Categories of Obstetric Practitioners inNigeria and Implications for Feto-Maternal Care.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 17, Issue 2
Abstract
Background: In Nigeria, there is no national statistics on the types of obstetric health facilities and also personnel that offer obstetric service to women. Furthermore, not much is known about their knowledge, training background and therefor the quality of care that is offered. Objectives: Toascertain the categories of Obstetric Health Facilities and Obstetric Practitioners in Rivers State, Nigeria and to illustrate their implication for feto-maternal care. Method: This was a descriptive observational cross-sectional study. 234 obstetric practitioners that work in 125 Health Facilities across 4 local Government areas of Rivers State were assessed on their knowledge of obstetrics and their actual clinical practice, with particular attention paid to the WHO definition of skilled birth attendants. The assessed health facilities were chosen randomly. Data was analyzed with Epi Info 7.2.1 software package 2015 (epi-info.reviewsoft.com.) Results:14 categories of obstetric practitioners were identified. 85 (36.32%) of them constituted the 5 categories of skilled obstetric practitioners (SOP) while 149 (63.68%) make up the nine categories of unskilled obstetric practitioners (USOP). The SOP are Obstetric Consultants, Senior Registrars in Teaching Hospitals, Registrars in Teaching Hospitals, Obstetric Medical officers and Trained midwives while the USOP are Senior House Officers SHO in Teaching Hospitals, Non-obstetric Consultants in Teaching / General Hospitals, Non-obstetric medical officers, General practitioners, Community Extension workers, Auxiliary Midwives / Nurses, Traditional birth attendants, Faith Healers in churches and Chemists / Pharmacists. Obstetric outcome in patients managed by unskilled practitioners is likely to be worse than that in those managed by skilled practitioners in term of higher maternal and perinatal mortality and morbidity. Eight categories of obstetric health facilities were also identified. They were Teaching Hospital, District General Hospitals, Primary Healthcare Centres, Primary Healthcare Clinics, Private maternities, Traditional birth attendant’s health facilities, Chemist/Pharmacist store, and Churches. Conclusion:The results of the study imply urgent need for structured training of the USOP and major restructuring and monitoring of obstetric care facilities in Rivers State.
Authors and Affiliations
Mkpe Abbey, 1 Chris Akani. 1
Keywords
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