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Item
Open Access
"The Paediatric Dentist: Building Healthy Smiles from the Womb"
(University of Lagos Press and Bookshop Limited, 2025-09-10) Orenuga, O.O.
This inaugural lecture, The Paediatric Dentist: Building Healthy Smiles from the Womb, delivered by Professor Omolola Olubunmi Orenuga at the University of Lagos, addresses the expanding scope of paediatric dentistry as both a clinical and public health discipline. The lecture underscores the central role of the paediatric dentist in safeguarding oral health beginning in utero, where maternal well-being, nutrition, and oral hygiene significantly influence foetal and infant outcomes. Professor Orenuga highlights evidence linking maternal oral infections with adverse perinatal conditions and childhood caries, thereby situating paediatric dentistry within the broader discourse on maternal and child health. The presentation further examines preventive strategies, including anticipatory guidance, early risk assessment, and culturally appropriate health promotion, emphasizing their long-term impact on reducing oral health inequalities. Drawing on both local and global perspectives, it illustrates how paediatric dentists function not only as clinicians but also as educators, researchers, and advocates for health equity. A strong call is made for multidisciplinary collaboration—between dentists, physicians, nurses, policymakers, and caregivers—to establish a continuum of care that bridges clinical practice with public health imperatives. This editorial notes that the lecture contributes significantly to contemporary debates on oral health policy, equity, and sustainability in healthcare systems, particularly in low- and middle-income countries. By framing oral health as a vital component of child development, Professor Orenuga advances an agenda that positions paediatric dentistry as indispensable to holistic health.
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Open Access
Expanding access to maternal health services for pregnant adolescent girls
(2021-12) Okaga, S.K.; Momah-Haruna, A.P.; Iwayemi, V.V; Balogun, T.K.; Odeseye, A.; Ayanbadejo, J.O.; Adelakin, O.; Omosehin, O.
A significant proportion of pregnant adolescent girls do not seek appropriate care during pregnancy because antenatal care services are ill-adapted to their age-group. To bridge this gap, the Lagos State Government established a “Young Moms Clinic” where antenatal care services uniquely tailored to the needs of pregnant adolescents was piloted for six months. During this period, 106 pregnant adolescent girls enrolled in the clinic and 98% of them completed the minimum four ANC visits required of them. In addition, they acquired knowledge on newborn care, sexual reproductive health and were either re-integrated back to school or empowered with income-generating skills following delivery. In this regard, the Young Mom’s Clinic is a promising approach to meet the needs of pregnant adolescent girls as it expanded their access to the type of specialized care not readily accessible to them within public health facilities. (Afr J Reprod Health 2021; 25[6]: 15-19).
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Open Access
Fetal Congenital Anomaly in Tertiary Hospital in Lagos, South-West Nigeria: A Review of Presentation and its Outcome
(2019) Osanyin, G.E.; Odeseye, A.; Okojie, O.O.; Akinajo, O.R.; Okusanya, B.O.
Background: Congenital Anomalies are a major contributor to perinatal deaths worldwide. The World Health Organization (WHO) estimates that 303,000 newborns die within the first 4 weeks of life worldwide as a result of it. The exact cause is often difficult to determine and as such efforts are geared towards prevention AIM AND OBJECTIVE: This study was done to determine the common presentations as well as epidemiological features of pregnant women with anomalous fetus and at the Lagos University Teaching Hospital. This may help to develop strategies for patient counseling and management. Method: This study is a retrospective, cross sectional hospital based study conducted at the department of Obstetrics and Gyneacology of the Lagos University Teaching Hospita,l Idi-Araba during the period Jan 2012-Dec 2016. Relevant information regarding maternal age, parity, gestational age and pregnancy outcomes was documented from the delivery records of the mothers. Results: One hundred (100) babies out of the total of 5,747 babies within the period under study were born with congenital anomalies giving a prevalence rate of 1.7% at the Lagos University Teaching Hospital. The commonest congenital anomaly seen was hydrocephalus, others were omphalocele, anorectal anomalies and multiple congenital anomalies (in particular neural tube defects coexisting with various forms of limb defects). Conclusions: Public awareness of the importance of preconceptional care, elimination of environmental risk factors as well as provision of prenatal diagnostic facilities and improvement of antenatal care are of great benefit in early detection and management of congenital anomalies.
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Open Access
Uterine rupture at Lagos University Teaching Hospital
(WOLTERS KLUWER - MEDKNOW, 2017-01) Adegbola, O.; Odeseye, A
Background: Uterine rupture remains a major life‐threatening obstetric disaster encountered in many developing countries and is associated with a high maternal and perinatal mortality and morbidity. Objectives: The objective of this study was to determine the incidence, associated risk factors, trend, clinical presentation, management as well as maternal and fetal outcome of uterine rupture at the Lagos University Teaching Hospital (LUTH), Lagos, Nigeria. Materials and Methods: This was a retrospective study of patients with uterine rupture at the LUTH, Idi‐Araba, Lagos, Nigeria, from June 1, 2005 to May 31, 2013. The case records of patients in this period were retrieved from the medical health records department. The relevant data of sociodemographic characteristics, clinical presentation, management as well as maternal and perinatal outcome were collated using a structured questionnaire. Results: Of the 13,138 deliveries during the study period, there were eighty cases of uterine rupture giving a hospital incidence of 6.1/1000 deliveries. Patients with parities of 1 (28.36%) and 2 (38.81%) were identified to be at higher risk of uterine rupture. Previous caesarean section (46.28%), obstructed labor (26.87%), and injudicious use of oxytocin (16.42%) were the common associated factors. Rupture along previous anterior scar was the most common site affected in 32.84%; repair with bilateral tubal ligation was the surgical procedure in most of the cases (47.76%). The case fatality rate for ruptured uterus was 11.94% for the mothers and the perinatal mortality rate of 791/1000 babies. Conclusion: Uterine rupture is a major cause of maternal and perinatal death in Lagos, Nigeria.
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Open Access
Expanding access to maternal health services for pregnant adolescent girls
(African Journal of Reproductive Health December, 2021-12) Okaga, S.K.; Momah-Haruna, A.P.; Iwayemi, V.V; Balogun, T.K.; Odeseye, A.; Ayanbadejo, J.O.; Adelakin, O.; Omosehin, O.
A significant proportion of pregnant adolescent girls do not seek appropriate care during pregnancy because antenatal care services are ill-adapted to their age-group. To bridge this gap, the Lagos State Government established a “Young Moms Clinic” where antenatal care services uniquely tailored to the needs of pregnant adolescents was piloted for six months. During this period, 106 pregnant adolescent girls enrolled in the clinic and 98% of them completed the minimum four ANC visits required of them. In addition, they acquired knowledge on newborn care, sexual reproductive health and were either re-integrated back to school or empowered with income-generating skills following delivery. In this regard, the Young Mom’s Clinic is a promising approach to meet the needs of pregnant adolescent girls as it expanded their access to the type of specialized care not readily accessible to them within public health facilities. (Afr J Reprod Health 2021; 25[6]: 15-19).