Perception of obstetric danger signs among women living on the coastline of the Atlantic Ocean in rural Lagos, Nigeria

Afolabi, Bamgboye M; Ezedinachi, E. N. U.; Opara, Sidney; Arikpo, Iwara; Ogunwale, Abiodun

doi:10.5897/jphe2015.0765

Cited by 7 publications

(11 citation statements)

References 19 publications

(19 reference statements)

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“…Women who visited a health facility for pregnancy less than four times were more than six times more likely to experience an ODS during pregnancy as compared to their counterparts. This is in good agreement with the standard WHO recommendation of antenatal care follow-ups and other findings [ 4 , 13 , 14 ]. This similarity may be mothers that visited ANC get adequate health information related to ODS during pregnancy.…”

Section: Discussionsupporting

confidence: 92%

“…The study found 41.3% overall prevalence of ODS in the area. This finding was higher than the study conducted in Egypt and Nigeria [ 7 , 14 ] with 4.5% and 29.6%, respectively. This difference may be the use of different study areas; studies in Egypt and Nigeria were facility-based study, and still, not all maternal health service coverage was not 100%.…”

Section: Discussioncontrasting

confidence: 78%

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Prevalence of Obstetric Danger Signs during Pregnancy and Associated Factors among Mothers in Shashemene Rural District, South Ethiopia

Terefe

Nigussie

Tadele

2020

Journal of Pregnancy

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Introduction. Obstetric danger signs are those signs that a pregnant woman will see or those symptoms that she will feel which indicate that something is going wrong with her or with the pregnancy. Evidence on the prevalence of obstetric danger signs and contributing factors were crucial in designing programs in the global target of reducing maternal morbidity and mortality. Objective. To assess the prevalence of obstetric danger signs during pregnancy and associated factors among mothers in a Shashemene rural district, South Ethiopia. Methods. A community-based cross-sectional study design was conducted among 395 randomly selected women who gave birth in the last six months. A pretested interviewer-administered questionnaire was utilized. Data were cleaned, coded, and entered into Epi data manager version 4.1 and then exported to SPSS version 20. Bivariable and multivariable logistic regression analyses were employed to assess the association between independent variables with the outcome variable. Statistical significance was declared at p<0.05. Result. One hundred sixty-three (41.3%) of women had a history of obstetric danger signs during pregnancy. The most prevalent obstetric danger signs were vaginal bleeding (15.4%) followed by swelling of the body 12.7% and severe vomiting 5.3%. Women who have less than four times antenatal care visits were 6.7 times more likely to experience obstetric danger signs (AOR 6.7 (95% CI 3.05, 14.85)) compared to those who had antenatal care visit four times and above. Women who have inadequate knowledge of obstetric danger signs were 2.5 times more likely to experience obstetric danger signs during pregnancy (AOR 2.5 (95% CI 1.34, 4.71)), and primigravida women were 6.3 times more likely to have obstetric danger signs during pregnancy (AOR 6.3 (95% CI 2.61, 15.09)) compared to multiparous women. Conclusion. About half of the pregnant mothers have experienced at least one obstetric danger signs. Public health interventions on maternal health should give priority to the prevalent causes of obstetric danger signs, strengthening completion of four antenatal care visits and health education on obstetric danger signs for pregnant mothers at community level especially for primgravid women.

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Section: Discussionsupporting

confidence: 92%

Section: Discussioncontrasting

confidence: 78%

Prevalence of Obstetric Danger Signs during Pregnancy and Associated Factors among Mothers in Shashemene Rural District, South Ethiopia

Terefe

Nigussie

Tadele

2020

Journal of Pregnancy

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“…In our study, 74.3% study subjects mentioned vaginal bleeding which is higher than study done in different part of Ethiopia Tsegedi district 49.1% [4] Debark town north west 66.8% [10] Adigrat 10.9% [14], Debra Birhan town 45.4% [16] Aleta Wondo, Southern 45.9% [18] Mekelle city Tigray 68.5% [24] Debaytilatgin district 53.7% [25] and other part of African countries like in Tanzania 50% [13] Mbarara district Uganda 49.2% [15] Burkina Faso 39.4% [26], Guatemala 31.0% [27], Rewa district of Madhya Pradesh [28], Southeast Nigeria 67% [21] Lagos, Nigeria 48.4% [29], Malawi 39% [30] Uganda 67.4% [31] Burkina Faso 24.8%, Ghana 29.3%, Tanzania 57.6% [32] Tanzania 19% [33] but lower than study done in Dar-es-salaam, Tanzania 81.2% [20] BRD Medical College, Gorakhpur, India 90.5% [34].…”

Section: Discussionmentioning

confidence: 99%

Level of Awareness on Danger Signs During Pregnancy and Associated Factors, among Pregnant Mothers, Dire Dawa Administrative Public Health Facilities, Eastern Ethiopia

Abdurashid¹,

Ishaq²,

Ayele³

et al. 2018

Clinics Mother Child Health

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Background: Raising awareness of women on danger signs during pregnancy is crucial for safe motherhood. In Ethiopia a country where maternal morbidity and mortality is high where little is known about awareness level of pregnant women on danger signs of pregnancy is used to enhance utilization of skilled care in low-income countries like Ethiopia. Objective: To determine level of awareness on danger signs of pregnancy and associated factors among ANC attendant mother in urban and rural health centres, in Diredawa, eastern Ethiopia. Methods and materials: Facility based cross-sectional study design was used to collect data. The study was conducted among a sample of 502 pregnant women in Diredawa administration town in selected health centres from Jan 1-Mar 30/2017. Sample size was determined by using double population proportion formulas. Simple random sampling technique was used to select six health centres, three from each urban and rural resident. Then systematic random sampling technique was used to select study subjects by considering both the inclusion and exclusion criteria. Pregnant mothers were interviewed face to face using pre-tested structured questionnaire. Data was checked for completeness, consistency and coded before data entry. Data entered, cleaned and analyzed using SPSS for windows version 20.0. Bivariate, multivariable logistic regression model were used to demonstrate the difference between study subjects' characteristics (independent variables) and level of awareness of danger sign of pregnancy. Results: Of all 502 (100%) respondents interviewed 121 (24.1%) mothers had good awareness of danger signs of pregnancy. Maternal age, educational status, place of most recent delivery, residents and danger sign causes problem or death to the mother were independently associated with awareness of women about danger sign of pregnancy. Conclusion: Three fourth of study subjects didn't have awareness about DSP. Maternal age, maternal education, place of most recent delivery, residents and danger sign causes problem or death to the mother were independently associated with awareness of women about danger sign of pregnancy. Thus, provision of information, education and communication targeting women, family and the general community on danger signs of pregnancy and associated factors was recommended.

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“…There have been reports on obstetric risk perception and danger sign recognition in Nigeria [17182027]. Studies in other parts of Africa found that the proportion of women with knowledge of at least one obstetric danger sign ranged from 53% in Tanzania to 82.5% in Ethiopia [2428].…”

Section: Introductionmentioning

confidence: 99%

“…In Asia, the corresponding figures among women were higher in Bangladesh (99.3%) than in Pakistan (64%) [32]. Studies in developing countries identified age at marriage, education, parity, extended family, place of residence, employment status, wealth, and previous hospital delivery as predictors of obstetric risk perception [2737]. Similarly, age, parity, education, knowledge and practice of antenatal care, previous institutional delivery, and experiencing maternal death in an acquaintance predicted awareness of obstetric danger signs [2736].…”

Section: Introductionmentioning

confidence: 99%

Correlates of Obstetric Risk Perception and Recognition of Danger Signs in Kano, Northern Nigeria

Iliyasu

Galadanci

Abdurrahim

et al. 2019

Annals of Global Health

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Background:Risk perception and recognition of danger signs are important cues for accessing obstetric care. These measures are not well documented in many resource-limited settings, including northern Nigeria, a region with poor maternal health indices.Objective:To assess community level obstetric risk perception, danger sign recognition and their predictors in Kano, northern Nigeria.Method:This is a community-based cross-sectional study. Participants were surveyed using structured, pretested questionnaires. Knowledge of obstetric risk factors and danger sign recognition were analyzed, and their predictors modeled using logistic regression to generate adjusted odds ratios (AORs).Results:The obstetric risk factors identified by the 400 respondents included: maternal age (64.3%), history of abortion (37.0%), postpartum haemorrhage (36.0%), previous operative delivery (31.8%), and high parity (31.3%). The most frequently recognised danger signs during pregnancy were: vaginal bleeding (76.8%), seizures (44.5%), and severe abdominal pain (34.8%). Common intrapartum danger signs recognised included: severe bleeding (77.8%), seizures (55.5%), and loss of consciousness (38.3%). Severe bleeding (80.5%), seizures (42.0%), and high fever (28.5%) were the top three danger signs identified in the postpartum period. At multivariate level, respondent sex (female vs. male) (aOR = 3.10, 95% CI = 1.67–5.74), ethnicity (Yoruba vs. Hausa) (aOR = 7.53, 95% CI = 2.51–22.6), occupation (employed vs. unemployed) (aOR = 4.07, 95% CI = 1.87–8.84) and parity (≥5 versus 0) (aOR = 0.23, 95% CI = 0.06–0.92) predicted good obstetric risk perception. Participants’ ethnicity (Yoruba vs. Hausa) (aOR = 4.40, 95% CI = 1.10–19.2) and obstetric risk perception (good vs. poor) (aOR = 12.0, 95% CI = 6.8–21.2) predicted danger sign recognition.Conclusion:The perception of obstetric risk and recognition of danger signs were influenced by participant sex, parity, employment status, and ethnicity. Targeted communication strategies and community-based education are essential to enhance effective utilisation of emergency obstetric services.

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Perception of obstetric danger signs among women living on the coastline of the Atlantic Ocean in rural Lagos, Nigeria

Cited by 7 publications

References 19 publications

Prevalence of Obstetric Danger Signs during Pregnancy and Associated Factors among Mothers in Shashemene Rural District, South Ethiopia

Prevalence of Obstetric Danger Signs during Pregnancy and Associated Factors among Mothers in Shashemene Rural District, South Ethiopia

Level of Awareness on Danger Signs During Pregnancy and Associated Factors, among Pregnant Mothers, Dire Dawa Administrative Public Health Facilities, Eastern Ethiopia

Correlates of Obstetric Risk Perception and Recognition of Danger Signs in Kano, Northern Nigeria

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