Determinants and effects of sexual exploitation among female students of tertiary institutions in Rivers State

Barinua K. Gbaranor; Justice Ohaka; Lebara L. Barinadaa; Williams A. Mube; Abiye Tamuno-Opubo; Famba Famba D.; Ijeoma N. Amadi; Sam E. Kinako; Austin-Asomeji I.; Eunice I. Oriji; Felicia U. Edward; Sokolo J. E. E.; Gloria N. Nwosu

doi:10.18203/2320-1770.ijrcog20230777

Authors

Barinua K. Gbaranor Department of Human, College of Medical Science, Rivers State University, Port Harcourt, Nigeria
Justice Ohaka Department of Community Medicine, College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria
Lebara L. Barinadaa Department of Obstetrics and Gynaecology, College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria
Williams A. Mube Department of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria
Abiye Tamuno-Opubo Department of Human Physiology, College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria
Famba Famba D. Department of Family Medicine, College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria
Ijeoma N. Amadi Department of Paediatrics, College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria
Sam E. Kinako Department of Anatomical Pathology, College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria
Austin-Asomeji I. Department of Community Medicine, College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria
Eunice I. Oriji Department of Human, College of Medical Science, Rivers State University, Port Harcourt, Nigeria
Felicia U. Edward Department of Pharmacology and Therapeutics, College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria
Sokolo J. E. E. Department of Family Medicine, College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria
Gloria N. Nwosu Department of Paediatrics, College of Medical Sciences, Rivers State University, Port Harcourt, Nigeria

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20230777

Keywords:

Sexual exploitation, Students, Effects, Female

Abstract

Background: Labor induction methods are continuously evolving to ensure safer and more effective outcomes for both mother and neonate. The present study aimed to assess the effectiveness and safety of combined use of misoprostol with intracervical catheter for labor induction.

Methods: This single-blinded, parallel-group randomized control trial conducted at Shaheed Suhrawardy Medical College, Dhaka, Bangladesh, included 200 women with term gestation and Bishop score ≤6. Participants were divided into two groups: the intervention group (group B) received misoprostol juice and Foley’s catheter, while the control group (group A) received misoprostol in the posterior fornix.

Results: In Group A, 58% had vaginal deliveries, while in Group B, 65% had vaginal deliveries. Group B experienced a longer mean length of labor in the 1st stage (13.25±1.095) compared to Group A (12.98±1.982, p=0.008). The 3rd stage was shorter for Group B (10.00±0.000) than Group A (12.02±2.469, p<0.001). The most common induction reason was labor pain with an unfavorable cervix (31 in Group A and 33 in Group B). Group B had a higher percentage of inductions at less than 12 hours and a lower percentage at more than 24 hours. Neonatal outcomes were generally better for Group B. The Cox regression hazard model showed a lower likelihood of positive outcomes in Group B (hazard ratio 0.337, 95% CI 0.243-0.469, p=0.000), indicating a statistically significant difference between the groups.

Conclusions: The combined use of misoprostol with Foley’s catheter for labor induction is safe and effective, resulting in shorter labor duration and higher rates of vaginal delivery compared to misoprostol alone.

Metrics

Metrics Loading ...

References

The joint Save the Children UK / UNHCR assessment report on sexual exploitation and abuse (SEA) in West Africa (2002). Introduction to Sexual Exploitation and Abuse. Available from: https://pseataskforce.org/uploads/tools/1329320411.pdf. Accessed on 2 November 2022.

Chen X, Tyler KA, Whitbeck LB, Hoyt DR. Early sexual abuse, street adversity, and drug use among female homeless and runaway adolescents in the Midwest. J Drug Issues. 2004;34(1):1-21.

Monteleone JA, Brodeur AE, eds. Child maltreatment: a clinical guide and reference. St. Louis: Whaley Medical Publishing; 1998.

Dzimadzi R, Klopper H. Knowledge of sexual abuse amongst female students in Malawi. Curationis. 2007;30(3):23-30.

Geidam AD, Njoku AE, Bako B. Prevalence and nature of sexual assault among female students in a tertiary institution in Maiduguri, Nigeria- a cross sectional study. Int J Health Res. 2010;3(4):199-203.

Bonnar-Kidd, K. Sexual offender laws and prevention of sexual violence or recidivism. Am J Pub Health. 2010;100(3):412-9.

Micheal CL, Jessica SL, Halfin VP. Domestic Violence and Sexual Assault. In: Decherney AH (Ed). Current Diagnosis and treatment. 10th edn. NewYork: McGraw Hills Publishers; 2007:1025-1030.

Delahunta E, Baram DA. Sexual Assault. Clin Obstet Gynecol. 1997;40(3):648-60.

Ekabua JE, Agan Tu, Iklaki CU, Ekanem El, Itam IH, Ogaji DS. Trauma related to sexual assault in Calabar, South Eastern Nigeria. Niger J Med. 2006;15(1):72-4.

Petter LM, Whitehill DL. Management of female sexual assault. Am Fam Phys. 1998;58(4):929.

Dunn SF, Gilchrist VJ. Sexual assault. Prim Care. 1993;20:359-73.

Selase GR, Mawuli Q. The impact of indecent dressing on the academic performance of students in tertiary institutions, a case study of Ho Polytechnic in Ghana. J Educ Pract. 2013;4(18).