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Published in: BMC Pregnancy and Childbirth 1/2014

Open Access 01-12-2014 | Research article

Reshaping maternal services in Nigeria: any need for spiritual care?

Authors: Abiodun I Adanikin, Uche Onwudiegwu, Akinyemi A Akintayo

Published in: BMC Pregnancy and Childbirth | Issue 1/2014

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Abstract

Background

High maternal and perinatal mortalities occur from deliveries conducted in prayer houses in Nigeria. Although some regulatory efforts have been deployed to tackle this problem, less attention has been placed on the possible motivation for seeking prayer house intervention which could be hinged on the spiritual belief of patients about pregnancy and childbirth. This study therefore seeks to determine the perception of booked antenatal patients on spiritual care during pregnancy and their desire for such within hospital setting.

Method

A total of 397 antenatal attendees from two tertiary health institutions in southwest Nigeria were sampled. A pretested questionnaire was used to obtain information on socio-demographic features of respondents, perception of spiritual care during pregnancy and childbirth; and how they desire that their spiritual needs are addressed. Responses were subsequently collated and analyzed.

Results

Most of the women, 301 (75.8%), believe there is a need for spiritual help during pregnancy and childbirth. About half (48.5%) were currently seeking for help in prayer/mission houses while another 8.6% still intended to. Overwhelmingly, 281 (70.8%) felt it was needful for health professionals to consider their spiritual needs. Most respondents, 257 (64.7%), desired that their clergy is allowed to pray with them while in labour and sees such collaboration as incentive that will improve hospital patronage. There was association between high family income and desire for collaboration of healthcare providers with one’s clergy (OR 1.82; CI 1.03-3.21; p = 0.04).

Conclusion

Our women desire spiritual care during pregnancy and childbirth. Its incorporation into maternal health services will improve hospital delivery rates.
Literature
1.
go back to reference Hodnett ED, Gates S, Hofmeyr GJ, Sakala C: Continuous support for women during childbirth. Cochrane Database of Systematic Reviews. 2012, Issue 10. Art. No.: CD003766 Hodnett ED, Gates S, Hofmeyr GJ, Sakala C: Continuous support for women during childbirth. Cochrane Database of Systematic Reviews. 2012, Issue 10. Art. No.: CD003766
2.
go back to reference Hermsen MA, ten Have HA: Pastoral care, spirituality, and religion in palliative care. Am J Hosp Palliat Care. 2004, 21: 353-356. 10.1177/104990910402100509.CrossRefPubMed Hermsen MA, ten Have HA: Pastoral care, spirituality, and religion in palliative care. Am J Hosp Palliat Care. 2004, 21: 353-356. 10.1177/104990910402100509.CrossRefPubMed
3.
go back to reference Chattopadhyay S: Religion, spirituality, health and medicine: why should Indian physicians care?. J Postgrad Med. 2007, 53: 262-266. 10.4103/0022-3859.33967.CrossRefPubMed Chattopadhyay S: Religion, spirituality, health and medicine: why should Indian physicians care?. J Postgrad Med. 2007, 53: 262-266. 10.4103/0022-3859.33967.CrossRefPubMed
4.
go back to reference D'Souza R: The importance of spirituality in medicine and its application to clinical practice. Med J Aust. 2007, 186 (10): S57-S59.PubMed D'Souza R: The importance of spirituality in medicine and its application to clinical practice. Med J Aust. 2007, 186 (10): S57-S59.PubMed
5.
go back to reference May C, Mead N: Patient-centeredness: a history. General Practice and Ethics: Uncertainty and Responsibility. Edited by: Dowrick C, Frith L. 1999, London: Routledge, 76-90. May C, Mead N: Patient-centeredness: a history. General Practice and Ethics: Uncertainty and Responsibility. Edited by: Dowrick C, Frith L. 1999, London: Routledge, 76-90.
6.
go back to reference Sulmasy DP: Spirituality, religion, and clinical care. Chest. 2009, 135: 1634-1642. 10.1378/chest.08-2241.CrossRefPubMed Sulmasy DP: Spirituality, religion, and clinical care. Chest. 2009, 135: 1634-1642. 10.1378/chest.08-2241.CrossRefPubMed
7.
go back to reference Pargament KI, Koenig HG, Perez LM: The many methods of religious coping: development and initial validation of the RCOPE. J Clin Psychol. 2000, 56: 519-543. 10.1002/(SICI)1097-4679(200004)56:4<519::AID-JCLP6>3.0.CO;2-1.CrossRefPubMed Pargament KI, Koenig HG, Perez LM: The many methods of religious coping: development and initial validation of the RCOPE. J Clin Psychol. 2000, 56: 519-543. 10.1002/(SICI)1097-4679(200004)56:4<519::AID-JCLP6>3.0.CO;2-1.CrossRefPubMed
8.
go back to reference Winslow GR, Wehtje-Winslow BJ: Ethical boundaries of spiritual care. Med J Aust. 2007, 186 (10): S63-S66.PubMed Winslow GR, Wehtje-Winslow BJ: Ethical boundaries of spiritual care. Med J Aust. 2007, 186 (10): S63-S66.PubMed
9.
go back to reference Orji EO, Ogunlola IO, Onwudiegwu U: Brought-in maternal deaths in south-west Nigeria. J Obstet Gynaecol. 2002, 22 (4): 385-388.CrossRefPubMed Orji EO, Ogunlola IO, Onwudiegwu U: Brought-in maternal deaths in south-west Nigeria. J Obstet Gynaecol. 2002, 22 (4): 385-388.CrossRefPubMed
10.
go back to reference Etuk SJ, Etuk SI, Ekott MI, Udoma EJ: Perinatal outcome in pregnancies booked for antenatal care but delivered outside health facilities in Calabar, Nigeria. Acta Trop. 2000, 75: 29-33. 10.1016/S0001-706X(99)00088-1.CrossRefPubMed Etuk SJ, Etuk SI, Ekott MI, Udoma EJ: Perinatal outcome in pregnancies booked for antenatal care but delivered outside health facilities in Calabar, Nigeria. Acta Trop. 2000, 75: 29-33. 10.1016/S0001-706X(99)00088-1.CrossRefPubMed
11.
go back to reference Orji EO, Dare FO, Makinde ON, Fasubaa OB: Determinants of mission house delivery among booked patients in a Nigerian teaching hospital. J Obstet Gynaecol. 2001, 21 (5): 482-484. 10.1080/01443610120072036.CrossRefPubMed Orji EO, Dare FO, Makinde ON, Fasubaa OB: Determinants of mission house delivery among booked patients in a Nigerian teaching hospital. J Obstet Gynaecol. 2001, 21 (5): 482-484. 10.1080/01443610120072036.CrossRefPubMed
12.
go back to reference National Population Commission (NPC) [Nigeria] and ICF Macro: Nigeria Demographic and Health Survey 2008. 2009, Abuja, Nigeria: National Population Commission and ICF Macro National Population Commission (NPC) [Nigeria] and ICF Macro: Nigeria Demographic and Health Survey 2008. 2009, Abuja, Nigeria: National Population Commission and ICF Macro
13.
go back to reference Udoma EJ, Ekanem AD, Abasiattai AM, Bassey EA: Reasons for preference of delivery in spiritual church-based clinics by women of South-south Nigeria. Niger J Clin Pract. 2008, 11 (2): 100-103.PubMed Udoma EJ, Ekanem AD, Abasiattai AM, Bassey EA: Reasons for preference of delivery in spiritual church-based clinics by women of South-south Nigeria. Niger J Clin Pract. 2008, 11 (2): 100-103.PubMed
14.
go back to reference Anandarajah G, Hight E: Spirituality and medical practice: Using the HOPE questions as a practical tool for spiritual assessment. Am Fam Physician. 2001, 63: 81-89.PubMed Anandarajah G, Hight E: Spirituality and medical practice: Using the HOPE questions as a practical tool for spiritual assessment. Am Fam Physician. 2001, 63: 81-89.PubMed
15.
go back to reference Mathai J, North A: Spiritual history of parents of children attending a community child and adolescent mental health service. Australas Psychiatry. 2003, 11: 172-175. 10.1046/j.1039-8562.2003.00511.x.CrossRef Mathai J, North A: Spiritual history of parents of children attending a community child and adolescent mental health service. Australas Psychiatry. 2003, 11: 172-175. 10.1046/j.1039-8562.2003.00511.x.CrossRef
16.
go back to reference D’Souza R: Do patients expect psychiatrists to be interested in spiritual issues?. Australas Psychiatry. 2002, 10: 44-47. 10.1046/j.1440-1665.2002.00391.x.CrossRef D’Souza R: Do patients expect psychiatrists to be interested in spiritual issues?. Australas Psychiatry. 2002, 10: 44-47. 10.1046/j.1440-1665.2002.00391.x.CrossRef
17.
go back to reference Tanyi RA: Spirituality and family nursing: spiritual assessment and interventions for families. J Adv Nurs. 2006, 53 (2): 287-294.CrossRefPubMed Tanyi RA: Spirituality and family nursing: spiritual assessment and interventions for families. J Adv Nurs. 2006, 53 (2): 287-294.CrossRefPubMed
18.
go back to reference Sloan RP: Blind Faith: The Unholy Alliance of Religion and Medicine. 2006, New York, NY: St. Martin’s Press Sloan RP: Blind Faith: The Unholy Alliance of Religion and Medicine. 2006, New York, NY: St. Martin’s Press
19.
go back to reference Churchland PS: Human dignity from a neurophilosophical perspective. Human Dignity and Bioethics. Edited by: Pellegrino E. 2008, Washington, DC: The President’s Council on Bioethics, 99-121. Churchland PS: Human dignity from a neurophilosophical perspective. Human Dignity and Bioethics. Edited by: Pellegrino E. 2008, Washington, DC: The President’s Council on Bioethics, 99-121.
20.
go back to reference Farnes C, Beckstrand RL, Callister LC: Help-seeking behaviours in childbearing women in Ghana, West Africa. Int Nurs Rev. 2001, 58 (4): 491-497.CrossRef Farnes C, Beckstrand RL, Callister LC: Help-seeking behaviours in childbearing women in Ghana, West Africa. Int Nurs Rev. 2001, 58 (4): 491-497.CrossRef
22.
go back to reference Bester ME, Lovering S, Arafat L: Perinatal care of Arab Muslim women. Neoreviews. 2013, 13 (3): 109-112.CrossRef Bester ME, Lovering S, Arafat L: Perinatal care of Arab Muslim women. Neoreviews. 2013, 13 (3): 109-112.CrossRef
23.
go back to reference Koenig HG: Spirituality in Patient Care: Why, How, When, and What. 2007, Philadelphia, PA, and London, England: Templeton Foundation Press Koenig HG: Spirituality in Patient Care: Why, How, When, and What. 2007, Philadelphia, PA, and London, England: Templeton Foundation Press
24.
go back to reference Sulmasy DP: The Rebirth of the Clinic: An Introduction to Spirituality in Health Care. 2006, Washington, DC: Georgetown University Press, 60-88. Sulmasy DP: The Rebirth of the Clinic: An Introduction to Spirituality in Health Care. 2006, Washington, DC: Georgetown University Press, 60-88.
Metadata
Title
Reshaping maternal services in Nigeria: any need for spiritual care?
Authors
Abiodun I Adanikin
Uche Onwudiegwu
Akinyemi A Akintayo
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2014
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/1471-2393-14-196

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