Social support and satisfaction with antenatal care services among pregnant women in Lagos State, Nigeria

Abstract

Background/Aims Maternal and infant mortality remains a major public health challenge in Nigeria. Provision of cognitive support through effective communication with women about their condition or the care required is a critical determinant of satisfaction with maternal care. Effective antenatal care is important in reducing the maternal mortality rate. This study aimed to assess social support and satisfaction with antenatal care services among pregnant women, to improve antenatal care services and birth outcomes. Methods This study used a survey research design where 1316 questionnaires were completed by pregnant women across six general hospitals in Lagos State, Nigeria. Participants rated their social support when deciding to use antenatal care services and their satisfaction with these services. Regression analysis was used to determine the association between social support and satisfaction with antenatal care services. Results The degree of social support received by pregnant women was very high (average score of 3.51 on a 4-point scale). The level of satisfaction with antenatal care services was also very high (average score of 4.32 on a 5-point scale). Linear regression showed that social support has a significant influence on pregnant women's satisfaction with antenatal care services in Lagos State (r=0.307, P<0.000). Conclusion The degree of social support was a significant determinant of satisfaction with antenatal care services. It is therefore recommended that social support for women to attend these services is encouraged.