptive, cross-sectional study was conducted among 296 residents of Ikeja LGA, Lagos state, using a multistage sampling technique and an electronic, self-administered questionnaire in the Google form format.\u0000Results: The mean age of the respondents was 25.92±6.15 years, with 64.0% being females, 75.0% being single, and 75.2% had at least, a tertiary education. Most (98%) respondents demonstrated a high awareness of skin lightening; 66.9% had good knowledge, while 72% had a positive attitude. About half (52.7%) of the respondents had used various skin-lightening products, while most (71.8%) claimed the main reason for their use was to treat skin disorders. Age, gender and educational level were significantly associated with the use of skin-lightening products (p = 0.001).\u0000Conclusion: There was relatively good knowledge and a positive attitude towards skin lightening but a fair practice. The commonest reason for using skin-lightening products was for self-treatment of skin disorders. Healthcare providers should provide extensive public enlightenment on the adverse effects of skin lightening.","PeriodicalId":52960,"journal":{"name":"Annals of Health Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48412216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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