Abstract
Background: Data suggests more pregnancy complications occur at secondary than at tertiary health facilities in Nigeria. This study assessed women’s and facility complication readiness at two secondary health facilities in Lagos, Nigeria.
Methods: This was a cross sectional study. Purposive sampling was used to select participating health facilities. Study data included women’s responses from interviewer-administered questionnaire and facility information obtained from an obstetrician. Descriptive frequencies were used to present research findings. Comparison of dichotomous data was made with chi-squared test with level of significance of p <0.05.
Results: Five hundred and twenty four (524) women participated in the study. Most women (72%) would consult a physician immediately after a complication and had identified a relative to accompany them to the hospital in emergency (90.7%). Many (63%) women knew at least a danger sign and 89% had identified a blood donor. Overall, 50.4% women were complication-ready and this was only influenced by age (p = 0.045). The health facilities had high institutional capacity to provide maternity services but lacked intensive care units, ambulance and invasive hemodynamic monitoring techniques.
Conclusion: Half of the women were complication ready and the institutions’ readiness was hindered by lack of critical emergency services.
Keywords: Maternal mortality, severe maternal outcome, maternal morbidity
Résumé
Contexte: Les données suggèrent plus de complications de grossesse se produisent auxétablissements secondaires que dans les établissements de santé tertiaires au Nigeria. Cette étude a évalué les femmes et l’apprêtdes facilités contre lescomplications de dans deux établissements de santé secondaires à Lagos, Nigeria.
Méthodes: Ceci fut une étude transversale. L’échantillonnage raisonné a été utilisé pour sélectionner les établissements de santé participants. Les données de l’étude comprenaient les réponses des femmes provenant de questionnaire-administré par unintervieweur et l’information sur la facilité obtenue à partir d’un obstétricien. Les fréquences descriptives ont été utilisées pour présenter les résultats de recherche. La comparaison des données dichotomique a été faite avec le test du chi carré avec le niveau de signification de p <0,05.
Résultats: Cinq cent vingt quatre (524) femmes ont participé à l’étude. La plupart des femmes (72%) auraient consulté un médecin immédiatement après une complication et avaient identifié un parent pour les accompagner à l’hôpital en cas d’urgence (90,7%). Beaucoup (63%) des femmes connaissaient au moins un signe de danger et 89% avaient identifié un donneur de sang. Dans l’ensemble, 50,4% des femmes étaient complication-prête et cela a été seulement influencée par l’âge (p = 0,045). Les établissements de santé avaient la capacité institutionnelle élevée pour fournir des services de maternité, mais ne disposaient pas d’unités de soins intensifs, d’ambulance et des techniques de surveillance hémodynamique invasives.
Conclusion: La moitié des femmes étaient complication-prête et l’apprêt des institutions a été entravé par le manque de services d’urgence critiques.
Mots-clés: Mortalité maternelle, résultats maternelle sévère, morbidité maternelle
Correspondence: Dr. Babasola O. Okusanya, Department of Obstetrics and Gynaecology, College of Medicine, University of Lagos, Idi-Araba, Lagos, Nigeria. E-mail: babakusanya@yahoo.co.uk
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