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  1. Article ; Online: Should obstetric mortality be an inalienable right?

    Badejoko, Olusegun Olalekan / Awowole, Ibraheem Olayemi / Ubom, Akaninyene Eseme / Olayemi, Olaniyi Joseph

    Postgraduate medical journal

    2024  

    Abstract: Background: Obstetricians often times find themselves in a conflict of right and duty with their patients, when these patients refuse recommended treatment. On the one hand, the obstetrician, aiming to fulfil the duty of care, recommends a treatment in ... ...

    Abstract Background: Obstetricians often times find themselves in a conflict of right and duty with their patients, when these patients refuse recommended treatment. On the one hand, the obstetrician, aiming to fulfil the duty of care, recommends a treatment in the best interest of the woman. The woman, on the other hand, exercising her right of self-determination and autonomy, declines the recommended treatment.
    Materials and methods: A search was conducted for literature, articles and case reports on the subject on PubMed/MEDLINE and Google Scholar using the keywords: medical ethics, medical law, obstetric mortality, maternal medicine, foetal medicine, patient autonomy, informed consent, right to life and right to liberty.
    Results: Opinions have historically differed on whether maternal or foetal rights should be deferred to in situations where pregnant women refuse obstetric interventions. So also have legal decisions on the issue. The general consensus is, however, to respect a woman's refusal of recommended medical treatment, in deference to her right of self-determination and autonomy. The obstetric outcomes in such instances are however, often times, unfavourable.
    Conclusion: The ethics of patient care in the face of conflicting rights deserves renewed examination and discourse.
    Language English
    Publishing date 2024-04-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 80325-x
    ISSN 1469-0756 ; 0032-5473
    ISSN (online) 1469-0756
    ISSN 0032-5473
    DOI 10.1093/postmj/qgae042
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  2. Article: A global study on knowledge and perception of HPV and HPV vaccination among young obstetricians and gynecologists.

    Topçu, Elif Göknur / Ubom, Akaninyene Eseme / Roy, Priyankur / Ruiloba, Francisco

    Turkish journal of obstetrics and gynecology

    2024  Volume 21, Issue 1, Page(s) 51–56

    Abstract: Objective: Our goal is to improve the understanding of human papillomavirus (HPV) and its vaccination among obstetrics and gynecology trainees and young specialists worldwide.: Materials and methods: This cross-sectional study was conducted through ... ...

    Abstract Objective: Our goal is to improve the understanding of human papillomavirus (HPV) and its vaccination among obstetrics and gynecology trainees and young specialists worldwide.
    Materials and methods: This cross-sectional study was conducted through an online survey consisting of 28 questions by the World Association of Trainees in Obstetrics and Gynecology between February and August 2023. The questionnaire collected demographic data of the study participants and assessed the respondents' knowledge and perception of HPV, HPV vaccines, and vaccine dosing schedule.
    Results: Two hundred five Ob/Gyn trainees and young Ob/Gyns from 52 countries completed the survey. The majority of respondents were trainees (158, 77.1%). Most trainees and young Ob/Gyns learned about HPV for the first time during medical school (149, 72.6%). Almost all (204, 99.5%) Ob/Gyns responded that HPV was sexually transmitted. More than half of the respondents had not received HPV vaccination (110, 53.7%). The vaccine was recommended for respondents mostly by their Ob/Gyn senior colleagues (110, 53.7%). Most of the respondents knew how to manage HPV-positive patients (179, 87.3%).
    Conclusion: This study suggests that even though knowledge on HPV and its vaccination is satisfactory among trainees and young Ob/Gyns, HPV vaccination remains deficient. There is a need to understand, educate, and address the potential problem that lies underneath.
    Language English
    Publishing date 2024-03-03
    Publishing country Turkey
    Document type Journal Article
    ISSN 2149-9322
    ISSN 2149-9322
    DOI 10.4274/tjod.galenos.2024.31369
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  3. Article ; Online: Open access publication of obstetrics and gynecology research in Africa: A dalliance between poverty and paywalls.

    Ubom, Akaninyene Eseme / Mbiiza, Christabel Mweene / Topcu, Elif Goknur

    International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

    2023  Volume 163, Issue 1, Page(s) 321–322

    MeSH term(s) Pregnancy ; Female ; Humans ; Access to Information ; Obstetrics ; Gynecology ; Africa ; Poverty
    Language English
    Publishing date 2023-06-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80149-5
    ISSN 1879-3479 ; 0020-7292
    ISSN (online) 1879-3479
    ISSN 0020-7292
    DOI 10.1002/ijgo.14976
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  4. Article ; Online: FIGO good practice recommendations for preterm labor and preterm prelabor rupture of membranes: Prep-for-Labor triage to minimize risks and maximize favorable outcomes.

    Ubom, Akaninyene Eseme / Vatish, Manu / Barnea, Eytan R

    International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

    2023  Volume 163 Suppl 2, Page(s) 40–50

    Abstract: Preterm labor occurs in around 10% of pregnancies worldwide. Once diagnosed, significant efforts must be made to reduce the likelihood of morbidity and mortality associated with preterm birth. In high-resource settings, access to hospitals with a ... ...

    Abstract Preterm labor occurs in around 10% of pregnancies worldwide. Once diagnosed, significant efforts must be made to reduce the likelihood of morbidity and mortality associated with preterm birth. In high-resource settings, access to hospitals with a neonatal intensive care unit (NICU) is readily available, whereas access to NICU care is limited in low- and middle-income countries (LMICs) and many rural settings. Use of FIGO's Prep-for-Labor triage method rapidly identifies low- and high-risk patients with preterm labor to enable clinicians to decide whether the patient can be managed on site or if transfer to a level II-IV facility is needed. The management steps described in this paper aim to minimize the morbidity and mortality associated with preterm labor and in the setting of preterm labor with preterm premature rupture of membranes (PPROM). The methods for accurate diagnosis of PPROM and chorioamnionitis are described. When the risk of preterm birth is high, antenatal corticosteroids should be administered for lung maturation combined with limited tocolysis for 48 hours to permit the corticosteroid course to be completed. Magnesium sulfate is also administered for fetal neuroprotection. Implementation of FIGO's Prep-for-Labor triage method in an LMIC setting will help improve maternal and neonatal outcomes.
    MeSH term(s) Pregnancy ; Infant, Newborn ; Humans ; Female ; Premature Birth/prevention & control ; Triage ; Obstetric Labor, Premature/diagnosis ; Obstetric Labor, Premature/prevention & control ; Fetal Membranes, Premature Rupture/diagnosis ; Fetal Membranes, Premature Rupture/therapy ; Adrenal Cortex Hormones/therapeutic use
    Chemical Substances Adrenal Cortex Hormones
    Language English
    Publishing date 2023-10-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80149-5
    ISSN 1879-3479 ; 0020-7292
    ISSN (online) 1879-3479
    ISSN 0020-7292
    DOI 10.1002/ijgo.15113
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  5. Article ; Online: FIGO good practice recommendations for cesarean delivery on maternal request: Challenges for medical staff and families.

    Ramasauskaite, Diana / Nassar, Anwar / Ubom, Akaninyene Eseme / Nicholson, Wanda

    International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

    2023  Volume 163 Suppl 2, Page(s) 10–20

    Abstract: Elective cesarean delivery on maternal request is a challenging topic of discussion for patients, their families, and clinicians. Efforts to reduce the rate of cesarean deliveries should include the proportion of cesarean deliveries at term that occur ... ...

    Abstract Elective cesarean delivery on maternal request is a challenging topic of discussion for patients, their families, and clinicians. Efforts to reduce the rate of cesarean deliveries should include the proportion of cesarean deliveries at term that occur solely due to maternal request rather than a maternal or fetal indication. Additionally, clinicians should follow good clinical practice, which includes family counseling, discussions on the benefits and potential risks of elective cesarean delivery, timing of delivery, and ethical and legal considerations. Furthermore, there is the need for a sustained workforce of perinatal clinicians and staff trained in the appropriate technique and management of operative complications. This article reviews global rates of elective cesarean on maternal request and outlines FIGO's good practice recommendations for counseling expectant mothers and the conduct of elective cesarean versus vaginal delivery.
    MeSH term(s) Female ; Humans ; Pregnancy ; Cesarean Section ; Counseling ; Delivery, Obstetric ; Medical Staff ; Prenatal Care ; Evidence-Based Practice ; Practice Guidelines as Topic
    Language English
    Publishing date 2023-10-08
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 80149-5
    ISSN 1879-3479 ; 0020-7292
    ISSN (online) 1879-3479
    ISSN 0020-7292
    DOI 10.1002/ijgo.15118
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  6. Article ; Online: FIGO opinion paper: Drivers and solutions to the cesarean delivery epidemic with emphasis on the increasing rates in Africa and Southeastern Europe.

    Visser, Gerard H A / Ubom, Akaninyene Eseme / Neji, Khaled / Nassar, Anwar / Jacobsson, Bo / Nicholson, Wanda

    International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

    2023  Volume 163 Suppl 2, Page(s) 5–9

    Abstract: Cesarean delivery rates are rapidly increasing in Southeastern Europe (to more than 60%), North Africa (with a rate as high as 72% in Egypt), and in urban areas in Southern Africa (a rate of over 50% in Lagos, Nigeria). Data on the background to these ... ...

    Abstract Cesarean delivery rates are rapidly increasing in Southeastern Europe (to more than 60%), North Africa (with a rate as high as 72% in Egypt), and in urban areas in Southern Africa (a rate of over 50% in Lagos, Nigeria). Data on the background to these increases are scarce, but likely to include poor birthing facilities in general hospitals, convenience for the doctor, private medicine, fear of litigation, socioeconomic status, shortage of midwives and nurses, and disappearance of vaginal instrumental deliveries. Options to reverse cesarean delivery trends are discussed. In this context there is a need to be better informed about how women are being counseled regarding vaginal or cesarean delivery. The long-term consequences in subsequent pregnancies for mothers and children may well be largely ignored, while these risks are highest in LMICs where higher birth numbers are desired. FIGO has begun discussions with obstetric and gynecologic societies, healthcare bodies, and governments in several countries discussed in this article, to find ways to lower the cesarean delivery rate. The requests came from the countries themselves, which may prove beneficial in helping advance progress.
    MeSH term(s) Pregnancy ; Child ; Female ; Humans ; Nigeria ; Cesarean Section ; Delivery, Obstetric ; Delivery of Health Care ; Europe
    Language English
    Publishing date 2023-10-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80149-5
    ISSN 1879-3479 ; 0020-7292
    ISSN (online) 1879-3479
    ISSN 0020-7292
    DOI 10.1002/ijgo.15111
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  7. Article ; Online: We Asked the Experts: The Tropical Surgeon: Everywhere in Chains But Not Imprisoned.

    Ubom, Akaninyene Eseme / Sowemimo, Oluwaseun Oludotun / Ng'ayu, Nyawira Wahome

    World journal of surgery

    2022  Volume 46, Issue 3, Page(s) 473–475

    MeSH term(s) Humans ; Surgeons
    Language English
    Publishing date 2022-01-07
    Publishing country United States
    Document type Editorial
    ZDB-ID 224043-9
    ISSN 1432-2323 ; 0364-2313
    ISSN (online) 1432-2323
    ISSN 0364-2313
    DOI 10.1007/s00268-021-06396-7
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  8. Article ; Online: We Asked the Experts: Use of Gendered Titles by Surgeons-A Boon or Bane?

    Ubom, Akaninyene Eseme / Adeyemo, Adekunle / Adesunkanmi, AbdulHafiz Oladapo

    World journal of surgery

    2021  Volume 46, Issue 2, Page(s) 337–338

    MeSH term(s) Humans ; Surgeons
    Language English
    Publishing date 2021-10-20
    Publishing country United States
    Document type Editorial
    ZDB-ID 224043-9
    ISSN 1432-2323 ; 0364-2313
    ISSN (online) 1432-2323
    ISSN 0364-2313
    DOI 10.1007/s00268-021-06349-0
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  9. Article ; Online: COVID-19: the implications and consequences of prolonged lockdown and COVID-19 vaccine cost in a low-middle income country.

    Ubom, Akaninyene Eseme / Ijarotimi, Omotade Adebimpe / Nyeche, Solomon / Ikimalo, John Igemo

    The Pan African medical journal

    2021  Volume 39, Page(s) 48

    Abstract: Lockdowns and just recently, the COVID-19 vaccines, are amongst the disease containment measures instituted globally to check the spread of COVID-19. Prolonged lockdowns are however, not sustainable in low resource economies like Nigeria, where up to 70% ...

    Abstract Lockdowns and just recently, the COVID-19 vaccines, are amongst the disease containment measures instituted globally to check the spread of COVID-19. Prolonged lockdowns are however, not sustainable in low resource economies like Nigeria, where up to 70% of her population live on less than a dollar a day, with the majority, either unemployed, or working in the private/informal sector and depending on daily earnings for survival. If the lockdown remains sustained, it would not be long before the largely poor citizens starve to death. Also, spending over US $3.9 billion on COVID-19 vaccines for more than 200 million Nigerians, as intended by the Nigerian government, is not plausible, given that neglected tropical diseases (NTDs) like Lassa fever, and other more common causes of morbidity and mortality, continue to kill more Nigerians than COVID-19. Public enlightenment of the populace on the need to strictly adhere to non-pharmacologic preventive measures, including social distancing, use of face masks, good personal hygiene, covering of the mouth and nose when coughing and sneezing, frequent hand washing and sanitizing with alcohol-based hand-sanitizers and disinfection of surfaces, is what is sustainable, feasible and compatible with the economic reality in our setting. As Sir Robert Hutchison, the highly revered doyen of medicine, wrote in his petition over 85 years ago, "And from making the cure of the disease more grievous than the endurance of the same, Good Lord, deliver us", we must be careful not to make the cure of COVID-19 worse than COVID-19 itself.
    MeSH term(s) COVID-19/economics ; COVID-19/prevention & control ; COVID-19 Vaccines/administration & dosage ; COVID-19 Vaccines/economics ; Communicable Disease Control/methods ; Developing Countries ; Humans ; Hygiene/standards ; Masks ; Nigeria ; Physical Distancing
    Chemical Substances COVID-19 Vaccines
    Language English
    Publishing date 2021-05-19
    Publishing country Uganda
    Document type Journal Article
    ZDB-ID 2514347-5
    ISSN 1937-8688 ; 1937-8688
    ISSN (online) 1937-8688
    ISSN 1937-8688
    DOI 10.11604/pamj.2021.39.48.27674
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  10. Article ; Online: Ovarian torsion-detorsion in a 10-year premenarchial female with chronic recurrent abdominal pain misdiagnosed as 'ama-afo' in a suburb: A case report.

    Igbodike, Emeka Philip / Iwuala, Ijeoma Chinyere / Maduako, Rita Obiageli / Eleje, George Uchenna / Akinjo, Andrea Oludapo / Ubom, Akaninyene Eseme / Ikechebelu, Joseph Ifeanyichukwu / Onwudiegwu, Uchenna / Anunobi, Charles Chidozie

    International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

    2024  

    Language English
    Publishing date 2024-03-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80149-5
    ISSN 1879-3479 ; 0020-7292
    ISSN (online) 1879-3479
    ISSN 0020-7292
    DOI 10.1002/ijgo.15460
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