Maternal Health Care Seeking Behaviour Pregnancy Outcome

Maternal Health Care Seeking Behaviour Pregnancy Outcome

Abstract

The purpose of this study was to examine the motherly health care seeking geste and

gestation outgrowth of pregnant women in two pastoral communities in Enugu State. The

objects of study were to( i) determine the gravid age at which pregnant women

book for Antenatal Care( ANC) in Udi and Abiacommunities,( ii) determine how frequently

pregnant women attend Antenatal Care( ANC) during the third trimester,( iii) ascertain the

installations employed by pregnant women with complications for care and( iv) ascertain their

gestation outgrowth. Cross-sectional check design was espoused for the study. A sample

size of 207 repliers was drawn from a population of 586 pregnant

women. The instrument for data collection was the experimenter- developed questionnaire

that was used as an interview companion. Observation companion was also used to corroborate the

findings of the questionnaire. The design of the study was descriptivecross-sectional

check. Convenience slice was used to elect a sample size of 207 repliers from

a population of 586 pregnant women. Collected data wereanalysed using descriptive

statistics of frequentness and probabilities. ki- forecourt was used to test for significant

association atsignificancelevel of0.05.

Major findings show that utmost of the repliers(79.7) reserved for ANC during the

first trimester. On frequence of ANC during the third trimester,81.1 maintained

daily attendance while 100 of the repliers with complications penetrated care from

health installations especially the general sanitarium under professed healthcare providers. On

gestation outgrowth,84.5 of the babies cried roundly at birth and0.5 didn’t cry at

all. On motherly delivery outgrowth,83.1 were strong to take care of tone and baby after

delivery. There was no significant association( p>0.05) between the repliers ’

demographic variables( age and educational status) and their healthcare seeking

geste . There was no significant association( p>0.05) between motherly healthcare

dogging geste and maters ’ delivery outgrowth( women that were strong to take care

of tone and baby and those that were weak to take care of tone and baby after delivery).

There was significant association( p<0.05) between motherly healthcare seeking

geste and babies ’ birth outgrowth( number of babies that cried roundly at birth and

those that didn’t cry at each).

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CHAPTER ONE

preface

Background to the Study

A woman’s health care seeking geste during gestation depends a great deal on her

beliefs, culture, experience, educational position, fiscal status, station towards gestation,

as well as herautonomy and decision making power. Adele( 2010) suggests issues of

significance to include information about gestation the woman’s family communicated to

her as a child and whether the gestation was planned or unplanned. Garba, Hellandendu,

andAjayi( 2011) farther explained that long before the arrival of ultramodern scientific

drug, utmost societies have among their patterns of life, a body of beliefs and practices

that centre on the recognition and treatment of complications of gestation and conduct of

deliveries. therefore, an understanding of applicable health care seeking geste is veritably

important in achieving the asked gestation outgrowth. Negativebehaviour is largely

intertwined in increased morbidity and mortality of mama and baby.

Osubor, Fatusi, and Chiwuzie( 2006), suggests motherly Health Care Seeking Behaviour

( MHCSB) to include the number of visits made to prenatal clinic( ANC) by pregnant

women and their preference for place ofdelivery.Jain, Nandan and Misra( 2006) defined

health dogging geste as “ a complex outgrowth of numerous factors operating at individual,

family and community situations including their biosocial profile, once gests with health

services, vacuity of indispensable health care providers, and the people’s perception

regarding the efficacity and quality of the services ”.

Adele( 2010) explains health seeking geste to be those conditioning accepted by

individualities in response to any discomfort felt. He further stated that in the developed

countries like United States of America( USA), utmost women visit ANC beforehand in

gestation, misbehave with antenatal directives and are attended to by professed health care

providers when in labour. He also suggests that in the developing countries, especially in

the pastoralsub-Saharan Africa, utmost women consider gestation a natural process and the

services of professed health care providers supposed not necessary. Rastogi( 2012) observed

low application of ANC among pastoral women in India due to lack of means of

transportation, also because the women were frequently shy when agitating their health

problems before a manly professional. Rastogi suggests that women who had formal

education up to secondary academy position sought health care from professed providers.

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Jayaraman, Chandrasekhar and Gebreselassie( 2008), stated that utmost of the pregnant

women deliver at home without professed health care providers, while only a many admit up

to three prenatalvisits.Woldemicael( 2008) suggests that due to lack of transportation

some pregnant women may not use ANC and other delivery services by professed care

providersin health installations and thus seek help from different fields.

Adamu( 2011) suggests that MHCSB is the way maters take care of their health and the

future child so that they will reach the end of gestation veritably healthy with positive

( 2011) editorialized that in Nigeria, motherly health care seeking geste is

analogous to that of other developing countries where negative health seekingbehaviours

shown by utmost maters frequently lead to poor use of motherly health care services handed by

professed health care attendants with eventual negative gestation outgrowth. Yubiafurther

explained that poor treatment seeking behaviours dispose them to complications that

could be duly managed if detected beforehand during ANC. The number of women attending

ANC in southern Nigeriais advanced than in thenorth.NDHS( 2008) suggests that the

chance of births attended to by professed health care providers range from81.8 in the

South East( SE) to9.8 in the North West( NW). also,90.1 of women in the NW

are more likely to give birth at home compared to22.5 in the South West( SW). Adamu

2011) suggests that this high attendance is associated with educational and profitable

commission of further women in the southern than in the northern Nigeria. The number of

visits to ANC is a crucial determinant of whether a woman giving birth seeks institutional

care or care at home under a professed health care provider as against delivery at home under

unskilled birthattendant.Adamu( 2011) stated that a woman who attends ANC is more

likely to deliver in a health installation. youthful maters ( below 35 times) are also more likely to

make opinions on seeking health care than aged maters ( over 35 times) and to have

institutional delivery. On the other hand, aged maters especially multipara who have

noway had any complications in gestation believe that safe delivery is a natural process so

may not seek health care under professed health care providers. Yubia( 2011) editorialized that

similar women calculate on their experience and help from fellow aged maters for care and

delivery.

Rastogi( 2012) suggests that pregnant women don’t develop important complicationif a professed

health care provider regularly visits them athome.Babalola and Fatusi( 2009) suggest that

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the maturity of motherly deaths and disabilities can be averted through early and timely

access to and application of quality motherly health careservices.WHO( 2007) stated that

complications of gestation and parturition are leading causes of motherly morbidities and

mortality for women of reproductive age( 15- 49 times) in developing countries. Nigeria

accounts for 10 of global motherly deaths and has the alternate loftiest mortality rates in

the world. It also reported that for every woman that dies from gestation- related causes,

– 30 further will develop short- and long- term damage to their reproductive organs

performing in disabilities similar as obstetric fistula, seditious conditions, and ruptured

uterus. In view of all these, this study examined the health care seeking geste of the

pregnant women in Udi and Abia communities and their gestation outgrowth.