Critical Care Obstetrics and Gynecology

Prevalence of 4D Sonography and Multifarious Factors Influencing Facility Delivery among Reproductive-Age Women: Inceptive Experience from a Low-Resource Setting

Background: Maternal mortality is a public health issue in developing countries. The use of 4Dimensional (4D) ultrasound is pertinent and the choice of delivery in a health facility is expertise-based; however, its performance in influencing the choice of delivery in resource-poor settings is poorly understood. This study aims to identify the factors influencing facility delivery among women of reproductive age in a low resource setting.
Materials and Methods: A cross-sectional study was carried out among women of reproductive age (with their last confinement in the past five years) in the Surulere area of Lagos State, Nigeria. A household survey was carried out using a structured questionnaire. Data from information received were analyzed using SPSS version 23 and a p-value less than 5% was used to declare a significant association.
Results: Of the 385 women recruited into the study, 76.9% were between the ages of 25-38 years, the mean age of respondents was 31.52 ± 0.3 years, 87.5% were married and 98.4% had formal education. Most respondents (87.5%) delivered in health facilities in their last confinement.
Respondents (59.2%) are insouciant about the availability of modern (4D) ultrasound equipment for obstetric care. The majority of these respondents delivered in a health facility and had attended more than 4 antenatal clinic visits. Respondents’ age, occupation, educational status, husband's educational status, parity, ethnicity, and family income substantially affected the choice of place of delivery (p<0.05).
Conclusion: Findings suggest that the availability of 4D ultrasound minimally influenced the majority of the client’s choice of facility delivery. The minority of the respondents show poor consistency with ANC attendance. Health authorities and policymakers should provide community-based health education, awareness creation, and improve better access to information for mothers regarding maternal institutional delivery.

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Author(s):

Ernest Ruto Upeh* and Olaolopin Ijasan1

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