ABSTRACT
Background:Sub-Saharan African countries have some of the worst maternal mortality ratios in the world sub-regions. Uncoordinated antenatal care practices and delivery outside health institutions are some of the determinants of thesedeaths experienced in the region. The objective of the study is todetermine some of these erring behavioral antenatal practices that are inimical to good obstetric outcomes and how health care planners can use the results to close thesegaps of maternal mortality and save lives.Method:This study was a cross sectional retrospective study of the women who delivered at The Niger Delta University Teaching Hospital, Okolobiri, between 1 st June,2021 to 1st June, 2022. The study compared the maternal and fetal outcomes between the booked andunbooked patients who delivered during this period. Relevant data to the study were extracted from patients' medicalrecords using a proforma and data collected entered SPSS Version 25 foranalysis.Results:Three hundred and forty-six patients participated in the stud, 72.3 % were booked and 27.7%were unbooked. Place of delivery N = 253, 75.5 % delivered in health facilities and 24.5 in non-Health facilities. Unbooked patients have prolonged labor lasting more than 24 hours, suffered more blood loss during delivery, their babies have more unfavorable one minute Apgar, all compared to outcomes of the booked patientsConclusion:Booked patients have more favorable pregnancy outcomes compared to the unbooked patients. Health care planners and care providers should devote more time and resources to unbooked patients to have favorable pregnancy outcomes
Subject(s)
Prenatal Care , Delivery of Health Care , Pregnancy Outcome , Case-Control StudiesABSTRACT
Background: Antenatal Care (ANC) utilization facility is available but poorly utilized because of many factors which play indirect role in inadequate utilization of antenatal care facility: low social status of women in the society, less opportunity for basic education, less ability to make decisions. Therefore, the present study is an attempt to study the effect of maternal education on antenatal care utilization, maternal and perinatal outcome in a tertiary care hospital.Methods: A prospective study was carried out on 525 cases delivered during period of one year at Dayanand Medical College and Hospital, Ludhiana, Punjab, India; a tertiary care hospital catering both urban and rural population. All cases were categorized into two groups: booked and unbooked. The age, parity and education of each patient in booked and unbooked cases was noted. Further, its impact on antenatal care utilization, maternal and perinatal outcome was studied.Results: On studying education pattern, among illiterate subjects 50% were booked and 50% were unbooked; For graduate and above were 80.6% and 19.4%respectively. Among mothers who were illiterate 90.9% had low birth weight babies and 13.6% had stillborn. Among those graduates and above 38.7% had low birth weight babies,1.5 % stillborn and 1.2% neonatal deaths.Conclusions: The educational status of the women came out as a significantly important variable and predictor of perinatal outcome. Hence, whole hearted efforts should be directed in educating women population and also improving health care facilities in rural areas to provide early referral to higher centers.
ABSTRACT
Aims: This study assessed and compared compliance with preferred infant feeding options among HIV positive booked and un-booked women in Osun State in South western Nigeria. Study Design: Descriptive cross sectional study. Place and Duration of Study: This study was carried out in Osun state in Southwestern Nigeria between January 2007 and June 2009. Methodology: Descriptive cross sectional comparative study among 210 booked and 105 un-booked HIV positive women, to assess their compliance with pre-delivery infant feeding options preferred up to four months after delivery. Research instruments employed were semi structured, interviewer administered and pre tested questionnaires. Responses were analyzed using the SPSS software version 13.0. Results: More booked women 153 (72.9%) preferred or selected exclusive replacement feeding as compared with un-booked women 29 (27.6%). Among un-booked women, 43 (40.9%) currently breastfeeds exclusively, while 22 (21.0%) give cow milk. Among booked women, 44 (21.0%) currently breastfeeds exclusively while 152 (72.4%) give cow milk. Compliance rate with preferred breastfeeding option was higher among booked than un-booked women (77.2% vs. 58.1%, p=0.010). Compliance rate with preferred replacement feeding option was also higher among booked than un-booked women, (93.2% vs. 75.9%, p=0.001). Mixed feeding rate was higher among un-booked than booked respondents (27.6% vs. 6.7%, p=0.001). Respondents who preferred breastfeeding and replacement feeding among un-booked women were a half ((O.R of 0.57, 95%C.I of 0.41-0.95, and p=0.013) and one-third ((OR of 0.32, 95%C.I of 0.1-0.8 and p=0.044) fold more likely to practice preferred method respectively when compared with booked women. Conclusion: Un-booked HIV positive women were less likely to practice selected infant feeding method compared to booked women.