Department of Nursing

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Browsing Department of Nursing by Subject "Antenatal care services"

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    Open Access
    Antenatal Care Services Utilization and Factors Influencing it Among Pregnant Women in a Teaching Hospital, Lagos, Nigeria.
    (College of Health Sciences, University of Ilorin, Nigeria, 2020) Ademuyiwa, IY; Faronbi, JO; Oyediran, OO; Erondu, CU
    The services rendered and make the ANC services skilled health-care professionals to pregnant women affordable and accessible. and adolescent girls in order to ensure the best health conditions for both mother and foetus during Keywords: Utilization, Antenatal Care Services, pregnancy. ANC services help pregnant women and Influencing Factors, Pregnant women. care providers to identify early, complications associated with pregnancy. This study assessed level of Introduction utilization of ANC services and also identified factors Antenatal care(ANC) is an important influencing its utilization among Pregnant Women at component of reproductive health. ANC is the care Lagos University Teaching Hospital in Lagos, Nigeria provided by skilled health-care professionals to .A descriptive cross-sectional study was conducted pregnant women and adolescent girls in order to ensure among 182 pregnant women attending antenatal clinic the best health conditions for both mother and baby at Lagos University Teaching Hospital (LUTH) in during pregnancy1.The components of ANC include: Lagos, Nigeria. Data was collected using a structured risk identification; prevention and management of self-administered questionnaire and analysed pregnancy-related or concurrent diseases; and health descriptively and inferentially using Statistical education and health promotion1. ANC reduces Package of Social Science SPSS version 20. Results maternal and perinatal morbidity and mortality both showed that majority of the respondents (81.4%) had directly, through detection and treatment of pregnancy good level of utilization of ANC services. Availability related complications, and indirectly, through the of facilities (81.4%), affordability of ANC services identification of women and girls at increased risk of (75.4%), waiting time (70.1%), attitude of the developing complications during labour and delivery, healthcare providers (59.9%), Schedule of ANC clinic thus ensuring referral to an appropriate level of care. (58.7%) and accessibility of ANC services (59.3%) Also, as indirect causes of maternal morbidity and were the factors influencing utilization of ANC mortality, such as HIV and malaria infections, services by the pregnant women. There was no contribute to approximately 25% of maternal deaths statistically significant association between and near-misses, ANC also provides an important respondents' level of utilization of antenatal services opportunity to prevent and manage concurrent diseases and their socio-demographic characteristics (Age: x2 = through integrated service delivery1. 10.719, P =0.153, educational qualification: x2 = Antenatal care services help pregnant women 0.735, P =0.692 and Income monthly: x2 = 5.868, P by identifying complications associated with the =0.118. The study concluded that there was high level pregnancy or diseases that might adversely affect the of utilization of ANC services among the women. pregnancy. Some researchers identified socio- Affordability and accessibility of ANC services were demographic characteristics, geographic area, attitudes the major factors influencing utilization of ANC towards pregnancy, and negative attitudes towards services among pregnant women. Therefore, the management should look into the cost of Antenatal care (ANC) is the care provided by the services rendered and make the ANC services skilled health-care professionals to pregnant women affordable and accessible.
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    Open Access
    Awareness and satisfaction with antenatal care services among pregnant women in Lagos state, Nigeria
    (Scientific Scholar, 2021) Ademuyiwa, IY; Opeke, RO; Farotimi, AA; Ejidokun, A; Olowe, AO; Ojo, EA
    Objectives: Despite the growing interest and efforts by government to make popular use of antenatal care (ANC) services in Nigeria as recommended by the World Health Organization, high level of infant and maternal mortality remains a major public health challenge facing the country. Dissatisfaction toward ANC services among pregnant women may be attributed to low level of awareness. This study assessed the level of awareness and satisfaction of ANC services among pregnant women in Lagos state, Nigeria. Material and Methods: The study adopted a survey research design. A multistage sampling technique was utilized to recruit participants for this study. A validated questionnaire was used for data collection and data were analyzed using both descriptive and inferential statistics. Ethical approval was obtained from Babcock University Health Research Ethics Committee with approval no: BUHREC543/17. Approval was also obtained from health service commission and in the six general hospitals used for the study. Informed consent was taken and respondents were reassured of the privacy and confidentiality of the information obtained. Results: The results showed that most of the respondents (85.6%) were in their reproductive years, that is, ages 23–37. The results showed that the level of awareness had a significant influence on pregnant women’s satisfaction with the services (β = 0.460, F(1,1313) = 351.499, R2 = 0.211, P < 0.05). The level of awareness of ANC services was high (M = 4.31, SD = 1.01) on a scale of 5. Conclusion: The study concluded that awareness of ANC services positively impacts pregnant women’s satisfaction with the services in Lagos state. Efforts should be made to improve the level of awareness of pregnant mothers to achieve greater satisfaction with ANC services in Lagos state.
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    Open Access
    Social support and satisfaction with antenatal care services among pregnant women in Lagos State, Nigeria
    (MA Healthcare Ltd, 2020) Ademuyiwa, IY; Farotimi, AA; Ojo, EA
    Introduction: The high level of maternal and infant mortality in Nigeria remains a major public health challenge. Provision of cognitive support through effective communication with women about their condition or the care required is a critical determinant of satisfaction with maternal care. Effective antenatal care is important in reducing the maternal mortality rate. Aims: To assess social support and satisfaction with antenatal care services among pregnant women, in order to improve antenatal care services and birth outcomes. Methods: This study used a survey research design where 1316 questionnaires were completed by pregnant women across six general hospitals in Lagos State, Nigeria. Participants were asked to rate their social support when deciding to use antenatal care services and their satisfaction with these services. Regression analysis was used to analyse the association between social support and satisfaction with antenatal care services, with P<0.05 indicating significance. Results: The degree of social support received by pregnant women was very high (average score of 3.51 on a 4-point scale). The level of satisfaction with antenatal care services was also very high (average score of 4.32 on a 5-point scale). Linear regression showed that social support has a significant influence on pregnant women’s satisfaction with antenatal care services in Lagos State (r=0.307, P<0.000). Conclusion: Social support for antenatal care services affects pregnant women’s satisfaction with antenatal care services in Lagos State. The degree of social support was a significant determinant of satisfaction with antenatal care services.
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    Open Access
    Utilisation of antenatal care services as determinants of satisfaction and its challenges in Lagos, Nigeria
    (MA Healthcare Ltd, 2020-04) Ademuyiwa, IY; Opeke, RO; Odetola, TD
    Despite the growing interest and efforts by government to popularise antenatal care services in Nigeria as recommended by the World Health Organization, high levels of infant and maternal mortality remains a major public health challenge facing the country. Complications of pregnancy and childbirth cause more deaths and disabilities than any other reproductive health problems in African countries, including Nigeria. Antenatal care presents an opportunity for recognition and appropriate intervention for some of the causes of maternal mortality in developing countries. The study investigates the level of utilisation of antenatal care services as determinants of satisfaction and its challenges among pregnant women in Lagos, Nigeria. A multistage sampling technique was used to determine the sample size of 1 500 pregnant women. A validated questionnaire was used for data collection. The Cronbach’s alpha reliability coefficients for the tools ranged from 0.94–0.97. Data were analysed using descriptive and inferential (correlation, simple and multiple regression) statistics. The results showed that utilisation of antenatal care services had a significant influence on pregnant women’s satisfaction with the services. Long waiting hours in the clinic, income/financial constraints, high cost of services and distance to health centres are the major challenges faced by pregnant women in Lagos.