RESUMO
Background: Overpopulation in a community or a country reflects high fertility desires of its citizens. A country can only progress meaningfully if its resources and amenities can provide for all its citizens. Objectives: To examine the childbearing practices of antenatal attendees at the Niger Delta University Teaching Hospital, Okolobiri, Nigeria and whether there is any suggestion of fertility decline or transition. Materials and Methods: A cross-sectional study of two hundred and fifty-two women who had antenatal care in the hospital during the study period. Data was collected using a structured self-administered questionnaire with a reliability coefficient of 0.85. Data collected were analysed using IBM SPSS Statistics version 25. Statistical significance was a p-value <0.05. Results: The mean age of the respondents was 30.5 ± 5.9 years. More than half (53.6%) had tertiary education and 39.3% had secondary education. Only 29.4% were housewives/unemployed. The median parity was 2 and 229 women accounted for previous deliveries of 596 babies. The median desired total number of children was 4 (range 1 to 8). More than half (56.3%) did not believe in spacing after the first child. Seventy-six (30.2%) had no knowledge of modern contraceptives. There was a significant relationship (p - 0.018) between child sex preference and number of births. Conclusion: With a current median parity of two children/woman and desired total number of children of a median of four children/woman, the childbearing practices of the population studied may not result in a fertility rate far below the Nigeria national average of 5.3 children per woman. Nevertheless, a study to derive the total fertility rate in the study population is necessary to determine whether or not there is ongoing fertility transition.
Assuntos
Comportamento Reprodutivo , Estudos TransversaisRESUMO
Background: Antenatal patronage is very low in most sub-Saharan African countries, Nigeria inclusive. It has also been recognised that most women who registered for antenatal care in a particular health institution, do not go back to the same centre to deliver when in labour. Skilled attendant delivery is very low in Nigeria. While many reasons can be adduced for this health seeking behaviour, antenatal care satisfaction is one of them. We decided to study how satisfied are the antenatal subjects at the Federal Medical Centre, Yenagoa.Objective: The objective of this study is to determine antenatal mothers' perception of prenatal services at the Federal Medical Centre, Yenagoa, Nigeria.Materials and Methods: This was a descriptive cross-sectional observational study conducted at the Federal Medical Centre, Yenagoa, Nigeria between 1st of June 2015 and 30th of September, 2015. A pretested questionnaire was administered to 198 consecutive antenatal attendees at the centre by two Interns serving in the department of Obstetrics and Gynaecology.Results: The mean number of antenatal visits was 4.2 ± 2.52 and the median was 4.0. One hundred and eighty-seven (94.5%) said the antenatal health talks were very educative, 103(52%) think the antenatal care visits should be made more frequent, 43 (21.7%) think they should reduce the frequency of visits, 183(92.4%) rated services at the centre from being good to excellent. One hundred and twenty-five (56.6%) respondents were generally dissatisfied with long waiting time to see doctors.Conclusion: The majority of mothers were happy with services and interventions rendered at the institution, measures that have been known to improve women's health in pregnancy and also improve perinatal outcomes. However, a sizeable proportion of subjects were unhappy with long waiting time to see a doctor, an issue that had dogged obstetric practice in sub-Saharan Africa. This issue needs to be tackled by caregivers and stakeholders alike
Assuntos
Instalações de Saúde , Percepção , Gravidez , Cuidado Pré-NatalRESUMO
Background to Study: Maternal mortality and morbidity are very high in sub-Saharan Africa as in most developing countries, Nigeria inclusive. There have been concerted efforts by Governments of these countries, Non-Governmental Organisations, International and World bodies on how to solve this problem. One of the worth able strategies employed to solve the issue of maternal mortality is to prevent unintended pregnancies, unsafe abortions, space births, plan family sizes through the use of modern contraceptive methods for women in their reproductive age. However, maternal mortality remains high in Nigeria because of the low prevalence of contraceptive patronage. We, the authors of this study decided to test the prevalence of contraceptive patronage amongst our antenatal patients and compare our results nationally and globally. Objective: To determine the pattern of contraceptive choices among antenatal patients attending the Niger Delta University Teaching Hospital, Okolobiri, Bayelsa State, South-South Nigeria. Methodology: This was a descriptive cross sectional study conducted at the Niger Delta University Teaching Hospital, Okolobiri, Bayelsa state, South-South Nigeria, between October 2014 to January 2015. It consisted of a set of structured, pretested questionnaires that were administered to consecutive antenatal attendees. Results: Fifty-one (57.3%) of subjects in the study have used contraceptives in the past. The most commonly used modern contraceptive method among the study population was the male condom – 25 (28.1%). Injectables were used by 12 (13.5%) of those who have used contraceptives before the advent of present pregnancy. Information on contraception- Seventy three (82%) of respondents learnt of family planning services in the hospital through Doctors and Nurses. Conclusion: Previous contraceptive usage before the pregnancy by the study group was encouraging. However more advocacies by contraceptive providers are needed in the areas of emergency contraception and long term contraceptive methods for increase uptake.
RESUMO
Background: Cervical cancer is the second most common malignancy affecting women globally and the commonest female genital cancer in Nigeria. It can be prevented through regular cytologic screening by Pap smear. The general public sees health care providers as models; therefore; their attitudes and actions would predictably influence societal health behaviour. Aim: To assess the knowledge; attitude and practices of female health workers in Port Harcourt; towards cervical cancer screening. Methods: A questionnaire-based survey of 133 female health care providers at the Braithwaite Memorial Specialist Hospital and the University of Port Harcourt Teaching Hospital; Port Harcourt; which evaluated the socio-demographic characteristics of respondents; knowledge of cervical cancer; attitude and utilization of cervical cancer screening service was carried out. The data were entered into SPSS version 11.0 which was used for analysis and results are presented as Frequency tables; percentages and means. The level of significance was set at p-value 0.05. Results: Up to 123 (92.2) respondents had knowledge of Pap smear as a screening tool for cervical cancer; and 96 (72.2) respondents recognized early sexual debut as a risk factor. Nine-three (70) respondents would be willing to have Pap smear. Only 17(12.8) had done a Pap smear previously. Conclusion: The high knowledge of cervical cancer screening and their positive attitudes towards it did not translate to service utilization by female health professionals in Port Harcourt.There is therefore need to improve uptake of Pap smear by health professionals in order to improve their effectiveness in encouraging the public to utilize this service