scholarly journals Intended Pregnancy as a Predictor of Good Knowledge on Birth Preparedness and Complication Readiness: the Case of Northern Ethiopia Pregnant Mothers

2019 ◽  
Vol 2019 ◽  
pp. 1-10
Author(s):  
Haile Zewdu Tsegaw ◽  
Endeshaw Admassu Cherkos ◽  
Marta Berta Badi ◽  
Muhabaw Shumye Mihret
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Multivariable Analysis ◽  
Good Knowledge ◽  
P Value ◽  
Northern Ethiopia ◽  
Birth Preparedness ◽  
Multivariable Logistic Regression Model ◽  
Cross Sectional ◽  
Complication Readiness

Background. Maternal mortality remains unacceptably high in developing countries. One key strategy to reduce such mortality is utilization of birth preparedness and complication readiness (BP/CR) and creating awareness of BP/CR is an important step for pregnant women, their families, and the community. However, there was limited to no evidence regarding the community’s awareness on BP/CR in the study area. Therefore, this study aimed to assess knowledge on BP/CR and associated factors among pregnant women in Debremarkos town, Northwest Ethiopia, 2017. Methods. A Community based cross-sectional study was conducted from July 1 to 30/2017. A total of 441 pregnant women were included in the study. Structured and pretested questionnaire was administered through face to face interview to collect the data. Simple random sampling technique was used to select the study participants. The data were entered in to Epinfo version 7.0 and then exported to SPSS version 20.0 for analysis. Both bivariate and multivariable logistic regression model were fitted. Crude and adjusted odds ratio with 95 % confidence interval have been computed and variables with p-value < 0.05 were considered statistically significance. Results. The proportion of pregnant women having good knowledge on birth preparedness and complication readiness was found to be 45.2 with 95%CI (40.4, 50.0). In the multivariable analysis, having history of childbirth (AOR=2.17;95%CI:1.18,4.00), having intended pregnancy (AOR=2.13;95%CI: 1.16, 3.90), being governmental employee ( AOR=6.50; 95%CI: 2.50, 16.87), and having Antenatal care visits (AOR=5.50; 95%CI:2.2,13.70) were factors which were independently and significantly associated with good knowledge on birth preparedness and complication readiness. Conclusion. Proportion of pregnant women having good knowledge on birth preparedness and complication readiness was low. Putting emphasis on intended pregnancy and antenatal care visit was recommended.

scholarly journals Birth preparedness and complication readiness practice and associated factors among pregnant women in Northwest Ethiopia: 2018

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0249083
Author(s):  
Tibeb Zena Debelie ◽  
Abdella Amano Abdo ◽  
Kiber Temesgen Anteneh ◽  
Miteku Andualem Limenih ◽  
Mengstu Melkamu Asaye ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Associated Factors ◽  
Northwest Ethiopia ◽  
Living Standard ◽  
Outcome Variable ◽  
Birth Preparedness ◽  
Multivariable Logistic Regression Model ◽  
Cross Sectional ◽  
Complication Readiness ◽  
North Gondar Zone

Background Birth-preparedness and complication readiness is a comprehensive strategy aimed at promoting the timely utilization of skilled maternal and neonatal health care. Pregnancy-related complications both on the mother and the newborn could be largely alleviated if there is a well-consolidated birth preparedness and complication readiness plan developed during pregnancy and implemented at the time of delivery. Objective To determine the prevalence of birth preparedness and complication readiness practice (BPCR) and associated factors among pregnant women in North Gondar Zone, Northwest Ethiopia, 2018. Methods A community based cross-sectional study was conducted among pregnant women in North Gondar Zone from March 2017 to February 2018. A multistage clustered sampling technique was used to enroll a total of 1620 participants. The data were collected by face to face interviews using pretested and semi-structured questionnaires at baseline and following delivery. The data were entered using EPI-data version 3.1 and analyzed using STATA version 14 software. Bivariate and multivariable logistic regression model was fitted to assess factors with BPCR practice. Adjusted odds ratio (AOR) with 95% confidence interval was used to determine the association between covariates and the outcome variable. Results From a total of 1620 pregnant women only 1523 (94.0%) mothers were followed at the end line. The prevalence of BPCR plan during pregnancy was 66.1% [95% CI: 63.8, 68.5] and the practice at the time of delivery was 73.5% [95% CI 71.3, 75.7]. Of the total respondents who mentioned having a BPCR plan, 76.4% practiced at the time of delivery. Frequency of ANC visits [AOR = 1.97; 95% CI: 1.67, 2.32], larger number of family in the household [AOR = 1.14; 95%CI: 1.00, 1.30], highest wealth asset [AOR = 1.87; 95%CI: 1.16, 3.01], Multigravidity [AOR = 0.30; 95% CI: 0.15, 0.62], husband involvement in decision making [AOR = 2.2; 95% CI: 1.25, 3.82], counseled on BPCR [AOR = 2.35; 95% CI: 1.51, 3.68], were found to be significantly associated with BPCR practice. Conclusion BPCR practice at the time of delivery was higher than previous studies conducted in the country. However, BPCR practice was found to be lower than the standard that every woman should practice the plan at the time of delivery. Intersectoral collaborative interventions required to improve the economic status and living standard of families in the community as well as various awareness creation strategies should be implemented to support women to attend ANC follow-up visits.

scholarly journals Effect of Pregnant Mothers’ Forum Participation on Birth Preparedness and Complication Readiness among Pregnant Women in Dale District, Southern Ethiopia: A Comparative Cross-Sectional Study

2019 ◽  
Vol 2019 ◽  
pp. 1-12
Author(s):  
Bizuayehu Bogale ◽  
Ayalew Astatkie ◽  
Negash Wakgari
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Multiple Logistic Regression Analysis ◽  
Intervention Strategy ◽  
Cross Sectional Study ◽  
Birth Preparedness ◽  
Sectional Study ◽  
Cross Sectional ◽  
Complication Readiness ◽  
Pregnant Mothers

Background. Pregnant mothers’ forum is the innovative intervention strategy being implemented in Ethiopia to facilitate birth preparedness and complication readiness practice. However, its effect on birth preparedness and complication readiness has not been investigated. Objective. This study assessed the association of participation in pregnant mothers’ forum with birth preparedness and complication readiness plan among pregnant women in Dale District. Methods. A community-based comparative cross-sectional study was conducted among 604 pregnant women (302 who were forum members [exposed] and 302 who were forum nonmembers [unexposed]). Multistage sampling technique was used to select respondents. Data were collected door to door using a pretested and structured questionnaire through face-to-face interview. Data were entered and analyzed using SPSS version-20. Multiple logistic regression analysis was used to identify the effect of pregnant mothers’ forum membership on birth preparedness and complication readiness adjusting for other variables. Results. About 22.5% of pregnant women were well prepared for birth. A quarter (25.8%) of the women was prepared for the anticipated complications of whom 20.7% were the forum members. Being pregnant mother’s forum member (AOR=2.86, 95% CI=1.50,5.44), having focused counseling (AOR=3.73, 95% CI=1.17,11.83), monthly income (AOR=2.55, 95% CI=1.44,4.51), having antenatal care (AOR=3.73,95% CI=1.05,13.21), and institutional delivery during last birth (AOR=2.41, 95% CI=1.38,4.22) were significantly associated with birth preparedness. Similarly, being forum members (AOR=3.55, 95%CI=2.18, 5.78) and having antenatal care attendance before or at four months of gestational age (AOR=3.16, 95%CI=2.04, 4.91) were found to be predictors of complication readiness. Conclusion. In this study, birth preparedness and complication readiness is found to be low. However, it was significantly higher among forum members compared to forum nonmembers. Hence, efforts should be targeted to strengthen the pregnant mothers’ forum and enroll the pregnant women to antenatal care service at early stage of the pregnancy.

scholarly journals Knowledge and attitude towards anesthesia for cesarean section and its associated factors among pregnant women attending Antenatal care

2021 ◽  
Author(s):  
Mekides Endalew ◽  
Nigussie Endalew ◽  
Abatneh Agegnehu ◽  
Zemenay Mekonnen ◽  
Destaw Teshome
Keyword(s):  
Cesarean Section ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Health Information ◽  
Positive Attitude ◽  
Sampling Technique ◽  
Good Knowledge ◽  
P Value ◽  
Cross Sectional ◽  
Knowledge And Attitude

Abstract Background: Cesarean section is an effective technique for preventing maternal and perinatal mortality when performed properly. Evidence suggested that pregnant women who have had good knowledge about their condition are able to participate in shared decision-making and can alleviate fears related to anesthesia. However, only a few studies conducted in Ethiopia assess the level of knowledge and attitude of pregnant women towards anesthesia for cesarean section.Methods: Hospital based cross-sectional study was conducted from April 18 to June 25, 2021. A systematic random sampling technique was used to select a total of 362 pregnant women attending antenatal care. Pretested and structured questionnaires were used to collect the data using a face-to-face interview. Both bivariate and multivariable binary logistic regression models were used for statistical analysis. The adjusted odds ratio was used as the measure of association. P-value less than 0.05 at 95% CI was considered as statistically significant.Results: A total of 354 pregnant women attending at ANC clinic participated with a response rate of 97.8%. The overall proportion of good knowledge and positive attitude towards anesthesia for cesarean section were 56.5% (95% CI: 51.4%, 61.9%) and 50.8% (95% CI: 45.8%, 56.2%), respectively. Pregnant women who had previous operations (AOR=4.47, 95% CI: 1.77, 11.32) and had any health information about anesthesia (AOR=10.06, 95% CI: 5.41, 18.69) were significantly associated with good knowledge towards anesthesia for cesarean section. While, pregnant women who have had secondary education (AOR=6.71, 95% CI: 1.19, 37.99), college and above education (AOR=13.63, 95% CI: 2.26, 82.21), and had health information about anesthesia (AOR=2.02, 95% CI: 1.09, 3.77) significantly associated with a positive attitude towards anesthesia for CS.Conclusion: This finding means that a significant number of pregnant women still have poor knowledge and attitude towards anesthesia for CS. Previous operation and health information about anesthesia were significantly associated with knowledge while higher education and health information about anesthesia were significantly associated with a positive attitude towards anesthesia for cesarean section. Health professionals need to provide health information during ANC visits and in the operating theater areas for mothers who have indications for CS.

scholarly journals Husbands’ participation in birth preparedness and complication readiness and associated factors in Kucha district, GamoGofa Zone, Southern Ethiopia

2019 ◽  
Author(s):  
Zinash Tantu ◽  
Teklemariam Gultie ◽  
Wubshet Estifanos ◽  
Negussie Boti Sidemao
Keyword(s):  
Antenatal Care ◽  
Associated Factors ◽  
Care Facility ◽  
Sampling Technique ◽  
Southern Ethiopia ◽  
P Value ◽  
Birth Preparedness ◽  
Cross Sectional ◽  
Complication Readiness ◽  
Husband Involvement

Abstract Background Birth-preparedness and complication-readiness (BPCR) is the process of planning for normal birth and anticipating the actions needed in case of an emergency. The involvement of husband during pregnancy and its complication helps an expectant mother to make timely decisions to avoid delays. Therefore, this study aims to assess the level of husband involvement in birth preparedness and complication readiness and associated factors in Kucha District, Gamo Zone, Southern Ethiopia.Methods Community-based cross-sectional study was conducted 421 among husbands with a wife who gave birth within the last 12 months at Kucha District. A simple random sampling technique was used to select the study subjects. Data were collected using a pretested interviewer-administered questionnaire by trained data collectors. Binary and multivariable logistic regression with odds ratios along with the 95% confidence interval analysis were employed to find factors associated with the dependent variable. A p-value <0.05 with 95% confidence level were used to declare statistical significance.Result Data collected from 421 husbands. One hundred twenty-seven (30.2%) husband involved in birth preparedness and complication readiness plan. Husbands who attend secondary and higher level of school (AOR=3.1, CI (1.84-5.23)), husbands whose wives had antenatal care follow up four and above (AOR=4.91, CI (2.36-10.2)), and husbands whose reside more than 5 km from health care facility (AOR=2.35, CI=1.40-3.96)), were significantly associated with husband involvement in birth preparedness and complication readiness.Conclusion Husbands involvement during birth preparedness and complication readiness was 30.2%. Educational level, the frequency of antenatal care, and the distance to the health facility were factors significantly affect the husbands’ involvement.

scholarly journals Faktor- Faktor yang Berhubungan dengan Pemanfaatan Pelayanan Antenatal di Wilayah Kerja Puskesmas Air Tawar Kota Padang

2019 ◽  
Vol 19 (3) ◽  
pp. 661
Author(s):  
Desi Andriani ◽  
Husna Yetti ◽  
Roza Sriyanti
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Family Income ◽  
Health Workers ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
P Value ◽  
Independent Practice ◽  
Cross Sectional ◽  
Antenatal Services

Antenatal care or antenatal care is a planned program that is observation, education and medical treatment for pregnant women, to obtain a safe and satisfying pregnancy and childbirth process. The indicator used to assess the access of pregnant women to antenatal care is K1 direction (first visit) is the contact of pregnant women to health workers and K4 (perspective visit) is 4 or more times contact with health workers. From the data of the Padang City Health Office, it was found that the Air Tawar Puskesmas with this low level was caused by various factors. The purpose of this study was to determine factors related to the use of antenatal services. This type of research is a quantitative study with cross sectional study design with 110 respondents of third trimester pregnant women with purposive sampling technique. Data analysis was performed univariate, bivariate with Chi squre test. From the research results obtained from the five factors studied, it was found that the factors related to the use of antenatal services in freshwater health centers were access or distance with pvalue 0.009 = OR 21.676), service availability factors with a p value of 0.001 = OR 9.293, the role factor midwives with a p value of 0.001 = OR 12.302, while the family income factor, disease complaints obtained results have nothing to do with the use of antenatal services. The author's suggestion is that there is a need for good coordination with the Independent Practice Midwife (BPM), revitalize puskesmas to more strategic places and improve better facilities, improve accessibility that can be minimized, strive to reach pregnant women, especially for accessibility that is less affordable.

Determinant of Practice of Birth Preparedness and Complication Readiness Plan Among Pregnant Women at Debretabor, North west Ethiopia: A Community Based Cross Sectional Study.

2020 ◽  
Author(s):  
Berhan Tsegaye Negash
Keyword(s):  
Pregnant Women ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Cross Sectional Study ◽  
Birth Preparedness ◽  
Cross Sectional ◽  
Complication Readiness ◽  
Preparedness Plan ◽  
Education Status ◽  
Partner Involvement

Abstract Background: Nearly all of maternal deaths in the world occurred in sub-Saharan African countries. As Ethiopian demographic health survey report, there were 412 maternal deaths per 100,000 live births in 2016. Delays in decision to seek and receive care are the main causes of these deaths. Birth preparedness and complication readiness plan has been globally endorsed pivotal strategy to decrease these delays. Therefore, this study was aimed to assess the level of practice and factors associated with practice of birth preparedness plan among pregnant women. Methods: Community based cross-sectional study was done among 356 pregnant women selected by simple random sampling technique from July 1-30/2017 in Debretabor town. We selected samples by simple random sampling technique. Data were collected using interview administered questionnaire. Then, we coded, cleaned and entered data through Epidata version 3.1. Finally, exported and analyzed by SPSS. Logistic regression analysis was done to identify association between explanatory variables and practice of birth preparedness and complication plan. An adjusted odds ratio with 95% confidence interval and p-value less than 0.05 was computed to determine the level of significance in multi-variable logistic regression model.Results: Prevalence of birth preparedness and complication readiness plan was 73.9% in this study. primary education status (AOR=3.2,95%CI,1.3-7.8) and secondary educational status (AOR=4.1,95%CI,1.6-10.3), Primigravida (AOR=4.7,95%CI,1.9-11.3), partner involvement in birth preparedness and complication readiness plan (AOR=3.4,95%CI,1.9-6.1), initiating antenatal care in first trimester and media exposure (AOR=1.9,95%CI,1.0-3.3) were significantly associated factors with birth preparedness and complication readiness plan in this study. Conclusions: Level of practice of birth preparedness and complication readiness plan was high in the current study. Higher education status, early ante-natal care initiation, partner involvement in birth preparedness and exposure to media were the factors associated with practice of birth preparedness and complication readiness. Therefore, emphasize on continues education through media, design educational curriculum which should include birth preparedness plan, increase partner participation in birth preparedness and complication readiness plan. Furthermore, early initiation of antenatal care is mandatory.

scholarly journals Faktor-Faktor Yang Mempengaruhi Kunjungan Antenatal Care Terhadap Perilaku Antenatal Care

2020 ◽  
Vol 1 (2) ◽  
pp. 67-76
Author(s):  
Puji Astuti Wiratmo ◽  
Lisnadiyanti ◽  
Nurkamilia Sopianah
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Family Support ◽  
Health Workers ◽  
P Value ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Correlation Design

Introduction: Antenatal Care (ANC) is an effort to detect the occurrence of high risk in pregnant women. However, ANC non-compliance was still found due to several factors. Aim of study: This study aims to determine factors that influence ANC visits to ANC behavior at Puskesmas Pasar Rebo East Jakarta. Method: This study used a descriptive correlation design with a cross-sectional survey. Data analysis used Spearman's rho with 117 respondents. Results and Discussion: The results showed that there are some factors that influence ANC visits to ANC behavior, including age with a correlation value (r = 0.419), a p-value of 0.000; education with a correlation value (r = 0.425), p-value of 0.000; jobs with a correlation value (r = 0.279), p-value of 0.002; income with a correlation value (r = 0.407), p-value of 0.000; knowledge with a correlation value (r = 0.409), p-value of 0.000; husband / family support with a correlation value (r = 0.417), p-value of 0.000; attitude with a correlation value (r = 0.597), p-value of 0.000 (<0.05). Irregularity in carrying out ANC has a bad impact on pregnant women because they are not aware of the risk factors that may occur to the mother and her fetus and can not be detected early on the disease suffered by pregnant women. Conclusion: The conclusion of this study is nurses as health workers need to increase their role as educators and health care provider to pregnant women and their families about the importance of ANC to reduce maternal mortality and monitor the state of the fetus.

scholarly journals Prevalence And Factors Associated With Psychological Distress Among Pregnant Women Attending The Antenatal Clinic At A National Referral Hospital In Uganda.

2021 ◽  
Author(s):  
Henry Sembatya ◽  
Justine Namuli ◽  
Judith Ajeani ◽  
Sam Ononge
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Public Health Problem ◽  
Antenatal Clinic ◽  
P Value ◽  
Multivariable Logistic Regression Analysis ◽  
Cross Sectional ◽  
Factors Associated

Abstract Background: Psychological distress (PD) among pregnant women has a bearing both on the mother and the outcome of the pregnancy and is thus a public health problem. It is a precursor for other severe mental health conditions that include anxiety, depression, bipolar disorder and so if screened and diagnosed early it can prevent progress to severe mental illness. PD has however not been screened among pregnant women and thus no available data in Uganda. The objective of this study was to determine the prevalence and factors associated with PD among pregnant women at Kawempe hospital Uganda.Methods: A cross sectional study was conducted among 530 pregnant women attending antenatal care at Kawempe hospital Uganda. The SRQ-20 tool was used to screen for PD and data on socio-demographic and clinical factors was collected using a. socio-demographic questionnaire and medical records respectively. Descriptive statistics were applied to determine the prevalence of PD and multivariable logistic regression analysis was used to assess for factors associated with PD among pregnant women.Results: The prevalence of PD was 19.1% , while having a fair/bad relationship with the spouse (P-value =0.007), a low monthly income (p-value = 0.013), and having less than two meals a day (P-value =0.022). were independently associated with PDConclusion: Approximately one in five pregnant women receiving ANC at Kawempe hospital has PD. This study therefore supports the need for integration of mental health assessment into the antenatal care package of women at Kawempe hospital and Uganda at large

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