Correlates of Obstetric Risk Perception and Recognition of Danger Signs in Kano, Northern Nigeria

Background: Risk perception and recognition of danger signs are important cues for accessing obstetric care. These measures are not well documented in many resource-limited settings, including northern Nigeria, a region with poor maternal health indices. Objective: To assess community level obstetri...

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Autores principales:	Zubairu Iliyasu, Hadiza S. Galadanci, Abubakar Abdurrahim, Abubakar Jibo, Hamisu M. Salihu, Muktar H. Aliyu
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2019
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/536c2a9f906b450680b15197e6f3e9cf
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spelling	oai:doaj.org-article:536c2a9f906b450680b15197e6f3e9cf2021-12-02T09:44:32ZCorrelates of Obstetric Risk Perception and Recognition of Danger Signs in Kano, Northern Nigeria2214-999610.5334/aogh.376https://doaj.org/article/536c2a9f906b450680b15197e6f3e9cf2019-10-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/376https://doaj.org/toc/2214-9996Background: Risk perception and recognition of danger signs are important cues for accessing obstetric care. These measures are not well documented in many resource-limited settings, including northern Nigeria, a region with poor maternal health indices. Objective: To assess community level obstetric risk perception, danger sign recognition and their predictors in Kano, northern Nigeria. Method: This is a community-based cross-sectional study. Participants were surveyed using structured, pretested questionnaires. Knowledge of obstetric risk factors and danger sign recognition were analyzed, and their predictors modeled using logistic regression to generate adjusted odds ratios (AORs). Results: The obstetric risk factors identified by the 400 respondents included: maternal age (64.3%), history of abortion (37.0%), postpartum haemorrhage (36.0%), previous operative delivery (31.8%), and high parity (31.3%). The most frequently recognised danger signs during pregnancy were: vaginal bleeding (76.8%), seizures (44.5%), and severe abdominal pain (34.8%). Common intrapartum danger signs recognised included: severe bleeding (77.8%), seizures (55.5%), and loss of consciousness (38.3%). Severe bleeding (80.5%), seizures (42.0%), and high fever (28.5%) were the top three danger signs identified in the postpartum period. At multivariate level, respondent sex (female vs. male) (aOR = 3.10, 95% CI = 1.67–5.74), ethnicity (Yoruba vs. Hausa) (aOR = 7.53, 95% CI = 2.51–22.6), occupation (employed vs. unemployed) (aOR = 4.07, 95% CI = 1.87–8.84) and parity (≥5 versus 0) (aOR = 0.23, 95% CI = 0.06–0.92) predicted good obstetric risk perception. Participants’ ethnicity (Yoruba vs. Hausa) (aOR = 4.40, 95% CI = 1.10–19.2) and obstetric risk perception (good vs. poor) (aOR = 12.0, 95% CI = 6.8–21.2) predicted danger sign recognition. Conclusion: The perception of obstetric risk and recognition of danger signs were influenced by participant sex, parity, employment status, and ethnicity. Targeted communication strategies and community-based education are essential to enhance effective utilisation of emergency obstetric services.Zubairu IliyasuHadiza S. GaladanciAbubakar AbdurrahimAbubakar JiboHamisu M. SalihuMuktar H. AliyuUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 85, Iss 1 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Zubairu Iliyasu Hadiza S. Galadanci Abubakar Abdurrahim Abubakar Jibo Hamisu M. Salihu Muktar H. Aliyu Correlates of Obstetric Risk Perception and Recognition of Danger Signs in Kano, Northern Nigeria
description	Background: Risk perception and recognition of danger signs are important cues for accessing obstetric care. These measures are not well documented in many resource-limited settings, including northern Nigeria, a region with poor maternal health indices. Objective: To assess community level obstetric risk perception, danger sign recognition and their predictors in Kano, northern Nigeria. Method: This is a community-based cross-sectional study. Participants were surveyed using structured, pretested questionnaires. Knowledge of obstetric risk factors and danger sign recognition were analyzed, and their predictors modeled using logistic regression to generate adjusted odds ratios (AORs). Results: The obstetric risk factors identified by the 400 respondents included: maternal age (64.3%), history of abortion (37.0%), postpartum haemorrhage (36.0%), previous operative delivery (31.8%), and high parity (31.3%). The most frequently recognised danger signs during pregnancy were: vaginal bleeding (76.8%), seizures (44.5%), and severe abdominal pain (34.8%). Common intrapartum danger signs recognised included: severe bleeding (77.8%), seizures (55.5%), and loss of consciousness (38.3%). Severe bleeding (80.5%), seizures (42.0%), and high fever (28.5%) were the top three danger signs identified in the postpartum period. At multivariate level, respondent sex (female vs. male) (aOR = 3.10, 95% CI = 1.67–5.74), ethnicity (Yoruba vs. Hausa) (aOR = 7.53, 95% CI = 2.51–22.6), occupation (employed vs. unemployed) (aOR = 4.07, 95% CI = 1.87–8.84) and parity (≥5 versus 0) (aOR = 0.23, 95% CI = 0.06–0.92) predicted good obstetric risk perception. Participants’ ethnicity (Yoruba vs. Hausa) (aOR = 4.40, 95% CI = 1.10–19.2) and obstetric risk perception (good vs. poor) (aOR = 12.0, 95% CI = 6.8–21.2) predicted danger sign recognition. Conclusion: The perception of obstetric risk and recognition of danger signs were influenced by participant sex, parity, employment status, and ethnicity. Targeted communication strategies and community-based education are essential to enhance effective utilisation of emergency obstetric services.
format	article
author	Zubairu Iliyasu Hadiza S. Galadanci Abubakar Abdurrahim Abubakar Jibo Hamisu M. Salihu Muktar H. Aliyu
author_facet	Zubairu Iliyasu Hadiza S. Galadanci Abubakar Abdurrahim Abubakar Jibo Hamisu M. Salihu Muktar H. Aliyu
author_sort	Zubairu Iliyasu
title	Correlates of Obstetric Risk Perception and Recognition of Danger Signs in Kano, Northern Nigeria
title_short	Correlates of Obstetric Risk Perception and Recognition of Danger Signs in Kano, Northern Nigeria
title_full	Correlates of Obstetric Risk Perception and Recognition of Danger Signs in Kano, Northern Nigeria
title_fullStr	Correlates of Obstetric Risk Perception and Recognition of Danger Signs in Kano, Northern Nigeria
title_full_unstemmed	Correlates of Obstetric Risk Perception and Recognition of Danger Signs in Kano, Northern Nigeria
title_sort	correlates of obstetric risk perception and recognition of danger signs in kano, northern nigeria
publisher	Ubiquity Press
publishDate	2019
url	https://doaj.org/article/536c2a9f906b450680b15197e6f3e9cf
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Correlates of Obstetric Risk Perception and Recognition of Danger Signs in Kano, Northern Nigeria

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