Social Meaning and Consequences of Infertility in Ogbomoso, Nigeria

Background: This study examined the meaning of infertility from layman's perspective, and experiences of women suffering from infertility among reproductive age women seeking care at the gynaecology unit of the Bowen University Teaching Hospital, Ogbomoso, Nigeria.Materials and Methods: It was a cross-sectional study. Quantitative and qualitative data collection methods were employed. Quantitative data collection was by the aid of a structured interviewer-administered questionnaire among 200 women seeking care for infertility at the hospital. Qualitative data collection was by Focus Group Discussions (FGDs) and Key Informant Interviews (KIIs).Result: Approximately 40% and 60% of the respondents seeking care for infertility were suffering from primary and secondary infertility respectively. Perceived meaning and   etiologies of childlessness were multidimensional, but 33% of the respondents not sure of the causal factor. Seventy-nine percent   were under pressure to become pregnant. The high premium placed on fertility within marriage has placed   a larger proportion of them under pressure from their husbands (25%), their mother-in-laws (40%), and the community (14%).Conclusion: This study concluded that women regard infertility to be caused by multiplicity of factors. Most of these etiologies were unscientific and unverifiable. Fruitful expectations also put enormous burden on those women suffering from infertility including adverse psychosexual effects. The unceasing pressure due to infertility   in this group of patients calls for urgent intervention as most of these women become susceptible to high risk sexual behavior, depression and other severe consequences

Knowledge, attitude and willingness to accept Caesarean Section among women in Ogbomoso , southwest Nigeria

Introduction: Caesarean section (CS) is a common procedure in obstetrics and has contributed immensely to improving maternal and foetal outcome; there are still concerns about the knowledge, attitude and willingness to accept the procedure among women especially those in the developing world.Objective: This study seeks to assess the level of knowledge, attitude and acceptance of women about CS in Ogbomoso. These women were more educated than most of their counterparts in South Sudan but because of the political situation we are unlikely to get similar data from South Sudan and therefore this study is of interest.Methodology: This is a descriptive study which was carried out in four health facilities. Respondents were selected using the systematic random technique with a sample interval of 2. A semi-structured questionnaire was used for data collection. Data were analysed using the statistical package for social sciences (SPSS), version 16.Results: Of the 410 respondents, 63.2% of the women have a good knowledge of CS as a method of delivery. When CS was compared to vaginal delivery, 33.5% said that CS was preferable to vaginal delivery because the pain involved was much less; this view was however disagreed upon by 54.8% of the respondents. Only 75.6% of the respondents were ready to accept CS if there was a need for it.Conclusion: Mothers should be educated on the process involved in Caesarean delivery, the indication, advantages and complications in order to help them make the right informed decision.Keywords: Women knowledge, attitude, Caesarean section, Nigeri

Patterns and predictors of exclusive breastfeeding among mothers in Ile Ife, Nigeria

Background: Exclusive Breast Feeding (EBF) is a cost effective intervention in saving under-five children’s lives in the resource poor settings. However, EBF rates have been shown to be low in these regions with variation in the duration of EBF.Objective: The aim of this study was to assess pattern and predictors of EBF among mothers attending well infant clinic at Obafemi Awolowo University Teaching Hospital Complex (OAUTHC) Ile Ife.Materials and Methods: It was a cross-sectional study carried out between October and December 2014. A total of 250 eligible mothers were selected by simple random sampling among women attending well infant clinic OAUTHC, Ile Ife.A semi-structured selfadministered questionnaire was used.Results: The prevalence of EBF in this study was 23%. The pattern of EBF seen was in the duration of EBF. About 60% gave breast milk alone to their children only in the first month of life. Only 23% was breastfed exclusively for four to five months, while 5% breastfed exclusively for at least six months. About 40% practiced mixed feeding right from the first day of life.The predictors of EBF identified include; ANC attendance, a birth interval greater than or equal to 2 years, husband's positive attitude, giving breast milk as the first feed in life, and vaginal delivery.Conclusion: The practice of EBF within 4 to 6 months of life is still very low. Strategies that target improving access to quality ANC, and emphasize husbands’ roles in encouraging EBF should be giving priority.Keywords: Pattern, predictors, exclusive breastfeedin

Perspectives of health care professionals on artificial insemination of donor semen: appraising their knowledge and perceptions: a single institution study in Nigeria

Background: Artificial inseminations of donor semen (AID) involve use of heterologous donated semen for conception in infertile couple when indicated or in a single woman desirous of pregnancy. Its practice often requires regulation to address possible ethical and legal issues which may arise. In formulating acceptable guidelines/policies, the perspectives of health professionals and the participants should be considered. Therefore, we sought to explore the knowledge and perception of semen donation for artificial insemination among health professionals.Methods: A cross sectional study conducted on consenting health workers in a single health institution using a structured questionnaire to assess their knowledge and perception on artificial insemination of donor semen (AID). Descriptive and analytical statistics were applied to the data collected with a statistically significant value of <0.05.Results: One hundred and twenty-one health professionals completed the questionnaires. The mean age of the respondents was 27.58±5.5years. Sixty of the respondents were males while 61 were females. Eighty-four of the respondents (69.4%) demonstrated good knowledge of AID while 37 (30.6%) had poor knowledge. Cadre of health professionals and marital status influenced the knowledge of respondents. Perceptions on AID varied among the respondents mostly influenced by psycho-social factors and possible legal disputes on third party reproductive process. None of the male respondents has ever donated semen and willingness to donate semen was low; with anonymity preferred by the willing donors.Conclusions: Substantial knowledge gap of AIDS existed among health professionals which were influenced by cadre and marital status. Psycho-social factors and possible legal disputes influenced their perceptions of AID

Pre-and-post-operative aversion among men whose partners had caesarean delivery in a patriarchal setting.

Objectives: The study evaluated pre and post-operative perception and aversion to caesarean delivery (CD) among men whose partners underwent the procedure.Design: A multicentre cross-sectional study.Setting: Two tertiary and two secondary health facilities.Participants: Men whose partners underwent CD at the study sites.Methods: Participants were recruited by purposive sampling, data collection was through interaction via an interviewer-administered questionnaire first immediately the decision for CD was made and thereafter on the third postoperative day. Men whose partners had vaginal delivery were excluded from the study and data management was with SPSS version 21.0 while p&lt;0.05 was significant.Results: Awareness about CD was 84.0% mainly through the healthcare workers (42.1%) and the female partner (34.1%); 88.0% of participants recommended CD for medically-indicated reasons. The greatest influence on consent was the male partner (48.8%). The major pre-operative concerns were limitation of family size (34.7%) and fear of repeat CD (34.0%). Pre-operative perceptions of CD included being expensive (60.7%), fear of the procedure (48.0%), fear of complications (45.3%) and longer hospital stay (44.0%). Aversion to CD was 30.0% pre and 5.3% post-operation; predictors of aversion were history of previous surgery among male or female partner and awareness about CD. However, there were reductions in negative perception and aversion post-operation.Conclusion: The high negative perception and aversion to CD among male partners were reduced post-operation. Healthcare workers should address the concerns and negative perceptions about CD and prioritize patient-friendly experiences during surgical operations

A Clinicopathological Review of Colonic Polyps in a Tertiary Hospital in North Central Nigeria

Background: Colorectal polyps, especially adenomas, are known as precursors of colorectal carcinomas. This study was aimed at determining the prevalence and histopathologic characteristics of colonic polyps among Nigerians that underwent colonoscopy at the University of Ilorin Teaching Hospital, Ilorin, Nigeria. The authors also determined the polyp detection rate and adenoma detection rate. Materials and Methods: This was a hospital-based cross-sectional study of all colonoscopy examinations performed at the University of Ilorin Teaching Hospital, Ilorin from March 2013 to September 2017. The endoscopy register was reviewed, and patients’ biodata, indications for colonoscopy and colonoscopic findings were recorded on a proforma. The histopathologic reports of the polyps were also retrieved and their diagnosis confirmed. Results: A total of 289 patients had colonoscopy carried out on them. The age of the patients ranged from 14 to 90 years with a mean ±SD of 57.0 ± 15.3 years and a median age of 58 years. There were 178 (61.6%) males and 111 (38.4%) females giving a M:F ratio of 1.6:1. The indications for colonoscopy were rectalbleeding 124 (42.9%); suspected colorectal cancer 67 (23.2%); abdominal pain 22 (7.6%); chronic diarrhea 18 (6.2%); surveillance colonoscopy 12 (4.2%); constipation 11 (3.8%); change in bowel habit 9 (3.1%); occult bleeding 6 (2.1%); others 20 (6.9%). Endoscopic findings were normal findings 89 (30.8%); hemorrhoids 88 (30.4%); colonic polyps 50 (17.3%); diverticulosis 34 (11.8%); rectal cancer 29 (10.0%); colon cancer 24 (8.3%); colitis 19 (6.6%); others 13 (4.5%). The findings were not mutually exclusive. The diagnostic yield was 69.2%. The overall polyp detection rate was 17.3%. Of the 50 patients with polyps, 33 (66.0%) were males (p = 0.481). Theadenoma detection rate was 4.8%. Conclusion: The authors conclude that their observed polyp detection rate is consistent with the estimated rates for Africa. Rectal bleeding and adenomatous polyps were the commonest presentation and histopathologic finding, respectively

Knowledge, attitude and willingness to accept Caesarean section among women in Ogbomoso, southwest Nigeria

Background: Caesarean section (CS) is a common procedure in obstetrics and has contributed immensely to improving maternal and foetal outcome; there are still concerns about the knowledge, attitude and willingness to accept the procedure among women especially those in the developing world. Objective: This study seeks to assess the level of knowledge, attitude and acceptance of women about CS in Ogbomoso. These women were more educated than most of their counterparts in South Sudan but because of the political situation we are unlikely to get similar data from South Sudan and therefore this study is of interest. Methodology: This is a descriptive study which was carried out in four health facilities. Respondents were selected using the systematic random technique with a sample interval of 2. A semi-structured questionnaire was used for data collection. Data were analysed using the statistical package for social sciences (SPSS), version 16. Results: Of the 410 respondents, 63.2% of the women have a good knowledge of CS as a method of delivery. When CS was compared to vaginal delivery, 33.5% said that CS was preferable to vaginal delivery because the pain involved was much less; this view was however disagreed upon by 54.8% of the respondents. Only 75.6% of the respondents were ready to accept CS if there was a need for it. Conclusion: Mothers should be educated on the process involved in Caesarean delivery, the indication, advantages and complications in order to help them make the right informed decision. Key words: Women knowledge, attitude, Caesarean section, Nigeri

Synthesis and crystal structures of a copper(II) dinuclear complex and zinc(II) coordination polymers as materials for efficient oxidative desulfurization of dibenzothiophene

The synthesis, structure and physical properties of a dinuclear copper(II) complex [Cu2(BAc)4(QX)2], and 2D zinc(II) coordination polymers, [Zn(TDPA)2(TMPy)2]n (where HBAc = 4-hydroxyl benzoic acid; QX = quinoxaline; HTDPA = 3,3-thiodipropionic acid; TMPy = 4,4-trimethylenedipyridine) are presented. The complexes were characterised by elemental analysis, FT-IR, electronic spectroscopy and thermogravimetric analysis. The structures of all the complexes were determined by single crystal X-ray diffraction studies. The geometry around the Cu(II) of [Cu2(BAc)4(QX)2] is slightly distorted square pyramidal, with four oxygen atoms of the carboxylate occupying the trans orientation and one quinoxaline molecule occupying the axial position. [Zn(TDPA)2(TMPy)2]n coordination polymers are linked by two (m-N)2 coordination TMPy and two (m-O)2 (halves) from (TDPA)�. [Zn(TDPA)2(TMPy)2]n stacks in layers with disordered water molecules in the voids. This work further investigated [Cu2(BAc)4(QX)2] catalysed oxidation of dibenzothiophene (DBT) followed by the adsorption of the resulting dibenzothiophene sulfoxide (DBTO) over [Zn(TDPA)2(TMPy)2]n. The theoretical strength of adsorption is in the order of DBTO-[Zn(TDPA)2(TMPy)2]n (binding energy of �53.10 kJ mol�1) 4 DBT-[Zn(TDPA)2(TMPy)2]n (binding energy of �38.53 kJ mol�1) suggesting that the presence of oxygen influences the adsorption process. The use of [Cu2(BAc)4(QX)2] and [Zn(TDPA)2(TMPy)2]n in model fuel resulted in 97% oxidation of DBT with an adsorption capacity of 35.5 mg g�1, respectively