Overview of Traditional Birth Attendance in Nigeria (Published)
Traditional Birth Attendance (TBA) has played a significant role in maternal healthcare in Nigeria for centuries. This paper provides an overview of Traditional Birth Attendance practices in Nigeria, exploring the conceptual analysis, determinants of traditional birth attendance usage, mothers’ reasons for Choosing TBAs for delivery services, and integration into the Health Care System. The paper highlights the essential role of TBAs in preserving cultural heritage, community support, and local knowledge related to childbirth. However, it also identifies numerous challenges associated with TBA practices, including inadequate training, limited medical knowledge, unhygienic birthing conditions, and the potential risks of complications during childbirth. In conclusion, this overview sheds light on the complex landscape of Traditional Birth Attendance in Nigeria. The coexistence of traditional practices and modern healthcare systems presents unique challenges and opportunities. A balanced approach that respects cultural traditions, while prioritizing safe and skilled birth attendance, holds the potential to enhance maternal and child health outcomes in Nigeria. Further research and collaborative efforts are needed to create an integrated and comprehensive healthcare system that caters to the diverse needs of the Nigerian population.
Keywords: Nigeria, overview, traditional birth attendance
Reported Effects of Coronavirus Disease Pandemic on Provision of Skilled Antenatal and Delivery Care Among Nurses and Midwives in Ibadan, Nigeria (Published)
The World Health Organization has declared Coronavirus Disease 2019 (COVID-19) pandemic a global public health emergency. However, documentation on its implication on the provision of skilled care during pregnancy and childbirth in low and middle-income countries like Nigeria is limited. Therefore, this study assessed the reported effect of the pandemic on the provision of skilled antenatal and delivery care among nurses and midwives in Ibadan, Nigeria. A descriptive study was conducted using a quantitative approach. A validated questionnaire was used to collect data from randomly selected 121 nurses and midwives in the selected hospitals. Data were analyzed using SPSS version 25.0. Descriptive analysis was done using percentages, and Pearson correlation was used to assess the association between respondents’ years of experience and the perceived influence of COVID-19 on the provision of maternal health services.Findings showed 82.6% and 53.7% of the respondents reported a reduced number of antenatal visits and shorter services hour respectively. Also, 57.9% and 66.1% of the respondents reported restricted interaction with clients and reduced patronage respectively. Also, 66.9% of the respondents reported limited admission facilities during labor. There is no significant relationship between the years of experience of the respondents and the perceived influence of COVID-19 on the provision of antenatal/delivery care with a correlation coefficient (r = 0.137) and significant value of (p-value = 0.068). The outbreak of the COVID-19 pandemic affected the provision of skilled care during pregnancy and childbirth. Accessibility to skilled antenatal and delivery care was reduced among pregnant women.
Citation: Adetunji O.O., Akinwaare M.O., Ogbeye G.B. (2022) Reported Effects of Coronavirus Disease Pandemic on Provision of Skilled Antenatal and Delivery Care Among Nurses and Midwives in Ibadan, Nigeria, International Journal of Nursing, Midwife and Health Related Cases, Vol.8, No.4, pp.30-44
Keywords: Disease, Ibadan, Midwives, Nigeria, Nurses, coronavirus, delivery care, pandemic, skilled antenatal
Umbilical Cord Care and Management Outcome among Mothers in Calabar South Local Government Area of Cross River State – Nigeria. (Published)
In developing countries umbilical cord infections constitute a major cause of neonatal morbidity and pose significant risk for mortality Methods of caring for the umbilical cord vary greatly between communities depending on their cultural and religious beliefs, level of education and resources. The risk of cord infection is increased by unhygienic cutting of the cord and application of unclean substances. This study examined the cord management practices and management outcome among mothers in Calabar South Local Government Area of Cross River State, Nigeria. Methods: A cross sectional community based study was conducted in Calabar South Local Government Area of Cross River State, Nigeria. Calabar South is one of the two Local Government Areas that make up Calabar Metropolis with 11 wards. Women of child bearing age were used as population of the study. A sample size of 451 mothers was selected using the snowball method. A structured pre-tested interviewer administered questionnaire was used to collect data. Data were analyzed descriptively using frequencies, percentages, means and standard deviation. All analyses were performed using SPSS version 18.0 at 95% confidence interval. Results: Whereas most of the respondents 224(49.8%) used methylated spirit in cleaning the cord, others used dettol 88(19.6%), saliva and salt 44(9.8%), herbal preparations 44(9.8%). Most of the respondents 314 (69.8%) applied unhygienic substances at the base of the stump after cleaning the cord. Main reason for choice of materials includes to wade off evil spirits and hasten cord separation 270(55.9%). The outcome of cord management showed that majority of the umbilical cords were infected 338 (75.1 %.). Conclusion: Majority of the respondents applied harmful and contaminated materials/ substances to the umbilical cord. Good umbilical cord care practices can lead to improved newborn care while poor umbilical cord care practices may result in neonatal morbidity and mortality. Improving the standard of umbilical cord care among mothers can largely be achieved through health education and follow up visits by nurses after discharge from the health facility.
Keywords: Calabar, Management outcome, Mothers, Nigeria, Umbilical cord care
Umbilical Cord Care and Management Outcome among Mothers in Calabar South Local Government Area of Cross River State – Nigeria (Published)
In developing countries umbilical cord infections constitute a major cause of neonatal morbidity and pose significant risk for mortality Methods of caring for the umbilical cord vary greatly between communities depending on their cultural and religious beliefs, level of education and resources. The risk of cord infection is increased by unhygienic cutting of the cord and application of unclean substances. This study examined the cord management practices and management outcome among mothers in Calabar South Local Government Area of Cross River State, Nigeria. Methods: A cross sectional community-based study was conducted in Calabar South Local Government Area of Cross River State, Nigeria. Calabar South is one of the two Local Government Areas that make up Calabar Metropolis with 11 wards. Women of child bearing age were used as population of the study. A sample size of 451 mothers was selected using the snowball method. A structured pre-tested interviewer administered questionnaire was used to collect data. Data were analyzed descriptively using frequencies, percentages, means and standard deviation. All analyses were performed using SPSS version 18.0 at 95% confidence interval. Results: Whereas most of the respondents 224(49.8%) used methylated spirit in cleaning the cord, others used dettol 88(19.6%), saliva and salt 44(9.8%), herbal preparations 44(9.8%). Most of the respondents 314 (69.8%) applied unhygienic substances at the base of the stump after cleaning the cord. Main reason for choice of materials includes to wade off evil spirits and hasten cord separation 270(55.9%). The outcome of cord management showed that majority of the umbilical cords were infected 338 (75.1 %.). Conclusion: Majority of the respondents applied harmful and contaminated materials/ substances to the umbilical cord. Good umbilical cord care practices can lead to improved newborn care while poor umbilical cord care practices may result in neonatal morbidity and mortality. Improving the standard of umbilical cord care among mothers can largely be achieved through health education and follow up visits by nurses after discharge from the health facility.
Keywords: Calabar, Management outcome, Mothers, Nigeria, Umbilical cord care
KNOWLEDGE AND ATTITUDE OF PREGNANT WOMEN TOWARDS FOCUSED ANTE NATAL CARE SERVICES IN UNIVERSITY OF CALABAR TEACHING HOSPITAL, CALABAR, CROSS RIVER STATE, NIGERIA (Published)
The study investigated pregnant women’s knowledge and attitude towards focused antenatal care in University of Calabar Teaching Hospital, Calabar. Three research questions and two hypotheses were formulated to guide the study. The literature was conceptually, empirically and theoretically reviewed based on the main variables under study. The study adopted a descriptive design and the sample size was 174 pregnant women attending antenatal care clinic in UCTH from January – May, 2014. The instrument for data collection was a three section questionnaire. The instrument had a correlation coefficient of 0.79. Questionnaire was administered through face to face interaction and on the spot collection of completed questionnaire. The data collected from questionnaires were analyzed using frequencies and percentages, while chi-square test analysis was used to test the hypotheses. Findings of the study revealed that majority of the respondents had good knowledge and favourable attitude towards focused antenatal care. In testing the hypothesis using chi-square analysis, hypothesis one showed a statistical association between knowledge and attitude towards focused antenatal care, when the chi-square calculated of 20.6 was greater than the critical chi-square of 5.991 at 0.05 level of significance with 2 degrees of freedom. Although knowledge towards focused antenatal care high and attitude was favourable, some weakness still exist which posed as hindrance to utilization. Based on the above, intensive awareness creation on focused antenatal care for pregnant women recommended. Retraining of health workers and monitoring and supervision of health workers to improve on the hindrance identified as barriers to utilization was also recommended.
Keywords: Ante Natal Care Services, Calabar, Cross River State, Knowledge And Attitude, Nigeria, Pregnant Women, Teaching Hospital, University Of Calabar