The study explores the recognition of obstetric danger signs, barriers to their recognition, and the facilitators that support recognition among postnatal mothers in Oyo State, Nigeria. A phenomenological qualitative research design was used to explore the lived experiences of postnatal mothers regarding obstetric danger sign recognition. Twelve postnatal mothers from two primary health facilities in Oyo State were purposively selected. Data were collected via in-depth interviews, recorded, transcribed verbatim, and thematically analyzed using NVivo 12. Sampling continued until data saturation was reached. Findings were organized based on the three key research questions of the study. The recognition of obstetric danger signs generated four major themes: physical and sensory changes, antenatal education, past experiences and traumatic outcomes, and digital media and visual aids. Four major themes emerged for barriers to recognition: cultural and spiritual misinterpretation, family and community influence, illiteracy and low health literacy, and minimization or mislabeling of symptoms. Emerged themes for facilitators of recognition included supportive antenatal education, peer experiences, media and community campaigns, and family encouragement. The recognition of obstetric danger signs is influenced by a complex interplay of knowledge, culture, experience, and support systems. Interventions to improve maternal outcomes should focus on enhancing antenatal education, addressing cultural misconceptions, increasing health literacy, and leveraging both digital platforms and community networks to support early identification and timely response to obstetric danger signs.
Depression is a common but often under-recognized and appreciated comorbidity in patients with acute heart failure (AHF), thereby contributing to poor clinical outcomes and significant healthcare burden. The Patient Health Questionnaire-9 (PHQ-9) is a widely accepted depression screening tool, whereas the shorter Patient Health Questionnaire-2(PHQ-2) offers a rapid alternative suitable in busy clinical scenario. However, evidence supporting the use of PHQ-2 in AHF patients within sub-Saharan Africa remains limited. This study evaluated the agreement and diagnostic accuracy of the PHQ-2 compared with to PHQ-9 and explored sociodemographic factors associated with positive depression screening on the PHQ-2. This cross-sectional study recruited 100 adults admitted for AHF at a tertiary hospital in Ibadan, South West of Nigeria. Participants completed the PHQ-2 and PHQ-9 tools, and probable depression was defined by PHQ-2 ≥ 3 and PHQ-9 ≥ 10. Diagnostic performance metrics were calculated using standard statistical measures. Agreement was assessed with Cohen’s kappa and predictors of positive PHQ-2 screening were identified using logistic regression. Prevalence of depression was 19
Abstract Background Telerehabilitation is recommended as an effective means to promote physical activity [PA] engagement in pregnancy. The aim of this study was to develop and test the feasibility of a mobile phone-based PA intervention in Nigerian pregnancy. Methods This three-phase study included: (1) app development using a three-round modified Delphi approach with seven stakeholders (two obstetrics and gynaecology consultants, two nurses, two physiotherapists, and one pregnant woman); (2) feasibility testing using a cross-sectional survey with 40 pregnant women; and (3) pilot testing using a quasi-experimental design with 40 pregnant women randomized into intervention (n = 20) and control (n = 20) groups. The application consisted a six-minute walk-talk PA conducted for 30 min. For feasibility testing, 40 pregnant women evaluated the app using the System Usability Scale (SUS) and Mobile App Rating Scale (MARS). For pilot testing, 40 pregnant women were randomized into intervention (n = 20, receiving the mobile app plus routine antenatal care) and control (n = 20, receiving routine antenatal care only) groups. Results The mean age of the participants was 29.4 ± 4.28 years. The application has a high usability rating [75%]. The most rated attributes of the App were intention to use [80%], ease of learning to use [78%], integration of App function [75%], ease of use [75%] and confidence about the use of the App [75%] based on SUS. Functionality [14.70 ± 2.77 / 20] and App subjective quality [15.00 ± 3.6 / 20] were the most rated qualities of the App. The total App quality rating was 82.6 ± 14.74 out of 115 possible points based on MARS, indicating high quality. Conclusion This feasibility and pilot study demonstrates that a mobile phone-based six-minute walk-talk PA app has high usability, acceptable quality, and excellent acceptability among urban, educated Nigerian pregnant women.
