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Biomedical subjects

M Anate

Publications and source records attributed to M Anate.

15 recordsLinked to original sources
PubMed1996

Pregnancy outcome in elderly primigravidae at University of Ilorin Teaching Hospital, Nigeria.

The outcome of pregnancy in 120 elderly primigravid patients (35 years and above) managed at the University of Ilorin Teaching Hospital (UITH), Ilorin over a 5 year period has been studied and compared with 140 randomly selected group of young primigravid patients (20-25 years) managed during the same period in the same centre. All the patients were Nigerians. There was no significant difference in the incidence of abortion, mean gestational age, preeclampsia/pregnancy related hypertension, instrumental delivery and mode of onset of labour in the two groups. There was a statistically significant difference between the two groups in the incidence of foetal malpresentational (elderly 5%, young 1.4% P < 0.001), postpartum haemorrhage (elderly 1.7%, young 0.7%, P < 0.001), caesarean section (elderly 36.7%, young 6.9% P < 0.001), foetal abnormality (elderly 1.7%, young 5.7% P < 0.001), perinatal morbidity (elderly 26.7%, young 12.9% P < 0.05) and perinatal mortality (elderly 4.2%, young 1.4% P < 0.05). The implications of these findings are discussed.

Adult↗
PubMed1996

Transient cortical blindness in gestational hypertension: report of two cases.

Transient blindness of cortical origin associated with gestational (pregnancy induced) hypertension is a terrifying and unusual experience in obstetric practice. Two cases encountered in our centre at the University of Ilorin Teaching Hospital (UITH) Ilorin, Nigeria are presented. One case occurred in pregnancy and the other in early puerperium. The two patients were Nigerians. The possible aetiology and pathophysiology of this very rare condition are discussed.

Adult↗
PubMed1995

Procured abortion in Ilorin, Nigeria.

A prospective study of the maternal mortality and morbidity and other related social problems among 144 cases of procured abortion in Ilorin, Nigeria over a 24-month period is presented. A mortality rate of 90.3 per thousand procured abortions was recorded. Genital sepsis, haemorrhagic anaemia, gut injury, uterine perforation and vesico vaginal fistulae (VVF) were encountered. Poor referral system, late presentation, poor blood transfusion services and inadequate availability of drugs had adverse effects on the patients. The implications (the menace and frequency) of these and possible measures like improving the literacy level, the moral standards, contraceptive practice and family life education (sex education) are discussed.

Abortion, Illegal↗
PubMed1995

Surgical management of female infertility in Ilorin, Nigeria.

Three hundred and seventeen female patients with infertility surgically managed and followed up for four years at the University of Ilorin Teaching Hospital (UITH), Ilorin, Nigeria are presented. 45 (14.2%) of these patients were pregnant. A total of 61 pregnancies were achieved in these patients giving an overall pregnancy rate of 19.24% which is comparable to those reported in literature. In the study period, 68.85% full-term gestations, 14.75% pre-term gestations, 11.48% spontaneous abortions and 4.92% ectopic gestations, occurred. As over 50% of female infertility in sub-Saharan Africa is due to tubo peritoneal disorders/pelvic disease and as the desire for children among African women is very strong, the authors plead for the sustenance of surgery, possibly on selected patients, in the management of female infertility even though the success rate appears small.

Adult↗
PubMed1995

Factors influencing family planning use in Ilorin, Nigeria.

Over a three-year period (1990-1992), the factors influencing the use of family planning among the 7,902 clients attending the Planned Parenthood Federation of Nigeria (PPFN) Clinic in Ilorin were studied. The patients were predominantly females (74.1%). Urban residents (66.1%), educated clients (77.4%), clients aged 25-39 years (73%), and those with three or more children (74.8%) are more likely to use family planning. More Moslems (61%) than Christians (39%) appear to embrace family planning practice in Ilorin.

Adolescent↗
PubMed1988

Family planning practice among Nigerian student midwives.

An analysis of the various contraceptive methods practiced by a total of 462 student midwives from the Northern and Southern parts of Nigeria over a 3-years period is presented. The differences in age distribution, the type of contraceptive agents used, the reasons for using them, and the side effects in the two groups are statistically significant. The need to provide acceptable contraceptive advice to the rural communities by the midwives is discussed.

Adolescent↗
PubMedDate not supplied

Intrauterine contraceptive device (IUCD): socio-demographic characteristics of acceptors, acceptability and effectiveness in a teaching hospital in Nigeria.

This paper reports the socio-demographic characteristics of acceptors and their experience with intrauterine contraceptive device (IUCD) at the University of Ilorin Teaching Hospital Family Planning Clinic between January 1st, 1992 and December 31st, 1992. A total of 1,483 new contraceptive acceptors were seen at the Family Planning Clinic during the period of study of which 822 (55.4%) were first segment IUCD acceptors. The results (net cumulative rates) were expressed as percentage during the period of study. The rates were as follows: accidental pregnancy 1.3%, expulsion 5.1%, continuation 61.4%. The events leading to termination of IUCD use include; medical reasons 6.8%, planning pregnancy 5.2% and unspecified reasons 5.2%. It is concluded that IUCD is a safe and effective contraceptive with a high acceptability. The acceptability of IUCD can be increased by health education, good clinical management, sympathetic counselling, careful client selection, careful insertion, and regular follow-up with quick access to medical care.

Adolescent↗
PubMedDate not supplied

Anovulatory infertility: a report of four cases and literature review.

Four cases of anovulatory/dysovulatory infertility encountered in Ilorin, Nigeria are presented and the literature extensively reviewed on the up-to-date management of this aspect of infertility. All the patients had bilateral tubal patency on hysterosalpingography (HSG) and their husbands had normal seminal fluid analysis. The first case, 30 years of age, had hyperprolactinaemia with galactorrhoea, treated with bromocriptine given 2.5 mg twice daily. Another case, aged 27 years, had polycystic ovarian syndrome with hyperprolactinaemia but no galactorrhea This was treated with clomiphene citrate 100 mg daily. The third case, 34 years old, had hypothyroidism with hyperprolactinaemia and galactorrhea and was treated with thyroxine. The last case, aged 32 years, had hyperprolactinaemia and was treated with bromocriptine and clomiphene citrate. None of the patients had demonstrable pituitary adenoma. After the appropriate treatment, ovulatory menses were restored in all the patients; two have been pregnant, while the other two have not yet achieved pregnancy but have having regular ovulatory menses. All the patients are Nigerians.

Adult↗
PubMedDate not supplied

Instrumental (operative) vaginal deliveries: vacuum extraction compared with forceps delivery at Ilorin University Teaching Hospital, Nigeria.

In a four-year period (1984 to 1987) a total of 141 Nigerian women who had instrumental vaginal deliveries at term in the Obstetric unit of University of Ilorin Teaching Hospital, Ilorin, were studied. Out of this number 79 had forceps delivery while 62 had vacuum extraction. The forceps delivery rate had fluctuated between 0.11% and 0.46% while the vacuum extraction rate had steadily increased from 0.08% to 0.39% (Table 1) in our unit over the 4-year period. With the exception of fetal distress, there were no significant differences found in the indications for forceps delivery and vacuum extraction. The preapplication station, position and cervical dilatation differ in both groups (Table 4). There was less maternal trauma in vacuum extraction than forceps (Table 5). The vacuum extraction was more associated with cephalhaematoma and neonatal jaundice but less with neonatal mortality compared with forceps (Table 7). Vacuum extraction had gradually assumed more prominence as an alternative to midforceps delivery in our unit in the study period. There was no maternal mortality in the two groups.

Adolescent↗
PubMedDate not supplied

Skin closure of laparotomy wounds: absorbable subcuticular sutures vs. non-absorbable interrupted sutures.

In a five year period (1984-1988) in the department of obstetrics and gynaecology of the University of Ilorin Teaching Hospital, Ilorin, 304 laparotomy patients whose skin incisions were closed with the traditional method of interrupted non-absorbable sutures or with absorbable subcuticular sutures were analysed. Out of these 304 patients, 164 had non-absorbable skin sutures while 140 had absorbable subcuticular sutures. The results of the two methods of skin closure were compared immediately on discharge, at 6 weeks and at 6 months after the operation. The appearance of the wounds and scar were better in the absorbable subcuticular group than in the non-absorbable interrupted group. The differences between the two groups were statistically significant in the cross-scar formation, Keloid/hypertrophic scar formation, period of hospitalisation and the acceptance rate. Subcuticular skin closure had the advantages of short stay in hospital, non stitch removal, better scar formation and being more acceptable to patients. There was no significant difference in the age between the two groups. All the patients were Africans.

Cicatrix↗
PubMedDate not supplied

Vaginal trauma at sexual intercourse in Ilorin, Nigeria. An analysis of 36 cases.

Over a six-year period (1982-1987), 36 cases of vaginal trauma at sexual intercourse managed in the gynaecological unit of the University of Ilorin Teaching Hospital are presented. The serious nature of this accident is stressed. The frequent involvement of the posterior fornix of the vagina, accounting for 50% of the cases is shown. Perforation of the pouch of Douglas with possible intestinal prolapse, and involvement of the urinary bladder resulting in vesicovaginal fistula are not common in Ilorin. The predisposing factors like rough coitus, first sexual intercourse, puerperium, surgical alteration of the vagina, peno-vaginal disproportion and multiparity are discussed. The importance of adequately preparing the women emotionally and physically for coitus, a matter which certain males tend to ignore, is emphasized. The necessity for thorough digital as well as speculum examination in all cases of vaginal bleeding is made. There was no death recorded, while the morbidity was mainly hypovolaemic shock with haemorrhagic anaemia.

Adolescent↗
PubMedDate not supplied

Perinatal mortality associated with abnormal presentations at the University of Ilorin Teaching Hospital, Ilorin-Nigeria: a prospective study.

In a prospective study of perinatal mortality (PNM) rates associated with abnormal (ABN) presentations at the University of Ilorin Teaching Hospital, Ilorin, Nigeria over a four-year period, 1987-1990, it was found that out of 6,000-7,000 yearly deliveries, there was an abnormal presentation in about 4.5% of them. Compared with developed countries, this study has shown that the PNM is still alarmingly in our unit, (a reflection of the trend in Nigeria) and when associated with an ABN presentation the PNM is still higher. The overall PNM has shown a gradual fall from 346 (5.76%) in 1987 to 322 (4.37%) in 1990, but it has been observed that the mortality amongst the ABN presentations is on a steady increase from 52 (16.67%) in 1987 to 66 (18.80%) in 1990. A plea is therefore made for a very close and thorough supervision of the patients during the antenatal period and labour to detect and treat these ABN presentations so as to reduce the perinatal wastage.

Delivery, Obstetric↗
PubMedDate not supplied

Cervical ectopic pregnancy: a case report.

A 24 year old Nigerian woman with cervical pregnancy, a very rare type of ectopic pregnancy, is presented. The disorder can be life-threatening and usually there is difficulty in differentiating it from the cervical phase of an incomplete abortion as well as bleeding cervical fibroid. Ultrasound scan has been found helpful in the diagnosis of cervical ectopic pregnancy. The conservative management and the possible alternative surgical management, based on the clinical presentation, are discussed.

Abortion, Therapeutic↗
PubMedDate not supplied

Obesity--an overview.

Obesity or being overweight, often resulting from overfeeding, has become a problem of public health magnitude not only in the developed countries but also in the developing countries. The literature has been extensively reviewed to give an overview of the health problems associated with this disorder. Some of these health hazards include hypertension, stroke, coronary (ischaemic) heart disease, diabetes mellitus, premature death, increased risk of cancer and at surgery. The causes, the types, the mode of assessment of the degree of obesity and the various methods of managing obesity with particular emphasis on dieting, exercise and the possible use of drugs (anorexiants) as well as surgery, as adjuncts, have been considered.

Appetite Depressants↗