Birth preparedness, utilization of skilled birth attendants and delivery outcomes among pregnant women in Ogun State, Nigeria

Abstract

INTRODUCTION Birth preparedness and complication readiness (BPCR) is an approach initiated to facilitate utilization of skill birth attendants (SBAs) for improved pregnancy outcomes. Despite its usefulness, many women still did not use skilled birth attendants. The purpose of this study is to assess the level of birth preparedness and complication readiness and its association with skilled birth attendants’ utilization. METHODS A descriptive sequential mixed methods design was used. In all, 350 women in their third trimester were purposively selected from healthcare facilities. Of these, 340 completed the study yielding a 97% response rate. Structured interviewer-administered questionnaire, a checklist and an in-depth interview guide were used to collect data. Data analysis was done in Statistical Package for Social Sciences version 20 using descriptive and inferential statistics at 0.05 level of significance while qualitative data were analyzed through content analysis. RESULTS There was a significant association between level of birth preparedness and complication readiness and use of skilled birth attendants [χ 2 (2, 340)=19.96; p=0.0001]. Some negative delivery outcomes (complications) were significantly associated with nonutilization of skill birth attendants. Cost, family members’ preference, distance, industrial action and irritation from the vaginal examination were factors that prevented women from using a skilled birth attendant. CONCLUSIONS The study concluded that BPCR is significantly associated with the use of SBAs and better outcomes were observed in women that used SBAs in Nigeria.

Multivariate decomposition of trends, inequalities and predictors of skilled birth attendants utilisation in Nigeria (1990–2018): a cross-sectional analysis of change drivers

“…This was in agreement with the findings of a study in northern Nigeria 27 but in consonance with another study in southern Nigeria. 14 Similarly, trends in SBA use were insignificant at higher birth orders but significant for lower birth orders. Trends in SBA use was also significant among women with adequate ANC visit and when both respondent and spouse decide on the woman's healthcare.…”

Coverage-level and predictors of maternity continuum of care in Nigeria: implications for maternal, newborn and child health programming

“…Studies have reported that wealth, education, type of residence among others are associated with the underutilization and utilization of ANC in Nigeria [21][22][23]. Literatures on SBA use in Nigeria highlighted births preparedness, ANC visit, pregnancy complications and women's involvement in healthcare decisions as major determinants [13,[24][25][26]. The effect of both ANC and SBA utilization on PNC uptake has been reported [27][28][29].…”

“…Though studies have independently investigated ANC, SBA and PNC in Nigeria [21][22][23][24][25][26]34], there is however paucity of information on the linkage among the three pillars of maternity CoC. Although Akinyemi et al assessed dropout, the study did not consider the recommended optimal number of ANC contacts and the pregnancy-related factors [6].…”

Disparities and barriers of health facility delivery following optimal and suboptimal pregnancy care in Nigeria: evidence of home births from cross-sectional surveys

“…Literatures has widely documented that sociodemographic, reproductive, and other maternal health factors are associated with utilization of maternal health care services [ 16 – 21 ] in SSA. This includes the antenatal care uptake [ 14 , 22 , 23 ], skilled provider use [ 24 – 26 ], and utilization of postnatal care services [ 27 – 29 ]. Also, women continuity of the maternity health care continuum (from antepartum to postpartum) has been studied [ 30 – 32 ].…”