Nursing

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    Perception, Experience and Care of Episiotomy among Post Natal Women Attending Selected Health Facilities in Ibadan, Nigeria
    (College of Medicine, University of Ibadan, 2019) Ndikom, C. M.; Ajijolaiya-Adeniyi, G. I.; Ogbeye, G. B.
    Background: Episiotomy is a deliberate cut given on the perineum to widen the vaginal opening for the delivery of an infant but it is sometimes misused. The study aimed at determining the perception, experience and care of episiotomy among postnatal women. Methods: This descriptive study was carried out in one selected tertiary, secondary and primary health care facility respectively in Ibadan. Purposive sampling techniques was used to select 219 participants. Data was collected using a self-structured questionnaire with reliability of 0.81 after obtaining ethical approval and informed consent. Two hundred (200) questionnaires were suitable for data analysis. Data were analysed using descriptive statistics and hypotheses were tested using chi-square at p<0.05. Results: One hundred and seventeen (58.5%) of the respondents were between ages 28-37 years with a mean age of 29.7 years. A total of 108(54.0%) of the respondents had experienced episiotomy. Informed consents were not obtained from most of the respondents before episiotomies were performed on them. Also, 78(72.2%) affirmed that they experienced pain and discomfort from episiotomy with 31 (28.7%) admitting that the pain affected their ability to care for their babies while 16 (14.8%) affirmed that the experience also resulted in discomfort during sexual intercourse. Furthermore, 92(85.2%) out of the 108 claimed that they were given information on the care of episiotomy after the procedure and thus, were able to use the various methods of episiotomy care effectively without any complications. Conclusion: Episiotomy rate in this study was higher than the recommended evidenced-based rate for optimum care. Therefore, efforts should be made to- reduce the rate at which episiotomies are performed by health workers on parturient mothers. In addition, women should be given appropriate information on episiotomy.
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    Women’s Choice, Satisfaction, and Compliance with Contraceptive Methods in Selected Hospitals of Ibadan, Nigeria
    (School of Nursing & Midwifery, Mashhad University of Medical Sciences, 2018) Ndikom, C. M.; Ojo, O. C.; Ogbeye, G. B.
    Background & aim: Population control has remained an issue of concern to many developing nations. Many women have unmet needs for contraception. Despite the available options for abortion, unwanted pregnancies account for a high maternal mortality rate. Regarding this, the present study aimed to investigate the choices, satisfaction, and compliance with contraceptive use among the women living in Ibadan, Nigeria. Methods: This cross-sectional study was conducted on 290 women attending the pediatric welfare clinics in four hospitals in 2015. The study population was selected through purposive sampling technique. The data were collected using a self- administered questionnaire. The data were analyzed using descriptive statistics and Chi-square test through SPPS, version 16. Results: According to the results, 95% of the participants were aware of the contraceptive methods, and 72.1% of them had used these methods. Partner's refusal was the major reason for non-use of contraceptives. The birth control methods, which were commonly utilized, were natural family planning (36.5%) and oral contraceptives (30.8%). Furthermore, up to 60% of the subjects were satisfied with the method they used, and 70% of them adhered to the chosen methods. Additionally, compliance with contraceptive methods had a significant association with partners' approval (P=0.038) and satisfaction with contraceptive methods (P=0.04). Conclusion: As the findings of the present study revealed, partners' approval of contraceptives had a significant role in the use of the birth control methods. Furthermore, some women were not satisfied with the methods they used. Regarding the findings of the study, the partners should be involved and well informed about contraceptives in order to enhance their use of contraceptives. Moreover, the women should be provided with appropriate information to be able to make an informed decision for choosing the suitable contraceptive methods.