...Seek Boost In Antenatal Care To Curb It
By Chioma Umeha
To curb the high rate of infant and maternal mortality in
the country, researchers, mainly eminent obstetricians and gynaecologists
weekend, canvassed for increased attendance in antenatal care classes by
pregnant women.
The call was made by the experts at the formal presentation
of the four books written by Aigbe Gregory Ohihoin, a Chief Research Fellow,
Nigerian Institute of Medical Research (NIMR) Yaba, Lagos.
They described the country’s high infant and maternal
mortality rate as unacceptable and blamed the ugly trend on myths and
misconceptions, saying this prevent women from seeking care during pregnancy,
until complications set in.
The experts strongly believe that the presentation of the
four books was a timely one and would be helpful in tackling the high infant
and maternal mortality rate in the country.
The books are entitled; ‘Step by Step Approach to Obstetrics
and Gynaecological Ultrasonography,’ and
‘Bullet Point Answers to Exam Questions in Obstetrics,’ ‘Bullet Point Answers to Exam Questions
in Gynaecology’ and ‘What Mama
Didn’t Tell You About Pregnancy- the Myth, the Truth and the Lie.’
Prof. Osato Giwa-Osagie, Emeritus Professor of Obstetrics
and Gynaecology at the College of Medicine, University of Lagos corroborated
earlier views.
Giwa-Osagie observed that one of the factors responsible for
infants and maternal mortality is old wives tales, which have been passed down
to younger women, preventing them from seeking care during pregnancy, until
complications set in.
“In as much as we are taking time to address these myths, we
want everyone to know that pregnancy is not a disease.
“If only pregnant women will take it serious, attend
antenatal care; follow their doctors advices, nearly 95 per cent of pregnancies
will be delivered successfully without complications. However, it’s the
remaining five per cent nobody knows where they are.
“Unfortunately, most times, when some of these pregnant
women who had initially neglected antenatal care are brought to the hospitals,
it’s either the baby is dead or the mother is in a serious condition.
“This is why I recommend the book “What Mama didn’t tell you
about pregnancy-the myth, the truth and the lie”, for every woman, who desires to carry her pregnancy to term
successfully”, he remarked.
Giwa-Osagie said the book which talked about the step by
step application of Ultrasonography would help doctors and women understand the
peculiarity of the pregnancy and ensure safe delivery.
“This book will have a very wide application as it will help
many educated pregnant women. It will save lives of babies and mothers,” he
said.
Also speaking, Prof. Babatunde Salako, Director-General,
NIMR said that the books were a veritable source of information for doctors and
residents in training as it would facilitate their knowledge ability to handle
pregnancies.
“This means that we will produce more knowledgeable
obstetricians and gynaecologists who will make correct diagnosis and take
appropriate decisions on their patients to enhance delivery of the baby and
safety for the mother.
“When our pregnant women attend antenatal these doctors will
handle their cases properly and we can also say that this development will
reduce the rate of maternal and infant deaths in the country,” he said.
The Book Reviewer, Dr Oliver Ezechi, Obstetrician and
Gynaecologist at NIMR said that the ‘Old Wife’s Tales’ (Myth) about pregnancy
passed down from generation to generation were the greatest challenge in
reducing infant and maternal mortality.
Ezechi said that the book debunked the myth that affected
pregnancy outcomes negatively.
“Pregnancy is not a disease, it is a normal physiological
process and if women take it serious by registering for Antenatal early and
take their doctor’s advice; close to 95 per cent of pregnancies will be
successful without complications.
“With Antenatal attendance, doctors will identify problems
early and prevent them – prevent infant and maternal deaths,” Ezechi said.
Also reviewing the book ‘ What Mama didn’t tell You about
Pregnancy – the Myth, the Truth and the Lie’ , Mrs Rabi Adetoro said that the
100 pages book narrated a beautiful story of pregnancy from conception to
delivery and post-delivery stages.
“The book explained the time to register for antenatal,
diets during pregnancy, signs, and the role of fathers to secure the health of
the mother and the baby,” she said.
In his remarks, Ohihoin, the Author of the books, said that rate of Antenatal care
attendance in Nigeria was 51 per cent, saying that such rate was too low and a
major contributor to the high rate of infant and maternal mortality.
He said that the main aim of antenatal care was to ensure a
healthy mother and infant at the end of the pregnancy to reduces maternal and
child mortality rates.
“I wrote this books to emphasise that antenatal care should
be seen as a major preventive health measure aimed at preventing the
development of any pregnancy disorders or complications.
“Antenatal care should address the psychosocial and medical
needs of the woman within the context of the health care delivery system and
the culture in which she lives,” he said.