Obiekwu Adaobi L, Mbadugha Chisom J, Anetekhai Chinenye J, Isife Nonyelum G, Kotoye Christianah O
Department of Nursing Sciences, Faculty of Health Sciences and Technology, University of Nigeria, Nsukka, Nigeria.
Enugu State University of Science and Technology Teaching Hospital Parklane, Enugu State, Nigeria.
Eur J Midwifery. 2020 Dec 21;4:49. doi: 10.18332/ejm/130595. eCollection 2020.
Compliance to routine antenatal medications increases a woman's chances of achieving a normal pregnancy and having a healthy baby. However, non-compliance is a commonly encountered problem in developing countries including Nigeria. This study investigated compliance to routine antenatal medications as reported by pregnant women receiving antenatal care in a tertiary hospital in Enugu State, Nigeria.
A cross-sectional descriptive survey research design was adopted for the study while simple random sampling technique was used to select the 354 pregnant women at Enugu state teaching hospital. A validated structured questionnaire (α=0.72) was utilized for data collection. Analysis of data involved descriptive and inferential statistics.
Only 32% of pregnant women had a good compliance to their routine antenatal drugs while forgetfulness (27.2%) and vomiting as a side effect of the drug (25.7%) were the major barriers to compliance with routine drugs. Furthermore, there was a statistically significant association between respondents' compliance with antenatal drugs and number of children as well as level of income (p<0.001). No statistically significant association was found between education level and compliance.
Nurses and other health workers should support pregnant women to set reminders for taking their medications and prescribe alternative dosage forms or products that will not induce vomiting. In addition, antenatal education should emphasize the benefits of adherence to routine taking of medications at every stage of pregnancy and the possible negative consequences of non-compliance.
遵守常规产前用药可增加女性实现正常妊娠并生育健康宝宝的几率。然而，在包括尼日利亚在内的发展中国家，不遵守医嘱是一个普遍存在的问题。本研究调查了在尼日利亚埃努古州一家三级医院接受产前护理的孕妇报告的常规产前用药遵守情况。
本研究采用横断面描述性调查研究设计，同时使用简单随机抽样技术在埃努古州教学医院选取了354名孕妇。采用经过验证的结构化问卷（α = 0.72）进行数据收集。数据分析包括描述性统计和推断性统计。
只有32%的孕妇对常规产前药物有良好的依从性，而遗忘（27.2%）和药物副作用呕吐（25.7%）是常规药物依从性的主要障碍。此外，受访者对产前药物的依从性与子女数量以及收入水平之间存在统计学上的显著关联（p<0.001）。未发现教育水平与依从性之间存在统计学上的显著关联。
护士和其他医护人员应支持孕妇设置服药提醒，并开出处方替代剂型或不会引起呕吐的产品。此外，产前教育应强调在妊娠各阶段坚持常规服药的益处以及不遵守医嘱可能产生的负面后果。
