African Journal of Nursing and Midwifery

African Journal of Nursing and Midwifery ISSN: 2198-4638 Vol. 4 (9), pp. 659-666, October, 2016. © International Scholars Journals

Full Length Research Paper

Midwives care actions in the management of labour pain in Plateau State, Nigeria

Stephan Goffery¹*, Yemi H. Babatunde ² and Frank K. Gideon³

¹Department of nursing, College of Medical Sciences, University of Jos, Plateau State, Nigeria.

²Department of Nursing, College of Medicine, University of Ibadan, Ibadan, Nigeria.

³School of Nursing, Gwagwalada, Abuja, Nigeria.

Accepted 10 August, 2016

E-mail: [email protected] 

One of the major determinants of maternal satisfaction in labour is adequate pain relief or rather the woman being able to cope with the pain. Since midwives are the major health care providers attending to women in labour, this study explored women’s validation of the care midwives provide in the management of labour pain in Plateau state Nigeria using a descriptive cross sectional design. Women (n=126) were recruited from a hospital in Jos city, Plateau State. Participants completed the “Client Perception of Caring Scale” and thereafter were interviewed using a structured interview, a day after their delivery; all these were for the women to validate the care given to manage labour pain by the midwives. Mean age of participants was 28 years with a Standard Deviation = 5.6. Majority of the participants that is, 125 (99.2%) are married, 116 (92.1%) are Christians while 67 (53.2%) are multigravid. Findings showed that only 71(56.3%) of the women gave an average score to the midwives, 28 (22.2%) said the nurses really gave them listening ears and reassured them that all will be well and 33 (26.2%) said the interventions were very effective in helping them cope with the labour. Linear regression analyses revealed that there is no association between selected demographic factors (Age, Parity and Ethnicity) and outcome of care given by midwife. Women validated their management of labour pain by midwives to be on the average hence training and retraining of midwives in the area of labour pain management is essential and hospital administrators must employ more midwives into the labour wards so that one on one support is encouraged hence improving the overall satisfaction of labour for any woman.

Key words: Mothers, validation, midwives’ care, labour pain, management.

African Journal of Nursing and Midwifery ISSN: 2198-4638 Vol. 4 (8), pp. 651-658, September, 2016. © International Scholars Journals

Full Length Research Paper

Methods of Family planning among women in rural Ethiopia

Richard Ralia Nderaba

Department of Rural Development and Agricultural Extension, College of Agricultural Science, Ariba Minch University, Ariba Minch Ethiopia.

E-mail: [email protected] 

Accepted 25 July, 2016

Abstract 

This study was conducted at the Mirab Abaya District of Southern Ethiopia. The aim of this study was to identify factors that determine the decision to utilize family planning methods among rural women. The sample size for this study was 115 (53 family planning user and 62 non-user respondents). The quantitative data were analyzed through frequency, percentage and binary logistic regression. The binary logistic regression result shows that contact with health extension agents had significant positive effect on the decision to use family planning methods at 1% significance level, while the education level of the women and annual gross income had a significantly positive effect, and house type had significant negative effect on the decision to use family planning methods at 5% significance level. However, attitudes on family planning methods and access to Non-Governmental Organizations’ support had significant positive effect on the decision to use family planning methods at 10% significance level. Therefore, policy makers and family planning service providers should give attention to determinants that significantly influence the utilization decision of family planning methods through emphasizing women’s education, income improvement activities and provision of incentives to motivate them.

Key words: Family planning, utilization, descriptive statistics, frequency, binary logit.

African Journal of Nursing and Midwifery ISSN: 2198-4638 Vol. 4 (7), pp. 645-650, August, 2016. © International Scholars Journals

Full Length Research Paper

Association between low gestational weight gain and low birth weight infant among pregnant women

Yuen Hung Tam^1* and Haruki Momofuko Fukuda^1,2

¹Department of Nursing, University of Tsukuba Hospital, Ibaraki, Japan.

²Faculty of Medicine, University of Tsukuba, Ibaraki, Japan.

E-mail: [email protected]

Accepted 10 July, 2016

Abstract

In Japan, many young women desire to be slim, contributing to an increase in the number of women with low gestational weight gain. This study aimed to clarify the association between low gestational weight gain and low birth weight infant, desire of pregnant women to be slim, self-efficacy, or quality of life (QOL). Subjects were Japanese women in their ≥24th week of pregnancy who visited four primary hospitals in Japan for prenatal checkups. We conducted a self-administered questionnaire survey of these women and later collected information on childbirth from medical records. Analysis of pre-pregnancy weight showed that 43 (16%) of 268 pregnant women were underweight. Gestational weight gain was insufficient in 172 (64%) women based on the IOM recommendation or in 35 (13%) women based on the guideline used in Japan. More than 50% of the women had a desire to be slim, and 16% were actually on a diet during the first trimester. Self-efficacy had no correlation to low gestational weight gain, whereas gestational weight gain of <10 kg was correlated with low birth weight infant (p <0.025) and poor physical QOL among the women (p<0.019). Research shows that Japanese pregnant women are likely to desire to be too slim, in addition to being a risk factor for infants with low birth weight. Low gestational weight gain is associated with poor physical QOL, but not self-efficacy in pregnant women. It is important for health providers to establish positive prenatal care that does not reinforce weight consciousness among Japanese pregnant women.

Key words: Maternal underweight, gestational weight gain, quality of life, low birth weight infant, desire to be slender.

African Journal of Nursing and Midwifery ISSN: 2198-4638 Vol. 4 (6), pp. 639-644, July, 2016. © International Scholars Journals

Full Length Research Paper

Clinical presentation investigating the effectiveness of different therapy for low back pain (LBP)

John Ho Chow¹*, Nicholas G. Chui¹, Aaron Wu Su² and Johnnie Alan Hung³

¹Institute of Textiles and Clothing, the Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong.

²The Hong Kong Community College, the Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong.

³Department of Obstetrics and Gynaecology, the Chinese University of Hong Kong, Shatin, New Territories, Hong Kong

Accepted 12 June, 2016

Email: [email protected]

This study aims to review recently published clinical presentation on the effectiveness and impact of current therapy for low back pain (LBP) during pregnancy. This would help to build an information background and determine the necessity for future research on the development of an effective means for reducing pregnant low back pain.

Key words: Therapy, pregnant, low back pain, review.

African Journal of Nursing and Midwifery ISSN: 2198-4638 Vol. 4 (5), pp. 631-638, June, 2016.  © International Scholars Journals

Full Length Research Paper

Awareness of married men on vasectomy and its adoption in typical indigenous Nigerian communities

Adenuka M. Marcus*, Bolaji M. Abeeb and Adomola C. Babatunde

Department of Health Promotion and Education, Faculty of Public Health, University of Ibadan, Ibadan, Oyo State, Nigeria.

E-mail: [email protected] 

Accepted 5 May, 2016

Abstract

Vasectomy is a method of family planning which is quite acceptable in many developed countries of the world. However, in most African countries, there are still existing barriers to its adoption by married men. This study was therefore designed to explore the antecedent factors related to the adoption of vasectomy among married men in eight (8) peri-urban communities of Ibadan, Nigeria. Four hundred and thirty one men selected using multi-stage sampling technique were interviewed in a household survey using the cross sectional study design. Mean age of the respondents was 44 ± 13.2 years, 13.5% of the respondents had reportedly heard about vasectomy, 30.8% considered it an unacceptable method of contraception while 16.2% see it as a sin against God. Barriers to the adoption of vasectomy included fear of the surgery and its side effects (26%), indifference to family planning (23%), its irreversibility (19%), personal beliefs (10%), lack of evidence that it works (8%), lack of awareness (7%), financial constraints (3%) and inadequate health system (2%). Only 29.7% had intention to adopt vasectomy as a means of birth control. Intention to adopt vasectomy was significantly associated with age (p<0.05). Awareness of vasectomy as a birth control method and intention to adopt it were low. Public enlightenment to provide correct and adequate information, education, and communication (IEC) using appropriate health promotion strategies aimed at increasing awareness and benefits of vasectomy are advocated.

Key words: Antecedent factors, vasectomy, married men, peri - urban communities.