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Outcome of Teenage Pregnancy in a Low Resource Setting: A Comparative Study

Open Journal of Obstetrics and Gynecology 2021年第5期11卷 504-515页

作者： augustine adebayo adeniyi Adebimpe Oyinloye Babatunde Sunday Awoyinka Olabisi Timothy Adeyemo Olumide Mojisola Ayankunle Department of Obstetrics and Gynaecology Afe Babalola University Ado Ekiti Nigeria Department of Obstetrics and Gynaecology Federal Teaching Hospital Ido Ekiti Nigeria

Background: Teenage pregnancy constitutes a high-risk pregnancy due to possible physical, psychological, socio-economic and increased obstetric risks associated with it. These risks though equally present in the older pregnant women are probably less when compared with teenagers. Thus perinatal outcome of pregnancies in these groups of patients varies. Objective: To compare the socio-demographic characteristics, pattern of pregnancy complications and perinatal outcome of pregnancy among primigravid teenagers and older primigravid women. Method: A comparative study was carried out among 58 primigravid teenagers and equal numbers of adult primigravidae at Federal Teaching Hospital, Ido Ekiti, Nigeria over five year period between January 2008 and December, 2012. Their socio-demographic characteristics, booking status, pregnancy complications, estimated gestational age at delivery, mode of delivery, post-partum morbidities, neonatal birth weight and perinatal mortalities were obtained from their case notes. Results: Deliveries by teenagers accounted for 2.48% of all deliveries during the period under review. Teenage age was significantly associated with unmarried status (P < 0.001). Two-third (67.2%) of the teenagers were unbooked for antenatal care whereas less than one-quarter of the adult were unbooked. Pregnancy related complications such as, hypertensive diso

关键词： Teenage Pregnancies Obstetric Complications Outcome

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Maternal Serum Lipids in Pre-Eclamptic and Normotensive Pregnant Women: A Case-Control Study

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Open Journal of Obstetrics and Gynecology 2021年第11期11卷 1619-1628页

作者： Olumide Emmanuel Adewara Adeleye Niyi Ogundolire adebayo augustine adeniyi Segun Murtala Ghazali Sunday Babatunde Awoyinka Idowu Adebara Olumide Mojisola Ayankunle Ayokunle Moses Olumodeji Olabisi Timothy Adeyemo Adewumi Bakare Department of Obstetrics and Gynaecology Afe Babalola University Ado-Ekiti Ekiti State Nigeria Department of Obstetrics and Gynaecology Federal Teaching Hospital Ido-Ekiti Ekiti State Nigeria Department of Chemical Pathology Afe Babalola University Ado-Ekiti Ekiti State Nigeria Department of Obstetrics and Gynaecology Lagos State University Teaching Hospital Ikeja Lagos State Nigeria

Background: Preeclampsia-eclampsia is a major contributor to maternal and fetal, morbidity and mortality especially in low to middle income countries. This hypertensive disorder of pregnancy remains a disease of theories due to its unclear etiology. We evaluated for possible associations between maternal serum lipids and preeclampsia. Methods: This was a prospective case-control study that recruited 60 consenting women diagnosed with preeclampsia (cases) and 60 normotensive healthy pregnant women (controls), matched for maternal age and gestational age over an 8-month period (18th June, 2014 to 18th February, 2015) at the Federal Teaching Hospital Ido-Ekiti, Nigeria. Cases and controls were recruited using the non-probability convenience sampling. Fasting venous blood samples were collected in both cases and controls and analyzed for serum total cholesterol (TC), triglycerides (TG), high density lipoproteins (HDL) and low density lipoproteins (LDL) using Randox standard enzymatic methods. Data obtained were analyzed using SPSS version 18 to compare and test for significance using Student t-test, Chi-square, and Pearson’s correlation as the appropriate. Tests of association were determined using logistic regression models. The difference was considered significant at P Findings: The mean serum levels of TC, HDL and LDL were significantly (p < 0.001) higher in the pre-eclamptics (6.6 ± 2.9 mmol/L, 2.1 ± 1.0 mmol/L and 3.6 ± 2.6 mmol/L) th

关键词： Pregnancy and Serum Lipids Serum Lipids and Preeclampsia Preeclampsia

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Labetalol versus Hydralazine in the Management of Severe Pre-Eclampsia at Tertiary Hospitals in a Low-Resource Setting: A Randomised Controlled Trial

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Open Journal of Obstetrics and Gynecology 2023年第6期13卷 1058-1067页

作者： Uzoma Otutoaja Adeyemo Olabisi Timothy Emmanuel Olumide Adewara Olufunmilayo Victoria Adebara augustine adebayo adeniyi Babatunde Sunday Awoyinka Raymond Akujuobi Okere Idowu Oluseyi Adebara Adewumi Bakare Mojisola Olumide Ayankunle Department of Obstetrics and Gynaecology Ado-Ekiti/Federal Teaching Hospital Afe Babalola University Ido-Ekiti Nigeria Department of Paediatrics Ado-Ekiti/Federal Teaching Hospital Afe Babalola University Ido-Ekiti Nigeria

Objective: Intravenous labetalol and hydralazine are both considered first-line medications for the management of acute-onset, severe hypertension in pregnant and postpartum women. The study compared the efficacy and safety profile of intravenous labetalol and hydralazine in the control hypertension in severe pre-eclampsia. Materials and Methods: One hundred patients who presented with severe pre-eclampsia were randomized into two study groups. The fifty patients in each arm of the study received either intravenous labetalol or intravenous hydralazine for the control of blood pressure. Results: The mean age of the labetalol subjects was 28.6 ± 5.47 years while that of their hydralazine counterparts was 29.12 ± 5.77 years. The majority of respondents in both groups were primigravidae (76% vs. 78%) (P = 0.813). The number of doses of drug needed to significantly lower the mean systolic blood pressure was slightly lower in the labetalol group (2 doses) compared to the hydralazine group (5 doses) (t = 0.803Y, P = 0.977). The incidence of headaches which were the commonest complaints was comparable in both groups 8% and 10% of respondents respectively (P > 0.05). Conclusion: Although both intravenous labetalol and hydralazine are useful in patients with severe pre-eclampsia, the response to labetalol was better with comparable side effects.

关键词： Blood Pressure Hydralazine Labetalol Low-Resource Setting Severe Pre-Eclampsia Side Effects

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