Abstract
Background
A women-centered approach can improve the quality of patient care.
Objective
To review issues in the provision of obstetric care from a patient-centered care perspective in Nigeria.
Search strategy
Using terms related to maternal and perinatal mortality, in combination with “Nigeria”, MEDLINE, Embase, CINAHL, Web of Knowledge, and African Journal Online were searched, between December 1, 2013 and January 31, 2014, for articles in any language.
Selection criteria
Articles published in a Nigerian setting after 2000 that investigated causes of and circumstance surrounding maternal deaths and complications, or clinical practice related to maternal care were included.
Data collection and analysis
Data were extracted by two reviewers using a standardized abstraction form and were analyzed from a patient-centered perspective.
Main results
The analysis included 57 studies. Clandestine induced abortions, lack of prenatal care, delays in seeking care, and the use of spiritual churches for delivery were found to contribute to adverse pregnancy outcomes.
Conclusions
Healthcare systems respond inadequately to patients' needs in terms of abortion care, information sharing, transitioning between prenatal and obstetric care, and patients' non-medical needs. Data from clinician-led maternal death audits provided insights into how women-centered care can be provided; nonetheless, more-focused studies from a primarily patient-centered perspective are warranted.
A women-centered approach can improve the quality of patient care.
Objective
To review issues in the provision of obstetric care from a patient-centered care perspective in Nigeria.
Search strategy
Using terms related to maternal and perinatal mortality, in combination with “Nigeria”, MEDLINE, Embase, CINAHL, Web of Knowledge, and African Journal Online were searched, between December 1, 2013 and January 31, 2014, for articles in any language.
Selection criteria
Articles published in a Nigerian setting after 2000 that investigated causes of and circumstance surrounding maternal deaths and complications, or clinical practice related to maternal care were included.
Data collection and analysis
Data were extracted by two reviewers using a standardized abstraction form and were analyzed from a patient-centered perspective.
Main results
The analysis included 57 studies. Clandestine induced abortions, lack of prenatal care, delays in seeking care, and the use of spiritual churches for delivery were found to contribute to adverse pregnancy outcomes.
Conclusions
Healthcare systems respond inadequately to patients' needs in terms of abortion care, information sharing, transitioning between prenatal and obstetric care, and patients' non-medical needs. Data from clinician-led maternal death audits provided insights into how women-centered care can be provided; nonetheless, more-focused studies from a primarily patient-centered perspective are warranted.
| Original language | English |
|---|---|
| Pages (from-to) | 13-18 |
| Number of pages | 6 |
| Journal | International Journal of Gynecology & Obstetrics |
| Volume | 136 |
| Issue number | 1 |
| Early online date | 3 Nov 2016 |
| DOIs | |
| Publication status | Published - Jan 2017 |
Bibliographical note
Funded byJohn D. and Catherine T. MacArthur Foundation. Grant Number: 12-100074-000-INP
Keywords
- abortion
- audits
- confidential enquiries
- maternal deaths
- Nigeria
- prenatal care
- reviews
- spiritual churches