Knowledge and Perception of Obstetric Danger Signs among Pregnant Women Attending Antenatal Clinics in Selected Health Facilities, Ile-Ife, Osun State: A Cross Sectional Study
Adesola Adenike OLATOYE *
Seventh-day Adventist School of Nursing, Lagere, Ile-Ife, Osun State, Nigeria.
Afolabi Esther Kikelomo
Department of Nursing, Obafemi Awolowo University Ile-Ife, Osun State, Nigeria.
Adeniyi Micheal OLATOYE
Department of Anatomy and Cell Biology, Obafemi Awolowo University, Ile-Ife, Nigeria.
*Author to whom correspondence should be addressed.
Abstract
Background: Direct obstetric complications have largely contributed to increased maternal mortality in under developed and developed countries including Nigeria. The level of knowledge and perception of pregnant mothers about obstetric danger signs serves as indicators to these obstetric complications which will help in adequate management and prevention of maternal deaths. Therefore, this study will assess the level of knowledge and perception of danger signs among pregnant women attending antenatal clinics in selected health facilities.
Methods: A cross sectional research design was adopted. Structured questionnaire was administered to three hundred and thirty four pregnant women that attended antenatal clinics in selected health facilities in Ife Central Local Government, Osun State. Descriptive and inferential (Chi square) analyses were used to present the data.
Results: A total of 334 respondents participated. The median age group was 25-34 years, 62.3% of the respondents had good knowledge and 52.7% of the respondents had positive perception towards obstetric danger signs during pregnancy; the study also found that there was no significant relationship between the knowledge and perception towards obstetric danger signs among the respondents(Sig. value = 0.233, p = <0.05).
Conclusion: This study concluded that more than half of the respondents had good knowledge on obstetric danger signs; a little above average of them signified positive perception on obstetric danger signs. A significant portion of the pregnant women still lack health information and have negative perception on obstetric danger signs, it implies the need for nurses and other health professionals to improve on our skills to give adequate health education on obstetric danger signs to pregnant women.
Keywords: Knowledge, perception, obstetric danger signs, pregnant women, health facilities, ile Ife, Osun state
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Mekonnen T, Girmaye B, Taye F. Assessment of Knowledge and Attitude towards Obstetric Danger Signs During Pregnancy among Pregnant Mothers Attending Antenatal Care in Mizan Aman Public Health Facilities, Bench Maji Zone, South West Ethiopia. Health. 2018;11(3):555813
World Health Organisation MDG5: Improve Maternal Health. 2015a Available at http://www.who.int/topics/millennium_development_goals/maternal_health/en/
Alkema L, Chou D, Hogan D, Zhang S, Moller AB, Gemmill A, Fat DM, Boerma T, Temmerman M, Mathers C, Say L. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. The Lancet. 2016 Jan 30;387(10017):462-74.
WHO, UNICEF, UNFPA, World Bank Group, and United Nations population division maternal mortality estimation inter-agency group. Madagascar: Maternal mortality in 1990-2015.
Hailu D, Berhe H. Knowledge about obstetric danger signs and associated factors among mothers in Tsegedie District, Tigray Region, Ethiopia 2013: community based cross-sectional study. Plos one. 2014 Feb 6;9(2):e83459.
Negese B, Hailemeske S, Wassihun B. Knowledge, risk perception and associated factors towards obstetric danger signs among mothers in Debre Berhan town, North Shoa, Ethiopia. Ethiopian Journal of Reproductive Health. 2019 Jan 21;11(1):13.
Haleema M, Raghuveer P, Kiran R, Mohammed IM, Mohammed IS, Mohammed M. Assessment of knowledge of obstetric danger signs among pregnant women attending a teaching hospital. Journal of family medicine and primary care. 2019 Apr;8(4):1422.
Nsemo AD, Offiong DJ. Knowledge of obstetric danger signs among women of child-bearing age in the rural communities of Cross River State, Nigeria. International Educational Scientific Research Journal. 2016;2:12.
Morhason Bello IO, Fagbamigbe AF, Mumuni TO, Adesina OA, Abdus Salam AR, Ifemeje A, Ojengbede OA. Evaluation of correct knowledge of key danger signs in pregnancy among antenatal clinic attendees at a tertiary health facility in Nigeria. Nigerian journal of clinical practice. 2016;19(2):227-32.
Nurgi S, Tachbele E, Dibekulu W, Wondim MA. Knowledge, Attitude and Practice of Obstetric Danger Signs during Pregnancy in Debre Berhan, Ethiopia. Health Science Journal. 2017;11(6):1-7.
Afolabi BM, Ezedinachi EN, Opara S, Arikpo I, Ogunwale A. Perception of obstetric danger signs among women living on the coastline of the Atlantic Ocean in rural Lagos, Nigeria. Journal of Public Health and Epidemiology. 2016 Jan 31;8(1):1-1.
Mbalinda, S. N., Nakimuli, A., Kakaire, O., Osinde, M. O., Kakande, N., & Kaye, D. K. (2014). Does knowledge of danger signs of pregnancy predict birth preparedness? A critique of the evidence from women admitted with pregnancy complications. Health Research Policy and Systems, 12(1), 60.
Oni B, Odukoya OO, Okunowo AA, Ojo OY, Abatan YO. A comparative assessment of the awareness of danger signs and practice of birth preparedness and complication readiness among pregnant women attending rural and urban general hospitals in Lagos State. Sahel Medical Journal. 2016 Oct 1;19(4):206.
Bililign N, Mulatu T. Knowledge of obstetric danger signs and associated factors among reproductive age women in Raya Kobo district of Ethiopia: A community based cross-sectional study. BMC pregnancy and childbirth. 2017 Dec;17(1):70.
Ossai EN, Uzochukwu BS. Knowledge of danger signs of pregnancy among clients of maternal health service in urban and rural primary health centres of Southeast Nigeria. J Community Med Health Educ. 2015;5(337):2161-0711.
Bogale D, Markos D. Knowledge of obstetric danger signs among child bearing age women in Goba district, Ethiopia: a cross-sectional study. BMC pregnancy and childbirth. 2015 Dec;15(1):77.
Bintabara D, Mpembeni RN, Mohamed AA. Knowledge of obstetric danger signs among recently-delivered women in Chamwino district, Tanzania: a cross-sectional study. BMC pregnancy and childbirth. 2017 Dec;17(1):276.
Phanice OK, Zachary MO. Knowledge of Obstetric Danger Signs among Pregnant Women Attending Antenatal Care Clinic at Health Facilities within Bureti Sub-County of Kericho County, Kenya.
Agunwa CC, Nnebue CC, Duru CB, Aniebue PN, Aniebue UU, Ifeadike CO. Knowledge of obstetric danger signs among women of reproductive age in rural communities in Enugu State, Nigeria. Am J Health Res. 2015;3(6):376-80.
Oguntunde O, Nyenwa J, Yusuf FM, Dauda DS, Salihu A, Sinai I. Factors associated with knowledge of obstetric danger signs and perceptions of the need for obstetric care among married men in northern Nigeria: a cross-sectional survey. BMC pregnancy and childbirth. 2019 ;19(1), 123.
Doctor HV, Findley SE, Cometto G, Afenyadu GY. Awareness of critical danger signs of pregnancy and delivery, preparations for delivery, and utilization of skilled birth attendants in Nigeria. Journal of health care for the poor and underserved. 2013;24(1):152-70.
Bhumi MA, Chajhlana SP. Knowledge of obstetric danger signs among pregnant women attending antenatal clinic at rural health training centre of a medical college in Hyderabad. International Journal Of Community Medicine And Public Health. 2018 May 22;5(6):2471-5.
Salem A, Lacour O, Scaringella S, Herinianasolo J, Benski AC, Stancanelli G, Vassilakos P, Petignat P, Schmidt NC. Cross-sectional survey of knowledge of obstetric danger signs among women in rural Madagascar. BMC pregnancy and childbirth. 2018 Dec;18(1):46.
Okour A, Alkhateeb M, Amarin Z. Awareness of danger signs and symptoms of pregnancy complication among women in Jordan. International Journal of Gynecology & Obstetrics. 2012 Jul;118(1):11-4.
Thapa B, Manandhar K. Knowledge on obstetric danger signs among antenatal mothers attending a tertiary level hospital, Nepal. Journal of College of Medical Sciences-Nepal. 2017 Dec 20;13(4):383- 7.