Sunday E Adaji1, Adenike Jimoh2, Umma Bawa1, Habiba I Ibrahim1, Abiola A Olorukooba3, Hamdalla Adelaiye3, Comfort Garba4, Anita Lukong5, Suleiman Idris6, Oladapo S Shittu1. 1. Department of Obstetrics and Gynaecology, Ahmadu Bello University, Zaria, Nigeria. 2. College of Health Science, Bingham University, Jos, Nigeria. 3. Department of Paediatrics, Ahmadu Bello University, Zaria, Nigeria. 4. CBS Research Group, PRHI, Ahmadu Bello University, Zaria, Nigeria. 5. Department of Nursing Sciences, Ahmadu Bello University, Zaria, Nigeria. 6. Department of Community Medicine, Ahmadu Bello University, Zaria, Nigeria.
Abstract
OBJECTIVE: To assess women's experience of group prenatal care in a rural Nigerian community. METHODS: In an observational study, consenting pregnant women were enrolled in a group prenatal care program based on the CenteringPregnancy model from July 1, 2010, to June 30, 2011, in Tsibiri, Nigeria. Women were interviewed before joining the group and postnatally. A predesigned pro forma was used to assess group behavior during sessions. Descriptive and inferential statistics were applied to data. RESULTS: In total, 161 women enrolled, and 54 of 72 scheduled prenatal sessions took place. The average number of visits was three per woman, with good group interaction and cohesion. Mothers who could mention at least five out of eight danger signs of pregnancy increased from 1.4% (2) to 13.3% (14) (P<0.001, 95% CI 4.28-19.52), while mean knowledge score for danger signs increased from 31% to 47.8% (P<0.001, 95% CI 0.86-2.16). Commitment to birth preparedness plans was impressive. The mothers enjoyed the group sessions and shared the lessons they learned with others. CONCLUSION: Group prenatal care was feasible and acceptable to women in the present study setting. Comparative trials would be helpful to demonstrate the benefits of the tested model in low-income settings.
OBJECTIVE: To assess women's experience of group prenatal care in a rural Nigerian community. METHODS: In an observational study, consenting pregnant women were enrolled in a group prenatal care program based on the CenteringPregnancy model from July 1, 2010, to June 30, 2011, in Tsibiri, Nigeria. Women were interviewed before joining the group and postnatally. A predesigned pro forma was used to assess group behavior during sessions. Descriptive and inferential statistics were applied to data. RESULTS: In total, 161 women enrolled, and 54 of 72 scheduled prenatal sessions took place. The average number of visits was three per woman, with good group interaction and cohesion. Mothers who could mention at least five out of eight danger signs of pregnancy increased from 1.4% (2) to 13.3% (14) (P<0.001, 95% CI 4.28-19.52), while mean knowledge score for danger signs increased from 31% to 47.8% (P<0.001, 95% CI 0.86-2.16). Commitment to birth preparedness plans was impressive. The mothers enjoyed the group sessions and shared the lessons they learned with others. CONCLUSION: Group prenatal care was feasible and acceptable to women in the present study setting. Comparative trials would be helpful to demonstrate the benefits of the tested model in low-income settings.
Authors: Holly Powell Kennedy; Trisha Farrell; Regina Paden; Shannon Hill; R Rima Jolivet; Bruce A Cooper; Sharon Schindler Rising Journal: Mil Med Date: 2011-10 Impact factor: 1.437
Authors: Ellen Chirwa; Esnath Kapito; Diana L Jere; Ursula Kafulafula; Elizabeth Chodzaza; Genesis Chorwe-Sungani; Ashley Gresh; Li Liu; Elizabeth T Abrams; Carrie S Klima; Linda L McCreary; Kathleen F Norr; Crystal L Patil Journal: BMC Public Health Date: 2020-02-10 Impact factor: 3.295