An Assessment of Booking Status on Pregnancy Outcome Among Women in Geidam Local Government Area, Yobe State, Nigeria
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Abstract
Introduction: Antenatal care (ANC) refers to the care a pregnant woman receives during her pregnancy through consultations with trained healthcare workers such as midwives, nurses, and sometimes doctors specializing in maternal health. Globally, approximately 800 women die daily from pregnancy- or childbirth-related complications, with Yobe State being among the regions with the worst health indices in Nigeria, particularly concerning maternal health. The maternal mortality rate in this region is unacceptably high, exceeding 1000 deaths per 100,000 live births. Factors contributing to this include poor ANC services, socio-cultural norms, and lack of access to healthcare facilities. This study aims to assess the influence of antenatal care on pregnancy status and outcomes among women in Geidam LGA, Yobe State, Nigeria. Methodology: A facility-based cross-sectional descriptive study was conducted among 400 women. Participants were selected using a systematic sampling technique. Data were collected using a pre-tested, interviewer-administered questionnaire and analysed using Epi-info at a 5% α level of significance. Results: The age range of 25–29 years constituted 28% of the participants, 46.5% were grand multipara and 32.2% had three ANC visits. The study revealed that 63.8% of respondents attended ANC, with 85% attending due to the desire for better outcomes. Among those who did not attend ANC (36.2%), the reasons were not due to lack of knowledge but factors such as cost, distance, ineffectiveness, unavailability, and refusal of husband consent. Factors influencing ANC attendance included age, educational status, parity, residence, cost of services, ineffectiveness, unavailability, and husband refusal. The sisterhood method estimated maternal mortality at 6030/100,000 live births, which is significantly higher than similar studies in other developing countries. Conclusion: The study found that perinatal mortality was higher among un booked pregnancies, and pregnancy complications such as eclampsia, postpartum haemorrhage, and anemia were more prevalent among un booked women. There are needs to promote female education, subsidizing ANC services, improving infrastructure, encouraging male involvement in ANC, and establishing more antenatal clinics in the rural areas.
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Copyright (c) 2025 Usman Abba, Abubakar Musa
This work is licensed under a Creative Commons Attribution 4.0 International License.
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Usman Abba, Department of Obstetrics and Gynaecology, Yobe State University, Damaturu-Nigeria.
Department of Obstetrics and Gynaecology, Yobe State University, Damaturu-Nigeria.
Abubakar Musa, Department of Community Medicine, Abubakar Tafawa Balewa University/Abubakar Tafawa Balewa University Teaching Hospital, Bauchi-Nigeria.
Senior Lecturer, Department of Community Medicine, Abubakar Tafawa Balewa University/Abubakar Tafawa Balewa University Teaching Hospital, Bauchi-Nigeria.
[1] Campbell S, Less C. Textbook of obstetrics by ten teachers. 17th ed.
[2] Knowledge, attitude, and practice toward antenatal care among women in Konduga Local Government Area of Borno State. University of Maiduguri; 2007.
[3] Ismail A. Comparative study of the characteristics and outcomes of pregnancies among booked and unbooked patients in Aminu Kano Teaching Hospital, Kano State Medical Students Association (KAMSA) Journal. 2008;1(1):22–28.
[4] World Health Organization. Making pregnancy safer: A strategy for action. Safe motherhood. 2010;29.
[5] Christopher M, Alan L. Health dimension of sex and reproduction. Vol. 3. Global burden of disease and injury series. Boston: Harvard University Press; 2013.
[6] Lister UG. Maternal and child health in primary health. University Printing Press, Ibadan, Nigeria; 2013. p. 69–73.
[7] Lori A. Hidden suffering: Disabilities from pregnancy and childbirth in less developed countries. Policy Brief. 2005;1–5.
[8] Amy T. Reproductive health in developing countries. Washington DC: National Academy Press; 2004. p. 120.
[9] Pearson J, Rees G. Effective care in pregnancy and childbirth. Oxford University Press; 2000. p. 1234–45.
[10] Fawcus S, Mbizvo M, Limmark G, Nystrom L. A community-based investigation of avoidable factors for maternal mortality in Zimbabwe. Studies in Family Planning. 1996;27(6):319–27.
[11] American College of Obstetricians and Gynecologists. Technical Bulletin 150. Washington DC; 1990.
[12] Grimes SD. The morbidity and mortality of pregnancy: Still a risky business. Am J Obstet Gynecol. 1994; 170:1489–94.
[13] Sarrs A. The Safe Motherhood agenda: Priorities for the next decade. New York: Family Care International; 1998.
[14] Royston E, Armstrong S. Preventing maternal death. WHO; 1989.
[15] Agbohoroma OC, Emoveyan EE. Maternal mortality in Lagos, Nigeria: A ten-year review (1986–1995). Nig Obstet Hosp Med. 1997;7(3):230–2.
[16] Jocums S, Mitchel EF, Entmans P, Piper JM. Monitoring records linkage. Am J Prev Med. 1995; 11:75–8.
[17] Yared N, Asnakeeh M. Factors influencing the use of maternal care services in Ethiopia. ICDDR B Research.
[18] Chukudebelu WO. Some characteristics of antenatal care in Eastern Nigeria. African Health. 1989;12(1):22–3.
[19] Tielze C. Maternal mortality. World Health Stat Q. 1977; 30:312–39.
[20] O'Reilly-Green G, Cohen WR. Pregnancy in women aged 40 and older. Obstet Gynecol Clin N Am. 1993; 20:313–31.