Non-urgent unplanned visits are frequently observed in pregnancy. However, there are no studies from Nigeria exploring its burden. A cross-sectional cohort survey of 1,182 women at the only state-owned teaching hospital in Ado - Ekiti was conducted to address this need. One-quarter of the population studied had unplanned antenatal visits during the period of care. Only about one in four of the reasons for the unplanned visits were ‘direct’ pregnancy-related complaints, while the largest proportion of the women, 227 (73.5%), visited on account of infectious morbidities, followed by gastrointestinal disorders, 63 (20.4%). Mothers who were skilled workers were significantly more likely to have unplanned antenatal visits compared with their unemployed counterparts (45.3% versus 20.7%, p = 0.013). Unplanned visits were significantly more in women who had reduced fetal movements (9.4% versus 0.9%, p < 0.0001); significantly more women who had out-of-schedule prenatal visits were admitted for care (37.9% versus 0.2%, p < 0.0001), and had induction of labour (20.1% versus 10.3%, p < 0.0001) when compared with those who had no unplanned visits. Reduced maternal perception of fetal movements (odds ratio: 7.57; 95% C. I. 3.07 - 18.70, p < 0.0001), prenatal admission (odds ratio: 241.81; 95% C. I. 59.02 - 990.75, p < 0.0001), and induction of labour (odds ratio: 1.90; 95% C. I. 1.24 - 2.93, p = 0.003) were found to be independently associated with unplanned antenatal visits.
| Published in | American Journal of Biomedical and Life Sciences (Volume 7, Issue 3) |
| DOI | 10.11648/j.ajbls.20190703.15 |
| Page(s) | 68-72 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2019. Published by Science Publishing Group |
Unplanned Visits, Non-urgent, Emergency Department, Prenatal Care, Referral System, Nigeria
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APA Style
Awoleke Jacob Olumuyiwa, Olofinbiyi Babatunde Ajayi, Awoleke Adeola Olabisi, Olofinbiyi Rebecca Oluwafunke. (2019). Burden of Unplanned Antenatal Visits in a Tertiary Hospital in Nigeria: Making a Case for an Improved Referral System. American Journal of Biomedical and Life Sciences, 7(3), 68-72. https://doi.org/10.11648/j.ajbls.20190703.15
ACS Style
Awoleke Jacob Olumuyiwa; Olofinbiyi Babatunde Ajayi; Awoleke Adeola Olabisi; Olofinbiyi Rebecca Oluwafunke. Burden of Unplanned Antenatal Visits in a Tertiary Hospital in Nigeria: Making a Case for an Improved Referral System. Am. J. Biomed. Life Sci. 2019, 7(3), 68-72. doi: 10.11648/j.ajbls.20190703.15
AMA Style
Awoleke Jacob Olumuyiwa, Olofinbiyi Babatunde Ajayi, Awoleke Adeola Olabisi, Olofinbiyi Rebecca Oluwafunke. Burden of Unplanned Antenatal Visits in a Tertiary Hospital in Nigeria: Making a Case for an Improved Referral System. Am J Biomed Life Sci. 2019;7(3):68-72. doi: 10.11648/j.ajbls.20190703.15
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Download@article{10.11648/j.ajbls.20190703.15,
author = {Awoleke Jacob Olumuyiwa and Olofinbiyi Babatunde Ajayi and Awoleke Adeola Olabisi and Olofinbiyi Rebecca Oluwafunke},
title = {Burden of Unplanned Antenatal Visits in a Tertiary Hospital in Nigeria: Making a Case for an Improved Referral System},
journal = {American Journal of Biomedical and Life Sciences},
volume = {7},
number = {3},
pages = {68-72},
doi = {10.11648/j.ajbls.20190703.15},
url = {https://doi.org/10.11648/j.ajbls.20190703.15},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajbls.20190703.15},
abstract = {Non-urgent unplanned visits are frequently observed in pregnancy. However, there are no studies from Nigeria exploring its burden. A cross-sectional cohort survey of 1,182 women at the only state-owned teaching hospital in Ado - Ekiti was conducted to address this need. One-quarter of the population studied had unplanned antenatal visits during the period of care. Only about one in four of the reasons for the unplanned visits were ‘direct’ pregnancy-related complaints, while the largest proportion of the women, 227 (73.5%), visited on account of infectious morbidities, followed by gastrointestinal disorders, 63 (20.4%). Mothers who were skilled workers were significantly more likely to have unplanned antenatal visits compared with their unemployed counterparts (45.3% versus 20.7%, p = 0.013). Unplanned visits were significantly more in women who had reduced fetal movements (9.4% versus 0.9%, p < 0.0001); significantly more women who had out-of-schedule prenatal visits were admitted for care (37.9% versus 0.2%, p < 0.0001), and had induction of labour (20.1% versus 10.3%, p < 0.0001) when compared with those who had no unplanned visits. Reduced maternal perception of fetal movements (odds ratio: 7.57; 95% C. I. 3.07 - 18.70, p < 0.0001), prenatal admission (odds ratio: 241.81; 95% C. I. 59.02 - 990.75, p < 0.0001), and induction of labour (odds ratio: 1.90; 95% C. I. 1.24 - 2.93, p = 0.003) were found to be independently associated with unplanned antenatal visits.},
year = {2019}
}
TY - JOUR T1 - Burden of Unplanned Antenatal Visits in a Tertiary Hospital in Nigeria: Making a Case for an Improved Referral System AU - Awoleke Jacob Olumuyiwa AU - Olofinbiyi Babatunde Ajayi AU - Awoleke Adeola Olabisi AU - Olofinbiyi Rebecca Oluwafunke Y1 - 2019/07/13 PY - 2019 N1 - https://doi.org/10.11648/j.ajbls.20190703.15 DO - 10.11648/j.ajbls.20190703.15 T2 - American Journal of Biomedical and Life Sciences JF - American Journal of Biomedical and Life Sciences JO - American Journal of Biomedical and Life Sciences SP - 68 EP - 72 PB - Science Publishing Group SN - 2330-880X UR - https://doi.org/10.11648/j.ajbls.20190703.15 AB - Non-urgent unplanned visits are frequently observed in pregnancy. However, there are no studies from Nigeria exploring its burden. A cross-sectional cohort survey of 1,182 women at the only state-owned teaching hospital in Ado - Ekiti was conducted to address this need. One-quarter of the population studied had unplanned antenatal visits during the period of care. Only about one in four of the reasons for the unplanned visits were ‘direct’ pregnancy-related complaints, while the largest proportion of the women, 227 (73.5%), visited on account of infectious morbidities, followed by gastrointestinal disorders, 63 (20.4%). Mothers who were skilled workers were significantly more likely to have unplanned antenatal visits compared with their unemployed counterparts (45.3% versus 20.7%, p = 0.013). Unplanned visits were significantly more in women who had reduced fetal movements (9.4% versus 0.9%, p < 0.0001); significantly more women who had out-of-schedule prenatal visits were admitted for care (37.9% versus 0.2%, p < 0.0001), and had induction of labour (20.1% versus 10.3%, p < 0.0001) when compared with those who had no unplanned visits. Reduced maternal perception of fetal movements (odds ratio: 7.57; 95% C. I. 3.07 - 18.70, p < 0.0001), prenatal admission (odds ratio: 241.81; 95% C. I. 59.02 - 990.75, p < 0.0001), and induction of labour (odds ratio: 1.90; 95% C. I. 1.24 - 2.93, p = 0.003) were found to be independently associated with unplanned antenatal visits. VL - 7 IS - 3 ER -
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