ISSN 2277-0879; Volume 2, Issue 8, pp. 97-104; September, 2013
Online Journal of Medicine and Medical Science Research
©2013 Online Research Journals
Full Length Article
Available Online at http://www.onlineresearchjournals.org/JMMSR
An Assessment of Maternity Care Services in
a Semi-Urban Local Government Area in
Nigeria
Jagun Olusoji E
1
, *Abiodun Olumide A
2
, and Olu-Abiodun Oluwatosin O
3
1
Department of Obstetrics and Gynecology, Obafemi Awolowo College of Health Sciences, Olabisi Onabanjo University,
Sagamu. Ogun State, Nigeria.
2
Department of Community Medicine, Benjamin Carson (Snr) College of Medicine, Babcock University, Ilishan-Remo.
Ogun State, Nigeria.
3
The School of Nursing, Ijebu-Ode, Ogun State, Nigeria.
Received 28 August, 2013 Accepted 19 September, 2013
Maternity services provide opportunity for women to have a supervised antenatal service, safe delivery
and to receive family planning counseling. The utilization of maternity services is not as expected in
developing countries. The consequence of this is an unacceptably high maternal mortality. The aim of
this study is to assess the available obstetric services and the potential to manage obstetric
emergencies. The study is a cross sectional survey of maternity services in 60 clinics, hospitals and
maternity homes providing maternity services. Antenatal and delivery services were offered by all the
facilities while post natal care was done by 36.2% of the facilities. Majority (40.4%) of the facility clinical
heads had not attended relevant training in the preceding year. Only 48.9% of them organized relevant
trainings for their staff. 80.9% of the facilities had no ambulance to transport patients during
emergencies. The most common bad obstetrics practice is Enema saponis (56.9%) followed by fundal
pressure application (42.6%). While basic obstetrics care is performed in most of the facilities, the
comprehensive components are not. The quality of maternal services leaves much to be desired.
Efforts to improve the skilled attendance at delivery should be emphasized. A scale up of the midwife
service scheme is required.
Key words: Antenatal, essential obstetric care, partographs, referral, skilled attendant.
INTRODUCTION
Maternity services comprise of the total care given to a
woman from conception to delivery and into the
puerperium. The scope has also been widened over the
years to include services rendered to women who are
about to start families (prenatal care). The process of
child birth is what is often anticipated with a lot of
excitement. It is expected that the women will put to bed
and walk out of the hospital safe. Maternity care services
provide the pregnant woman the opportunity to have a
supervised antenatal service, subsequent safe delivery
and an opportunity to receive counseling on family
*Corresponding Author's E-mail: olumiabiodun@yahoo.com ;
Tel.: +234 703 856 9725.
planning. While every woman should desire this, the
utilization of maternity care services is not as rampant as
it is expected in developing countries. The sequelae of
this is an unacceptably high maternal mortality which is
about 100 times more in developing countries than in
developed countries [1]. Despite recent decline from 840
to 630 per 100,000 live births, maternal mortality is still
unacceptably high in Nigeria [2].
In developed countries, 98% of all women receive
prenatal care and 94% give birth under the supervision of
skilled healthcare practitioners with timely access to
appropriate emergency treatment if complications arise.
In contrast, large numbers of pregnant women in Africa
and Asia do not receive adequate prenatal care and lack
skilled attendance at birth [3]. Utilization of ANC services