Birth preparedness, complication readiness and other determinants of place of delivery among mothers in Goba District, Bale Zone, South East Ethiopia

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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Effect of Attending Pregnant Mothers Conference on Birth Preparedness and Complication Readiness Practice among Recently Delivered Women in Rural Libo Kemkem District, North West, Ethiopia: A Community-Based Comparative Cross-Sectional Study

Advances in Public Health ◽

10.1155/2019/4345879 ◽

2019 ◽

Vol 2019 ◽

pp. 1-9 ◽

Cited By ~ 1

Author(s):

Melash Belachew Asresie ◽

Dereje Berhanu Abitew ◽

Habtamu Wondiye Bekele ◽

Tadesse Dagget Tesfaye

Keyword(s):

Health Facility ◽

Cross Sectional Study ◽

Birth Preparedness ◽

Pregnant Mother ◽

Danger Sign ◽

Community Based ◽

Cross Sectional ◽

Complication Readiness ◽

Place Of Delivery ◽

Danger Signs

Background. Birth preparedness and complication readiness strategies aimed to promote the timely utilization of skilled maternal health care. Pregnant mother conference is viewed as one of the needed interventions to reduce delays, by promoting obstetric danger sign awareness, family support, and decision-making power on a choice of place of delivery and the use of maternal health service. Objective. To compare the effect of attending a pregnant mother conference on birth preparedness and complication readiness practice among recently delivered women. Method. A community-based comparative cross-sectional study was conducted from February 15 to March 26, 2017, among mothers who gave birth in the past 12 months. Multistage simple random sampling method was implemented and 896 participants were contacted through a face-to-face interview. Descriptive, binary, and multiple logistic regression analysis was done. Results. Well-preparedness for birth and its complication among women who attended and did not attend the pregnant mother conference were 38.9% and 25.7%, respectively. Among the mothers who did not attend the conference, those who had four or more antenatal care visits (AOR=6.8, 95%CI 1.6, 29.8) and knew two or more danger signs of pregnancy (AOR=4.7, 95%CI:1.4, 15.6) were more likely being well-prepared for birth and its complication readiness, whereas among mothers who attended the conference, those who knew two or more danger signs of pregnancy (AOR=2.1, 95%CI:1.1, 4.3), those who had discussion with partners/families about place of delivery (AOR=11.4, 95%CI:3.1, 42.2), those who had previous delivery at health facility (AOR=2.4, 95%CI:1.2, 4.8), women who lived within one-hour walk to the nearest health facility (AOR=3.6, 95%CI:1.9, 6.9), and age of women within 19-34 years (AOR=6.8, 95%CI:1.7, 26.6) were significantly associated with birth preparedness and its complication readiness. Conclusion. Birth preparedness and complication readiness practice were higher among pregnant mother conference attendant women as compared to nonattendants. The health facility has to ensure encouraging women to participate in pregnant mother conference, promoting the utilization of antenatal care service, and counselling on obstetric danger sign. Moreover, the concerned bodies should promote interventions targeting the predisposing and reinforcing behavioral factors affecting the practice of birth preparedness and its complication readiness.

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Status of birth preparedness and complication readiness among recently delivered women: a community based study in a slum of Kolkata, West Bengal

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20173824 ◽

2017 ◽

Vol 4 (9) ◽

pp. 3256 ◽

Cited By ~ 2

Author(s):

Ayon Ghosh ◽

Aparajita Dasgupta ◽

Bobby Paul ◽

Lina Bandyopadhyay ◽

Sembagamuthu Sembiah ◽

...

Keyword(s):

Logistic Regression ◽

Structured Interview ◽

Birth Preparedness ◽

Community Based ◽

Cross Sectional ◽

Complication Readiness ◽

Place Of Delivery ◽

Bivariate Logistic Regression ◽

Education Status ◽

Study Participants

Background: Birth preparedness and complication readiness (BPACR) is a strategy that promotes timely use of skilled care and deal with emergencies especially during childbirth, by encouraging pregnant mothers and their families to make effective plan for child birth. The objective of the study was to assess the awareness and practices of BPACR among women who had delivered in last 24 month and identify the predictors of favourable BPACR.Methods: A cross sectional, community based study was conducted in a slum of Chetla, Kolkata, among 98 women who delivered during the previous 2 years. Data were collected with a structured, interview schedule after obtaining informed consent from them. Results: Out of 98 women only 43 (43.9%) were well prepared for birth and its complication in their last pregnancy. 32.7% women were knowledgeable about danger sign of pregnancy. 100% of study participants identified the place of delivery and made a birth plan with discuss with family members. Bivariate logistic regression shows education status of study subject OR (CI) 4.34 (1.4712.8), education status of their spouse OR (CI) 2.92 (1.187.24) and per capita income OR (CI) 7.18 (2.6619.34) have significant association with birth preparedness. However in multivariable logistic regression after adjustment with different confounding variable only income remained significant AOR (CI) 5.82 (2.0816.29). Conclusions: The poor status of BPACR as observed in this study calls for increased emphasis on counselling of pregnant women and their families regarding the different components of birth preparedness.

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A Cross-Sectional Study to Assess Birth Preparedness and Complication Readiness (BPACR) Status in Antenatal Mothers of Selected Primary Health Centre of New Delhi

International Journal of Nursing & Midwifery Research ◽

10.24321/2455.9318.201839 ◽

2019 ◽

Vol 05 (04) ◽

pp. 2-7

Author(s):

Sneha Sehrawat ◽

Keyword(s):

Health Centre ◽

Cross Sectional Study ◽

Primary Health Centre ◽

New Delhi ◽

Birth Preparedness ◽

Sectional Study ◽

Cross Sectional ◽

Complication Readiness ◽

Primary Health

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Birth Preparedness and Complication Readiness For A Safe Motherhood Among Antenatal Women Attending an Urban Health Centre, Bengaluru

National Journal of Research in Community Medicine ◽

10.26727/njrcm.2017.6.4.319-25 ◽

2017 ◽

Vol 6 (4) ◽

pp. 319

Author(s):

K. S. Ravish ◽

Spoorthy Sagar ◽

T. S. Ranganath ◽

K. Manjula ◽

Sushil I. Kumar

Keyword(s):

Urban Health ◽

Health Centre ◽

Safe Motherhood ◽

Birth Preparedness ◽

Complication Readiness ◽

Urban Health Centre

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Shared Decision-making in Maternal and Newborn Health in Burkina Faso

The International Journal of Person Centered Medicine ◽

10.5750/ijpcm.v5i2.526 ◽

2015 ◽

Vol 5 (2) ◽

pp. 68-73

Author(s):

Janet Perkins ◽

Cecilia Capello ◽

Aminata Bargo ◽

Carlo Santarelli

Keyword(s):

Health Care ◽

Decision Making ◽

Burkina Faso ◽

Health Sector ◽

Newborn Health ◽

Maternal And Newborn Health ◽

Birth Preparedness ◽

Care Providers ◽

Complication Readiness ◽

Maternal And Newborn

Community participation in decision-making within the health sector is an essential component in advancing efforts toward primary health care (PHC). Since 2006, Enfants du Monde, a Swiss non-governmental organization (NGO), in collaboration with the local NGO Fondation pour le Développement Communautaire/Burkina Faso (FDC/BF), has been supporting the Ministry of Health (MoH) to include communities in decision-making related to maternal and newborn health (MNH) services. Notably, participatory community assessments (PCA) are conducted to provide a platform for community members to discuss MNH needs and be involved in the decision-making within the health sector. During the PCAs, participants identify and prioritize needs and propose solutions to improve MNH, solutions which are then integrated in the annual district health action plan. Integrated interventions include: promotion of birth preparedness and complication readiness; training health care providers in counselling skills; building awareness of men on MNH issues and their capacity to support women; and strengthening community bodies to manage obstetrical and neonatal complications. The inclusion of these interventions has contributed to the advancement of PHC in three regions in Burkina Faso.

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Birth preparedness, complication readiness and male partner involvement for obstetric emergencies in rural Rwanda

Pan African Medical Journal ◽

10.11604/pamj.2016.25.91.9710 ◽

2016 ◽

Vol 25 ◽

Cited By ~ 5

Author(s):

Richard Kalisa ◽

Oliver Ombeva Malande

Keyword(s):

Male Partner ◽

Birth Preparedness ◽

Complication Readiness ◽

Male Partner Involvement ◽

Obstetric Emergencies ◽

Partner Involvement

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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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Association between Male Involvement in Birth Preparedness and Complication Readiness and women’s use of institutional delivery in West Arsi Zone South Ethiopia: Cross-sectional study

10.21203/rs.3.rs-17143/v1 ◽

2020 ◽

Author(s):

Bikila Lencha Gemechu ◽

Kassahun Ketema ◽

Girma Beresa ◽

Bonso Ami ◽

Aman Urgessa

Keyword(s):

Decision Making ◽

Institutional Delivery ◽

Male Partner ◽

Male Involvement ◽

Birth Preparedness ◽

Male Partners ◽

Complication Readiness ◽

Joint Decision ◽

South Ethiopia ◽

Arsi Zone

Abstract Background: In sub-Saharan Africa (SSA), pregnancy and childbirth continue to be viewed as solely a woman’s issues. Increasing partner participation and encouraging joint decision making in maternal health care may provide an important strategy in reducing maternal mortality and morbidity.Objective: To assess the level of male partner involvement in Birth Preparedness and Complication Readiness (BPCR) and its association with women’s use of institutional delivery among mothers who had a child less than 12 months in West Arsi Zone, South Ethiopia Methods: Institutional based cross-sectional study was conducted in West Arsi Zone South Ethiopia in 2019. Systematic random sampling technique was used to select the study subjects. Data was collected using interviewer administered structured questionnaire. Binary and multivariable logistic regression was applied for the analysis of each of the independent variables against the dependent variable. The association between male involvement in BPCR and women’s use of institutional delivery was done. The results were reported using crude and adjusted odds ratio (OR) with their 95% confidence interval. Results: More than half of male partners, 407 (54.3%) accompanied their wife during ANC follow up at least ones for the last pregnancy. Slightly more than three fourth, 571 (76.1%) of male partners involved in BPCR for the last pregnancy. Fife hundred fifty-four (73.9%) of the mothers gave birth in the health institution for the most recent child. Male involvement in BPCR (aOR = 18.7, 95% CI (11.1 – 31.6), joint decision making about place of delivery (aOR = 3.2, 95% CI: 1.76 – 5.7), urban residence (aOR = 2.2, 95% CI: 1.32 – 3.7) and having two or less under-five children (aOR, 95% CI: 2.7 (1.4 – 5.3) were associated with women’s use of institutional delivery. Conclusion: More than three fourth of male partners involved BPCR. Male involvement in BPCR, joint decision making about place of delivery, urban residence and having ≤ 2 under-five children were associated with women’s use of institutional delivery. Designing and implementing health education on the role of male partner in maternal health care is mandatory. Empowering rural mothers to use health institutions for delivery and birth spacing may improve the magnitude of institutional delivery.

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