The study examined the quality of life in women of reproductive age and the aim was to evaluate and compare the quality of life (QoL) scores among fertile and infertile women. A cross-sectional study was carried out among women attending the Gynaecology and Postnatal Clinics of Ekiti State University Teaching Hospital comparing their QoL using the World Health Organisation Quality of Life-BREF (WHOQOL-BREF) questionnaire. The age of fertile women was significantly higher than the age of infertile women (p < .05), while a significantly higher proportion of the infertile and fertile women and their spouses were civil servants (p < .05). Infertile women obtained significantly higher scores than fertile women in the physical domain (QoL) and significantly lower scores than fertile women in the social domain (QoL), (p < .05). Among the infertile women, those with secondary infertility had significantly better overall QoL scores, (p < .05). Logistic regression showed that infertility and unemployment in women were associated with significantly lower QoL scores in psychological and social domains (p < .05). The quality of life is significantly lower among infertile women compared to fertile ones and this should be borne in mind when attending to these women. Impact statement What is already known on this subject: Infertility has been shown to be associated with poor quality of life. Most of these studies were conducted in developed countries. What the results of this study add: The findings of this study revealed that women who were infertile had low quality of life scores compared to the fertile ones in physical, social and psychological domains. What the implications are of these findings for clinical practice and/or further research: A community-based and multicultural study involving more participants may shed more light on this topic in future research. Counselling sessions should be incorporated as part of the holistic approach in the day-to-day management of the infertile women.
Background: Teenage pregnancy is a public and reproductive health issue globally because of its peculiar high risk nature, its burden is however more in the developing countries. This study assessed the sociodemographic characteristics, obstetric and perinatal outcomes among teenage mothers at a tertiary institution in Ekiti State, Nigeria. Materials and Methods: A retrospective cross sectional study was conducted over 5years on all parturients whose ages were less than 20years and whose pregnancies were 28weeks and above; and delivered at Ekiti State University Teaching Hospital, Ado-Ekiti, between 1st May, 2012 and 30th April, 2017. A comparison was made with pregnant women aged between 20years and 34years selected from the first woman in the birth registry who delivered after each study case and satisfied the inclusion criteria as control. Results: Teenage mothers were mostly uneducated and unemployed compared to the control group (P<0.050). The pregnancies of teenage mothers were more associated with complications such as anaemia, 12 (12.6%) vs 1 (1.1%); obstructed labour, 10 (10.5%) vs 2 (2.1%); cephalo-pelvic disproportion, 9(9.4%) vs1 (1.1%); preterm delivery, 22 (23.1%) vs 9 (9.6%); and operative delivery (Caesarean section), 26 (27.4%) vs 13 (13.6%) respectively. Similarly teenage mothers perinatal outcomes were poorer compared with older mothers as they had more cases of neonatal complications (P<0.05).
Conclusion:Both the obstetric and perinatal outcomes of teenage mothers were poorer compared to the control group. There is need for concerted efforts by stakeholders to stem the tide of teenage pregnancy in our society.
Background: Rising caesarean section rates have become a global health concern. The need for a contemporary objective tool for comparison of rates, optimizing and standardizing the use of caesarean section has been met by the Robson’s Ten-Group classification. However, there are no available studies auditing caesarean section rates in southern Nigeria using these criteria. Methods: All mothers delivered by caesarean section over a 12-month period at Ekiti State University Teaching Hospital, Ado – Ekiti, were prospectively captured and classified according to Robson’s 10-group classification with a view to detecting which clinically relevant groups contributed most to the caesarean section rate. Data collected were analyzed using Statistical Package for Social Sciences (SPSS) 20. Results: The total deliveries recorded over the study period was 2,139, out of which 760 underwent caesarean section, thus giving a Caesarean Section Rate of 35.5%. Group 1 had the highest contribution to Caesarean section rate, followed by Group 5. There was a statistically significant relationship between booking status of the patients and the various groups in the Robson’s classes (p < 0.001). Conclusion: There should be continuous training and drills on active management of labour, supportive companionship in labour, and improved fetal surveillance techniques to reduce the rates of primary caesarean section. Developing locally-adapted eligibility criteria to increase successful trials of labour after caesarean section, revisiting external cephalic version, and addressing potentially modifiable risks for preterm birth are advocated.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.