Objective: To explore maternal experience following caesarean section.Methods: The study was a cross-sectional prospective study involving 250 women.Results: The mean age of the study population was 27.2 ± 5.5 years with fifty-three per cent (53.1%) of the women between the ages of 20-29 years. Majority of the participants (67.1%) were multiparous and 37.4% of the parturient had secondary school education. The majority (67.1%) were in social class 3-5. Emergency caesarean section accounted for 74.5% of the caesarean section and the commonest indication was foetal distress. One hundred and forty-four participants (59.3%) were satisfied with their caesarean section experience which was significantly associated with health care attention and foetal outcome. More than half of the study population would not accept caesarean section when indicated in a future pregnancy. The health care attention [AOR 0.53, 95% CI (0.32, 0.88)] and maternal age [AOR 3.05, 95%CI (1.43, 6.49)] were significant predictors.Conclusion: Majority of the women were satisfied with their caesarean section experience which is influenced by the hospital care and foetal outcome. Improvement in maternal caesarean section experience through quality health care is important in increasing uptake when indicated.Keywords: caesarean section, maternal experience, acceptance of caesarean section.
BACKGROUND: Unintended pregnancy is a major social and public health problem affecting women within the reproductive age group. It jeopardizes women’s sexual and reproductive health and may pose a threat to the achievement of Sustainable Development Goal 3. Objective: To determine the prevalence and determinants of unintended pregnancy in Abakaliki, Southeast Nigeria.
METHODS: A semi-structured questionnaire was used for a cross-sectional survey of antenatal clinic attendees at the Federal Teaching Hospital, Abakaliki from January 2015 to March 2015. A total of 185 questionnaires were correctly filled and analyzed using 2008 Epi Info version statistical software (Atlanta Georgia, USA).
RESULTS: Out of the 185 antenatal clinic attendees, 43.8% (81/185) reported having had an unintended pregnancy at some point in their lives. The age at marriage, level of education, place of residence, sex education and use of contraception were significant determinants of unintended pregnancy.
CONCLUSION: The prevalence of unintended pregnancy in this study was high. Its determinants include educational status, use of contraception, age at marriage and place of residence.
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