Abstract
Background: Perinatal mortality reflects the quality and utilization of prenatal, delivery and immediate post-delivery care available to women and their newborn infants. Objectives: Determination of the pattern of utilization of prenatal and delivery services in Nigeria in the 21st century. Methodology: A hospital-based cross sectional survey of newly delivered mothers using structured questionnaires. Results: Out of the 260 women studied, 24 (9.2%) took no form of prenatal care. Churches were most commonly patronized for prenatal care (98;37.7%) and delivery (92;35.4%) mostly for religious and financial reasons. Fifteen out of 45 (33.3%) respondents who took prenatal care in the teaching hospitals deflected into churches for delivery. Non utilization of prenatal services as well as home delivery were significantly higher in the lower social classes (26.2% Vs 1.7%; p <0.0001) and (23.8% Vs 2.2%; p<0.0001) respectively. Conclusion: The utilization of orthodox prenatal and delivery services is still poor in Nigeria especially for religious and financial reasons.
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