Determinants of utilization of assisted reproductive technology services in Ilorin, Nigeria

Omokanye, Lukman Omotayo; Olatinwo, Abdulwaheed Olajide; Durowade, Kabir Adekunle; Raji, Hadijat Olaide; Raji, Sekinat Titilayo; Biliaminu, Sikiru Abayomi; Ganiyu, Salaudeen Adekunle

doi:10.4103/jms.jms_59_16

Cited by 3 publications

(7 citation statements)

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“…The prevalence incidence of placenta praevia from this study was (0.5%) of all deliveries and (3.0%) of all Caesarean deliveries. The prevalence gotten from this study was lower than (1.4%) in Benin, (1.6%) noted in Ilorin, (1.1%) in Umuahia and (1.24%) in Jos 7,9,12,13 . This may be due to the differing sociodemographic characteristics of the two studied populations.…”

Section: Discussioncontrasting

confidence: 60%

“…Several risk factors for placenta Praevia exist including multiparity, multiple gestations, advanced maternal age, prior caesarean delivery, myomectomy scarred uterus, manual removal of placenta and smoking 5 previous history of placenta praevia, previous induced and spontaneous miscarriages, smoking, advanced maternal age greater than 35 years, chronic fetal anaemia, high altitude and in vitro fertilisation 2,3,6,7 Placenta praevia can be classified into four types based on the relationship of the placenta to the internal cervical Os. [9][10][11][12] .…”

Section: Introductionmentioning

confidence: 99%

“…Caesarean delivery is the safest route of delivery to improve maternal and fetal outcomes, requiring the services of an experienced surgeon who is capable of performing a peripartum hysterectomy. Several fetal and maternal complications have been documented, postpartum haemorrhage, preterm delivery and low birth weight and associated problems, increased caesarean delivery, blood transfusion, acute renal injury, DIC, prolonged hospital stay and fetal, neonatal or maternal death 2,3,9,11,12 .…”

Section: Introductionmentioning

confidence: 99%

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The prevalence, risk factors and the management outcome of placenta praevia at Federal Teaching Hospital Gombe: A 5-year retrospective study

Farida Mohammed Aboki,

Christopher Hassan Laima,

Mustapha Shehu Muhammad

2024

World J. Adv. Res. Rev.

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Background: Placenta praevia is one of the main causes of antepartum haemorrhage, which may be associated with severe maternal and perinatal morbidity and mortality, especially in developing countries. This study aimed to evaluate the prevalence, risk factors and the feto-maternal outcome of placenta praevia among patients managed in Federal Teaching Hospital Gombe, Northern Nigeria. Methodology: This was a retrospective study where all cases of placenta praevia managed in Federal Teaching Hospital Gombe, over 5 years, from January 1st 2017 to December 31st 2021 were analyzed using SPSS V 20. Results: There was a total of 11,937 deliveries during the study period and 63 cases of placenta praevia were managed, giving an incidence of 1.9%. Also, a total of 2,907 Caesarean deliveries were done during this period, and placenta praevia cases contributed 2.2% of the CS. About half of the cases also (47.4%) were asymptomatic and diagnosed incidentally with routine ultrasound scan while painless vaginal bleeding (32.2%) and warning bleeds (20.4%) were the other noted symptoms. The commonest risk factors noted in this study were previous dilatation and curettage (28.6%), previous CS and multiparity (22.6%) each. The fetal complications noted in this study were low birth weight (13.2%), birth asphyxia (10.3%) and 2.9% had intrauterine fetal death. Maternal complications were postoperative anaemia 55.4%, shock 7.7%, and 1.5% had peripartum hysterectomy. There was no maternal mortality noted in this study. Conclusion: Placentae previa is fairly common at our Centre and associated maternal and perinatal morbidities. Therefore, routine late obstetric ultrasound scan should be performed to diagnose it in women with risk factors so that they can receive optimal care.

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Section: Discussioncontrasting

confidence: 60%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The prevalence, risk factors and the management outcome of placenta praevia at Federal Teaching Hospital Gombe: A 5-year retrospective study

Farida Mohammed Aboki,

Christopher Hassan Laima,

Mustapha Shehu Muhammad

2024

World J. Adv. Res. Rev.

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“…Almost 4 years after ART, couples had not recovered financially from the treatment ( Dyer et al , 2017 ). Costs are considered to be a factor in the low utilization rates of ART services ( Omokanye et al , 2017 ; Botha et al , 2018 ; Dyer et al , 2019 ; Ombelet and Onofre, 2019 ). The accessibility of clinics is another barrier to ART treatment for patients, with only a few clinics reported in Kenya ( Murage et al , 2011 ).…”

Section: Resultsmentioning

confidence: 99%

“…decision-making about the use of technologies, discrimination against children born, psychological problems and loss of self-esteem, side effects and costs) related to ART. These issues are largely dependent on the local context (urban and rural) and religion (Catholic, Muslim, Anglican and traditional religions) ( Fabamwo and Akinola, 2013 ; Iliyasu et al , 2013 ; Bello et al , 2014 ; Menuba et al , 2014 ; Fadare and Adeniyi, 2015 ; Omokanye et al , 2017 ; Botha et al , 2018 ; Dyer et al , 2019 ; Ombelet and Onofre, 2019 ). We found no studies exploring the acceptability of ART treatment in other African countries.…”

Section: Resultsmentioning

confidence: 99%

IVF and other ART in low- and middle-income countries: a systematic landscape analysis

Chiware

Vermeulen

Blondeel

et al. 2020

Human Reproduction Update

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BACKGROUND Infertility affects 48.5 million couples worldwide with a prevalence estimated at 3.5–16.7% in low- and middle-income countries (LMIC), and as high as 30–40% in Sub-Saharan Africa. ART services are not accessible to the majority of these infertile couples due to the high cost of treatments in addition to cultural, religious and legal barriers. Infertility and childlessness, particularly in LMIC, have devastating consequences, which has resulted in considerable interest in developing affordable IVF procedures. However, there is a paucity of evidence on the safety, efficiency and ability to replicate techniques under different field conditions, and how to integrate more affordable ART options into existing infrastructures. OBJECTIVE AND RATIONALE This review was performed to investigate the current availability of IVF in LMIC and which other ART options are under development. This work will unfold the landscape of available and potential ART services in LMIC and is a key element in positioning infertility more broadly in the Global Public Health Agenda. SEARCH METHODS A systematic literature search was performed of articles and gray literature on IVF and other ART options in LMIC published between January 2010 and January 2020. We selected studies on IVF and other ART treatments for infertile couples of reproductive age (18–44 years) from LMIC. The review was limited to articles published after 2010, based on the recent evolution in the field of ART practices in LMIC over the last decade. Citations from high-income countries, including data prior to 2010 and focusing on specialized ART procedures, were excluded. The literature search included PubMed, Popline, CINHAL, EMBASE and Global Index Medicus. No restrictions were applied with regard to study design or language. Two reviewers independently screened the titles and abstracts, and extracted data. A search for gray literature was performed using the ‘Google’ search engine and specific databases (worldcat.org, greylit.org). In addition, the reference lists of included studies were assessed. OUTCOMES The search of the electronic databases yielded 3769 citations. After review of the titles and abstracts, 283 studies were included. The full texts were reviewed and a further 199 articles were excluded. The gray literature search yielded 586 citations, most of which were excluded after screening the title, and the remaining documents were excluded after full-text assessment due to duplicate entries, not from LMIC, not relevant or no access to the full document. Eighty-four citations were included as part of the review and separated into regions. The majority of the studies were observational and qualitative studies. In general, ART services are available and described in several LMIC, ranging from advanced techniques in China to basic introduction of IVF in some African countries. Efforts to provide affordable ART treatments are described in feasibility studies and efficacy studies; however, most citations were of low to very low quality. We found no studies from LMIC reporting the implementation of low-cost ART that is effective, accessible and affordable to most of those in need of the services. WIDER IMPLICATIONS The World Health Organization is in a unique position to provide much needed guidance for infertility management in LMIC. This review provides insight into the landscape of ART in LMIC in various regions worldwide, which will guide efforts to improve the availability, quality, accessibility and acceptability of biomedical infertility care, including ART in these countries.

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Factors associated with oocyte recovery rates during in-vitro fertilization among Nigerian women

Mohammed-Durosinlorun,

Wada

2024

Pan Afr Med J

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Introduction the availability of oocytes is fundamental to in vitro fertilization (IVF). The factors associated with optimal or suboptimal oocyte recovery rates (ORR) in low-resource settings are not well known. This study aimed to determine the factors associated with ORR by comparing demographic and IVF cycle data of women undergoing IVF in our Centre. Methods this was a prospective study of 110 infertile women undergoing IVF at Nisa Premier Hospital, Abuja Nigeria, from October 2020 to September 2021. All women had reached the stage of oocyte retrieval or further, after receiving ovarian stimulation with our routine protocols. Treatment was monitored by serial transvaginal ultrasonography. The oocyte retrieval procedures were performed under conscious sedation, 36 hours after the ovulatory trigger. Optimal ORR was when eggs were obtained from at least 80% of follicles punctured. Sub-optimal ORR was when it was less than 80%. Data analyses utilized SPSS statistical software and a p-value of < 0.05 was considered significant. Results the mean age of all women was 34.1±4.9 years. Sixty-nine women (62.7%) had sub-optimal ORR while 41 (37.3%) had optimal ORR. Six women (5.5%) had no oocytes retrieved. Significantly more women with sub-optimal ORR were obese (70.6 vs 29.4%) and had higher follicle-stimulating hormone (FSH) levels (8.11 vs 6.34 miu/ml), p-value- 0.039. Women with sub-optimal ORR had higher mean prolactin levels (17.10 ± 13.93 miu/ml) than women with optimal ORR 11.43 ± 6.65 miu/ml), p-value- 0.019). Significantly more oocytes (5.99 vs 10.37, p-value 0.001), and MII oocytes (5.78 vs 7.56, p-value 0.035) were retrieved in women with optimal than sub-optimal ORR. The duration of stimulation, total amounts of gonadotropins administered, and fertilized oocytes were not significantly different among both groups (p-value >0.05). Conclusion this study has shown the factors associated with ORR in our setting to be basal FSH, prolactin, and obesity.

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Determinants of utilization of assisted reproductive technology services in Ilorin, Nigeria

Cited by 3 publications

References 1 publication

The prevalence, risk factors and the management outcome of placenta praevia at Federal Teaching Hospital Gombe: A 5-year retrospective study

The prevalence, risk factors and the management outcome of placenta praevia at Federal Teaching Hospital Gombe: A 5-year retrospective study

IVF and other ART in low- and middle-income countries: a systematic landscape analysis

Factors associated with oocyte recovery rates during in-vitro fertilization among Nigerian women

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