Effect of Socio-demographic Characteristics on Obstetric Care-seeking Behaviours and Perinatal Outcome in Sagamu, Nigeria
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2016, Vol 15, Issue 8
Abstract
Background: The persistence of severe intra-partum events as causes of perinatal mortality may be due to the poor care pregnant women receive in labour. The quality and scope of care received in labour varies with the types of health facilities patronized. Objective: To describe the obstetric care-seeking behaviours of pregnant women in Sagamu, Nigeria and relate this to the perinatal outcome. Methods: A cross-sectional survey of parturient at Olabisi Onabanjo University Teaching Hospital (OOUTH), Sagamu, Nigeria was conducted between August 2013 and November 2014. Data were obtained on the demographic and obstetric profile, details of facilities visited during labour and perinatal outcome for analysis. Results: Out of 145 women, 93 (64.1%) received antenatal care at OOUTH. Of the 84 women who were first admitted in labour, 32 (38.1%) presented with emergencies. There were 140 live births and 10 still births; 34/140 (24.3%) of the live births were hospitalized mostly with asphyxia (13/34; 38.2%). One of the 34 hospitalized babies died from asphyxia thus the overall perinatal mortality rate was 73.3/1000 births. Women who presented with emergencies during labour and traversed other health facilities while in labour characteristically had low maternal education, low socioeconomic status and received antenatal care outside OOUTH. Poor perinatal outcome was significantly associated with unbooked status, presentation with emergencies during labour and traversing other health facilities in labour. Conclusion: Quality antenatal care and timely presentation during labour may influence perinatal outcome positively. Research should be focused on strengthening the existing health care structure.
Authors and Affiliations
Tinuade A. Ogunlesi, Victor A. Ayeni, Edward O. Jagun
Keywords
Related Articles
- EP ID EP341400
- DOI 10.9734/BJMMR/2016/26370
- Views 83
- Downloads 0
Mutational Analysis of FLT3 Internal Tandem Duplication and D835 in De novo Adult Acute Myeloid Leukemia
Aims: Acute myeloid leukemia is a clonal hematopoietic malignant disease, resulting from genetic alterations in normal hematopoietic stem cells. Advances in the genomics of acute myeloid leukemia have identified several...
Effectiveness of HIV Anti-retroviral Agents on the HIV/AIDS Epidemic
Aims: The scale up of HAART globally has shifted the mortality time table, decreased viral transmission and improved health related quality of life for patients while emphasizing the importance of adherence to therapy fo...
Prevalence, Aetiology and Outcome of Febrile Convulsions at the Wesley Guild Hospital, Ilesa, South-West Nigeria
Background: Febrile convulsions continue to be a common occurrence in paediatric practice in Nigeria and Africa. Constant review of the subject from time to time is therefore desirable. Methods: We prospectively studied...
Clinical Tests to Determine the Correct Position of Central Venous Catheter in Overweight Patients in Critically Ill Condition
Objective: To demonstrate the utility of clinical test to determine the correct placement of the CVC in overweight patients in critical condition. Methods: Cross-sectional Study carried out in the Intensive Care Unit o...
Use of Novel Oral Anticoagulants Post-cardioversion in Atrial Fibrillation: A Safety Review
Atrial fibrillation is considered the most common sustained arrhythmia worldwide, especially in geriatric population and is associated with significant morbidity and mortality. Arterial embolization is the most serious c...