OSHODI YUSUF ABISOWO

Obstetrics and Gynaecology

At the Obstetrics And Gynaecology department office

Appointment on Visitation important

Topic: Development Of A Risk Prediction Model For Postpartum Haemorrhage In Lagos, Nigeria Predict-PPH Study

Description: PPH is an obstetric emergency complicating 1% 17% of all deliveries worldwide and is the leading cause of maternal morbidity and mortality in sub-Saharan Africa. Accurately identifying women at risk of PPH in the attempt to promote stricter vigilance during pregnancy and childbirth is one of the strategies proposed to reduce morbidity and mortality. The predict-PPH is a prospective cohort study conducted in maternity units of the three tertiary hospitals in Lagos aimed to develop a prediction model for PPH based on certain antenatal risk factors in a diverse population of women in Lagos, Nigeria. Two thousand eight hundred seventy-six consecutively consenting healthy pregnant women aged 15 49 years will be enrolled at 32 36 weeks gestation and followed up until delivery. A Data Entry form created on the REDCap database will be used to collect information on maternal clinical and obstetric risk factors at enrolment and postpartum blood loss estimated using calibrated blood collection drapes after 24 hours of childbirth. The study outcomes PPH will be defined as postpartum blood loss of more than 500mls within 24 hours of delivery, while severe PPH sPPH is defined as blood loss of more than 1000 mL Data analyses will be carried out using R-Statistical software and bivariate analyses of variables linked to PPH will be performed using the binary logistic regression model. Variables with P

#	Certificate	School	Year
1.	FMCOG (Obstetrics and Gynaecology)	National Postgraduate Medical College of Nigeria	2011

Doppler Velocimetry in Maternal Anaemia and Perinatal Outcomes: A Comparative Study

BACKGROUND: Anaemia during pregnancy is a risk factor for preterm delivery, prematurity and low birth weight contributing adverse perinatal outcome. Effect of Doppler velocimetry in late pregnancy is equivocal and requires rigorous evaluation. OBJECTIVE: Compare the pattern of Doppler velocimetry (umbilical and middle cerebral artery) in the third trimester in anaemic (mild and moderate) with non-anaemic pregnant women and perinatal outcomes. MATERIALS AND METHODS: Comparative study involving 336 low risk booked antenatal care attendees in their third trimester of pregnancy from a gestational age of 34 weeks till term with anaemia in the study group (156) and without anaemia (180) as controls respectively. The data collected included socio-demography, obstetrics history, haemoglobin concentrations at recruitment and just before delivery, Doppler velocimetry findings at recruitment and perinatal outcome. RESULTS: The majority (61.5%) had moderate anaemia with a haemoglobin level range of 6.0-9.9mg/dl and a mean value of 9.4±0.5mg/dl while 38.5% had mild anaemia with a range of 10.0-10.9mg/dl and a mean of 10.5 ± 0.2mg/dl. The biometric characteristics of the fetuses in the anaemic group were lower than in the non-anaemic group (p0.001) except in the abdominal circumference. The umbilical artery pulsatility index was lower in the anaemic group (0.69±0.3) than (0.70±0.3) in the non-anaemic group (p0.001) while the systolic/diastolic ratios and resistance indices showed no significant differences between both groups. The middle cerebral artery velocimetric parameters showed no statistically significant differences in the systolic/diastolic ratios, pulsatility and resistance indices between both groups. Mean birth weight of 3.1 ± 0.3kg of the newborns and the Apgar score at 5 minutes (9.0 ± 0.6) were similar in both groups. CONCLUSION: Umbilical artery and cerebral artery velocimetry parameters in pregnant women with mild or moderate anaemia between 34 weeks and term were comparable to pregnant women without anaemia

OSHODI YUSUF is a Associate Professor / Reader at the Department of Obstetrics and Gynaecology

OSHODI has a FMCOG in Obstetrics and Gynaecology from National Postgraduate Medical College of Nigeria