Knowledge and Attitude of Women During Labour Among the Residents of Eti-Osa East LGA Lagos State
CHAPTER ONE
Objective Of Study
The general objective of this present research is to assess the knowledge, attitude and practice of Birth preparedness and complication readiness among antenatal care attendees in Eti-Osa Local Government Area of Lagos State.
The study has the following specific objectives:
- To assess the Knowledge of Birth preparedness and complication readiness among antenatal care attendees in Eti-Osa Local Government Area of Lagos State.
- To determine the attitude of pregnant women attending antenatal care in Eti-osa LGA to birth preparedness and complication readiness.
- To identify the factors associated with birth preparedness and complication readiness among antenatal care attendees in Eti-Osa Local Government Area of Lagos State.
CHAPTER TWO
Review of literature
Maternal mortality is one of the key indices of the health state and quality of health care of a society. The public health burden of maternal mortality is huge, hence improving maternal health has received recognition at the global level as evidenced by its inclusion in millennium developmental goals. Owing to pregnancy- related complications, more than half a million women die each year worldwide [8]. Ninety-nine percent of maternal deaths occur in the developing world, and most of these deaths are preventable [9]. The chances of dying from maternal complications are 1 in 16 in developing countries, compared to 1 in 2800 in developed countries [10]. Each year, more than 50 million women give birth at home and without the help of a trained professional [11]. For every woman who dies during childbirth, another 30 women suffer injury, infection or complications [9]. Birth preparedness and complication readiness is a strategy to promote utilization of skilled maternal and neonatal care timely, based on the theory that preparing for childbirth and being ready for complications reduces delays in obtaining this care [12]. In a skilled care approach, birth preparedness includes identifying a skilled provider and making the necessary plans to receive skilled care for all births [13].
CHAPTER THREE
Methodology
This is a cross-sectional descriptive study, aimed at assessing the knowledge, attitude and practice of birth preparedness and complication readiness among antenatal clinic attendees in Eti-Osa Local Government Area of Lagos State. The study was conducted amongst pregnant women attending primary health care in Eti-Osa local government area. Only pregnant women, permanent residents, who attend ante-natal care in primary health care in Eti-Osal local government area. Those who failed to give consent and were temporary residents in the study area were excluded. These criteria were applied to ensure a uniform selection of study participants. The minimum sample size was determined [14] by using the Cochrane formula for a population greater than 10,000.
Those who failed to give consent and were temporary residents in the study area were excluded. These criteria were applied to ensure a uniform selection of study participants.
CHAPTER FOUR
Data Presentation and Analysis
The result of 360 subjects, representing the responses of all the pregnant women in the study as presented in Tables 1-8.
Discussion
The study results showed that 236 (65.6 %) of the respondents were aware of birth preparedness and complication readiness, this results is similar to the 655 (70.6 %) from a study carried out in southeastern Nigeria on Awareness of birth preparedness and complication readiness [18].
CHAPTER FIVE
Conclusions
Generally, a number of 229 (63.6 %) of the respondents in this study, have a good knowledge of birth preparedness and complication readiness components. This study showed that the number respondents 271 (75.3 %) had a positive attitude to birth preparedness and complication readiness components. The practice of birth preparedness and complication readiness components at 12 4(34. 4%) shows that despite the respondents good knowledge and positive attitude, they still do not practice birth preparedness and complication readiness. This study revealed that the proportion of pregnant women who prepared for birth and were ready for its complications was not satisfactory. Repeated awareness programs should be initiated at the Primary Health Care centers towards community participation so that Birth Preparedness and Complication Readiness status improves for these women. This will be a positive step toward achieving the millennium development goal 5, of safe motherhood and reduction in maternal mortality. Birth preparedness and complication readiness, as components of focus antenatal care are an important concept that will significantly reverse the current trend of maternal morbidity and mortality experienced in our community if strictly followed. Birth preparedness and complication readiness involves not only the pregnant woman, but also her family, community, and the available health care providers. Therefore, they need to collaborative in their efforts to support this group of people, for a robust, effective and efficient health care delivery.
Recommendation
Therefore, to reduce the economic implications as a result of maternal death in Nigeria, health and policy stakeholders, together with the community must take adequate steps to ensure early education among the girls at young age, providing adequate blood bank services and engaging in constant researches in the field of birth preparedness and complication rea
References
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