Abstrakti
Antenatal care (ANC) services have the aim of monitoring the course of pregnancy, in order to promote favourable outcomes. In spite of the fact that its components have been found to improve pregnancy outcomes, maternal/infant morbidity and mortality still remain public health problems in most developing countries including Nigeria. These unacceptable health indicators form the basis of this study. The records of 581 women who attended ANC at the Catholic Hospital between October 2005 and September 2006 were accessed. The data collected with the aid of a checklist were processed using statistical package of social sciences (SPSS). The age range of the participants was 17 – 45; with the mean age of 30.3 (SD=4.8). Three hundred and forty- seven (59.7%), sixty-nine (29.1%) of the women had tertiary and secondary education respectively. A total of 325 (55.9%) were nulliparous. Only 44 (7.6%) of the women began ANC at the first trimester. Out of 159 abortions recorded among the women, 72 (45%) were selfinduced prior to marriage. Findings showed apparent low rate of first trimester booking, irregular antenatal clinic visits and initiation of ANC at the appearance of symptoms of illness among the women studied. Therefore the study recommends hospitals to adopt the WHO modified ANC with fewer visits to improve better compliance and coverage, provision of family life education especially on the benefits of early ANC booking and family planning services through available media.
Keywords: Pattern, outcome, antenatal care, utilization, morbidity, mortality
Résumé
Les services de soins prénatales ont pour but d organiser les cours pour grossesse en vue de promouvoir des résultats favorables. Malgré le fait que ses éléments ont été fondés pour améliorer les résultats des grossesses, la mortalité et la morbidité maternelle/infantile restent encore un problème de santépublique dans la plupart des pays en voie de developement compris le nigeria. Ces indicateurs de santé inacceptables constituent la base de cette étude. Les registres de 581 femmes qui suivaient les soins prénatals à l’hôpital catholiques entre octobre 2005 et septembre 2006 étaient consultés. Les données collectées avec l’aide des listes consultées étaient traité avec des paquets statistiques des sciences sociales (PSSS). La tranche d age des participants était de 17-45 ans, avec une moyenne d age de 30,3 (4,8). Trois cent quarante-sept (59,7%), soixante neuf (29,1%) des femmes avaient une éducation tertiaire et secondaire respectivement. Un total de 325 (55,9%) était nullipare. 44 (7,6%) des femmes seulement ont commencé les soins prénatales au premier trimestre. Sur 159 avortements étaient rapportés parmi les femmes, 72 (45%) étaient des propres auteurs avant le mariage. Les recherches apparentes ont montré un faible taux d enregistrement au premier trimestre, les visites prénatales des l’apparition des symptômes de maladie parmi les femmes consultées. L’ étude recommande aux hôpitaux d adopter les soins prénatalesmodifiés par l’OMS a quelques visites pour augmenter la conformité et la superficie couverte. Les dispositions a l éducation de vie familiale, spécialement au bénéfice des enregistrements précoce aux soins prénatales et les services de planning familial a travers les média disponibles.
Correspondence: Mr. J.O. Aluko, Private Suites, University College Hospital, Ibadan, Nigeria. Email: joelforfavour@yahoo.com
Lähdeviitteet
Jimoh, A.A.G.: Utilization of antenatal services at the Provincial Hospital, Mongomo, Guinea Equitoria, Afr. J. Reproductive Health, 2003; 7 (3), 49-54.
Mesganaw, F., Abubeker, K. and Assefa, M.: Assessment of antenatal care services in a Rural Training Health Centre In Northwest Ethiopian. Ethiopian J. Health Devt., 2005; 14 (2) 155 –160.
Pamela, L. Janis P. Trecia W. Sarnia .C, Maybardb W. and Tevila P.: Factors affecting antenatal care attendance by mothers of Pacific infants living in New Zealand, The New Zealand Med. J., 2005; 118 (1216).
Adeoye S. Ogbonnaya L.U. Umeorah O.U.J. and Asiebu O.: Concurrent use of multiple antenatal care providers by women utilizing free antenatal care at Ebonyi State University Teaching Hospital, Abakaliki, Afr. J. Rep. Health, 2005; 9 (2), 101 – 106 .
Nyirenda A. M: A Community–based study on the pattern and determinants of maternal services utilization in Karagwe District, Tanzania Institute of Public Health, University of Copenhagen, 2005.
World Health Organization-Geneva: Basic indicator, 2005.
Nylander V.M.: “Nurses! Are we failing in our duties in the sub-region?” West Afr. J. Nurs., 2005; 16 (2) 1.
Dodd J. M., Robbinson J. S. and Crowther C. A: Guiding antenatal care, Med. J. of Australia, 2002; 176 (6) 253 –254.
JHPIEGO Trainer News: Focused Antenatal Care: Planning and providing care during Pregnancy – A Maternal and Neonatal Health program best practice, 2001.
Lindroos, A and Luukkainen, A.: Antenatal care and maternal mortality in Nigeria, Public Health Program exchange to Nigeria, 2004; 1, (29) 1 -18.
Babu R.G.: Factors affecting regular utilization ANC service among postnatal mothers in Chiangrai Regional Hospital, Chiangrai province, Thailand, MSc. (PHC) Thesis, 1998.
Mekonnen Y. and Mekonnen A.: utilization of maternal health care services is Ethiopia, Measure DHS, 2002; 1 – 23. (www.measuredhs.com).
Sharma S. Smith S., Sonneveldt E., Pine M., Dayaratna V and Sanders R.: Formal and informal fees for maternal health care services in five countries: Policies, Practices, and Perspectives, USAID policy working paper series, 2005, (16).
Magnussen P.: Antimalaria intermittent treatment during pregnancy, How do we ensure coverage and compliance in Africa, Prema-Eu Newsletter, 2003; (2).
Mubyazi G., Bloch P., Kamugisha M., Kitua A and Ijumba J.: Intermittent preventive treatment of malaria during pregnancy: A qualitative study of knowledge, attitudes and practice of district health managers, ANC staff and pregnant women in Korogwe District , North – Eastern Tanzania , Malaria J. (2005), 4: 31.
World Health Organization, Geneva: WHO antenatal care randomized trial: manual for the implementation of the new model, UNDP/UNFPA/WHO/World Bank Special programme of research, 2002.