Attitude and Perceptions of Child Healthcare Practitioners in Nigeria to Autopsy Practice

Main Article Content

C. Okechukwu


Introduction and Objectives: There has been a gradual decline in interest in postmortem audit worldwide despite the enormous potential value of the autopsies. In many paediatric centres across Nigeria, there is no policy providing the use of autopsy statistics in the main business of paediatric practice or as a means of assessing a centres’ performance. Even where such a policy exists, there is no compelling law for the incorporation of the statistics into daily paediatric practice. This study set out to survey the attitude and perception of child healthcare practitioners in Nigeria towards post-mortem examination in improving patients care.

Materials and Methods: A cross-sectional descriptive study was done on participants attending a paediatric conference in Abuja, Nigeria. There were 250 respondents, who cut across the six geopolitical zones of Nigeria, consisting of paediatric consultants, residents and nurses. The study was done using self-administered questionnaires and data analysed using SPSS version 20.

Results: All (100%) participants believed autopsy practice was valuable and had a positive effect on medical practice. Sixteen (6.4%) respondents never request for autopsies, 120 (48.0%) respondents request for it rarely, 34 (13.6%) make a request often while 10 (4%) request for autopsies very often. Eighty-four (33.6%) respondents have never attended an autopsy session. The interval between autopsies and issuance of reports ranges from 0-3 weeks (48.0%) to > 6 weeks (8.8%). The usual indications for requesting for autopsies include knowing the cause of death (85%), inability to arrive at a clinical diagnosis antemortem (71.2%) and improving clinical diagnosis skill and patient care (60.0%).

Conclusion: Autopsy practice is useful in paediatric practice but it is rarely requested for and infrequently attended by the child healthcare practitioner. There is a need to change the attitude and perception of all healthcare workers in paediatric practice through proper orientation and education.

Child healthcare worker, Nigeria, autopsy.

Article Details

How to Cite
Okechukwu, C. (2020). Attitude and Perceptions of Child Healthcare Practitioners in Nigeria to Autopsy Practice. Asian Journal of Medical Principles and Clinical Practice, 3(2), 19-25. Retrieved from
Original Research Article


Burton J, Rutty G. The hospital autopsy—a manual of fundamental autopsy practice. 3 Edn. London: Hodder Arnold; 2010.

Thali MJ, Jackowski C, Oesterhelweg L, Ross SG, Dirnhofer R. VIRTOPSY—the Swiss virtual autopsy approach. Leg Med (Tokyo) 2007;9:100–4.

Stolman CJ, Castello F, Yorio M, Mautone S. Attitudes of paediatricians and pediatric residents toward obtaining permission for autopsy. Arch Pediatr Adolesc Med. 1994;148(8);843-7.

Wittekind C, Grandistanac T. Post-mortem examination as a quality improvement instrument. Dtsch Arztebl Int. 2018; 115(39):653-658.

Oluwasola OA, Fawole OI, Otegbayo AJ, Ogun GO, Adebamowo CA, Bamigboye AE. The autopsy: Knowledge, attitude, and perceptions of doctors and relatives of the deceased. Archives of Pathology & Laboratory Medicine. 2009;133(1):78-82.

Van den Tweel JG, Wittekind C. The medical autopsy as quality assurance tool in clinical medicine: Dreams and realities. Virchows Arch. 2016;468:75-81.

Akang EE, Asinobi AO, Fatunde OJ, Pindiga HU, Okpala JU, Abiola AO, et al. Childhood mortality in Ibadan: An autopsy study. Niger J Paediatr. 1992;19:30-6.

Ayoola OO, Orimadegun AE, Akinsola AK, Osinusi K. A five-year review of childhood mortality at the University College Hospital, Ibadan. West Afr J Med. 2005;24(2):175-9.

Oluwasola AO, Fawole OI, Otegbayo JA, Ayede IA, Ogun GO, Ukah CO, Bamigboye AE. Trends in clinical autopsy rate in a Nigerian tertiary hospital. Afr J Med Med Sci. 2007;36(3):26772.

Nduagubam OC, Ndu IK, Bisi-Onyemaechi A, Ohayi SR, Asinobi IN, Ekwochi U, et al. Paediatric mortality and autopsies in Enugu State University Teaching Hospital, Esuth/Parklane, Enugu, Nigeria: A 5- year review. Journal of Experimental Research. 2018;6(2):73-78.

Turnbull A, Osborn M, Nicholas N. Hospital autopsy: Endangered or extinct? J Clin Pathol. 2015;68(8):601-604.

Blokker BM, Weustink AC, Hunink M, Oosterhuis JW. Autopsy of adult patients deceased in an academic hospital: Considerations of doctors and next-of-kin in the consent process. PLoS One. 2016;11(10):e0163811.

Maeda H, Tsujimura T, Yoshida K. Questionnaire study on the utility of autopsy case conferences related to emergency medicine practices. Medicine (Baltimore). 2019;98(17):e15315.

Shojania KG, Burton EC, McDonald KM, Goldman L. Changes in rates of autopsy-detected diagnostic errors over time: A systematic review. JAMA. 2003;289(21): 2849–56.

Wittschieber D, Klauschen F, Kimmritz AC, von Winterfeld M, Kamphues C, Scholman HJ, et al. Who is at risk for diagnostic discrepancies? Comparison of pre- and postmortal diagnoses in 1800 patients of 3 medical decades in East and West Berlin. PLoS One. 2012;7(5):e37460.

Human M, Goldstein RD. In Collaboration with PASS Network. Bereaved mothers’ attitudes regarding autopsy of their stillborn baby. S Afr J Obstet Gynaecol. 2017;23(3): 93-96.

Yawson AE, Tette E, Tettey Y. Through the lens of the clinician: Autopsy services and utilization in a large teaching hospital in Ghana. BMC Res Notes. 2014;7:943.

Anim JT. Autopsy practice in Ghana — Reflections of a pathologist. Ghana Med J. 2015;49(2):112-119.