Utilization of Antenatal Care and Delivery Services in Oyigbo Comprehensive Health Centre: A One-Year Review

Introduction: This study assessed the utilisation of antenatal care (ANC) and delivery services as well as factors influencing birth outcomes at the Oyigbo Comprehensive Primary Health Centre (OCPHC) in Rivers State, Nigeria. Methods: A cross-sectional retrospective review was conducted on the records of 498 women aged 15–49 who accessed maternal services in 2024. Data were extracted using Kobo Toolbox Android devices and analysed with SPSS version 27, employing Pearson’s chi-square test for statistical associations. Results: The mean age of participants was 29.3 ± 5.4 years. Of the 498 women registered for ANC, 344 (69.1%) attended at least four ANC visits, indicating relatively high ANC utilisation. However, only 136 out of 464 recorded deliveries (29.3%) occurred at OCPHC, revealing a substantial gap between ANC attendance and facility-based delivery. Significant factors associated with delivering at OCPHC included the number of ANC visits and hepatitis status. A higher proportion of women who attended more ANC visits (4–6 visits: 34.1%; 7–9 visits: 55.8%) delivered at OCPHC (χ² = 79.55; p < 0.001). Additionally, 75% of hepatitis-positive women delivered at the facility (χ² = 8.56; p < 0.003). Maternal weight at booking also showed a significant association with birth outcomes. Conclusion: The findings highlight the need to bridge the gap between ANC attendance and institutional delivery through enhanced health education and behavioural change strategies tailored to the local context.