The Discordance between Antenatal Care Attendance and Skilled Birth Attendant at Delivery in the Niger Delta Region of Nigeria.

Utuk, Ntiense M; Abasiattai, AM; Ekanem, Anyiekere Morgan

doi:10.9790/1959-0603031015

Cited by 2 publications

(4 citation statements)

References 24 publications

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“…The practice in the study centre is that women with two or more previous CS are not allowed a TOLAC, and women are counselled on the increased risk of CS in the subsequent pregnancies after one CS. It is observed that some women who want to avoid CS at all costs visit traditional birth attendants or churches in labour, where CS can be jettisoned (Utuk et al, 2017). Some of these parturients present with uterine scar rupture as seen in the results of this study.…”

Section: Robson Groups With the Highest Contributions To Overall Caes...supporting

confidence: 50%

“…Pregnant women with an unbooked status are at higher risk of pregnancyrelated complications and usually they do not set out for hospital delivery (Utuk et al, 2017). Besides, a proportion of women who received antenatal care, thus classified as booked choose to deliver in unorthodox facilities for reasons of cost or fear of caesarean section.…”

Section: Impact Of Parturients' Age and Booking Status On Mode Of Del...mentioning

confidence: 99%

“…Besides, a proportion of women who received antenatal care, thus classified as booked choose to deliver in unorthodox facilities for reasons of cost or fear of caesarean section. Most of them go to traditional birth attendants' facilities or churches in labour (Utuk et al, 2017), and some of them are poorly managed. The study centre, being a referral hospital receives this category of complicated pregnancies and labour cases and most of the parturients undergo emergency and urgent CSs.…”

Section: Impact Of Parturients' Age and Booking Status On Mode Of Del...mentioning

confidence: 99%

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Towards Optimizing Caesarean Section: Robson Ten Group Analysis of Caesarean Section and It’s Determinants in a Tertiary Hospital in South-South, Nigeria

Makinde,

Osegi

2023

J Matern Child Health

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Background: To optimize caesarean section (CS), Robson classification is useful for audit of CS rates within and across hospitals and regions. Valid conclusions are also possible by analyzing other characteristics of parturients that determine CS rates based on Robson groups. This study aimed to analyzed CS rate and determine the impact of parturients’ age and booking status on delivery by CS based on Robson classification. Subjects and Method: A cross-sectional descriptive study that classified parturients into Robson 10-groups using data from hospital records at the Federal Medical Centre Yenagoa (FMCY) in Bayelsa State, south-south, Nigeria. The dependent variable was mode of delivery. The independent variables were parturients’ age and booking status by Robson group. The study instrument was a predesigned spreadsheet used to collect real-time relevant data on all deliveries from patients’ hospital records. Descriptive statistics were presented using frequencies, percentages, mean and standard deviation. Chi-square, Exact test and logistic regression were used to determine association of parturients’ age and booking status with mode of delivery. Level of significance was p <0.05. Results: There were 556 deliveries during the study period and 269 CSs, giving a CS rate of 48.4%. Robson group 3 made the highest (27.9%) contribution to CS rate, followed by group 10 (22.3%), 5 (13.8%) and 1 (11.2%). The commonest indication for CS was cephalopelvic disproportion, followed by severe preeclampsia. Booked parturients in Robson groups 1 and 3 had 61.0% reduced odd (OR= 0.39; 95% CI = 0.15 to 0.99; p = 0.050) and 74.8% reduced odd (OR= 0.25; 95% CI= 0.14 to 0.45; p < 0.001) of delivery by CS, respectively. Conclusion: The CS rate at the FMCY was contributed largely by group 3, 10, 5 and 1 parturients. Using Robson classification, CS rate can be focused to targeted intervention to optimize CS. Keywords: caesarean section rate, hospital, Robson classification, Robson 10-group. Correspondence: Olakunle Ifeoluwa Makinde. Department of Obstetrics and Gynaecology, Federal Medical Centre Yenagoa, Bayelsa State, Nigeria. Email: olakunleife@gmail.com. Mobile: +2348032136315.

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Section: Robson Groups With the Highest Contributions To Overall Caes...supporting

confidence: 50%

Section: Impact Of Parturients' Age and Booking Status On Mode Of Del...mentioning

confidence: 99%

Section: Impact Of Parturients' Age and Booking Status On Mode Of Del...mentioning

confidence: 99%

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Towards Optimizing Caesarean Section: Robson Ten Group Analysis of Caesarean Section and It’s Determinants in a Tertiary Hospital in South-South, Nigeria

Makinde,

Osegi

2023

J Matern Child Health

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“…In northern Nigeria, the need for increasing the awareness of the people on the relevance of utilizing health facilities for maternal health services was made [ 36 ]. In another study in south-south Nigeria, the need for comprehensive health education was emphasized and the aim was to let the women know the value of utilizing skilled birth attendants for delivery purposes [ 37 ]. A study in north-central Nigeria went beyond the women and concluded that the community as a whole lacked knowledge on the benefits of delivering in a health facility and as such the need to increase community awareness on the need for such services [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Exploring providers’ perceived barriers to utilization of antenatal and delivery services in urban and rural communities of Ebonyi state, Nigeria: A qualitative study

et al. 2021

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Objective To determine providers’ perceived barriers to utilization of antenatal and delivery services in urban and rural communities of Ebonyi state, Nigeria. Methods A descriptive exploratory study design was used. Qualitative data was collected through the use of a pre-tested interview guide. Twelve providers participated in the study in urban and rural communities of Ebonyi State, Nigeria. They included nine officers in charge of primary health centers, two Chief Nursing Officers of a tertiary health institution and mission hospital and one Medical Officer-in-charge of a General hospital. QDA Miner Lite v2.0.6 was used in the analysis of the data. Results Most providers in urban and rural communities attributed good utilization of maternal health services to delivery of quality care. Most providers in urban linked poor utilization to poor health seeking behavior of women. In rural, poor utilization was credited to poor attitude of health workers. Few of participants (urban and rural) pointed out the neglect of primary health centers resulting in poor utilization. Most participants (urban and rural) considered ignorance as the main barrier to using health facilities for antenatal and delivery services. Another constraint identified was cost of services. Most participants attested that good provider attitude and public enlightenment will improve utilization of health facilities for antenatal and delivery care. All participants agreed on the need to involve men in matters related to maternal healthcare. Conclusions Participants were aware of values of good provider attitude and this is commendable. This combined with the finding of poor attitude of health workers necessitates that health workers should be trained on quality of care. There is need for public enlightenment on need to utilize health facilities for antenatal and delivery services. Community ownership of primary health centers especially in rural communities will enhance utilization of such facilities for maternal healthcare services and should be encouraged. Involvement of men in matters related to maternal healthcare may have a positive influence in improving maternal health in Nigeria.

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The Discordance between Antenatal Care Attendance and Skilled Birth Attendant at Delivery in the Niger Delta Region of Nigeria.

Cited by 2 publications

References 24 publications

Towards Optimizing Caesarean Section: Robson Ten Group Analysis of Caesarean Section and It’s Determinants in a Tertiary Hospital in South-South, Nigeria

Towards Optimizing Caesarean Section: Robson Ten Group Analysis of Caesarean Section and It’s Determinants in a Tertiary Hospital in South-South, Nigeria

Exploring providers’ perceived barriers to utilization of antenatal and delivery services in urban and rural communities of Ebonyi state, Nigeria: A qualitative study

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