Utilisation of the Labour Care Guide: Experiences of Health Workers in the Southern Part of Nigeria – A Qualitative Study

Abstract

Background: The World Health Organization (WHO) Labour Care Guide (LCG) is a standardized tool designed to enhance the quality of maternal care by systematically monitoring labour progression, maternal and fetal well-being, and supportive care.

Aim- This study explores the awareness, utilization, challenges, experiences and potential modifications of LCG implementation among healthcare providers in Nigeria’s South-South and South-East zones.

Methodology: The study employed qualitative methods, conducting interviews with 11 physicians from nine states: Ebonyi, Enugu, Abia, Anambra, Imo, Akwa Ibom, Cross River, Rivers, and Bayelsa.

Result: Findings reveal that while LCG is recognized as a valuable tool for improving maternal care, its implementation remains limited, with full adoption observed only in Ebonyi State. Most respondents were aware of the LCG but awaited directives on usage from higher authorities. Barriers to adoption included insufficient training, resistance to transitioning from the traditional partograph, and resource limitations. Despite these challenges, non-users expressed optimism about future adoption, though no definitive timeline was provided. To enhance LCG implementation, the study recommends staff training, policy enforcement, active monitoring by the Society of Gynaecology and Obstetrics of Nigeria (SOGON), public awareness campaigns, and integration into electronic health records.

Conclusion: While the LCG holds significant potential for improving labour management and maternal outcomes, addressing these barriers is crucial for its successful and widespread adoption.