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Open Journal of Obstetrics and Gynecology 2018年第11期8卷 980-992页

作者： Arinze Chidiebele Ikeotuonye chidebe christian anikwe Johnson Akuma Obuna Bartholomew Chukwunonye Okorochukwu Brown Nnamdi Ejikeme Chinedu Chukwuemeka Ifemelumma Ifeoma Cecilia Ekwunife Francis Chigozie Okoroafor Department of Obstetrics and Gynaecology Federal Teaching Hospital Abakaliki Ebonyi State Abakaliki Nigeria Department of Obstetrics and Gynaecology Federal Medical Centre Owerri Nigeria

Background: The ripeness of the cervix is of critical importance to the probability of successful labour induction. Aim: To determine the relationship between successful induction of labour and Bishop score. Materials and Methods: A retrospective study of all obstetric patients who had induction of labour between January 1st 2012 and December 31st 2015 was done in Federal Teaching Hospital Abakaliki. The information obtained from patients’ case notes was analyzed using descriptive and inferential statistics at an alpha level of 0.05 for all statistical tests. Results: During the study period, there were 9548 deliveries;2.76% (264) was by induction of labour with success rate of 75.4%. The mean age of the women was 28.4 ± 5.8 years;majority where nulliparous (45.45%). The most common indication for induction of labour was postdatism (43.94%). Success of induction of labour was most likely at Bishop score of 8 to 10 (OR = 0.79, 95% CI 0.72 - 0.84). Induction delivery interval was shortest with use of Foley catheter and misoprostol. Conclusion: Our study has shown that success of induction of labour was most likely at Bishop Score of 8 - 10. We advocate the use of Foley catheter and misoprostol for cervical ripening especially when there is need to expedite delivery.

关键词： Bishop Score Induction of Labour Induction Delivery Interval Latent Period Interval Misoprostol

Factors Influencing Inter-Pregnancy Interval among Antenatal Attendee in a Tertiary Hospital in Abakaliki, South-East, Nigeria

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Open Journal of Obstetrics and Gynecology 2018年第13期8卷 1364-1375页

作者： chidebe christian anikwe Benjamin Samuel Umezuluike Brown Nnamdi Ejikeme Okechukwu Emmanuel Ndukwe Bartholomew Chukwunonye Okorochukwu Nworah Josaiah Obiechina Cyril Chijioke Ikeoha Ogah Emeka Onwe Department of Obstetrics and Gynaecology Federal Teaching Hospital Abakaliki Nigeria Department of Obstetrics and Gynaecology Federal Medical Centre Owerri Nigeria Department of Obstetrics and Gynaecology Nnamdi Azikiwe University Teaching Hospital Awka Nigeria Department of Paediatrics Federal Teaching Hospital Abakaliki Nigeria

Background: World over, there has being an improvement in birth spacing resulting in a reduction in the perinatal and maternal morbidity and mortality rates. Objective: To appraise the factors influencing inter-pregnancy interval (IPI) among pregnant women receiving antenatal care at Federal Teaching Hospital Abakaliki. Methods: A descriptive cross-sectional study was done among antenatal attendee, with at least one previous delivery, in Federal Teaching Hospital, Abakaliki over a six month period using a structured questionnaire. Data obtained was analysed using IBM SPSS Statistics version 20. Results: The mean age of the respondents was 28.6 (95% CI 28.1 - 29.1) years. The majority (231, 70%) were multiparous. Most respondent (162, 49.1%) had their last delivery 6 - 12 months prior to conception. The significant determinants of IPI include: maternal age, marital status, place of residence, social class, baby’s sex, family income, use of contraceptive, parity and outcome of her last confinement. Contraceptive knowledge is high (300, 90.9%);more than 50% had the desire to use some form of contraceptive but majority (132, 40%) said they will never use contraceptive after delivery. Conclusions: Majority of the women had an IPI of 6 - 12 months. The major determinant of this includes having a live birth in last delivery, parity, marital status, and place of residence. The attitude to contraception is poor;effort needs to be directed into identifying the immediate and remote causes of this as this will help in proper education and counselling needed to increase contraceptive uptake.

关键词： Abakaliki Contraceptive Usage Inter-Pregnancy Intervals

Effectiveness of Gardnerella vaginalis culture and Nugent scoring in identifying bacterial vaginosis in pregnant women

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Infectious Diseases Research 2023年第2期4卷 14-24页

作者： Chijioke Ogomegbunam Ezeigwe George Uchenna Eleje chidebe christian anikwe David Chibuike Ikwuka Boniface Chukwuneme Okpala Kindness Chidi Irikannu Emeka Philip Igbodike Emmanuel Umegbolu Ngozichukwu Uzoewulu Olufunke Onaadepo Malarchy Ekwunife Nwankwo Onyecherelam Monday Ogelle Choice Chinemerem Nworgu Jide Uzowulu Uzoigwe Ifeoma Frances Okwuonu Chisom Godswill Chigbo LazarusUgochukwu Okafor Chinekwu Sochukwu Anyaoku Chukwuemeka Okwudili Ezeama Charlotte Blanche Oguejiofor Joseph Ifeanyichukwu Ikechebelu Department of Obstetrics and Gynaecology Nnamdi Azikiwe University Teaching Hospital NnewiAnambra State 435001Nigeria Department of Obstetrics and Gynaecology Nnamdi Azikiwe UniversityNnewi campus 435001Nigeria Department of Human Physiology Nnamdi Azikiwe UniversityNnewi Campus 435001Nigeria Department of Medical Physiology University of RwandaHuye CampusHuye 0000Rwanda Department of Parasitology and Entomology Nnamdi Azikiwe UniversityAwka 420007Nigeria Department of Outpatient Department General Hospital Oji River 401145Enugu StateNigeria Department of Medical Microbiology/Parasitology Nnamdi Azikiwe UniversityNnewi campus 435001Nigeria Department of Physiology University of Nigeria Enugu CampusEnugu 410001Nigeria Department of School of Public Health University of Port-HarcourtRivers State 500004Nigeria Department of Family Medicine Nnamdi Azikiwe University Teaching Hospital NnewiAnambra State 435001Nigeria.

Background:Bacterial vaginosis(BV),a lower genital tract syndrome,has been linked to adverse pregnancy outcomes and is regarded as the prevalent type of vaginal infection in females of childbearing ***:To determine the accuracy of Nugent scoring and Gardnerella vaginalis culture in the diagnosis of bacterial vaginosis(BV)among pregnant women attending antenatal clinic in Nnamdi Azikiwe University Teaching Hospital,Nnewi,***:This cross-sectional study evaluated biospecimen from 333 pregnant women enrolled through systematic random sampling *** of vaginal discharge were tested for BV infection using Amsel’s criteria,Nugent’s score and culture of *** Amsel’s criteria as a“gold standard”,the Nugent’s score and culture of *** were ***:Prevalence of 26.12%,25.82% and 28.20% of BV was found using Amsel criteria,Nugent’s method and culture of ***,*** statistical relationship exists between socio-demographic characteristics and BV(P>0.05).Sexual exposure,and vaginal hygienic practices influences BV(P<0.05)infection and also with fishy odor during or after sexual intercourse,Gardnerella morphotypes,Bacteroides morphotypes and BV(P<0.05).An inverse relationship existed between lactobacilli morphotypes and *** prevalence of HIV was 5.41% and 16 out of 18 had BV diagnosed using Amsel *** method correlated strongly with Amsel criteria(P<0.05).In comparison with Amsel criteria,it had 78.16% sensitivity,92.68% specificity,79.07% positive predictive value,92.31% negative predictive value and 88.89% accuracy *** was in contrast distinction to the culture of ***,which had 56.32%sensitivity,81.70% specificity,52.13% positive predictive value,84.10% negative predictive value and 75.08% accuracy ***:Nugent method correlated strongly with Amsel criteria(P<0.05)and had 78.16% sensitivity,92.68% specificity,79.07% positive predictive value,92.31% negative

关键词： Amsel criteria bacterial vaginosis Gardnerella vaginalis Nugent score pregnant women prevalence HIV

The impact of COVID-19 on the birth rate in Nigeria:a report from population-based registries

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Infectious Diseases Research 2023年第1期4卷 14-18页

作者： Charlotte Blanche Oguejiofor Kenechi Miracle Ebubechukwu George Uchenna Eleje Emmanuel Onyebuchi Ugwu Joseph Tochukwu Enebe Kingsley Emeka Ekwuazi Chukwuemeka Chukwubuikem Okoro Boniface Chukwuneme Okpala Charles Chukwunomunso Okafor Nnanyelugo Chima Ezeora Emeka Ifeanyi Iloghalu chidebe christian anikwe Chigozie Geoffrey Okafor Polycarp Uchenna Agu Emeka Philip Igbodike Iffiyeosuo Dennis Ake Arinze Anthony Onwuegbuna Osita Samuel Umeononihu Onyedika Promise Anaedu Odigonma Zinobia Ikpeze David Chibuike Ikwuka Henry Ifeanyi Nwaolisa Ekene Agatha Emeka Jude Ogechukwu Okoye Ihechinyerem Kelechi Osuagwu Angela Ogechukwu Ugwu Toochukwu Benjamin Ejikeme Eziamaka Pauline Ezenkwele Chijioke Ogomegbunam Ezeigwe Malarchy Ekwunife Nwankwo Gerald Okanandu Udigwe Joseph Ifeanyichukwu Ikechebelu Grace Agbaeze Chukwuebuka Divine Nwanja Ahizechukwu Chigoziem Eke Department of Obstetrics and Gynecology Nnamdi Azikiwe University Teaching HospitalNnewi PMB 5025Nigeria Preventive Medicine and Research Department Clina-Lancet LaboratoriesVictoria IslandLagos 101241Nigeria Effective Care Research Unit Department of Obstetrics and GynecologyNnamdi Azikiwe UniversityNnewi Campus 435001Nigeria Department of Obstetrics and Gynecology College of MedicineUniversity of Nigeria Enugu CampusEnuguEnugu State 400102Nigeria Department of Obstetrics and Gynecology University of Nigeria Teaching HospitalItuku OzallaEnugu State 400102Nigeria Department of Obstetrics and Gynecology ESUT Teaching HospitalParklaneEnugu 400102Nigeria Medical Department Divine Medical CentreSouth West IkoyiLagos 1001233Nigeria Department of Obstetrics and Gynecology Havana Specialist HospitalSurulereLagos 100011Nigeria Clinical Trial Division Drug Evaluation and Research DirectorateNAFDAC office ComplexLagos 100011Nigeria Department of Ophthalmology Nnamdi Azikiwe UniversityNnewi campus 435001Nigeria Department of Human Physiology Nnamdi Azikiwe University NnewiAnambra State 435001Nigeria Department of Family Medicine Faculty of MedicineNnamdi Azikiwe UniversityAwka 435001Nigeria Department of Medical Laboratory Science Faculty of Health Sciences and TechnologyNnamdi Azikiwe UniversityAwka 435001Nigeria Department of Health Services Federal University of TechnologyOwerri 460103Nigeria Department of Haematology and Immunology College of MedicineUniversity of Nigeria Enugu CampusEnuguEnugu State 400102Nigeria Musgrove Park Hospital Somerset NHS Foundation TrustUnited Kingdom TLTp Medical(UHS) Southampton WS15United Kingdom Division of Maternal Fetal Medicine Department of Gynecology and ObstetricsJohns Hopkins University School of MedicineBaltimore 21201U.S.A

Background and objectives:Coronavirus disease 2019(COVID-19)is a pandemic that has become a major source of morbidity and mortality worldwide,affecting the physical and mental health of individuals influencing *** the threat,it poses to maternal health in sub-Saharan Africa and Nigeria,there is little or no data on the impact it has on fertility,conception,gestation and *** compare the birth rate between pre-COVID and COVID times using selected months of the *** and methods:This was a secondary analysis of cross-sectional analytical study data from the birth registries of three tertiary hospitals,comparing two years[2019(Pre-COVID)]versus[2020(COVID era)]using three months of the year(October to December).The data relied upon was obtained from birth registries in three busy maternity clinics all within tertiary hospitals in South-East Nigeria and we aimed at discussing the potential impacts of COVID-19 on fertility in *** secondary outcome measures were;mode of delivery,booking status of the participants,maternal age and ***:There was a significant decrease in tertiary-hospital based birth rate by 92 births(P=0.0009;95%CI:-16.0519 to-4.1481)among mothers in all the three hospitals in 2020 during the COVID period(post lockdown months)of October to *** was a significant difference in the mode of delivery for mothers(P=0.0096)with a 95%confidence interval of 1.0664 to 1.5916,as more gave birth through vaginal delivery during the 2020 COVID-19 period than ***:Tertiary-hospital based birth rates were reduced during the *** multi-centre study extrapolated on possible factors that may have played a role in this decline in their birth rate,which includes but is not limited to;decreased access to hospital care due to the total lockdowns/curfews and worsening inflation and economic recession in the country.

关键词： birth rates COVID-19 lockdown Nigeria pandemic pre-COVID