Women's experience with group prenatal care in a rural community in northern Nigeria.

Autor: Adaji SE; Department of Obstetrics and Gynaecology, Ahmadu Bello University, Zaria, Nigeria., Jimoh A; College of Health Science, Bingham University, Jos, Nigeria., Bawa U; Department of Obstetrics and Gynaecology, Ahmadu Bello University, Zaria, Nigeria., Ibrahim HI; Department of Obstetrics and Gynaecology, Ahmadu Bello University, Zaria, Nigeria., Olorukooba AA; Department of Paediatrics, Ahmadu Bello University, Zaria, Nigeria., Adelaiye H; Department of Paediatrics, Ahmadu Bello University, Zaria, Nigeria., Garba C; CBS Research Group, PRHI, Ahmadu Bello University, Zaria, Nigeria., Lukong A; Department of Nursing Sciences, Ahmadu Bello University, Zaria, Nigeria., Idris S; Department of Community Medicine, Ahmadu Bello University, Zaria, Nigeria., Shittu OS; Department of Obstetrics and Gynaecology, Ahmadu Bello University, Zaria, Nigeria.
Jazyk: angličtina
Zdroj: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics [Int J Gynaecol Obstet] 2019 May; Vol. 145 (2), pp. 164-169. Date of Electronic Publication: 2019 Mar 01.
DOI: 10.1002/ijgo.12788
Abstrakt: Objective: To assess women's experience of group prenatal care in a rural Nigerian community.
Methods: In an observational study, consenting pregnant women were enrolled in a group prenatal care program based on the CenteringPregnancy model from July 1, 2010, to June 30, 2011, in Tsibiri, Nigeria. Women were interviewed before joining the group and postnatally. A predesigned pro forma was used to assess group behavior during sessions. Descriptive and inferential statistics were applied to data.
Results: In total, 161 women enrolled, and 54 of 72 scheduled prenatal sessions took place. The average number of visits was three per woman, with good group interaction and cohesion. Mothers who could mention at least five out of eight danger signs of pregnancy increased from 1.4% (2) to 13.3% (14) (P<0.001, 95% CI 4.28-19.52), while mean knowledge score for danger signs increased from 31% to 47.8% (P<0.001, 95% CI 0.86-2.16). Commitment to birth preparedness plans was impressive. The mothers enjoyed the group sessions and shared the lessons they learned with others.
Conclusion: Group prenatal care was feasible and acceptable to women in the present study setting. Comparative trials would be helpful to demonstrate the benefits of the tested model in low-income settings.
(© 2019 International Federation of Gynecology and Obstetrics.)
Databáze: MEDLINE
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