Mothers’ Experiences of Delivery Services by Traditional Birth Attendants at Egbe Community, Yagba West Lga Kogi State, Nigeria (Published)
A lot of women gave birth in their homes historically, and are often attended by a family member or assisted by a woman residing in the communities who are known as Traditional Birth Attendants (TBAs).The mothers’ experiences before labor, after delivery and care of the new born was a mixed one. This study was aimed to explore mothers’ that have delivered with TBAs in the past at Egbe Community, Yagba West Local Government Area, Kogi State, Nigeria. The study employed a qualitative research design with in-depth interview supported with two Focus Group Discussions as method of data collection, to explore the experiences of mothers’ during with TBAs. Sixteen participants were used for FGD, eight in each group and thirteen participants for one-on-one in-depth interview using a snowball sampling technique. Both the FGD and IDI sessions were audio taped and transcribed verbatim. The research was analysed using a manual method of qualitative data. The findings revealed that majority of the participants used the services of traditional birth attendants because of the affordable cost. Majority were delivered at their homes and they had good experience. Relatives were allowed to stay with them during labor. They were not given food during labor and their babies were taken good care of. However, few of them would like to deliver at a regular hospital in next delivery due to some complications they experienced. In conclusion, many of the women patronized TBAs because of the cost and services provided were just basic. Therefore, it’s recommended that the cost of delivery at the hospitals should be subsidised and the TBAs should be trained and supervised on a regular basis by the Primary health care centres at the Local Government Areas nearest to them.
Perception and Practice of Midwife-Led Model of Care among Skilled Birth Attendants in Selected Health Facilities in a Southern State in Nigeria (Published)
Globally, there is noticeable threat to midwifery practice because of limited autonomy of midwives in some settings. The situation is not different in Nigeria, despite the evidence that access to midwife-led care is the most important factor in achieving improved outcomes in maternal and newborn health. It is, therefore, imperative to determine the perception and practice of midwife-led care among skilled birth attendants in selected health facilities in a southern State in Nigeria. Following ethical approval, a mixed method design was undertaken to study a convenience sample of 125 skilled birth attendants from health facilities in four randomly-selected local government areas of the State. Quantitative and qualitative data were obtained through questionnaire and focus group discussions respectively. Quantitative data were analysed using SPSS version 18 and qualitative data were manually analysed. Results showed that 79.2% had knowledge; 56% exhibited poor practice of midwife-led care. There was statistically significant association between knowledge and practice of midwife-led care at 0.05 level of significance with 1 degree of freedom. Also there was a statistically significant relationship between knowledge and acceptance of midwife-led care at 0.05 level of significance with 123 degrees of freedom. Qualitative data corroborated the quantitative data. Gaps were revealed in the knowledge/perception and practice of midwife-led care in this setting. These have implications for continuing education for midwives and policy formulation towards strengthening midwifery for enhanced maternal and newborn outcomes.