Does knowledge of danger signs of pregnancy predict birth preparedness? A critique of the evidence from women admitted with pregnancy complications

Background: Globally every day, approximately 830 women die from preventable causes related to pregnancy and childbirth. 99% of all maternal deaths occur in developing countries. Care before during and after childbirth can save the lives of women and new born babies which is also known as birth preparedness and complication readiness (BPACR). The objective of this study aims to assess practice of birth preparedness and complication readiness among families of women in the field practicing area of Kamineni Academy of Medical Sciences and Research Centre, Hyderabad.Methods: Field based descriptive study was done during August 2019 to February 2020 for a period of 6 months in urban field practising area. Sample size was 450 families, which includes, antenatal mothers 450 and their husbands 450, and 220 reproductive age group women. Results: Awareness of key danger signs during pregnancy (73.8%), labour/childbirth (56.7%) and postpartum (44%) were more among antenatal women whereas knowledge of danger signs of new born was highest among husbands of currently pregnant women. Planning of giving birth with a skilled provider was also high among antenatal women (98%) and in their husbands (97.5%), but saving for the same was very low in reproductive age group study population (20.4%).Conclusions: All these findings conclude Indian husbands of urban were more concerned about problems and safety of their offspring that is new born, than antenatal mother. Awareness of danger signs in the new born was lowest.

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Men’s Knowledge of Obstetric Danger Signs, Birth Preparedness and Complication Readiness in Rural Tanzania

PLoS ONE ◽

10.1371/journal.pone.0125978 ◽

2015 ◽

Vol 10 (5) ◽

pp. e0125978 ◽

Cited By ~ 27

Author(s):

Furaha August ◽

Andrea B. Pembe ◽

Rose Mpembeni ◽

Pia Axemo ◽

Elisabeth Darj

Keyword(s):

Birth Preparedness ◽

Complication Readiness ◽

Obstetric Danger Signs ◽

Danger Signs ◽

Rural Tanzania ◽

Men’S Knowledge

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Utilization of skilled birth attendant at birth and associated factors among women who gave birth in the last 24 months preceding the survey in Gura Dhamole Woreda, Bale zone, southeast Ethiopia

BMC Public Health ◽

10.1186/s12889-019-7818-6 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 5

Author(s):

Gizachew Sime Ayele ◽

Abulie Takele Melku ◽

Semere Sileshi Belda

Keyword(s):

Associated Factors ◽

Skilled Birth Attendant ◽

Sub Saharan Africa ◽

Care Utilization ◽

Birth Preparedness ◽

Complication Readiness ◽

Danger Signs ◽

Birth Attendance ◽

Southeast Ethiopia ◽

Bale Zone

Abstract Background Maternal morbidity and mortality continued to be major issues in many countries. Globally a total of 10.7 million women have died between 1990 and 2015 due to maternal causes where sub-Saharan Africa alone accounts for 66% of maternal death. Since most maternal deaths are avoidable; skilled attendance during pregnancy, childbirth, and the postpartum is among the most critical interventions for improving maternal and neonatal survival. The study aimed to assess the magnitude and associated factors of utilization of skilled birth attendant at birth among women who gave birth in the last 24 months preceding the study in Gura Dhamole Woreda, Bale Zone Southeast Ethiopia, 2017. Methods Community based cross-sectional study was implemented from March 25 to April 24, 2017 in Gura Dhamole Woreda on total of 402 study subjects who were selected by Multi-stage sampling technique. The data were collected using pre-tested structured questionnaire and data was coded, entered, cleaned and analyzed using Statistical Package for Social Service (SPSS) Version 20. Odds ratio with 95% Confidence Interval (CI) was used to assess associations the dependent and independent variables. Logistic regression model was employed to identify independent predictors and variables were declared statistically significant at P value < 0.05. Result In this study only 29.2% of women were assisted by Skilled Birth Attendance (SBA) during their child birth. Place of residence, mother education, travel time, joint decision on the place of delivery, ANC visit frequency, birth preparedness and complication readiness status, knowledge on obstetric danger signs after delivery and knowledge of presence of maternity waiting homes were significantly associated with SBA utilization. Conclusion Skilled birth attendant utilization in the study area was low. Strategies that improve attendance of antenatal care utilization and attention to birth preparedness and complication readiness and counseling on danger signs are recommended.

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Unlocking community capabilities for addressing social norms/practices: Behavioural change intervention study to improve birth preparedness and complication readiness among pregnant women in rural Nigeria

10.21203/rs.3.rs-19285/v1 ◽

2020 ◽

Author(s):

Irene Ifeyinwa Eze ◽

Chinyere Ojiugo Mbachu ◽

Edmund Ndudi Ossai ◽

Celestina Adaeze Nweze ◽

Chigozie Jesse Uneke

Keyword(s):

Health Services ◽

Pregnant Women ◽

Intervention Study ◽

Statistical Tests ◽

Behavioural Change ◽

Male Partner ◽

Birth Preparedness ◽

Complication Readiness ◽

Danger Signs ◽

Rural Nigeria

Abstract Background Maternal mortality is attributed to combination of contextual factors that cause delay in seeking care, leading to poor utilization of skilled health services. Community participation is one of the acknowledged strategies to improve health services utilization amongst the poor and rural communities. The study aimed at assessing the potentials of improving birth preparedness and complication readiness (BP/CR) using community-driven behavioural change intervention among pregnant women in rural Nigeria. Methods A pre-post intervention study was conducted from June 2018 to October 2019 on 158 pregnant women selected through multi-stage sampling technique from 10 villages. Data on knowledge and practices of birth preparedness and utilization of facility health services were collected through interviewer-administered pre-tested structured questionnaire. Behavioural change intervention comprising of stakeholders’ engagement, health education, facilitation of emergency transport and fund saving system, and distribution of educational leaflets/posters were delivered by twenty trained volunteer community health workers. The intervention activities focused on sensitization on danger signs of pregnancy, birth preparedness and complication readiness practices and emergency response. Means, standard deviations, and percentages were calculated for descriptive statistics; and T-test and Chi square statistical tests were carried out to determine associations between variables. Statistical significance was set at p-value < 0.05 Results The result showed that after the intervention, mean knowledge score of danger signs of pregnancy increased by 0.37 from baseline value of 3.94 (p < 0.001), and BP/CR elements increased by 0.27 from baseline value of 4.00 (p < 0.001). Mean score for BP/CR practices increased significantly by 0.22 for saving money. The proportion that attended ANC (76.6%) and had facility delivery (60.0%) increased significantly by 8.2% and 8.3% respectively. Participation in Community-related BP/CR activities increased by 11.6% (p = 0.012). Conclusion With the improvements recorded in the community-participatory intervention, birth preparedness and complication readiness should be promoted through community, household and male-partner inclusive strategies. Further evaluation will be required to ascertain the sustainability and impact of the programme.

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Utilization of Maternal and Child Health Services among Women Admitted In Maternity Ward of A Hospital of Siddharthanagar Municipality

Journal of Universal College of Medical Sciences ◽

10.3126/jucms.v9i01.37985 ◽

2021 ◽

Vol 9 (01) ◽

pp. 71-75

Author(s):

Binita Khatri ◽

Saraj Grurung ◽

Anuja Kachapati

Keyword(s):

Health Education ◽

Child Health ◽

Health Services ◽

Vitamin K ◽

Maternal And Child Health ◽

Child Health Services ◽

Birth Preparedness ◽

Maternity Ward ◽

Danger Signs ◽

And Child Health

INTRODUCTION Maternal and child mortality is a global issue which could be prevented by the utilization of maternal and child health (MCH) services. The main objective of this study was to find out the utilization of MCH services among women admitted in maternity ward of a hospital. MATERIAL AND METHODS Cross-sectional descriptive study was conducted to find out the utilization of MCH services among 150 women admitted in maternity ward of a hospital. Non-probability purposive sampling technique was used to select the sample and semi- structured interview schedule was used to collect the data and collected data was analyzed with SPSS version 16. RESULTS The study showed that 100% of the women had utilized antenatal services, 98.67% delivered their baby in health centres and utilized postnatal services. During pregnancy, women got health education on danger signs (66.67%), avoidance of sexual intercourse (54%), and birth preparedness (44%). Cent percent of the children utilized at least one child health services, 80% were breastfed within hour of birth, and 93.24% of women were not aware of administration of vitamin K to their newborn. Ethnicity, religion, education, occupation, age at marriage, gravida, parity, history of abortion or child death and number of live children of women, education and occupation of spouses were significantly associated (p<0.05) with utilization of maternal health services. CONCLUSION It is recommended that nurses and health personnel should provide health education focusing on birth preparedness, danger signs of mother and baby, and should inform about administration of vitamin K to mother.

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Level of birth preparedness for complication readiness plan and associated factors among women who gave live birth in Bahir Dar, Amhara regional state, Ethiopia, 2018

10.21203/rs.2.11592/v1 ◽

2019 ◽

Author(s):

Agumas Fentahun Ayalew ◽

Asmare Yitayeh Gelaw ◽

Getasew Mulat Banite

Keyword(s):

Family Size ◽

Live Birth ◽

Response Rate ◽

Sub Saharan Africa ◽

Birth Preparedness ◽

Bahir Dar ◽

Monthly Income ◽

Complication Readiness ◽

Factors Associated ◽

Danger Signs

Abstract Background Birth preparedness and complication readiness is a safe motherhood strategy that addresses delays that could raise the risk of dying in pregnancy, childbirth and the immediate postpartum period. About 800 ladies pass daily due to pregnancy or childbirth-related complications worldwide. Nearly all maternal passing’s 99% occurred in low- and middle-income countries and more than half of these death happen in sub-Saharan Africa. So, the main objective of the study was to assess the level and factors associated with birth preparedness and complication readiness plan among women who gave live birth during the last one year in Bahir Dar City. Methods A Community based cross-sectional study design was conducted from May 10- 30/2018 in Bahir Dar City. Study participants were recruited by using a systematic random sampling technique. A pre-tested questionnaire was used to collect the data. The collected data were coded, entered and cleaned with EpiData version 3.1 and analyzed using SPSS version 23. Multivariable logistic regression was conducted to identify factors associated with Birth preparedness and complication readiness. The adjusted odds ratio with a 95% Confidence interval at a 5% level of significance was used to measure the strength of association. Result a total of 328 mothers with a response rate of 93.98% response rate. 46.65% of respondents were found in 18-24 years of age group. From the total respondents, 59.1% had good practice towards birth preparedness and complication readiness plan. Only 36% and 34.3% of respondents have good knowledge about pregnancy danger signs and labor danger signs, respectively. Mothers Age (18–24) years [AOR=0.013; 0.001,0.228], Primary and below education level [AOR=0.01; 0.001, 0.038]; monthly income(<500 birr) [AOR=0.001; 0.001, 0.840], parity(1-2) [AOR=0.052; 0.007, 0.410], and family size (1-3) [AOR=0.048; 0.005, 0.432] were statistically significant associated variables with birth preparedness and complication readiness plan. Conclusion Extent of birth preparedness and complication readiness plan was found to be low as per government require. Maternal Age, Education, Monthly Income, Parity, and Family size were variables that affect birth preparedness and complication readiness plan significantly. Key Birth preparedness, complication readiness, women live birth, Bahir Dar

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The Knowledge of Danger Signs of Obstetric Complications among Women in Rural India: Evaluating an Integrated Microfinance and Health Literacy Program

10.21203/rs.3.rs-50221/v2 ◽

2020 ◽

Author(s):

Danish Ahmad ◽

Itismita Mohanty ◽

Avishek Hazra ◽

Theo Niyonsenga

Keyword(s):

Health Care ◽

Health Literacy ◽

Maternal Health ◽

Health System ◽

Uttar Pradesh ◽

Obstetric Complications ◽

Rural India ◽

Danger Signs ◽

Knowledge Of Danger Signs ◽

The Impact

Abstract Background: Maternal mortality can be prevented in low-income settings through early health care seeking during maternity complications. While health system reforms in India prioritised institutional deliveries, inadequate antenatal and postnatal services limit the knowledge of danger signs of obstetric complications to women, which delays the recognition of complications and seeking appropriate health care. Recently, a novel rapidly scalable community-based program combining maternal health literacy delivery through microfinance-based women-only self-help groups (SHG) was implemented in rural India. This study evaluates the impact of the integrated microfinance and health literacy (IMFHL) program on the knowledge of maternal danger signs in marginalised women from one of India’s most populated and poorer states - Uttar Pradesh. Additionally, the study evaluates the presence of a diffusion effect of the knowledge of maternal danger signs from SHG members receiving health literacy to non-members in program villages. Methods: Secondary data from the IMFHL program comprising 17,232 women from SHG and non-member households in rural Uttar Pradesh was included. Multivariate logistic regression models were used to identify the program’s effects on the knowledge of maternal danger signs adjusting for a comprehensive range of confounders at the individual, household, and community level. Results: SHG member women receiving health literacy were 27 per cent more likely to know all danger signs as compared with SHG members only. Moreover, the results showed that the SHG network facilitates diffusion of knowledge of maternal danger signs from SHG members receiving health literacy to non-members in program villages. The study found that the magnitude of the program impact on outcome remained stable even after controlling for other confounding effects suggesting that the health message delivered through the program reaches all women uniformly irrespective of their socioeconomic and health system characteristics. Conclusions: The findings can guide community health programs and policy that seek to impact maternal health outcomes in low resource settings by demonstrating the differential impact of SHG alone and SHG plus health literacy on maternal danger sign knowledge.

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