Pregnant women's self-referral and perspectives on the use of prenatal ultrasound in a low-resource setting (original) (raw)
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Women’s Views on Routine Antenatal Ultrasound Scan in a Low Resource Nigerian Setting
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH
Introduction: Obstetric ultrasound is a popular and attractive management tool in Obstetrics. In recent times, it has gained wide acceptance amongst expectant mothers in many parts of the developing world. Many Obstetricians now regard it as an integral part of antenatal care. Despite this popularity, little is known about women's views regarding the antenatal ultrasound scan in Nigeria.
The Ghanaian woman’s experience and perception of ultrasound use in antenatal care
Ghana Medical Journal, 2014
Methods: A total of 337 clients were randomly selected after delivery and interviewed. Issues addressed included why women went for antenatal ultrasound, their knowledge of the uses of ultrasound in pregnancy, information provided by health care providers, clients' eagerness to know the sex of their fetuses, and their overall assessment of the ultrasound scanning experience. Results: The mean number of scans was 2.2(1.1). Most were performed on the request of a doctor or midwife; 154(45.7%) were not told the reasons for the request and 185(54.9%) did not have the results explained to them. For 239(70.9%) women the sonographer did not explain the procedure before the examination; 89(26.4%) were allowed to ask questions and 61(18.1%) were allowed to see their fetuses on the monitor. One hundred and sixty respondents (47.5%) asked for and were told the sex of their fetuses, with accuracy at delivery of 86.5%. Conclusion: Most respondents perceived antenatal ultrasound as a useful tool. There is lack of information flow from health care providers to clients concerning the indications for the ultrasound, the processes involved and the results of the procedure. Improvements in these areas are needed to enhance the experience of antenatal ultrasound among Ghanaian women.
Awareness of Pre-Natal Ultrasound Scan Among Antenatal Patients in A Northern Nigerian Population
Ultrasound is a very important imaging modality in the management of antenatal cases. Its utilization by expectant mothers is largely dependent on how necessary they think it is. This study aims at determining the level of awareness of the need for ultrasound scan amongst antenatal patients. A structured questionnaire on maternal biometrics and level of awareness was used as instrument for data collection and the results analyzed using descriptive statistics. Out of the 218 respondents, 96.3% (n = 201) knew about ultrasound. 69% (n = 152) received the information from the antenatal clinic. The major reason for undergoing an ultrasound scan was to check for fetal well-being and rule out complications in pregnancy. Parity significantly influenced women's choices as they were more likely to go for and not turn down an ultrasound referral if they had more children. Ante-natal patients in our centre showed a commendable degree of knowledge on the need for antenatal ultrasound scan, a pointer towards the positive impact maternal health awareness is having among the pregnant population. This will help in neutralizing cultural and religious barrier in assessing ultrasound scan.
Journal of Gynecology & Reproductive Medicine, 2022
Introduction: Obstetric ultrasonography in antenatal care (ANC) is globally recognized as one of the ways through which maternal mortality can be reduced. Pregnant women’s knowledge, perceptions, and attitudes are thought to influence their response towards obstetric ultrasonography. This study was conducted to assess the knowledge, attitudes, and practices of pregnant women towards obstetric sonography at Mulago hospital. Methods: This was a descriptive cross-sectional study that involved 300 pregnant women who reported for obstetric sonography at Mulago hospital in Kampala, Uganda. Consecutive sampling technique was used to recruit participants into the study. The data was collected using interviewer-administered questionnaires and was analyzed quantitatively into descriptive statistical tables, percentages and graphs using Statistical Package for Social Scientists (SPSS) version 25.0 software. Results: The study had a response rate of 100%. Most participants had good knowledge of...
Clients' reason for prenatal ultrasonography in Ibadan, South West of Nigeria
BMC Women's Health, 2009
Background: Prenatal ultrasonography has remained a universal tool but little is known especially from developing countries on clients' reasons for desiring it. Then aim was to determine the reasons why pregnant women will desire a prenatal ultrasound. Methods: It was a cross-sectional survey of consecutive 222 women at 2 different ultrasonography facilities in Ibadan, Southwest Nigeria. Results: The mean age of the respondents was 30.1 ± 4.5 years. The commonest reason for requesting for prenatal ultrasound scans was to check for fetal viability in 144 women (64.7%) of the respondents, followed by fetal gender determination in 50 women (22.6%. Other reasons were to check for number of fetuses, fetal age and placental location. Factors such as younger age, artisans profession and low level of education significantly influenced the decision to check for fetal viability on bivariate analysis but all were not significant on multivariate analysis. Concerning fetal gender determination, older age, Christianity, occupation and gravidity were significant on bivariate analysis, however, only gravidity and occupation remained significant independent predictor on logistic regression model. Women with less than 3 previous pregnancies were about 4 times more likely to request for fetal sex determination than women with more than 3 previous pregnancies, (OR 3.8 95%CI 1.52-9.44). The professionals were 7 times more likely than the artisans to request to find out about their fetal sex, (OR 7.0 95%CI 1.47-333.20). Conclusion: This study shows that Nigerian pregnant women desired prenatal ultrasonography mostly for fetal viability, followed by fetal gender determination. These preferences were influenced by their biosocial variables.
Expectant mothers′ perception of prenatal sonography in a South-Eastern population in Nigeria
Tropical Journal of Obstetrics and Gynaecology, 2016
Background: Prenatal sonography is very important for quality patient management and effective service delivery in diagnostic radiology during the antenatal period. Aim: The study was conducted to assess the perception of pregnant women to prenatal sonography and to investigate the factors affecting maternal satisfaction to prenatal sonography in some tertiary institutions in southeastern Nigeria. Materials and Methods: The study was a cross-sectional study that involved 150 patients. It was conducted by administering semi-structured questionnaires. The questionnaire contained a total of 17 questions consisting of 16 close-ended questions and 1 open-ended question. The respondents were pregnant women who presented for obstetric sonography in Federal Teaching Hospitals and Federal Medical Centers in southeastern Nigeria. The data were analyzed descriptively using frequency tables and percentages. Results: There was a high indication of clinical use of obstetric ultrasound such as the health and well-being of the foetus (35.3%), foetal age determination, and the expected date of delivery (24.7%). Most respondents (84.6%) perceived prenatal sonography as being necessary, and 66.7% of the patients considered the result of obstetric sonography to be reliable. Majority of the respondents (88.7%) considered the services rendered during their sonographic scan to be satisfactory. Conclusion: Most of the women perceived prenatal sonography as necessary and reliable. The services rendered during sonography were also considered satisfactory by most women; however, most pregnant women did not know about diagnostic ultrasound safety during the prenatal period.
Background: Routine obstetrics ultrasonography has become one of the most important advances in modern antenatal care. During pregnancy, health care practitioners usually request for routine ultrasound scanning or specifically when there are special indications. Objective: To assess the knowledge of the use and the various indications for obstetrics ultrasound scanning. Setting: women of child bearing age attending Antenatal clinic (ANC),Family planning and Child Health clinics of the Usmanu Danfodiyo University Teaching Hospital, Sokoto Nigeria Participants: proportional allocation was done to recruit 202 respondents from ANC, Family planning and Child Health clinics based on daily clinic attendance. A semi-structured questionnaire sought to obtain information on socio-demographic characteristics, knowledge and practice of ultrasound. Results: majority, (96.4%) of the respondents had good knowledge of ultrasound and its uses with a mean knowledge score of 86.3±17. Main reason for h...
ABSTRACT Prenatal ultrasound has in the past one decade gained acceptance as a standard tool for obstetric management in North-Central Nigeria but it is however faced with barriers hindering its utilization in prenatal care. The objective of this study was to assess the perception of pregnant women about the barriers to utilization of prenatal ultrasound in prenatal care in North-Central Nigeria. A hospital-based cross-sectional prospective survey was conducted at the antenatal clinic of Federal Medical Centre, Makurdi, Benue State in North-Central Nigeria between December 2008 and June 2009. The survey targeted pregnant women who were attending antenatal clinic in the hospital. A convenience sample of 596 patients who have had at least one previous prenatal ultrasound were included in the study. Results showed all the barriers were rated high with necessity of scan (attitude) and satisfaction with prenatal ultrasound service rating higher than the rest; being 2.91 ± 1.12 and 3.00 ± 0.63 respectively on a 4-point scale. Socio-demographic variables correlated significantly to the identified barriers (p < 0.05) while one-way ANOVA showed that all the socio-demographic variables were significant contributors to their ratings of various barriers (p < 0.05). In conclusion, negative attitude, long distances to service providers, considerably heavy financial cost, long waiting periods and unsatisfactory previous scan experience are major barriers to prenatal ultrasound. Socio-demographic variables have significant influence on these barriers and improvement on these variables can help overcome the barriers. KEY WORDS: Prenatal ultrasound - Prenatal care - Barriers - Utilization. LA PERCEPTION DES FEMMES ENCEINTES SUR LES OBSTACLES A UTILISATION DE L’ECHOGRAPHIE PRENATALE DANS LES SOINS PRENATAUX DANS LE NORD DU NIGERIA. RESUME L’échographie prénatale a dans le passé une décennie gagné l’acceptation comme un outil standard pour la gestion obstétrique dans le centre-nord du Nigéria, mais il est cependant confronté à des barrières faisant obstacle à son utilisation dans les soins prénataux. L’objectif de cette étude était d’évaluer la perception des femmes enceintes sur les obstacles à l’utilisation de l’échographie prénatale en matière de soins prénataux dans le centre-nord du Nigeria. Une enquête prospective transversale hospitalière a été menée à la clinique de soins prénataux du Centre Medical Federal de Makurdi, Etat de Benue dans le nord du Nigeria entre Décembre 2008 et Juin 2009. L’enquête a ciblé les femmes enceintes qui fréquentaient les consultations prénatales à l’hôpital. Un échantillon de 596 patients ayant eu au moins une échographie prénatale précédente ont été inclus dans l’étude. Les résultats ont montré que toutes les barrières ont été jugées élevées avec la nécessité de scan (attitude) et la satisfaction avec qualification de service d’échographie prénatale plus élevés que les autres, étant 2,91 ± 1,12 et 3,00 ± 0,63, respectivement, sur une échelle de 4 points. Les variables sociodémographiques corrélaient de manière significative aux obstacles identifiés (p<0,05) tandis que d’autre part ANOVA a montré que toutes les variables sociodémographiques ont été des contributeurs importants à la cotation de divers obstacles (p <0,05). En conclusion, l’attitude négative, l’éloignement des fournisseurs de services, le coût financier considérablement lourd, les longues périodes d’attente et de l’expérience insatisfaisante de l’étude précédente constituent des obstacles majeurs à l’échographie prénatale. Les variables sociodémographiques ont une influence significative sur ces obstacles et l’amélioration de ces variables peuvent aider à surmonter les obstacles. MOTS CLES: Echographie prénatale - Soins prénatals - Barrières - Utilisation.
Open Journal of Obstetrics and Gynecology, 2013
Background: Pregnant women are important stakeholders regarding prenatal ultrasound (US) scanning. Their specific needs and preferences have to be ascertained by healthcare providers to ameliorate service delivery. Objective: To assess the pregnant woman's expectations during routine prenatal US scan and her perspective of US safety during pregnancy in a Central African obstetric population. Methods: A cross-sectional descriptive survey of consenting pregnant women who reported for routine prenatal US scan using an anonymous questionnaire. A convenient sample of 200 participants was adopted. Results: Thirty-three (16.8%) respondents (on a total of 196) declared they had never done an US scan. One hundred and eleven (58.4%) on a total of 190 stated that they had not received any information on what ultrasonography is all about. Before the US scan the respondents would like to receive information on the aim or purpose of ultrasonography, possible inconveniences or risks, and on how to prepare before the scan. The most reported expectations were assurance of the wellbeing of the fetus (58%), gender determination (44.5%) and information on fetal position (20.5%). Thirty-four respondents considered ultrasonography as not perfectly safe for the mother or the "baby", with the relevant reasons being the use or production of some potentially harmful "rays". Conclusion: Pregnant women would want to be assured of the wellbeing of the fetus, the gender and position during routine prenatal US. They however need to be informed of its purpose and safety.