title: The preference and practice of Nigerian obstetricians regarding focused versus standard models of prenatal care.
abstract: OBJECTIVE
  To determine preferences, practices, and acceptance of focused versus standard prenatal-care models among Nigerian obstetricians.
  
  
  METHODS
  A cross-sectional survey was performed among clinicians who attended a conference held in Lagos, Nigeria, between November 27 and 29, 2013. The questionnaire assessed sociodemographic characteristics and opinions on prenatal care.
  
  
  RESULTS
  A total of 201 delegates returned complete questionnaires. All respondents were aware of both models of prenatal care. Although 70 (34.8%) respondents stated a preference for focused care, only 6 (3.0%) used this model in clinical practice. The main reason for their preference was the evidence base (23.4%). Overall, 185 (92.0%) respondents stated institutional protocol determined preference for and practice of standard care, 108 (53.7%) believed patients preferred standard care, and 89 (44.3%) felt standard care had health benefits. Preference for one model over the other was significantly associated with type and level of the healthcare practice (P=0.002 and P<0.001, respectively). Modification of the focused model to meet local, national, and cultural needs was recommended by 171 (85.1%) respondents.
  
  
  CONCLUSIONS
  Most obstetricians are skeptical about focused prenatal care and have not embraced this model owing to personal, institutional, and sociocultural factors.
authors.affiliation: Department of Obstetrics and Gynecology, Federal Teaching Hospital, Abakaliki, Nigeria.
authors.forename: Paul O
authors.initials: PO
authors.lastname: Ezeonu
authors.affiliation: Department of Community Medicine, School of Post Graduate Studies, University of Nigeria, Enugu, Nigeria. Electronic address: lawkins2020@gmail.com.
authors.forename: Lucky O
authors.initials: LO
authors.lastname: Lawani
authors.affiliation: Department of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Enugu, Nigeria.
authors.forename: Chukwuemeka A
authors.initials: CA
authors.lastname: Iyoke
authors.affiliation: Department of Obstetrics and Gynecology, Federal Teaching Hospital, Abakaliki, Nigeria.
authors.forename: Justus N
authors.initials: JN
authors.lastname: Eze
authors.affiliation: Department of Obstetrics and Gynecology, Federal Teaching Hospital, Abakaliki, Nigeria.
authors.forename: Robinson C
authors.initials: RC
authors.lastname: Onoh
authors.affiliation: Department of Obstetrics and Gynecology, Federal Teaching Hospital, Abakaliki, Nigeria.
authors.forename: Okechukwu B
authors.initials: OB
authors.lastname: Anozie
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D017146:Models, Organizational; D009549:Nigeria; D009774:Obstetrics; D010820:Physicians / Q000706:statistics & numerical data*; D011247:Pregnancy; D011295:Prenatal Care / Q000379:methods*; D011795:Surveys and Questionnaires
keywords: Clinical practice; Focused prenatal care; Millennium Development Goals; Nigeria; Obstetrician; Standard prenatal care; Survey