Quality of Antenatal Care and Outcome of Pregnancy in a Semi-Urban Area in Fako Division, Cameroon: A Cross-Sectional Study

Halle-Ekane, Gregory; Fotabong, Cyril Mela; Njotang, Phillip N.; Atashili, Julius; Ndemazie, Nkafu Bechem; Nsagha, Dickson Shey; Egbe, Thomas Obinchemti

doi:10.17140/whoj-1-105

Cited by 10 publications

(8 citation statements)

References 21 publications

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“…status increases the chance of recovery. This result confirm with the result obtained from the previous studies(Halle-Ekane et al, 2015). Residence of patient is the strong predictor for recovery time of obstetric fistula patient.…”

supporting

confidence: 92%

Determinants of time to recovery from obstetric fistula by using the data of university of Gondar teaching hospital fistula center, Gondar –Ethiopia: A parametric survival regression analysis

Derso¹,

Ayalew²,

Eshete³

et al. 2020

Cogent Medicine

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Obstetric fistula is the presence of a hole between a woman's genital tract and either the urinary or the intestinal tract. Better knowledge of the risk factors for obstetric fistula could help in preventing its occurrence. The purpose of this study was to assess the characteristics of obstetric fistula patients. A retrospective and cohort study was used and 289 patients was taken from a hospital records. The study includes obstetric fistula patients who were recorded in the medical record room of cards which have the vital data and the patients with missing main data for the research were excluded. The results from the Weibull regression model revealed that older ages at first marriage, weight < 50 kg, height of > 150 cm, follow-up of antenatal care, delivery at health center, duration of labour for < 2 day, vaginal delivery, urban residence, accessing education, width of fistula < 5 cm, intact of urethra and duration of incontinent of urine <3 month significantly (p < 0.05) contribute to shorter stay in hospital to treated and physically cured than their counterparts. The average survival times of a patient stay in the hospital to treated and physically cured is 5.19 weeks. The finding of this study showed that age at first marriage, height, antenatal care, weight, place of delivery, mode of delivery, duration of labour, duration of incontinent of urine, educational status, residence width of fistula, and status of urethra were influential affecting recovery time of obstetric fistula patient at the Hospital.

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supporting

confidence: 92%

Determinants of time to recovery from obstetric fistula by using the data of university of Gondar teaching hospital fistula center, Gondar –Ethiopia: A parametric survival regression analysis

Derso¹,

Ayalew²,

Eshete³

et al. 2020

Cogent Medicine

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“…Effective pre-, intra-, and post-natal care interventions play an important role in reducing maternal and child mortality and morbidity [1–5]. Antenatal care (ANC) is the care that a woman receives throughout her pregnancy and for some weeks during the post-partum period in addition to identification of problems occurring during pregnancy [1, 6], ANC provides an excellent opportunity to establish a birth plan and to promote a healthy lifestyle that improves health outcomes for the woman, her unborn child and possibly her family [7, 8]. Besides medical history-taking and physical examination, treatment and referral to a hospital, health education and counseling play an important role in ANC [9–11].…”

Section: Introductionmentioning

confidence: 99%

Do health care providers give sufficient information and good counseling during ante-natal care in Lao PDR?: an observational study

Phommachanh

Essink

Wright³

et al. 2019

BMC Health Serv Res

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Background It is increasingly recognized that improving the quality of maternal health care delivery is of utmost importance in many countries. In Laos, the quality of antenatal care (ANC) service remains inadequate, but it has never been assessed thoroughly. This study aims to determine the ANC quality at the urban and rural public health facilities in Laos and provides suggestions to improve health education and counseling in addition to other routine care in public ANC services. Methods This health-facility based, cross-sectional observation study included both health providers ( n = 77) and pregnant women ( n = 421) from purposively selected health facilities ( n = 16). Information on the mothers’ current pregnancies, previous visits and their last children was collected. The time spent for each ANC session as well as ANC services provided were recorded. Descriptive and inferential statistics were applied to analyze the data. Results Overall performance of ANC services by health care providers was poor in both urban and rural areas. Insufficient provision of information on danger signs during pregnancy, nutrition, breast feeding and iron supplements was revealed. Generally the communication skills, behavior and attitude of health providers were very poor. Less than a quarter of pregnant women were treated with kindness and respect. Only 4% of the observed ANC session took privacy into consideration. Less than 10% of available information materials were used during each ANC session. None of the health providers in both rural and urban areas performed specific counseling. Overall mean (SD) time-spent for each ANC session was 16.21 (4.28) minutes. A positive correlation was identified between the length of working experience of health providers and their physical performance scores (adjusted R square = 0.017). Conclusions The overall performance of ANC services by health care providers was inadequate in both urban and rural areas. Insufficient provision of health education and poor communication skills of health care providers were revealed. Existing IEC materials were scarcely used. Taking action to improve the quality of ANC services by training and providing specific guidelines, creating dedicated rooms, and providing sufficient and effective materials for counseling are all greatly needed in public health facilities in Laos.

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“…Also, women who begin ANC early may have a higher tendency to attend more antenatal care visits. This will result overall in better care and will significantly reduce the risk of stillbirths [19].…”

Section: Discussionmentioning

confidence: 99%

Stillbirth rates and associated risk factors at the Buea and Limbe regional hospitals, Cameroon: a case-control study

Egbe

Ewane

Tendongfor

2020

BMC Pregnancy Childbirth

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Background: Stillbirths bring grief to both mother and family but have been underreported in Cameroon. We aimed at determining the stillbirth rates and associated risk factors in the Buea Regional Hospital (BRH) and the Limbe Regional Hospital (LRH), Cameroon. Materials and methods: This was a hospital-based unmatched case-control study in which files of women with stillbirth (cases) were analysed. A woman with a live birth in the same maternity during the same period served as a control. Data were collected using a pre-tested questionnaire. The stillbirth rate was the number of stillbirths per thousand births. Logistic regression analysis was used to identify independent factors associated with stillbirth. Results: Stillbirth rates at the BRH and LRH were 33.72 and 36.45 per 1000 live births. The factors that were independently associated with stillbirth were: referral status (

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Quality of Antenatal Care and Outcome of Pregnancy in a Semi-Urban Area in Fako Division, Cameroon: A Cross-Sectional Study

Cited by 10 publications

References 21 publications

Determinants of time to recovery from obstetric fistula by using the data of university of Gondar teaching hospital fistula center, Gondar –Ethiopia: A parametric survival regression analysis

Determinants of time to recovery from obstetric fistula by using the data of university of Gondar teaching hospital fistula center, Gondar –Ethiopia: A parametric survival regression analysis

Do health care providers give sufficient information and good counseling during ante-natal care in Lao PDR?: an observational study

Stillbirth rates and associated risk factors at the Buea and Limbe regional hospitals, Cameroon: a case-control study

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