Skip to content
D

D. A. MacPepple

Publications (10)

Pattern of Obstetric Clinic Attendance, Deliveries and Neonatal Outcome at a Tertiary Hospital during and after a Free Medical Care Programme

P. A. Awoyesuku, D. A. MacPepple, B. O. Altraide, D. H. John & N. J. Kwosah · Journal of Advances in Medicine and Medical Research · 2020

Background: Policies and programs aimed at giving access to healthcare free of charge for some segments of the population are increasingly being put in place by low and middle-income countries. The impact of such policies has so far been rather mixed. Objective: This study sought...

Open access Research Article 10.9734/jammr/2020/v32i230363

Review of Gynaecological Diagnoses and Surgeries Performed at a Tertiary Health Facility in Niger-Delta of Nigeria from 2012-2017: Implications for Healthcare Planning and Budgeting

P. A. Awoyesuku, D. A. MacPepple, B. O. Altraide & D. H. John · Journal of Advances in Medicine and Medical Research · 2020

Background: Gynaecological disorders are a particularly common cause of morbidity and mortality among women of reproductive age and a common cause of hospital presentation/admission and surgery. Objective: This study sought to review gynaecological diagnoses and surgeries perform...

Open access Research Article 10.9734/jammr/2020/v32i230361

Magnitude, Trends and Causes of Maternal Mortality: A 7-year Review at a Tertiary Hospital in Rivers State, Nigeria

P. A. Awoyesuku, D. A. MacPepple & B. O. Altraide · Journal of Advances in Medicine and Medical Research · 2020

Background: Maternal mortality ratios (MMR) are still unacceptably high in many low- and middle-income countries especially in sub-Saharan Africa. Background Data for the causes of maternal deaths are needed to inform policies to improve maternal healthcare and reduce maternal mo...

Open access Research Article 10.9734/jammr/2020/v32i130357

Prevalence and Demographic Correlates of Seropositive HIV and HBsAg Cases among Women Booking for Antenatal Care at the Rivers State University Teaching Hospital, Nigeria

P. A. Awoyesuku, D. A. MacPepple, B. O. Altraide & D. H. John · International Journal of TROPICAL DISEASE & Health · 2019

Background: Infection with hepatitis B (HBV) and human immunodeficiency virus (HIV) are global public health problems. These infections during pregnancy increase the risk of maternal morbidity and mortality, and also pose a risk to the fetus due to mother to child transmission. O...

Open access Research Article 10.9734/ijtdh/2019/v40i130219

Prevalence of Seropositive VDRL Cases amongst Pregnant Women at the Rivers State University Teaching Hospital, Nigeria: Is Routine Screening for Syphilis Using VDRL Still Relevant?

P. A. Awoyesuku, D. A. MacPepple & N. J. Kwosah · Journal of Advances in Medicine and Medical Research · 2019

Background: Untreated maternal syphilis is strongly associated with adverse birth outcomes. The WHO recommends routine serological screening in pregnancy. Some workers have advised a reappraisal of this practice, having demonstrated low seroprevalence in their antenatal populatio...

Open access Research Article 10.9734/jammr/2019/v31i430293

Pattern and Socio-demographic Determinants of Gestational Age at Antenatal Booking at the Rivers State University Teaching Hospital, Nigeria: A Two-Year Review

P. A. Awoyesuku, D. A. MacPepple & N. J. Kwosah · Asian Journal of Pregnancy and Childbirth · 2019

Background: Antenatal care is one of the pillars of the SAFE Motherhood Initiative aimed at preventing adverse pregnancy outcome. Early initiation provides an opportunity for optimum utilization of this care with improved maternal and fetal outcomes. Objective: To determine the p...

Open access Research Article 10.9734/ajpcb/2019/v2i117

Pattern of Referral Cases to the Obstetrics Unit of the Rivers State University Teaching Hospital for Maternal Delivery

P. A. Awoyesuku & D. A. MacPepple · Journal of Advances in Medicine and Medical Research · 2019

Background: Formal education, antenatal care, and improved health services still remain the key to a large-scale reduction in maternal mortality in developing countries. Pregnancy and labour complications are most prevalent among unbooked patients compared to booked patients. Pro...

Open access Research Article 10.9734/jammr/2019/v30i830219

Prevalence of Gestational Diabetes Mellitus and Maternal and Fetal Outcomes at the Rivers State University Teaching Hospital (RSUTH), Port Harcourt, Nigeria

D. H. John, P. A. Awoyesuku, D. A. MacPepple & N. J. Kwosah · Journal of Advances in Medicine and Medical Research · 2020

Background: Gestational diabetes mellitus (GDM) is a common cause of hyperglycaemia in pregnancy accounting for about 90% of all diabetic pregnancies. Women with GDM are at increased risk of maternal and fetal morbidity and mortality which are preventable through early diagnosis...

Open access Research Article 10.9734/jammr/2019/v31i930319

Comparative Effects of Single Agent Rectal Diclofenac versus a Combination of Rectal Diclofenac and Intramuscular Pentazocine, on Post Caesarean Section Pain Relief in a Tertiary Institution in Southern Nigeria

N. J. Kwosah, P. A. Awoyesuku, D. A. MacPepple & D. H. John · Journal of Advances in Medicine and Medical Research · 2019

Background: Caesarean section commonly causes moderate to severe pain in the first 24 hours after surgery with associated discomfort, delayed ambulation, difficulty initiating breastfeeding and prolonged hospital stay. Receiving adequate analgesia after caesarean section is very...

Open access Research Article 10.9734/jammr/2019/v31i230283

Knowledge, Uptake and Barriers to Pap Smear Test among Female Workers in the Rivers State University Teaching Hospital, Nigeria

P. A. Awoyesuku, B. O. A. A. Altraide & D. A. MacPepple · Journal of Advances in Medicine and Medical Research · 2019

Background: Early screening for cervical cancer is a key intervention in reduction of maternal deaths. Health care workers have a significant role to improve cervical cancer screening practice among women. Their attitude and practice to such an issue might positively or negativel...

Open access Research Article 10.9734/jammr/2019/v30i430183