The Competence and Authority of Midwives in giving Birth without the assistance of a Doctor in Nigeria

Paul Atagamen Aidonojie, Esther Chetachukwu Aidonojie, Majekodunmi Toyin Afolabi, Obieshi Eregbuonye, Adesoji Kolawole Adebayo

Abstract


Life per se is not short, but our actions and inaction often result in the shortness of our life. This quote is concerning the fact that in Nigeria and the global standard it is required that during childbirth delivery there should always be a doctor present to avoid complications that may result in the death of the mother or the child. However, in Nigeria, it has been observed that the majority of the childbirth delivery conducted in hospitals or at any other place by local or trained mid-wife are often executed without the involvement or presence of a doctor.  In this regard, is it legally and medically in abeyance to conduct childbirth delivery without the aid of a doctor, given the possible complication that may result in loss of life and damage to the mother and child. It is in this regard that this study tends to adopt a hybrid method of study (involving a doctrinal and non-doctrinal) in ascertaining the legal issues and challenges in curtailing mid-wife involvement in child delivery in the absence of a medical doctor. 307 questionnaires were distributed to respondents, and the data obtained were analyzed by adopting an analytical and descriptive method. The study, therefore, found that there are very high incidences of the mortality rate of a pregnant mother and their baby during delivery by mid-wife and nurses given the absence of a doctor. The study further found that though there are laws and ethical codes that regulate childbirth delivery in Nigeria, however, there are challenges that often mitigate the curtailment of mid-wife or nurses involved in childbirth delivery without the aid of a doctor. We thus concluded and recommended that authorities should establish effective regulations and sanctions for midwives or nurses participating in childbirth deliveries without the presence of a doctor.


Keywords


Midwives in Nigeria; Competency and Authority of Midwives in Nigeria; Legal Issues for Midwives in Nigeria

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References


Adebowale, Stephen Ayo, Oyewale Mayowa Morakinyo, and Godson Rowland Ana. “Housing Materials as Predictors of Under-Five Mortality in Nigeria: Evidence from 2013 Demographic and Health Survey.” BMC Pediatrics 17, no. 1 (December 2017): 30. https://doi.org/10.1186/s12887-016-0742-3.

Adeniran, Abiodun S., Abiodun P. Aboyeji, Adegboyega A. Fawole, Olayinka R. Balogun, Kikelomo T. Adesina, and Salamat Isiaka-Lawal. “Evaluation of Parturient Perception and Aversion before and after Primary Cesarean Delivery in a Low-Resource Country.” International Journal of Gynecology & Obstetrics 132, no. 1 (January 1, 2016): 77–81. https://doi.org/10.1016/j.ijgo.2015.06.045.

Aidonojie, Paul Atagamen. “Environmental Hazard: The Legal Issues Concerning Environmental Justice in Nigeria.” Journal of Human Rights, Culture and Legal System 3, no. 1 (February 14, 2023): 17–32. https://doi.org/10.53955/jhcls.v3i1.60.

———. “The Legal Impact and Relevance of Using Plea Bargains to Resolve Tax Disputes in Nigeria.” Brawijaya Law Journal 9, no. 2 (October 31, 2022): 196–212. https://doi.org/10.21776/ub.blj.2022.009.02.06.

———. “Voluntary Assets and Income Declaration Scheme a Panacea to Tax Evasion in Edo State, Nigeria.” Administrative and Environmental Law Review 4, no. 1 (March 27, 2023): 1–20. https://doi.org/10.25041/aelr.v4i1.2822.

Aidonojie, Paul Atagamen, Esther Chetachukwu Aidonojie, Oaihimire Idemudia Edetalehn, Oluwaseye Oluwayomi Ikubanni, and Alade Adeniyi Oyebade. “A Facile Study Concerning the Legal Issues and Challenges of Herbal Medicine in Nigeria.” The Indonesian Journal of International Clinical Legal Education 4, no. 4 (December 24, 2022). https://doi.org/10.15294/ijicle.v4i4.61641.

Aidonojie, Paul Atagamen, and Oaihimire Idemudia Edetalehn. “A Facile Study of the Statutory Challenges Concerning Customary Practice of Intestate Succession in Nigeria.” JHR (Jurnal Hukum Replik) 11, no. 1 (April 1, 2023): 1–11. https://doi.org/10.31000/jhr.v11i1.7552.

Aidonojie, Paul Atagamen, and Esther Chetachukwu Francis. “Legal Issues Concerning Food Poisoning in Nigeria: The Need for Judicial and Statutory Response.” Jurnal Media Hukum 29, no. 1 (August 31, 2022): 65–78. https://doi.org/10.18196/jmh.v29i1.12595.

Aidonojie, Paul Atagamen, Oluwaseye Oluwayomi Ikubanni, and Alade Adeniyi Oyebade. “Legality of EndSARS Protest: A Quest for Democracy in Nigeria.” Journal of Human Rights, Culture and Legal System 2, no. 3 (November 20, 2022): 209–24. https://doi.org/10.53955/jhcls.v2i3.40.

Aidonojie, Paul Atagamen, Toyin Afolabi Majekodunmi, Oluwaseye Oluwayomi Ikubanni, Alade Adeniyi Oyebade, and Nathan Ibrahim. “The Causes of the Rising Incidence of Domestic Violence in Nigeria: Proposing Judicial Separation as a Panacea.” Jurnal Hukum 38, no. 2 (July 17, 2022): 99. https://doi.org/10.26532/jh.v38i2.21592.

Aidonojie, Paul Atagamen, Joseph Nwazi, and Eruteya Ugiomo. “Illegality Of Income Tax Evasion In Edo State: Adopting An Automated Income Tax System As A Panacea.” JURNAL LEGALITAS 16, no. 1 (April 16, 2023): 62–86. https://doi.org/10.33756/jelta.v16i1.19422.

Aidonojie, Paul Atagamen, Nosakhare Okuonghae, and Kingsley Eghonghon Ukhurebor. “The Legal Rights and Challenges of COVID-19 Patients Accessing Private Healthcare in Nigeria.” BESTUUR 10, no. 2 (December 20, 2022): 183. https://doi.org/10.20961/bestuur.v10i2.68118.

Aidonojie, Paul Atagamen, and Ong Argo Victoria. “The Societal and Legal Missing Link in Protecting a Girl Child Against Abuse Before and Amidst the Covid-19 Pandemic in Nigeria.” Jurnal Hukum 38, no. 1 (May 29, 2022): 61–80. https://doi.org/10.26532/jh.v38i1.18412.

Akinyemi, Joshua Odunayo, Elijah Afolabi Bamgboye, and Olusola Ayeni. “Trends in Neonatal Mortality in Nigeria and Effects of Bio-Demographic and Maternal Characteristics.” BMC Pediatrics 15, no. 1 (December 2015): 36. https://doi.org/10.1186/s12887-015-0349-0.

Al-Zirqi, Iqbal, Anne Kjersti Daltveit, and Siri Vangen. “Infant Outcome after Complete Uterine Rupture.” American Journal of Obstetrics and Gynecology 219, no. 1 (July 1, 2018): 109.e1-109.e8. https://doi.org/10.1016/j.ajog.2018.04.010.

Anastasi, Erin, Ekanem Ekanem, Olivia Hill, Agnes Adebayo Oluwakemi, Oluwatosin Abayomi, and Andrea Bernasconi. “Unmasking Inequalities: Sub-National Maternal and Child Mortality Data from Two Urban Slums in Lagos, Nigeria Tells the Story.” Edited by Caroline Mitchell. PLOS ONE 12, no. 5 (May 10, 2017): e0177190. https://doi.org/10.1371/journal.pone.0177190.

Ani Mardiantari, Ita Dwilestari, “Children’s Right to get Exclusive Breastfeeding In the Islamic Law Perspective”, Ijtihad: Jurnal Wacana Hukum Islam dan Kemanusiaan, 21, no. 2 (2021): 231-246, https://doi.org/10.18326/ijtihad.v21i2.231-246

Arulkumaran, N., and M. Singer. “Puerperal Sepsis.” Best Practice & Research Clinical Obstetrics & Gynaecology 27, no. 6 (December 2013): 893–902. https://doi.org/10.1016/j.bpobgyn.2013.07.004.

Bello, Ra, and Ai Joseph. “Determinants of Child Mortality in Oyo State, Nigeria.” African Research Review 8, no. 1 (February 21, 2014): 252. https://doi.org/10.4314/afrrev.v8i1.17.

Brocklehurst, Peter, David Field, Keith Greene, Ed Juszczak, Robert Keith, Sara Kenyon, Louise Linsell, et al. “Computerised Interpretation of Fetal Heart Rate during Labour (INFANT): A Randomised Controlled Trial.” The Lancet 389, no. 10080 (April 2017): 1719–29. https://doi.org/10.1016/S0140-6736(17)30568-8.

Butwick, A.J., and N. McDonnell. “Antepartum and Postpartum Anemia: A Narrative Review.” International Journal of Obstetric Anesthesia 47 (August 2021): 102985. https://doi.org/10.1016/j.ijoa.2021.102985.

Downes, Katheryne L., Katherine L. Grantz, and Edmond D. Shenassa. “Maternal, Labor, Delivery, and Perinatal Outcomes Associated with Placental Abruption: A Systematic Review.” American Journal of Perinatology 34, no. 10 (August 2017): 935–57. https://doi.org/10.1055/s-0037-1599149.

East, Christine E, Leo R Leader, Penelope Sheehan, Naomi E Henshall, Paul B Colditz, and Rosalind Lau. “Intrapartum Fetal Scalp Lactate Sampling for Fetal Assessment in the Presence of a Non-Reassuring Fetal Heart Rate Trace.” Edited by Cochrane Pregnancy and Childbirth Group. Cochrane Database of Systematic Reviews 2015, no. 6 (May 1, 2015). https://doi.org/10.1002/14651858.CD006174.pub3.

Europe, World Health Organization Regional Office for. “Nurses and Midwives: A Vital Resource for Health. European Compendium of Good Practices in Nursing and Midwifery towards Health 2020 Goals,” 2015. https://iris.who.int/handle/10665/353563.

Ezeh, O. K., K. E. Agho, M. J. Dibley, J. J. Hall, and A. N. Page. “Risk Factors for Postneonatal, Infant, Child and under-5 Mortality in Nigeria: A Pooled Cross-Sectional Analysis.” BMJ Open 5, no. 3 (March 27, 2015): e006779–e006779. https://doi.org/10.1136/bmjopen-2014-006779.

Federation of Nigeria. Nursing and Midwifery (Registration etc) act. Cap. N143, Laws of the Federation of Nigeria, 2004. (2004).

Fraser, Sarah, Julian Grant, and Trudi Mannix. “Maternal Child and Family Health Nurses: Delivering a Unique Nursing Speciality.” Maternal and Child Health Journal 20, no. 12 (December 2016): 2557–64. https://doi.org/10.1007/s10995-016-2081-2.

Idahosa, Milicent Ekeata, Omohoste Patience Agbale, and Paul Atagamen Aidonojie. “The Causes and Legal Implications Concerning Assault against Healthcare Providers by Patients or Their Relatives in Nigeria.” KIU Journal of Humanities 7, no. 4 (January 9, 2023): 79–88.

Kahana, B., E. Sheiner, A. Levy, S. Lazer, and M. Mazor. “Umbilical Cord Prolapse and Perinatal Outcomes.” International Journal of Gynecology & Obstetrics 84, no. 2 (February 2004): 127–32. https://doi.org/10.1016/S0020-7292(03)00333-3.

Khan, Jahidur Rahman, and Nabil Awan. “A Comprehensive Analysis on Child Mortality and Its Determinants in Bangladesh Using Frailty Models.” Archives of Public Health 75, no. 1 (December 2017): 58. https://doi.org/10.1186/s13690-017-0224-6.

Majekodunmi, Toyin Afolabi, John Oluwasegun Akintola, Paul Atagamen Aidonojie, Oluwaseye Oluwayomi Ikubanni, and Alade Adeniyi Oyebade. “Legal Issues in Combating the Scourge of Terrorism; Its Impact on International Trade and Investment: Nigeria as a Case Study.” KIU Journal of Humanities 7, no. 3 (October 10, 2022): 129–39. https://doi.org/10.58709/kiujhu.v7i3.1530.129-139.

Majekodunmi, Toyin Afolabi, John Oluwasegun Akintola, Milicent Ekeata Idahosa, Oluwaseye Oluwayomi Ikubanni, and Paul Atagamen Aidonojie. “The Causes of the Rising Incidence of Terrorism Occasioning Deprivation of the Right to Life in Nigeria.” KIU Journal of Humanities 7, no. 2 (August 22, 2022): 129–38. https://doi.org/10.58709/kiujhu.v7i2.1498.129-138.

Manzotti, Andrea, Francesco Cerritelli, Erica Lombardi, Simona La Rocca, Marco Chiera, Matteo Galli, and Gianluca Lista. “Effects of Osteopathic Treatment versus Static Touch on Heart Rate and Oxygen Saturation in Premature Babies: A Randomized Controlled Trial.” Complementary Therapies in Clinical Practice 39 (May 2020): 101116. https://doi.org/10.1016/j.ctcp.2020.101116.

Meh, Catherine, Amardeep Thind, Bridget Ryan, and Amanda Terry. “Levels and Determinants of Maternal Mortality in Northern and Southern Nigeria.” BMC Pregnancy and Childbirth 19, no. 1 (December 2019): 417. https://doi.org/10.1186/s12884-019-2471-8.

Modupe, O. Oyetunde, and A. Nkwonta Chigozie. “Quality Issues in Midwifery: A Critical Analysis of Midwifery in Nigeria within the Context of the International Confederation of Midwives (ICM) Global Standards.” International Journal of Nursing and Midwifery 6, no. 3 (July 31, 2014): 40–48. https://doi.org/10.5897/IJNM2013-0119.

Morakinyo, Oyewale Mayowa, and Adeniyi Francis Fagbamigbe. “Neonatal, Infant and under-Five Mortalities in Nigeria: An Examination of Trends and Drivers (2003-2013).” Edited by Umberto Simeoni. PLOS ONE 12, no. 8 (August 9, 2017): e0182990. https://doi.org/10.1371/journal.pone.0182990.

Munyaw, Yuda, Joshua Gidabayda, Anita Yeconia, Godfrey Guga, Esto Mduma, and Paschal Mdoe. “Beyond Research: Improved Perinatal Care through Scale-up of a Moyo Fetal Heart Rate Monitor Coupled with Simulation Training in Northern Tanzania for Helping Babies Breathe.” BMC Pediatrics 22, no. 1 (December 2022): 191. https://doi.org/10.1186/s12887-022-03249-7.

Nigerian Law Publications. “7 Nigerian Weekly Law Reports.” Nigerian Law Publications, 2019.

———. “11 Nigerian Weekly Law Reports.” Nigerian Law Publications, 2019.

Njoku, C. O., C. I. Emechebe, E. M. Eyong, J. T. Ukaga, and K. C. Anachuna. “Prevalence and Risk Factors for Stillbirths in a Tertiary Hospital in Niger Delta Area of Nigeria: A Ten Year Review.” International Journal of Medicine and Biomedical Research 5, no. 3 (2016): 106–13.

Nwosu, Chijioke O., and John Ele-Ojo Ataguba. “Explaining Changes in Wealth Inequalities in Child Health: The Case of Stunting and Wasting in Nigeria.” Edited by Amit Arora. PLOS ONE 15, no. 9 (September 14, 2020): e0238191. https://doi.org/10.1371/journal.pone.0238191.

Ogunkola, Isaac Olushola, Yusuff Adebayo Adebisi, Uchenna Frank Imo, Goodness Ogeyi Odey, Ekpereonne Esu, and Don Eliseo Lucero-Prisno. “Impact of COVID-19 Pandemic on Antenatal Healthcare Services in Sub-Saharan Africa.” Public Health in Practice 2 (November 2021): 100076. https://doi.org/10.1016/j.puhip.2021.100076.

Okonofua, Friday E., Lorretta Favour C. Ntoimo, Rosemary Ogu, Hadiza Galadanci, Gana Mohammed, Durodola Adetoye, Eghe Abe, et al. “Prevalence and Determinants of Stillbirth in Nigerian Referral Hospitals: A Multicentre Study.” BMC Pregnancy and Childbirth 19, no. 1 (December 2019): 533. https://doi.org/10.1186/s12884-019-2682-z.

Okunowo, AdeyemiAdebola, and ShakiratTinuola Smith-Okonu. “The Trend and Characteristics of Stillbirth Delivery in a University Teaching Hospital in Lagos, Nigeria.” Annals of African Medicine 19, no. 4 (2020): 221. https://doi.org/10.4103/aam.aam_44_19.

Oladele, Odetokun Olukayode, Paul Atagamen Aidonojie, James Emokhai Uzualu, Oluwaseye Oluwayomi Ikubanni, and Adefisayo Ifeoluwa Oyedeji. “An Empirical Study of Criminalizing Minor Infractions of Tax Laws in Nigeria: The Need for Negotiated Punishments.” KIU Journal of Humanities 7, no. 2 (July 13, 2022): 157–68. https://doi.org/10.58709/kiujhu.v7i2.1481.157-168.

Olarewaju, Obafemi Arinola. “Insecurity in Northern Nigeria: Implications for Maternal and Child Health.” Clinical Epidemiology and Global Health 12 (October 2021): 100869. https://doi.org/10.1016/j.cegh.2021.100869.

Olonade, Olawale, Tomike I. Olawande, Oluwatobi Joseph Alabi, and David Imhonopi. “Maternal Mortality and Maternal Health Care in Nigeria: Implications for Socio-Economic Development.” Open Access Macedonian Journal of Medical Sciences 7, no. 5 (March 16, 2019): 849–55. https://doi.org/10.3889/oamjms.2019.041.

Population Reference Bureau. “Delivery Care Is Key for Maternal Survival: A Story of Two States in Nigeria.” PRB. Accessed January 30, 2024. https://www.prb.org/resources/delivery-care-is-key-for-maternal-survival-a-story-of-two-states-in-nigeria/.

Ristania Intan Permatasari, et.al., “Disabilities Concessions in Indonesia: Fundamental Problems and Solutions,” Legality: Jurnal Ilmiah Hukum, 30, no. 2 (September, 2022): 298-312, https://doi.org/10.22219/ljih.v30i2.23814

Rizka, et.al. “Legal Protection for Doctors’ Work Safety in Handling Covid-19 Cases Reviewed Based on Saddu al-Dzri’ah,” Legality: Jurnal Ilmiah Hukum, 30, no. 2, (September, 2022): 228-242, https://doi.org/10.22219/ljih.v30i2.22259

“The Legal and Ethical Issues Concerning Diagnosing and Treatment of Patients by Pharmacists in Nigeria.” Euromentor Journal - Studies about Education XIII, no. 2 (2022): 102–19.

Tyndall, Jennifer A., Khadidiatou Ndiaye, Chinwenwo Weli, Eskedar Dejene, Nwanneamaka Ume, Victory Inyang, Christiana Okere, John Sandberg, and Ronald J. Waldman. “The Relationship between Armed Conflict and Reproductive, Maternal, Newborn and Child Health and Nutrition Status and Services in Northeastern Nigeria: A Mixed-Methods Case Study.” Conflict and Health 14, no. 1 (December 2020): 75. https://doi.org/10.1186/s13031-020-00318-5.

Wegbom, A. I., I. S. Aboko, and O. C. A. Mandah. “Multivariate Analysis of Child Mortality Determinants in Rural Nigeria.” Tlep Int. Journal of Multi Discipline in Industrial and Applied Sciences 1, no. 8 (2016): 1–10.

Wright, Amanda S., Aaron Costerisan, and Kari Beth Watts. “Problems During Labor and Delivery.” In Family Medicine, edited by Paul M. Paulman, Robert B. Taylor, Audrey A. Paulman, and Laeth S. Nasir, 177–92. Cham: Springer International Publishing, 2022. https://doi.org/10.1007/978-3-030-54441-6_14.

Y, Getachew, and Bekele S. “Survival Analysis of Under-Five Mortality of Children and Its Associated Risk Factors in Ethiopia.” Journal of Biosensors & Bioelectronics 7, no. 3 (2016). https://doi.org/10.4172/2155-6210.1000213.




DOI: https://doi.org/10.33756/jlr.v6i1.20822

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