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Search Results: 1 - 10 of 261 matches for " JT Mutihir "
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CASE REPORT: Four (4) clients using norplant contraceptive implants beyond 8 years in Jos, Nigeria
JT Mutihir
Nigerian Journal of Clinical Practice , 2007,
Abstract: No s. Nigerian Journal of Clinical Practice Vol.10(2) 2007: pp.174-176
Quarter of a Century of Female Sterilization in Jos, Central Nigeria
JT Mutihir, DD Nyango
African Journal of Reproductive Health , 2011,
Abstract: The study was to assess the types and trend of female sterilization between January 1985 and December 2009 (25 years) in Jos, Central Nigeria. There were 25,313 new acceptors of modern contraceptive methods out of which 4,951 (19.6%) were female sterilizations. Minilaparotomy was the commonest method of female sterilization. Local anaesthesia was the commonest anaesthetic utilized. The women were mostly women of relatively older age, grandmultiparous and with large family size. The women were of mean of 38.4 years, and 60% had more than 5 children at the time of sterilization. Interval sterilization constituted 78.5% of the female sterilizations. The acceptance of female sterilization, however, has declined over the years, as acceptance of the long acting contraceptive implants increases. Female sterilization by minilaparotomy under local anaesthesia was found to be feasible, cost effective and acceptable by majority of clients, and recommended for integration into minor gynaecological procedures in our institutions (Afr J Reprod Health 2011; 15[1]: 101-106).
Comparison of pregnancy outcome between teenage and older primigravidae in Jos University Teaching Hospital, Jos, north-central Nigeria
JT Mutihir, WE Maduka
Annals of African Medicine , 2006,
Abstract: Background/Objective: Teenage pregnancy constitutes a major health and social problem the world over. The objectives of the study were to determine the incidence of teenage pregnancy and to compare the socio-demographic characteristics, booking/delivery ratio and pregnancy outcomes of teenagers and the control in Jos University Teaching Hospital. Method: A prospective case-controlled study of the pregnancy outcome in 128 booked teenage primigravidae was compared with 633 older primigravidae aged 20-34 years (control group); who booked for antenatal care between January and December 2003 in Jos University Teaching Hospital (JUTH), Jos was conducted. Results: The study showed teenage mothers to have significantly increased proportions of Hausa/Fulani ethnicity (p=0.0000), Muslim religion (p=0.0000), lower educational status (p=0.0000), lower income group (p<0.05), low birth weight babies (p = 0.031) and more likely to deliver outside of JUTH after booking (p = 0.036) compared to the control. There were no significant differences in the proportions of marital status (p = 0.06), first trimester booking (p = 0.68), preterm labour (p = 0.55), obstetric complications (p>0.05), obstetric interventions (p = 0.78), birth asphyxia (p = 1.00) and crude perinatal death rate (p = 0.21) compared to the control. Conclusion: This study has demonstrated that teenage pregnancy even though it predisposes to complications of pregnancy and labour, but when teenagers receive good antenatal care, pregnancy and labour outcome is comparable to that of other age groups.
Overviewof Contraceptive Use In Jos University Teaching Hospital, North Central Nigeria
JT Mutihir, VC Pam
Nigerian Journal of Clinical Practice , 2008,
Abstract: Background: Modern contraceptive methods accepted by 17,846 new clients in Jos University Teaching Hospital, a tertiary health institution, over two decades are presented. Methods: This was a review of the contraceptive trend in new clients who used the various methods of contraception over an 18-year period, 1985-2002. Results: The accepted methods were the intrauterine device (26.1%), oral contraceptive pills (23.5%), female sterilization (21.7%), the Injectable (14.2%), male condom (9.5%), Norplant implants (4.9%) and vasectomy (0.1%). Reversible methods were used by 78.2% and the permanent forms by 21.8%. The women were the acceptors of the methods in 90.5%, while men contributed only 9.5% of the new acceptors. Ten men only had vasectomy over the period of study. Conclusion: The Intrauterine device was the leading method of contraception accepted by the women and male vasectomy was the least accepted by men. There is the need for increased male involvement in contraceptive issues.
Massive haemoperitoneum from endometriosis masquerading as ruptured ectopic pregnancy: Case report
JT Mutihir, DD Nyango
Nigerian Journal of Clinical Practice , 2010,
Abstract: Endometriosis is a puzzling disease affecting women of reproductive age .Although it is diagnosed frequently, no consensus exists as to the aetiology of this enigmatic disease . Common locations of ectopic endometrial growths are in the abdomen involving the pelvic structures. Like in the uterine lining, these extra-uterine endometrial growths usually respond to hormones of the menstrual cycle. The tissues build up each month, break down and cause bleeding. However, unlike the lining of the uterus, endometrial tissues outside the uterus have no way of leaving the body. The result is internal bleeding, which if moderate to severe, may lead to massive haemoperitoneum. Philip et al , report an unusual cause of acute haemoperitoneum in an asymptomatic woman with bleeding from the right uterine artery eroded by pelvic endometriosis. Areport of massive haemoperitoneum in pelvic endometriosis on progestogen treatment presenting as ruptured tubal ectopic pregnancy is presented.
Stillbirths at the Jos University Teaching Hospital: Incidence, risk, and etiological factors
JT Mutihir, PO Eka
Nigerian Journal of Clinical Practice , 2011,
Abstract:
Implanon Sub-dermal Implants: A 10-month Review Of Acceptability In Jos, North-central Nigeria
JT Mutihir, PH Duru
Nigerian Journal of Clinical Practice , 2008,
Abstract: To determine the acceptance of Implanon so far, the group of women accepting it, insertion complications and immediate post insertion problems, if any, and report our initial experiencewith themethod. This was a retrospective review study of all cases of Implanon acceptors between 1 May and 28 February 2007. Demographic and social factors were collated. Insertion and post-insertion complications were evaluated. A total of 2,608 clients accepted contraceptive methods out of which 350 clients had Implanon capsules inserted within the study period (13.4%). One hundred and ninety-one (54.6%) of the acceptors desiredmore children, and therefore using it to space pregnancies, 154 (44.0%)would notwantmore children, but opted for the temporary long term method, and 5 (1.4%) were uncertain whether to have more children in the future or not.Themean age and parity of acceptorswere 32.4 years and 3.6 respectively.Themean number of living children to the women was 3.4. All the women were married. About three-quarters (75.8%) of thewomen had secondary and tertiary education. Seventy-two (20.6%) of the women were taking a modern contraceptive method for the first time. The rest 278 (79.4%) had used one or more methods of contraception, and were only switching over to Implanon sub-dermal implants. The patients weighed between 40 and 122 kg with an average of 62.4 kg. Post-insertion complications like infection, expulsion, bruising and induration were not reported. Four women discontinued the method for varying reasons. Women are accepting the new method. Over three-quarters of the clients are switching from other methods to Implanon. The method appears to have good continuation rate and therefore a promising long term sub-dermal contraceptive method amongst our women. Nigerian Journal of Clinical Practice Vol. 11 (4) 2008: pp. 320-323
Postpartum maternal morbidity in Jos,north-central Nigeria
JT Mutihir, BT Utoo
Nigerian Journal of Clinical Practice , 2011,
Abstract:
Obstetric outcome of twin pregnancies in Jos, Nigeria
JT Mutihir, VC Pam
Nigerian Journal of Clinical Practice , 2007,
Abstract: Objectives: The objectives of the study were to determine the incidence, maternal and foetal outcome of twin delivery in Jos, Nigeria. Methodology: All consecutive twin deliveries between August 2003 and November 2004 were studied. Data obtained at the time of delivery included maternal age, parity, gestational age at the time of delivery, foetal Apgar scores at birth, gender/sex and foetal weights. Results: A total of 3,420 deliveries were conducted and 75 were twin deliveries constituting 2.3%, or 1 in 43 deliveries. The mean age and parity of mothers were 28.96 and 3.20 respectively. Male infants constituted 54.7% of the twins with a sex ratio of 1.206 boys to 1.0 girls. Among the twin deliveries, presentation of cephalic-cephalic for the first and second twins was the most common, (48.0%). Male-male twin pair occurred in 33.3%, male-female twins in 22.7%, female-female in 24%, while female-male twins occurred in 20.0%. Males were first twin in 56.0% and second twin in 53.4%; while females were first twin in 44.0% and second twin in 46.6% of the cases. Caesarean section rate was 41.3% in the overall twin pregnancies. Perinatal mortality was 91 per 1000 deliveries. Conclusion: The incidence of twin pregnancy in Jos is high. The commonest maternal morbidity was preterm labour and delivery. Foetal low birth weight was present in about three quarters of the infants. Perinatal mortality rate was expectedly increased in the study. Close antenatal and perinatal assessment and care need be given to mothers of twin pregnancies in order to reduce the maternal and foetal complications .
Profile of clients requesting for removal of intrauterine devices in Jos, Nigeria
JT Mutihir, T Iranloye, PFK Uduagbamen
Annals of African Medicine , 2006,
Abstract: Background/Objective: Method: A retrospective study of all patients having their previously inserted IUDs removed at the Jos University Teaching Hospital, Northern Nigeria, between January 1999 and December 2004. Results: The mean (± SD) age and parity of the clients was 32.9 ± 6.9 years and 4.0 ± 2.2 respectively. All the women were married and none of them was a nullipara. The TCu-380A IUD was used in 99.3% of the cases. The women were using the method for a mean of 51.5 ± 51.0 months or 4.3 years, and the commonest indication for removal was the desire for another pregnancy in 30.7% of the clients, followed by back pain in 12.6%. The mean weight (± SD) of the women at the insertion of the IUD was 66.67 ± 13.95 kg and the mean weight at the removal of the device was 69.3 ± 14.9 kg. The average weight gain with IUD use was therefore 2.6 kg. Conclusion: The observed weight increase in IUD users is probably occasioned by the annulment of the fear of pregnancy, and the tendency of women to gain weight with increasing age.
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