Practice Of Antenatal Clinical Breast Examination In Calabar

Abstract

Reports of a rising incidence of breast cancer and the consistent finding of a significantly younger population of breast cancer patients in the country than in the west led to this study to determine the proportion of women who have a clinical breast examination at the booking visit for antenatal care in the University of Calabar Teaching Hospital (UCTH).The booking information on the antenatal cards of patients who registered within a one-month period was examined. Clinical breast examination (CBE) was performed on 41.6% of the women. Women who were reviewed by consultants recorded a rate of 78.2% while the rates for women attended to by resident doctors and interns were 41.2% and 19.6% respectively (P=0.00). The CBE rate was 57.6% among women who were reviewed by female physicians and 38.3% among those reviewed by male physicians (P = 0.00). The practice of CBE in UCTH is low and is significantly related to the cadre and gender of the attending physician. Obstetricians must embrace the practice fully and utilize measures such as increased supervision and departmental seminars to sensitize doctors they train to emulate them.

KEYWORDS: Antenatal, Practice and Breast Examination