Big Belly-No Baby Syndrome: Perceptions of Premenopausal Women on Misinformation Surrounding Uterine Fibroids in Awka South LGA

This study examined the perceptions of premenopausal women on misinformation surrounding uterine fibroids in Awka South Local Government Area of Anambra State, Nigeria. In many communities, fibroids are popularly described using stigmatizing expressions such as “big belly, no baby syndrome,” which reinforces misconceptions about the condition and influences women’s health-seeking behavior. The study adopted a survey research design and was anchored on the Health Belief Model and the Social Construction of Illness framework. A sample size of 384 premenopausal women aged 18–49 was selected from five communities in Awka South LGA using a multistage sampling technique. Data were collected through a structured questionnaire and analyzed using descriptive statistics such as frequency, percentage, and weighted mean. Findings revealed that although a majority of respondents had heard about uterine fibroids, their level of knowledge was only moderate, and a substantial number were aware of the existence of misinformation about the condition. The study also found that most respondents obtained information about uterine fibroids from informal sources, which contributed to the spread of misconceptions, including beliefs that fibroids are caused by spiritual attacks or can be completely cured through herbal remedies. The study concludes that misinformation continues to shape women’s perceptions and health decisions regarding uterine fibroids. It therefore recommends that intensified reproductive health education, community sensitization, the use of mass media campaigns to promote accurate information and counter misinformation about uterine fibroids, and improved access to non-surgical management options should be widely promoted.

Perceptions, Premenopausal Women, Misinformation

1. Adegbesan-Omilabu, M. A., Okunade, K. S., & Gbadegesin, A. (2014). Knowledge of, perception of, and attitude towards uterine fibroids among women with fibroids in Lagos, Nigeria. Scientifica, 2014, 809536. [https://doi.org/10.1155/2014/809536](https://doi.org/10.1155/2014/809536) [Google Scholar] [Crossref]

2. Akpenpuun, J. R., Bai-Tachia, M., & Waroh, J. N. (2019). Awareness, knowledge and perceived attitude towards women living with fibroid in Benue State. Fuwukari International Journal of Sociology and Development, 1(1). [Google Scholar] [Crossref]

3. Akpenpuun, J. R., Fayehun, O., & Jegede, A. (2019). Health-seeking behaviour of Tiv women living with fibroids in Benue State, Nigeria. The Nigerian Journal of Sociology and Anthropology, 17(1), 17–34. https://doi.org/10.36108/NJSA/9102/71(0120)] [Google Scholar] [Crossref]

4. Akwuruoha, E. M., Umezurike, C. C., & Akwuruoha, C. U. (2025). Prevalence, knowledge and factors associated with uterine fibroids among women attending Abia State University Teaching Hospital, Nigeria. Journal of Clinical Research and Reports, 20(3). [https://doi.org/10.31579/2690-1919/556](https://doi.org/10.31579/2690-1919/556) [Google Scholar] [Crossref]

5. Barjon, K., Kahn, J., & Singh, M. (2025). Uterine leiomyomata. In StatPearls. Publishing. [https://www.ncbi.nlm.nih.gov/books/NBK546680/] [Google Scholar] [Crossref]

6. Chennath, M. V., Williams, R., Johnson, L., & Patel, K. (2023). Ethnic disparities in uterine fibroids: A systematic review. Obstetrics and Gynecology, 142(3), 414–423. [Google Scholar] [Crossref]

7. Dlamini, A., Nxumalo, C. T., Mpofana, N., Paulse, M., Makgobole, M., & Pillay, P. (2024). Knowledge and perceptions of uterine fibroids: A descriptive cross-sectional survey among women of childbearing age in KwaZulu-Natal, South Africa. African Journal of Reproductive Health. [https://doi.org/10.29063/ajrh2025/v29i5.7 [Google Scholar] [Crossref]

8. Donnez, J., & Dolmans, M. M. (2016). Uterine fibroid management: From the present to the future. Human Reproduction Update, 22(6), 665–686. [https://doi.org/10.1093/humupd/dmw023] [Google Scholar] [Crossref]

9. Fuldeore, M. J., & Soliman, A. M. (2017). Prevalence and symptomatic burden of diagnosed endometriosis in the United States: National estimates from a cross-sectional survey of 59,411 women. Gynecologic and Obstetric Investigation, 82(5), 453–461. [https://doi.org/10.1159/000452660 [Google Scholar] [Crossref]

10. Igboeli, P., Walker, W., McHugh, A., Sultan, A., & Al-Hendy, A. (2019). Burden of uterine fibroids: An African perspective, a call for action and opportunity for intervention. Current Opinion in Gynecology and Obstetrics, 2(1), 287–294. [https://doi.org/10.18314/cogo.v2i1.1701] [Google Scholar] [Crossref]

11. Ogunjumelo, B. (2025, April 13). Uterine fibroids in Nigeria: Prevalence, challenges and management. FAWCO Blog. [https://www.fawco.org/global-issues/health/health-articles/5119-uterine-fibroids-in-nigeria-prevalence-challenges-and-management [Google Scholar] [Crossref]

12. Opara, U. C., Iheanacho, P. N., & Petrucka, P. (2024). Cultural and religious structures influencing the use of maternal health services in Nigeria: focused ethnographic research. Reproductive Health, 21(1), 188. https://doi.org/10.1186/s12978-024-01933-8. [Google Scholar] [Crossref]

13. Sharma, A., & Mahajan, Y. (2025). Whispers of the womb: Assessing public awareness of uterine fibroids and their management in Himachal Pradesh. Himalayan Journal of Agriculture and Medical Sciences Research, 6(1), 1–5. (https://doi.org/10.47310/hjamsr.2025.v06i01.013) [Google Scholar] [Crossref]

14. Zimmermann, A., Bernuit, D., Gerlinger, C., Schaefers, M., & Geppert, K. (2012). Prevalence, symptoms and management of uterine fibroids: An international internet-based survey of 21,746 women. BMC Women’s Health, 12, 6. (https://doi.org/10.1186/1472-6874-12-6) [Google Scholar] [Crossref]

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