Department of Obstetrics and Gynaecology, Ahmadu Bello University, Zaria, Nigeria.
College of Health Science, Bingham University, Jos, Nigeria.
Int J Gynaecol Obstet. 2019 May;145(2):164-169. doi: 10.1002/ijgo.12788. Epub 2019 Mar 1.
To assess women's experience of group prenatal care in a rural Nigerian community.
In an observational study, consenting pregnant women were enrolled in a group prenatal care program based on the CenteringPregnancy model from July 1, 2010, to June 30, 2011, in Tsibiri, Nigeria. Women were interviewed before joining the group and postnatally. A predesigned pro forma was used to assess group behavior during sessions. Descriptive and inferential statistics were applied to data.
In total, 161 women enrolled, and 54 of 72 scheduled prenatal sessions took place. The average number of visits was three per woman, with good group interaction and cohesion. Mothers who could mention at least five out of eight danger signs of pregnancy increased from 1.4% (2) to 13.3% (14) (P<0.001, 95% CI 4.28-19.52), while mean knowledge score for danger signs increased from 31% to 47.8% (P<0.001, 95% CI 0.86-2.16). Commitment to birth preparedness plans was impressive. The mothers enjoyed the group sessions and shared the lessons they learned with others.
Group prenatal care was feasible and acceptable to women in the present study setting. Comparative trials would be helpful to demonstrate the benefits of the tested model in low-income settings.
评估尼日利亚农村社区中妇女对群体产前护理的体验。
在一项观察性研究中，2010 年 7 月 1 日至 2011 年 6 月 30 日，同意参与的孕妇在尼日利亚 Tsibiri 参加基于 CenteringPregnancy 模式的群体产前护理计划。在加入小组前和产后对妇女进行访谈。使用预先设计的表格评估小组在会议期间的行为。对数据进行描述性和推断性统计分析。
共有 161 名妇女入组，72 次产前预约中有 54 次进行。每位妇女的平均就诊次数为三次，群体互动和凝聚力良好。能够至少提到怀孕八大危险信号中的五个的母亲从 1.4%（2）增加到 13.3%（14）（P<0.001，95%CI 4.28-19.52），而危险信号的平均知识评分从 31%增加到 47.8%（P<0.001，95%CI 0.86-2.16）。对生育准备计划的承诺令人印象深刻。母亲们喜欢小组会议，并与他人分享他们所学到的课程。
在本研究环境中，群体产前护理对妇女是可行且可接受的。比较试验将有助于证明在低收入环境中测试模型的益处。
