Evidence map›Paper›PMID 25328391›Full record

ArticleTherapeutics and clinical risk management2014

Clinical management and therapeutic outcome of infertile couples in southeast Nigeria.

Ifeanyi E Menuba, Emmanuel O Ugwu, Samuel N Obi, Lucky O Lawani, Chidinma I Onwuka

Open access · goldAbstract read
In one paragraph

Article in Therapeutics and clinical risk management, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.2field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 27 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Ifeanyi E MenubaDepartment of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital, Ituku Ozalla Enugu, Enugu State, Nigeria.
Emmanuel O UgwuDepartment of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital, Ituku Ozalla Enugu, Enugu State, Nigeria.
Samuel N ObiDepartment of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital, Ituku Ozalla Enugu, Enugu State, Nigeria.
Lucky O LawaniSchool of Postgraduate Studies, Department of Community Medicine, University of Nigeria, Enugu Campus, Enugu, Enugu State, Nigeria.
Chidinma I OnwukaDepartment of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital, Ituku Ozalla Enugu, Enugu State, Nigeria.
University of Nigeria Teaching Hospital · NGUniversity of Nigeria · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfertility is highly prevalent in Nigeria and most infertile couples in southeast Nigeria are offered conventional forms of treatment, which consist mainly of ovulation induction and tubal surgery, due to limited availability and high cost of endoscopic and assisted reproductive technologies like laparoscopy and in vitro fertilization. The aim of this study was to determine the prevalence of infertility, outcome of infertility investigation, and the treatment outcome of infertile couples following therapeutic interventions in southeast Nigeria over a 12-month period.

methodsThis was a prospective cross-sectional study of 218 consecutive infertile couples presenting for infertility management at the infertility clinics of two tertiary health institutions in Enugu, southeast Nigeria. Infertility investigations were carried out on these couples using the available conventional diagnostic facilities. Following the results of the investigations/diagnosis, conventional treatment was offered to the couples as appropriate. Data analysis was both descriptive and inferential at 95% confidence level.

resultsThe mean age of the women was 33.5±4.62 (range: 15-49) years. Most (58.3% [n=127]) were nulliparous. The prevalence of infertility was 12.1%. Infertility was primary in 28.4% (n=62) and secondary in 71.6% (n=156). Female etiologic factors were responsible in 32.1% (n=70), male factors in 26.1% (n=57), and a combination of male/female factors in 29.4% (n=64). The etiology was unknown in 12.4% (n=27). Tubal factors 23.8 % (n=52) and ovulation failures 26.1% (n=57) are common female factors implicated. Pregnancy rate following treatment was 16.7% (n=28). Multivariate regression analysis indicates that younger age of ≤30 years, duration of infertility ≤5 years, and female factor infertility were associated with higher pregnancy outcome following treatment.

conclusionThe prevalence of infertility is high and pregnancy rate following conventional treatment is poor. There is a need to improve facilities for managing infertility as well as making artificial reproductive techniques readily available, accessible, and affordable.

Indexed as

assisted conceptioninfertilityIVFpregnancyreproductiontreatment

Identifiers

PMID25328391
PMCPMC4199567
OpenAlexW2030837151

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.