Prevalence of Substance Abuse by Pregnant Women Attending Traditional Birth Attendant (TBA) Clinics in a Semi-Urban Region in South-West Nigeria

Oguntona TS(1), Adebisi AA(2), Idowu AJ(3), Ogundipe MO(4),


(1) Department of Medical Biochemistry, Faculty of Basic Medical Sciences, Lagos State University College of Medicine (LASUCOM), P.M.B. 21266, Ikeja, Lagos, Nigeria.
(2) Department of Medical Biochemistry, Faculty of Basic Medical Sciences, Lagos State University College of Medicine (LASUCOM), P.M.B. 21266, Ikeja, Lagos, Nigeria.
(3) Department of Physiology, Faculty of Basic Medical Sciences, Lagos State University College of Medicine (LASUCOM), P.M.B. 21266, Ikeja, Lagos, Nigeria
(4) Department of Forensic and Chemical Monitoring Unit, National Drug Law Enforcement Agency, Ikoyi, Lagos, Nigeria.
Corresponding Author

Abstract


Background: The act of self-medication, the use of illicit drugs and misuse of prescription drugs by pregnant women is becoming a common occurrence in developing nations. This development can have untoward health effects on the mother and severe complications on the foetus. Unfortunately, there are few programs to address this development.

Objectives: This study examined the prevalence of substance abuse among pregnant women attending traditional birth attendant (TBA) clinics for ante-natal care at Sango, Ogun State, Nigeria.

Method: A cross-sectional study with multi-stage sampling method was performed among 220 pregnant women attending TBA clinics in Sango, Ogun State, Nigeria. Data were collected across 5 selected TBA clinics between October 2018 and February of 2019. Facilitated self-administered questionnaires were administered on ante-natal clinic days. Statistical Package for Social Sciences was used for analyses. Categorical variables were compared using Chi-square and level of statistical significance was set at p<0.05.

Results: The mean age of our participants was 28 years. 70% of our participants had either secondary school or tertiary education. Three quarters of our participants were low income earners, as 75.5% lived in either tenement bungalow or self-contain apartment. Analgesics were the most abused substances (81%), followed by caffeine (55%) and anxiolytics (50%). Majority of our participants (86%) abused two or more substances. The source of information on the effect of substance abuse in pregnancy was mainly through peers in 48.6% and orthodox clinics in 22.3% of participants.

Conclusion: Our study showed that participants had low awareness that substances such as analgesia, anxiolytics and caffeine were substances that could be abused and as such abused them based on peer recommendation, and the presence of nausea and pain. There is therefore the need to create awareness of substance abuse among pregnant women attending TBA clinics and also intensify measures to regulate controlled drug


Keywords


Substance abuse, Traditional Birth Attendants, Sango Ota, pregnant women

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