Papers by Oguche I Obielumani
Asian Research Journal of Gynaecology and Obstetrics, 2021
Background: The average gestational age at onset of labour which could be spontaneous or
induced ... more Background: The average gestational age at onset of labour which could be spontaneous or
induced differs among pregnant women. The gestational age correlates with the maturity of the
foetus which in turn plays an important role in the initiation of labour.
Objective: To determine the average gestational age at onset of labour, induction of labour and
Caesarean section at the Federal Medical Centre, Yenagoa, Bayelsa State, Nigeria.
Materials and Methods: This was a five-year retrospective review amongst patients who presented to the labour ward of Federal Medical Centre, Yenagoa in labour between 1st January,
2016 and 31st December, 2020. Data was entered into a pre-designed proforma and analysed
using IBM SPSS version 23.0.
Results: There were 4,571 deliveries in the 5-year period under review. More than half (55.3%) of
the women were in the fourth decade of life, with median age of 31 years (15 – 52 years), about
half (52.3%), of the women were multiparous, while almost a quarter (23.5%) were primiparous.
The modal gestational age for spontaneous onset of labour for all pregnant women was 38 weeks.
Two-third (66.0%) of the women were delivered per vaginam, while the other one-third (34.0%) had
Caesarean section.
Conclusion: The gestational age at onset of labour and delivery is associated with foetal and
maternal outcomes. It is therefore necessary for women to have antennal care and interventions in
pregnancy under qualified healthcare providers, as this will in turn reduce the public health burdens
of large number of preterm deliveries.
Introduction: Injuries and violence are increasingly being recognized as a major public health pr... more Introduction: Injuries and violence are increasingly being recognized as a major public health problem that greatly impacts
young people with potentially far-reaching consequences for their physical, reproductive and mental health. Despite the
rising incidence, there is still a prominent level of under-reporting.
Objectives: To report the experiences of unintentional injury and violent incidents and their gender variations amongst
young adults in Bayelsa state
Methods: A cross-sectional study was conducted amongst 209 randomly selected young adults. Using a self-administered
questionnaire adapted from the WHO STEP-wise Manual on Non-communicable Disease, data on socio-demographic
characteristics and experiences with violence and injury were obtained.
Results: Mean age was 25.7 years; 51.7% were females. In the 12 months preceding the study, about 1 in 3 respondents
had an unintentional injury that required medical attention and 21.5% had been involved in a road traffic accident (RTA).
Most threats were from close relatives and friends. A little over 3 in 5 (64.4%) respondents reported physical abuse, 25.8%
had experienced sexual abuse in childhood and 24.4% experienced sexual abuse as adults; this was higher in females than
males (27.8% vs. 20.7%). Non-RTA injuries were significantly higher (χ2=3.58; p=0.04) in females. Except RTA
injuries/violence, more females than males experienced physical/sexual violence; but with no significant difference
(p>0.05).
Conclusions & Recommendations: A large number of young adults experience varied forms of injury and violence in the
course of life during childhood and adulthood. Females experience these more than males highlighting the need for a genderresponsive
approach in addressing this public health problem.
Keywords: injury; violence; young adults; Southern Nigeria
Introduction: Injuries and violence are increasingly being recognized as a major public health pr... more Introduction: Injuries and violence are increasingly being recognized as a major public health problem that greatly impacts young people with potentially far-reaching consequences for their physical, reproductive and mental health. Despite the rising incidence, there is still a prominent level of under-reporting. Objectives: To report the experiences of unintentional injury and violent incidents and their gender variations amongst young adults in Bayelsa state Methods: A cross-sectional study was conducted amongst 209 randomly selected young adults. Using a self-administered questionnaire adapted from the WHO STEP-wise Manual on Non-communicable Disease, data on socio-demographic characteristics and experiences with violence and injury were obtained. Results: Mean age was 25.7 years; 51.7% were females. In the 12 months preceding the study, about 1 in 3 respondents had an unintentional injury that required medical attention and 21.5% had been involved in a road traffic accident (RTA). Most threats were from close relatives and friends. A little over 3 in 5 (64.4%) respondents reported physical abuse, 25.8% had experienced sexual abuse in childhood and 24.4% experienced sexual abuse as adults; this was higher in females than males (27.8% vs. 20.7%). Non-RTA injuries were significantly higher (χ2=3.58; p=0.04) in females. Except RTA injuries/violence, more females than males experienced physical/sexual violence; but with no significant difference (p>0.05). Conclusions & Recommendations: A large number of young adults experience varied forms of injury and violence in the course of life during childhood and adulthood. Females experience these more than males highlighting the need for a genderresponsive approach in addressing this public health problem.
Niger delta journal of Medicine and Medical Research , 2024
Background: The human resource for health forms the fulcrum of any health system for delivering q... more Background: The human resource for health forms the fulcrum of any health system for delivering quality healthcare. Having a healthy human resource for health should invariably translate to an improved overall health system. This study assessed the level and factors influencing healthcare seeking behaviour of staff in a tertiary hospital. Methods: This was a cross-sectional descriptive study conducted in November 2021. A pretested, semi-structured, selfadministered questionnaire adapted from previous studies was used to collect data from respondents. Data was analysed using IBM Statistical Product and Service Solutions (SPSS) version 24.0. Results: Of the 300 participants selected for the study, 288 completed the questionnaires, giving a response rate of 96%. The mean age of the respondents was 41.5± 7.8 years. The male to female ratio was 1:1.8; male 36.1%, and female 63.9%, one-third (31.3%) being nurses followed by Doctors (14.2%). Factors that resist health workers from seeking health care were long waiting time and delays (52.4%), workload and no spare time (24.3%), huge financial cost (20.5%), fear of confidentiality (19.1%). Prevalence of good health seeking behaviour was 19.4%. Poor health seeking behaviour was statistically associated with the profession (p=0.003), not always seeing a doctor when ill (p=0.001), self-medication, believing that self-medication was helpful, and believing that knowledge as a health worker was enough to treat self. (p=0.000). Conclusion: The health seeking behaviour amongst the healthcare providers was poor. Self-medication was high and most HealthCare Workers altered their prescription. Policies and measures should be instituted to restrict the tendency to selfmedicate.
Journal of Advances in Microbiology, 2021
This work was carried out in collaboration among all authors. Author PCO conceptualised the study... more This work was carried out in collaboration among all authors. Author PCO conceptualised the study, collated data, wrote the introduction, results and participated in writing of the discussion. Author DOA wrote the protocol of the study and supervised the entire research. Author CI managed literature searches and writing of the discussion. Author OIO participated in literature searches. Author VKO carried out microbiological studies. Authors CEU and AEU participated in writing the discussion. Author GA collected the data for the research. All authors read and approved the final manuscript.
European Journal of Medical and Health Sciences, 2021
Background: Side effect following vaccination usually ranges from mild to moderate and occasional... more Background: Side effect following vaccination usually ranges from mild to moderate and occasionally severe in a small proportion of people. Covid-19 vaccine is no exception as side effects have been reported which are mostly mild to moderate and transient. The chances of any of these side effect following vaccination differ according to the specific COVID-19 vaccine.
IOSR Journal of Dental and Medical Sciences, 2021
Background: COVID-19 was declared a pandemic on March 11, 2020 by the World Health Organisation. ... more Background: COVID-19 was declared a pandemic on March 11, 2020 by the World Health Organisation. It is a respiratory disease caused by Severe Acute Respiratory Syndrome Corona Virus-2 (SARS-CoV-2).
Journal of the College of Community Physicians of Sri Lanka, 2022
Introduction: High fertility, low contraceptive prevalence and poor maternal indices characterize... more Introduction: High fertility, low contraceptive prevalence and poor maternal indices characterize the reproductive history of women in sub-Sahara Africa. In such populations, unmet need for contraception tend to be high; there is a dearth of evidence about the unmet need for family planning in these settings. Objectives: To determine and to compare the unmet need, demand and potential demand met for family planning services (FPS) amongst urban and rural women of Bayelsa State in Southern Nigeria Methods: A community-based cross-sectional study design was used to survey 200 urban and 200 rural currently married or in-union women in April-July 2018. Data were collected using a pretested, structured intervieweradministered questionnaire on unmet need, after written consent was obtained from respondents. Collected data were edited, coded, and entered to IBM Statistical Package for Social Sciences (SPSS) version 23.0. Results: The proportion of unmet need was 46.5% (n=93) for urban women compared to 57.5% (n=115) for the rural 2 (χ =4.85; p=0.03). The potential demand for contraception was at 62.5% in the urban and 71.5% for the rural women. The proportion of demand satisfied in the urban areas was 26.4% and 19.6% for the rural women. Conclusions & Recommendations: This study found differences in the level of demand and potential demand met for FPs leading to high unmet need for family planning, between women in urban and rural areas in Bayelsa State. Thus, efforts still need to be intensified in promoting FP programmes as we see that the improvement in uptake with high unmet need, reflects the needs to be met and the readiness of reproductive age women to space or limit childbearing.
Niger Delta Journal of Medicine and Medical Research, 2024
Background: The human resource for health forms the fulcrum of any health system for delivering q... more Background: The human resource for health forms the fulcrum of any health system for delivering quality healthcare. Having a healthy human resource for health should invariably translate to an improved overall health system. This study assessed the level and factors influencing healthcare seeking behaviour of staff in a tertiary hospital. Methods: This was a cross-sectional descriptive study conducted in November 2021. A pretested, semi-structured, selfadministered questionnaire adapted from previous studies was used to collect data from respondents. Data was analysed using IBM Statistical Product and Service Solutions (SPSS) version 24.0. Results: Of the 300 participants selected for the study, 288 completed the questionnaires, giving a response rate of 96%. The mean age of the respondents was 41.5± 7.8 years. The male to female ratio was 1:1.8; male 36.1%, and female 63.9%, one-third (31.3%) being nurses followed by Doctors (14.2%). Factors that resist health workers from seeking health care were long waiting time and delays (52.4%), workload and no spare time (24.3%), huge financial cost (20.5%), fear of confidentiality (19.1%). Prevalence of good health seeking behaviour was 19.4%. Poor health seeking behaviour was statistically associated with the profession (p=0.003), not always seeing a doctor when ill (p=0.001), self-medication, believing that self-medication was helpful, and believing that knowledge as a health worker was enough to treat self. (p=0.000). Conclusion: The health seeking behaviour amongst the healthcare providers was poor. Self-medication was high and most HealthCare Workers altered their prescription. Policies and measures should be instituted to restrict the tendency to selfmedicate.
Niger Delta Journal of Medicine and Medical Research, 2023
Background: Menstruation is a normal physiological process which healthy adolescent girls experie... more Background: Menstruation is a normal physiological process which healthy adolescent girls experience monthly. This study ascertains the pattern and frequency of genital washing and effect of pre-menarche awareness of menstruation on Menstrual Hygiene Management (MHM) among girls who have attained menarche in unity colleges in Bayelsa State. Methodology: A cross sectional study was conducted among 174 girls who had attained menarche. A structured, pre-tested, self-administered questionnaire was used to obtain data. Data analysis was done using Statistical Product for Service Solutions (SPSS). Results: One hundred and seventy-four girls participated in the study with a mean age of 15.1 years (s.d 1.3). Four-fifth (84.5%) of the girls had pre-menarche exposure to menstrual education, majority using disposable sanitary pads. Only 32.8% always washed their hands before changing soiled pads and 48.9% disposed their soiled pads properly in covered bins. All girls admitted to genital washing during menstruation and majority (80.4%) had the good MHM practice of washing their genitals two or more times daily during menstruation. There was a statistically significant difference (p< 0.05) between the use of sanitary pads when at home and when in school. Pre-menarche menstrual education was statistically significantly associated with the increased frequency of genital washing during menstruation (p< 0.05). Conclusion: Diverse MHM practices exist among adolescent girls, influenced by the pre-menarche exposure to menstrual education. MHM practices are not as optimum. More sensitization to pre-pubertal females should be embarked upon.
The Nigerian Health Journal, 2024
Background: Globally, suicidal behaviour amongst adolescents is a growing public health issue, wh... more Background: Globally, suicidal behaviour amongst adolescents is a growing public health issue, which may result in early death and lifelong stigma. This study aimed to estimate the lifetime and 12-month prevalence of suicidal behaviours and identify patterns and predictors among in-school adolescents in Yenagoa, Bayelsa state. Method: A total of 336 adolescents aged 10-19 years who were attending school were randomly selected for a cross-sectional study. Data was collected through a self-administered questionnaire that had been adapted from the 'suicide section' of the Nigerian version of the Global School-based Health Survey questionnaire. SPSS version 25 was used for analysis, which included univariate, bivariate and multivariate analysis. Result: Lifetime prevalence of suicidal ideation, plan, and attempt were 33.6%, 18.8%, and 11.6% respectively. The 12-month prevalence for suicide plans and attempts was 12.2% and 7.7% of participants respectively. Risk factors identified for suicide behaviour were being female, attending a school exclusively for girls, coming from a polygamous household, feeling alone, hopeless, and sense of being a burden, having been bullied and assaulted in the past; growing up in a troubled environment; having a family history of suicide attempts and having access to means of suicide. Drug abuse (p = 0.027) were associated with increased likelihood of suicidal attempt only. Conclusion: Suicidal behaviour is common among adolescents due to various factors. Early identification is crucial to prevent recurrent tendencies. Collaboration between schools, parents, public health institutions, relevant stakeholders, and Non-Governmental Organisations is necessary to develop comprehensive approaches for timely intervention.
International Journal of Community Medicine and Public Health, 2021
Background: Suicidality is a broad term that encompasses suicidal ideation, suicide plans and sui... more Background: Suicidality is a broad term that encompasses suicidal ideation, suicide plans and suicide attempts. Suicide cuts across all age groups however the young adulthood phase is a critical time for the onset of suicidal behaviours. Often suicide is underreported because of the shame, as such it is a neglected public health problem in our environment. This study seeks to describe the pattern of suicidality and reported health seeking behaviour amongst young people in Bayelsa State. Methods: A descriptive cross-sectional study conducted in the national youth service corps orientation camp, Bayelsa amongst 387 corps members. With the aid of an electronic, self-administered questionnaire adapted from the WHO STEPwise manual on non-communicable diseases; information on socio demographic features, suicide ideation, plan and attempt were obtained. Data was analysed using IBM SPSS version 25.0. Results: The mean age was 25.37 (SD±2.38) years. Most participants were males (58.9%) and single (95.3%). Prevalence of suicidal ideation, plans and attempts was 7.5%, 4.4% and 3.1% respectively. Above one third (35.4%) of those who made suicidal plans in the past 12 months, actually attempted suicide, 4.4% and 2.6% of the respondents had a positive family history of suicide attempt and suicide death respectively. Conclusions: Young adults are a critical population for suicidality. Public health awareness on mental health promotion and uptake of mental health service should be encouraged. Decriminalisation of attempted suicide in Nigeria and better surveillance will enable more effective suicide prevention strategies.
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Papers by Oguche I Obielumani
induced differs among pregnant women. The gestational age correlates with the maturity of the
foetus which in turn plays an important role in the initiation of labour.
Objective: To determine the average gestational age at onset of labour, induction of labour and
Caesarean section at the Federal Medical Centre, Yenagoa, Bayelsa State, Nigeria.
Materials and Methods: This was a five-year retrospective review amongst patients who presented to the labour ward of Federal Medical Centre, Yenagoa in labour between 1st January,
2016 and 31st December, 2020. Data was entered into a pre-designed proforma and analysed
using IBM SPSS version 23.0.
Results: There were 4,571 deliveries in the 5-year period under review. More than half (55.3%) of
the women were in the fourth decade of life, with median age of 31 years (15 – 52 years), about
half (52.3%), of the women were multiparous, while almost a quarter (23.5%) were primiparous.
The modal gestational age for spontaneous onset of labour for all pregnant women was 38 weeks.
Two-third (66.0%) of the women were delivered per vaginam, while the other one-third (34.0%) had
Caesarean section.
Conclusion: The gestational age at onset of labour and delivery is associated with foetal and
maternal outcomes. It is therefore necessary for women to have antennal care and interventions in
pregnancy under qualified healthcare providers, as this will in turn reduce the public health burdens
of large number of preterm deliveries.
young people with potentially far-reaching consequences for their physical, reproductive and mental health. Despite the
rising incidence, there is still a prominent level of under-reporting.
Objectives: To report the experiences of unintentional injury and violent incidents and their gender variations amongst
young adults in Bayelsa state
Methods: A cross-sectional study was conducted amongst 209 randomly selected young adults. Using a self-administered
questionnaire adapted from the WHO STEP-wise Manual on Non-communicable Disease, data on socio-demographic
characteristics and experiences with violence and injury were obtained.
Results: Mean age was 25.7 years; 51.7% were females. In the 12 months preceding the study, about 1 in 3 respondents
had an unintentional injury that required medical attention and 21.5% had been involved in a road traffic accident (RTA).
Most threats were from close relatives and friends. A little over 3 in 5 (64.4%) respondents reported physical abuse, 25.8%
had experienced sexual abuse in childhood and 24.4% experienced sexual abuse as adults; this was higher in females than
males (27.8% vs. 20.7%). Non-RTA injuries were significantly higher (χ2=3.58; p=0.04) in females. Except RTA
injuries/violence, more females than males experienced physical/sexual violence; but with no significant difference
(p>0.05).
Conclusions & Recommendations: A large number of young adults experience varied forms of injury and violence in the
course of life during childhood and adulthood. Females experience these more than males highlighting the need for a genderresponsive
approach in addressing this public health problem.
Keywords: injury; violence; young adults; Southern Nigeria
induced differs among pregnant women. The gestational age correlates with the maturity of the
foetus which in turn plays an important role in the initiation of labour.
Objective: To determine the average gestational age at onset of labour, induction of labour and
Caesarean section at the Federal Medical Centre, Yenagoa, Bayelsa State, Nigeria.
Materials and Methods: This was a five-year retrospective review amongst patients who presented to the labour ward of Federal Medical Centre, Yenagoa in labour between 1st January,
2016 and 31st December, 2020. Data was entered into a pre-designed proforma and analysed
using IBM SPSS version 23.0.
Results: There were 4,571 deliveries in the 5-year period under review. More than half (55.3%) of
the women were in the fourth decade of life, with median age of 31 years (15 – 52 years), about
half (52.3%), of the women were multiparous, while almost a quarter (23.5%) were primiparous.
The modal gestational age for spontaneous onset of labour for all pregnant women was 38 weeks.
Two-third (66.0%) of the women were delivered per vaginam, while the other one-third (34.0%) had
Caesarean section.
Conclusion: The gestational age at onset of labour and delivery is associated with foetal and
maternal outcomes. It is therefore necessary for women to have antennal care and interventions in
pregnancy under qualified healthcare providers, as this will in turn reduce the public health burdens
of large number of preterm deliveries.
young people with potentially far-reaching consequences for their physical, reproductive and mental health. Despite the
rising incidence, there is still a prominent level of under-reporting.
Objectives: To report the experiences of unintentional injury and violent incidents and their gender variations amongst
young adults in Bayelsa state
Methods: A cross-sectional study was conducted amongst 209 randomly selected young adults. Using a self-administered
questionnaire adapted from the WHO STEP-wise Manual on Non-communicable Disease, data on socio-demographic
characteristics and experiences with violence and injury were obtained.
Results: Mean age was 25.7 years; 51.7% were females. In the 12 months preceding the study, about 1 in 3 respondents
had an unintentional injury that required medical attention and 21.5% had been involved in a road traffic accident (RTA).
Most threats were from close relatives and friends. A little over 3 in 5 (64.4%) respondents reported physical abuse, 25.8%
had experienced sexual abuse in childhood and 24.4% experienced sexual abuse as adults; this was higher in females than
males (27.8% vs. 20.7%). Non-RTA injuries were significantly higher (χ2=3.58; p=0.04) in females. Except RTA
injuries/violence, more females than males experienced physical/sexual violence; but with no significant difference
(p>0.05).
Conclusions & Recommendations: A large number of young adults experience varied forms of injury and violence in the
course of life during childhood and adulthood. Females experience these more than males highlighting the need for a genderresponsive
approach in addressing this public health problem.
Keywords: injury; violence; young adults; Southern Nigeria