Nursing

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    Knowledge and Experience of Postnatal Women on Respectful Maternity Care During Childbirth in Selected Health Facilities in Nigeria
    (Faculty of Nursing Sciences, College of Health Sciences, Ladoke Akintola University of Technology (LAUTECH), 2022) Adeyemi, D. T.; Kolawole, I. O.; Ndikom, C. M.
    Respectful Maternity Care (RMC) is a lifesaving strategy that encompasses respect for women's basic human rights that includes respect for women's autonomy, dignity, feelings, choices, and preferences. However, the lack of RMC limits maternal health service utilization. It is against this background that this study examines knowledge, experience and satisfaction of women on RMC in selected health facilities in Ibadan. This descriptive cross-sectional study employs a simple random sampling technique to select 151 participants. A self-administered questionnaire with a reliability coefficient of 0.78 was used for data collection. Data collected were analyzed using descriptive statistics and chi-square for hypotheses testing at p<0.05. The findings show that respondents' mean age is 28.60 (+5.914) years. Less than half 69 (45.7%) of them have tertiary education and most of the respondents 89 (58.9%) have one or 2 children. A greater proportion of them, 112 (74.2%) have a positive experience of RMC. Majority, 102 (67.5%) of the respondents are highly satisfied with the RMC received. The respondents' experience of care is found to have a strong influence on their subsequent patronage of the health facilities at (2 8.9351, p= 0.011). Their level of knowledge about RMC is not associated with the experiences of the care they received (x2=6.383, p=0.567). Given the above, efforts should be made to improve the provision of Respectful Maternity Care in order to enhance the use of skilled care at childbirth. This will enhance the achievement of safe motherhood thus preventing maternal mortality and morbidity.
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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.