Beliefs, perceptions, and views of pregnant women about cesarean section and reproductive decision-making in a specialist health facility in Enugu, Southeast Nigeria

Ezeome, IV; Ezugworie, JO; Udealor, PC

doi:10.4103/njcp.njcp_413_16

Cited by 14 publications

(7 citation statements)

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“…Caesarean section describes the delivery of a foetus through a surgical incision made in the anterior uterine wall. 1 Medical advancement has transformed this technique into one with a very low risk of maternal mortality. 1,2 It has become the most common major obstetric surgical procedure performed worldwide, constituting about 25% of all deliveries in many countries.…”

Section: Introductionmentioning

confidence: 99%

“…1 Medical advancement has transformed this technique into one with a very low risk of maternal mortality. 1,2 It has become the most common major obstetric surgical procedure performed worldwide, constituting about 25% of all deliveries in many countries. 3,4 Delivery by caesarean section is associated with a 5-to 20-fold greater risk of postpartum infections, ranging from endometritis to urinary tract infection and wound infection, compared with vaginal delivery.…”

Section: Introductionmentioning

confidence: 99%

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Single-dose versus multiple-dose antibiotics prophylaxis for preventing caesarean section postpartum infections: A randomized controlled trial

Igwemadu

Eleje

Eno

et al. 2022

Womens Health (Lond Engl)

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Background: Caesarean section, a common obstetric surgical procedure, is a major predisposing factor for puerperal infections, requiring the need for antibiotic prophylaxis. Evidence suggests that single-dose antibiotic prophylaxis has comparable efficacy to multiple-dose antibiotic prophylaxis, but with a lower cost and risk of antibiotic resistance. However, single-dose antibiotic prophylaxis after caesarean section is not generally used in many centres in sub-Saharan Africa. Objective: This study aimed to compare the effectiveness of single- versus multiple-dose antibiotic prophylaxis to prevent post-caesarean section infections. Methodology: This open-label, randomized controlled trial involved 162 consenting patients admitted for caesarean section (elective or emergency) at the Federal Medical Centre Keffi. They were distributed randomly into treatment arm A or B. Subjects in both arms received intravenous ceftriaxone (1 g) and metronidazole (500 mg) 30–60 min before incision; subjects in arm B received additional parenteral doses for 48 h and then cefuroxime 500 mg tablets every 12 h and metronidazole 400 mg tablets every 8 h for 5 days. The patients were monitored for 2 weeks for evidence of wound infection, febrile morbidity and clinical endometritis. Result: There was no statistical difference in the incidence of wound infection (6.6% versus 7.4%; p = .882) and febrile morbidity (11.8% versus 11.1%, p = .807). However, clinical endometritis (0.0% versus 6.1%, p = .028) was statistically significant with none reported in the single-dose arm. Conclusion: Single-dose ceftriaxone and metronidazole is as effective as multiple doses for antibiotic prophylaxis to prevent post-caesarean section infections. Adoption of this approach in low-risk patients would reduce the cost of prophylactic antibiotics, workload for staff and antibiotic resistance.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Single-dose versus multiple-dose antibiotics prophylaxis for preventing caesarean section postpartum infections: A randomized controlled trial

Igwemadu

Eleje

Eno

et al. 2022

Womens Health (Lond Engl)

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“…This is highlighted in the context of the Democratic Republic of Congo (DRC), where high rates of emergency CS have been reported after women attempt to labor at home despite counseling about risks associated with TOLA2C. 13 Cultural influences, such as negative perceptions of CS as a failure of the mother, 14 a lack of awareness of the importance of CS, and socioeconomic status are factors that may contribute to these high rates of emergency CS. 14,15 To date, available studies on TOLA2C document experiences from medium-and high-resource countries.…”

Section: Introductionmentioning

confidence: 99%

“…13 Cultural influences, such as negative perceptions of CS as a failure of the mother, 14 a lack of awareness of the importance of CS, and socioeconomic status are factors that may contribute to these high rates of emergency CS. 14,15 To date, available studies on TOLA2C document experiences from medium-and high-resource countries. The objective of this study is to determine the success rate of TOLA2C and factors associated with successful VBA2C and to document complications in the lowresource setting of DRC.…”

Section: Introductionmentioning

confidence: 99%

Experience on trial of labor and vaginal delivery after two previous cesarean sections: A cohort study from a limited‐resource setting

Maroyi

Nyakio

Buhendwa

et al. 2023

Intl J Gynecology & Obste

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Objective: To determine the success rate of trial of labor after two cesarean sections (TOLA2C) in the low-resource setting of the Democratic Republic of Congo (DRC) and to describe factors associated with success and related complications. Methods: A prospective cohort study was conducted from 2015 to 2020 in a teaching hospital. Patients who underwent TOLA2C were followed across prenatal visits, onset of spontaneous labor, and delivery. Demographics and clinical characteristics How to cite this article: Maroyi R, Nyakio O, Buhendwa C, et al. Experience on trial of labor and vaginal delivery after two previous cesarean sections: A cohort study from a limited-resource setting.

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“…The Billing's Ovulation Method (BOM) represent a huge aspect of Natural family planning method among the league of family planning methods due to it "easy-to-adopt style" which requires nothing more than the observation of mucus sign at some period of the month known as the ovulation period in order to abstain from sexual intercourse. The Billing's Ovulation method is a natural method of fertility management which requires women to recognize their body's natural signal of fertility through cervical mucus 4 It is not surprising that the knowledge of BOM is limited in Africa and as such, the need to raise awareness of its adoptability among married couples speci cally in Nigeria remains an urgent task for demographers, government and stakeholders alike 5 . In Nigeria, there is no doubt about the high level of awareness of family planning method especially the modern family planning methods 6 .…”

Section: Introductionmentioning

confidence: 99%

Knowledge and Perceptions of the Billing’s Ovulation Method of Natural Family Planning Among Married Women in Lagos, Nigeria

Abdullateef,

Abdulganiyu

2023

Preprint

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Background Based on existing literature, it was observed that modern contraceptives are the most widely used family planning methods in Nigeria, and that they have serious side effects for their users. Despite these effects, women of reproductive age have made little or no effort to embrace Billing's ovulation as an alternative family planning method. In order to better understand the dynamics surrounding the adoption of Billing's ovulation method, this study examined the knowledge, perceived effectiveness, and spousal attitude toward the use of Billing's ovulation as a method of natural family planning among married women in Lagos metropolis. Method To accomplish this, a pure qualitative methodological approach was used, with in-depth interviews (IDI) used to collect qualitative data from (20) married women. Manual content analysis was used to analyze the collected data. Results Findings showed that; high level of knowledge and awareness of BOM, positive perceptions of its efficacy, and a favorable spousal attitude toward BOM are indicators of the rate at which married women in Lagos metropolis use the Billing's ovulation method as their preferred family planning alternative. Conclusion The study then recommends that a rigorous sensitization program based on door-to-door intervention be launched to educate married women in Lagos metropolis on the need for Natural family planning as an alternative family planning method, particularly BOM, while teaching them the procedures and techniques in order to increase people's access to natural family planning.

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Beliefs, perceptions, and views of pregnant women about cesarean section and reproductive decision-making in a specialist health facility in Enugu, Southeast Nigeria

Cited by 14 publications

References 0 publications

Single-dose versus multiple-dose antibiotics prophylaxis for preventing caesarean section postpartum infections: A randomized controlled trial

Single-dose versus multiple-dose antibiotics prophylaxis for preventing caesarean section postpartum infections: A randomized controlled trial

Experience on trial of labor and vaginal delivery after two previous cesarean sections: A cohort study from a limited‐resource setting

Knowledge and Perceptions of the Billing’s Ovulation Method of Natural Family Planning Among Married Women in Lagos, Nigeria

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