Context: The potential benefits of exercise to pregnant women and their unborn children are immense, yet regular exercise prescription may not be the norm. Aims: Our study aimed to investigate the perceptions and practices of obstetric care providers regarding exercise in pregnancy. Materials and Methods: The study was a cross-sectional survey done in Kaduna state between July and December 2020. A pretested questionnaire was given to obstetric care providers and information was obtained about demographics, professional and facility characteristics of respondents, their perceptions, and practices related to exercise in pregnancy, and information they routinely give pregnant women regarding exercise. Descriptive analysis was done using frequencies, percentages, mean, and standard deviation. Results: There were 265 respondents with a mean age of 34.23 ± 9.29 years. They were mostly females (215, 82.1%), married (171, 65.3%), Muslim (137, 52.3%), and Hausa (107, 40.8%). There were more nurses (153, 58.4%) from the public (212, 80.9%) and tertiary (133, 50.8%) health facilities. Almost all respondents agreed that exercise during pregnancy was beneficial (258, 98.5%). The commonest indication for exercise was cited as obesity and diabetes, whereas it was mostly contraindicated with bleeding while pregnant. The commonest barriers to exercise in pregnancy were the fear of pregnancy complications, inadequate knowledge, and high workload. Conclusion: Healthcare workers in this study generally had positive perceptions and practices toward exercise during pregnancy, except for the fact that they feel pregnant women should avoid strength-building exercises, and do not usually recommend individualized programs. Local guidelines need to be developed for EIP and providers better trained.
Infertility could be a life crisis with a wide range of socio-cultural and emotional problems. These social consequences are usually not voluntarily disclosed by the affected women and consequently do not receive adequate attention so the women continue to suffer in silence. The study aimed to determine the impact of family social support on psychological well-being of infertile women attending Yusuf Dantsoho Memorial Hospital (YDMH), Kaduna. The study was a cross sectional study conducted at the YDMH, T/Wada, Kaduna. Two hundred and fifty-four women who presented to the gynecology clinic during the study period and consented to participate in the study were recruited consecutively. Data on socio-demographics and family social support were determined using a self-structured questionnaire. Psychological wellbeing was assessed using a General Health Questioner. Data was analyzed using EPI-INFO statistical package. Majority of the participants were Northerners (70.1%), Muslims (91.7%), and Unemployed (52.8%) with an average monthly income of less than N 20,000 (73.6%). Most were within the age group of 25–30 years (40.2%) and from monogamous families (70.1%) with most families having 0–5 children (89.4%). 67.7% of the participants had adequate social support from their husbands as against 32.3% who had inadequate support (such as availability of financial, support encouragement, concern and sense of social belonging). Only 33.5% had adequate social support from their in-laws while majority of them (66.5%) had inadequate social support. A total of 203 (79.9%) of the participants had psychological distress (self-administered questioner) while 51 (20.1%) had no psychological distress. Husbands and in-laws support were significantly related to psychological wellbeing of the infertile women. Adequate social support provided by family members reduces stress, improves psychological wellbeing and quality of life of infertile women.
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