Evaluation of Jadelle use in Teaching hospital in Niger Delta, Nigeria

2021 ◽  
Vol 1 (1) ◽  
pp. 001-008
Author(s):  
Nonye-Enyidah Esther Ijeoma ◽  
Lebara L.B ◽  
Enyidah Nonyenim Solomon
Keyword(s):  
Side Effects ◽  
Teaching Hospital ◽  
Formal Education ◽  
The Body ◽  
University Teaching ◽  
Contraceptive Device ◽  
Unintended Pregnancies ◽  
Control Clinic ◽  
Pearl Index ◽  
Contraceptive Implants

Background: Jadelle (Norplant 2) is a levonorgestrel contraceptive implants that is safe, reversible, convenient, very effective and suitable for many women. Although it has numerous benefits, its use is still discontinued due to various reasons including side effects in the body of acceptors. Objective: To determine the prevalence rate, side effects, discontinuation rate and reasons for discontinuation of Jadelle at Rivers State University Teaching Hospital (RSUTH), Port Harcourt, Nigeria. Methods: A retrospective study of 874 clients attending birth control clinic at the RSUTH from 1st January, 2015 – 31st December, 2019 was conducted. Their records were recovered from the clinic and studied. Data was extracted, coded and investigated using the statistical package for social sciences (SPSS) IBM version 25.0 (Armonk, NY). Results: Of 874 acceptors of contraceptives within the study period, one hundred and forty two used Jadelle giving an uptake rate of 16.2%. Jadelle use accounted for third most used contraceptive after implanon and intra uterine contraceptive device (IUCD) during the study period. The mean age was 32.9+4.21 years. Most age group was 30-34 years accounting for 57.8%. Age range was 20-48 years and most (81.7%) were multiparous. Christians accounted for 99.3% and 98.4% were married. All the clients had formal education. Thirty nine (27.5%) acceptors discontinued the use. Most were due to menorrhagia (33.3%) and desire for pregnancy (23.1%). Two unintended pregnancies occurred giving a Pearl index of 0.28 per 100 women-year. Conclusion: Jadelle is safe and effective. Menstrual abnormalities were the commonest side effects complained by the clients. Menstrual abnormalities and desire for pregnancy were the commonest reasons for discontinuation of Jadelle use.

scholarly journals Evaluation of subdermal implants among family planning acceptors in a tertiary hospital, Nigeria

2020 ◽  
Vol 8 (2) ◽  
pp. 271-278
Author(s):  
Nonye-Enyidah Esther Ijeoma ◽  
Enyidah Nonyenim Solomon
Keyword(s):  
Family Planning ◽  
Side Effects ◽  
Formal Education ◽  
Tertiary Hospital ◽  
The Body ◽  
University Teaching ◽  
Unintended Pregnancies ◽  
Subdermal Implants ◽  
Pearl Index ◽  
Contraceptive Implants

Background: Subdermal contraceptive implants are safe, convenient, very effective and reversible. Though they have numerous benefits, their use is still discontinued due to various reasons including side effects in the body of acceptors. Objective: To determine and compare the prevalence rates, side effects, discontinuation rates and indications for discontinuation of two subdermal implants (Jadelle and Implanon) at Rivers State University Teaching Hospital (RSUTH), Port Harcourt, Nigeria. Methods: A retrospective study of 874 clients attending family planning clinic at the RSUTH from 1st January, 2015 – 31st December, 2019 was conducted. Their records were retrieved from the clinic and reviewed. Data was extracted, coded and analyzed using the statistical package for social sciences (SPSS) IBM version 25.0 (Armonk, NY). Result: Four hundred and twenty five women used subdermal implants out of 874 acceptors of contraceptives within the study period giving an uptake rate of 48.6%. Implanon was more preferred accounting for 66.6% and Jadelle 33.4%. The mean age was 33.24+4.13 years. Most age group was 30-34 years accounting for 51.3%. Age range was 20-48 years and most (80%) were multiparous. Most (99.1%) were Christians and 98.4% were married. Only one client (0.2%) had no formal education. Seventy three (26.4%) acceptors discontinued the use. Most were due to desire for pregnancy (46.4%) and menorrhagia (24.1%). Four unintended pregnancies occurred giving a Pearl index of 0.9. Conclusion: Subdermal implants are safe and effective. Menstrual abnormality and desire for pregnancy were the commonest reasons for discontinuation.

scholarly journals Progesterone Only Injectable Contraceptives: A Five Year Review of Side Effects and Discontinuation Rate in a Teaching Hospital in Niger Delta, Nigeria

2020 ◽  
pp. 110-117
Author(s):  
Nonye-Enyidah Esther Ijeoma ◽  
Enyidah Nonyenim Solomon
Keyword(s):  
Side Effects ◽  
Teaching Hospital ◽  
Medroxyprogesterone Acetate ◽  
Prevalence Rate ◽  
Formal Education ◽  
University Teaching ◽  
P Value ◽  
Discontinuation Rate ◽  
Depot Medroxyprogesterone Acetate ◽  
Injectable Contraceptives

Background: Progesterone only injectable contraceptives (POICs) are long acting reversible method of contraception used worldwide. Menstrual abnormalities are recognized side effects that can lead to discontinuation of these highly effective and safe contraceptives. Objectives: To determine the prevalence rate, side effects, discontinuation rate and indications for discontinuation of Norethisteroneenanthate (noristerat) and Depot Medroxyprogesterone acetate (depoprovera) at Rivers State University Teaching Hospital (RSUTH), Port Harcourt. Methods: A five year retrospective study of 874 clients attending family planning clinic at the RSUTH from 1st of January, 2015 – 31st of December, 2019. Their records were retrieved from the clinic and reviewed. Data was extracted, coded and analyzed using the statistical package for social sciences (SPSS) IBM version 25.0 (Armonk, NY). Chi square test was used as test of significance where applicable and a p-value <0.05 was considered statistically significant. Results: One hundred and thirty eight clients accepted and used POICs out of 874 acceptors of contraceptives within the study period giving a prevalence rate of 15.8%. Depot Medroxyprogesterone acetate was more preferred by the women. The modal age group was 25-34 years accounting for 86 (62.3%). Age range was 19-48 years and the modal parity was para 2. Majority of the clients had formal education, 137 (99.3%), married, 128 (92.8%) and multipara 85 (61.6%).The discontinuation rate was 31.9%and the commonest reason for discontinuation was irregular vaginal bleeding accounting for 25%. Conclusion: The prevalence rate of POICs was low and Depot Medroxyprogesterone acetate was more popular. Majority of the discontinuation was due to the side effects of the contraceptives.

scholarly journals Urinary Tract Infection Due to Non-fermentative Gram-Negative Bacilli in Tribhuvan University Teaching Hospital, Kathmandu, Nepal

NUTA Journal ◽  
2020 ◽  
Vol 7 (1-2) ◽  
pp. 71-78
Author(s):  
Santosh Kumar Yadav ◽  
Uday Kant Jha ◽  
Jeevan Bahadur Sherchan
Keyword(s):  
Urinary Tract ◽  
Teaching Hospital ◽  
Antibiotic Susceptibility ◽  
Hospitalized Patients ◽  
The Body ◽  
University Teaching ◽  
Burkholderia Cepacia Complex ◽  
Acinetobacter Species ◽  
Gram Negative ◽  
Tract Infections

Urinary tract infections (UTIs) are the second most common type of bacterial infection of the body affecting humans throughout their lifetime. They are a frequent cause of nosocomial in fection in many hospitals. Therefore, this study was designed to isolate and identify the non-fermentative Gram-negative bacilli (NFGNB) causing UTI in hospitalized patients and determine their antibiotic susceptibility profile. This study was carried in Tribhuvan University Teaching Hospital, Nepal among hospitalized patients. The urine sample was cultured and the antibiotic susceptibility profile of isolated NFGNB was determined by standard microbiological procedures. Among the total of 49 NFGNB isolates, Acinetobacter species (n=21, 42.9%) and Pseudomonas aeruginosa (n=21, 42.9%) were the major isolates and the remaining was Burkholderia cepacia complex (n=7, 14.3%). These isolates were found resistant to commonly used antibiotics. From the present study, it is clear that NFGNB are an important bacterial pathogen capable of producing UTI in hospitalized patients.

scholarly journals Nonadherence Factors and Sociodemographic Characteristics of HIV-Infected Adults Receiving Antiretroviral Therapy in Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria

ISRN AIDS ◽  
2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Ijeoma Okoronkwo ◽  
Uchenna Okeke ◽  
Anthonia Chinweuba ◽  
Peace Iheanacho
Keyword(s):  
Antiretroviral Therapy ◽  
Side Effects ◽  
Formal Education ◽  
Cross Sectional Study ◽  
University Teaching ◽  
Adherence Rate ◽  
Cross Sectional ◽  
Successful Treatment Outcome ◽  
Partner Disclosure ◽  
Busy Schedule

Adherence to treatment instructions with antiretroviral therapy (ART) is very crucial for successful treatment outcome. However, sticking to treatment instructions pose-great challenges to HIV/AIDS patients. This cross-sectional study was on HIV infected adults attending ART clinic in Nigeria to explore nonadherence factors in relation to their socioeconomic characteristics. Validated structured questionnaire was administered to 221 participants. Results showed a high nonadherence rate of 85.1%. The commonest occurring factors of non-adherence were forgetfulness (53.8%), busy schedule (38.8%), side effects of drugs (31.9%), and stigma (31.9%). Males were more likely to complain from busy schedule, feeling healthy, fear of partner disclosure, long waiting period, and long term regimen. Patients with no formal education were more likely to attribute non-adherence to poor communication, side effects of drugs, and stigma. Employed patients seemed to miss their drugs more than the unemployed and artisans. The high non-adherence rate has serious implications for the control of HIV in infected individuals and management of HIV in general. Nurses should intensify efforts on patient education and counseling.

Patterns of Trauma Deaths in an Accident and Emergency Unit

2007 ◽  
Vol 22 (1) ◽  
pp. 75-78 ◽  
Author(s):  
Odigie Clement Osime ◽  
Stephen Udi Ighedosa ◽  
Olugbenga Ojo Oludiran ◽  
Pius Ehiawaguan Iribhogbe ◽  
Eddy Ehikhamenor ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Motor Vehicle ◽  
Case Fatality ◽  
The Body ◽  
University Teaching ◽  
Emergency Unit ◽  
Accident And Emergency ◽  
Injured Region ◽  
Transfer Services ◽  
Trauma Deaths

AbstractIntroduction:Trauma is a leading cause of death in most countries. Different patterns of trauma deaths are recorded in different countries. The purpose of this study was to evaluate retrospectively the pattern of trauma deaths in the emergency unit of a University Teaching Hospital in Nigeria.Methods:This is a descriptive, retrospective study. The data were obtained from patient case files and nurses'records. The data abstracted included age, sex, cause of trauma/death, parts of the body injured, time of death, andthe duration of stay in the Accident and Emergency Unit (AEU).Results:A total of 5,537 cases presented to the AEU of the University of Benin Teaching Hospital between 01 January 2001 and 31 December 2004. Of these, 5,446 were due to trauma (98.4%). A total of 127 patients died (case fatality rate: 2.3%). Of the deaths, 81.9% were males. Motor vehicle crashes were the most frequent cause (54.3%), and drowning was the least common cause of trauma (0.8%). The most frequently injured region of the body was the head and neck (53.4%). A total of 67.4% of the deaths occurred within six hours of presentation to the AEU.Conclusions:There is a great need for improved road safety, adequate pre-hospital medical care, and prompt transfer services for victims of trauma.

scholarly journals A Retrospective Analysis of Copper T380A Intrauterine Device in Rivers State, Nigeria: Side Effects and Discontinuation Rate

2020 ◽  
pp. 25-31
Author(s):  
Nonye-Enyidah Esther ◽  
Enyidah S. Nonyenim ◽  
A. I. Jumbo
Keyword(s):  
Side Effects ◽  
Prevalence Rate ◽  
Vaginal Bleeding ◽  
Formal Education ◽  
Intrauterine Device ◽  
University Teaching ◽  
Discontinuation Rate ◽  
Contraceptive Devices ◽  
Intrauterine Contraceptive ◽  
Rivers State

Background: Intrauterine contraceptive devices (IUCDs) are long term, effective and reversible methods of contraception used worldwide by millions of women. The users discontinue its use despite the effectiveness due to various reasons. Objective: To determine the prevalence rate, side effects, discontinuation rate and indications for discontinuation of Cu T380A at Rivers State University Teaching Hospital (RSUTH), Port Harcourt. Methods: A retrospective study of 874 clients attending family planning clinic at the RSUTH from 1st January, 2015 – 31st December, 2019. Their records were retrieved from the clinic and reviewed. Data was extracted, coded and analyzed using the statistical package for social sciences (SPSS) IBM version 25.0 (Armonk, NY). Results: Of the 874 acceptors of contraceptives, 221 accepted and used Cu T380A within the study period giving a prevalence rate of 25.3%. The mean age was 37.87+ 5.01 years. The modal age group was 35-39 years accounting for 81 (36.7%). Age range was 23-51 years and most (63.8%) were multiparous. Majority of the clients had formal education 217 (98.2%) and were married, 219 (99.1%). Discontinuation rate was 29.4%and the common reasons for discontinuation were menorrhagia, 14 (21.6%); desire for pregnancy, 13 (20%); irregular vaginal bleeding and menopause each contributing 8 (12.3%). Others were missing string, 6 (9.2%), vaginal discharge, sexual problems, lower abdominal and waist pains each accounting for 5 (7.7%) respectively. There was one unintended pregnancy.  Conclusion: Copper T380A is safe and effective. Menorrhagia and irregular vaginal bleeding were the commonest side effects. Pregnancy desire and side effects were the reasons for its discontinuation.

scholarly journals Side effects and discontinuation rate of depot medroxyprogesterone acetate in a tertiary hospital, southern Nigeria

2020 ◽  
Vol 9 (12) ◽  
pp. 4834
Author(s):  
Esther I. Nonye-Enyidah ◽  
Ibiebelem A. Jumbo ◽  
Nonyenim S. Enyidah ◽  
Ebbi D. Robinson ◽  
Mazi Eke C. Ejikem
Keyword(s):  
Side Effects ◽  
Medroxyprogesterone Acetate ◽  
Prevalence Rate ◽  
Vaginal Bleeding ◽  
Formal Education ◽  
University Teaching ◽  
Discontinuation Rate ◽  
Depot Medroxyprogesterone Acetate ◽  
Secondary Amenorrhoea ◽  
Depo Provera

Background: Depot medroxyprogesterone acetate (DMPA) also known as depo provera is a highly effective, safe and long-lasting reversible contraceptive with side effects that may cause discontinuation amongst acceptors. Objective was to determine the prevalence rate, side effects, discontinuation rate and indications for discontinuation of DMPA at Rivers State University Teaching Hospital (RSUTH), Port Harcourt.Methods: This was a retrospective study of 874 clients attending family planning clinic at the RSUTH from 1st January, 2015 to 31st December, 2019. Their records were retrieved from the clinic and reviewed. Data was extracted, coded and analyzed using the statistical package for social sciences (SPSS) IBM version 25.0 (Armonk, NY).Results: One hundred and one clients accepted DMPA out of 874 acceptors of contraceptives within the study period giving a prevalence rate of 11.6%. The modal age group was 25-29 years accounting for 31 (30.7%). Age range was 19-47 years and the modal parity was para 2. Majority of the clients had formal education, 100 (99%), married, 94 (93.1%) and multipara 61 (60.4%). The discontinuation rate was 32.7% and the commonest reasons for discontinuation were secondary amenorrhoea and irregular vaginal bleeding with each contributing 24.2%.Conclusions: The prevalence and discontinuation rates of Depo provera were low. Secondary amenorrhoea and irregular vaginal bleeding were the commonest side effects and reasons for discontinuation.

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