scholarly journals Birth preparedness complication readiness and determinants among pregnant women: a community-based survey from Ethiopia

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Teshale Abosie Ananche ◽  
Legesse Tadesse Wodajo
Keyword(s):  
Pregnant Women ◽  
Family Income ◽  
Age Groups ◽  
Health Sector ◽  
Educational Status ◽  
Birth Preparedness ◽  
Cross Sectional ◽  
Complication Readiness ◽  
Danger Signs ◽  
The Government

Abstract Background Maternal death related to obstetric complications remains a great challenge in developing countries. Since these complications are not consistently predictable, it is important to plan different preventive approaches to overcome them when. As the information on birth preparedness, complication readiness, and predictors were limited in the study area, we conducted this study. Methods A Cross-sectional study involving 396 pregnant women was conducted from 1st April to 1st May 2018. Data were collected using a pre-tested structured questionnaire. Descriptive, binary and multiple logistic regression analyses were conducted in SPSS for windows version 20. P values < 0.05 were considered significant. Results Of 361 women interviewed (91% response rate), birth preparedness and complication readiness were present in 24.10% (87/361) of women. Maternal factors, age 18–19 (AOR = 0.18; 95% CI (0.04,0.94)), 20–34 (AOR = 0.40; 95% CI (0.20,0.78)), education, not able to read/write (AOR = 0.36;95% CI (0.15,0.85),read/write (AOR = 0.41;95% CI (0.19,0.89)), Muslim religion (AOR = 0.40; 95% CI (0.18,0.85)) income ETB, < 1000 (AOR = 0.21; 95% CI (0.07,0.67)),1000–2000, (AOR = 0.38; 95% CI (0.19,0.76)), and the mothers’ knowledge on key danger signs of postpartum (AOR = 0.48; 95% CI (0.26,0.90)) were independent predictors of birth preparedness and complication readiness. Conclusions Educational status, age, religion, family income, and knowledge of obstetric danger signs were significantly associated with birth preparedness and complication readiness. The Government and other health sector partners should work to improve women’s education, income, and focus on young age groups on pregnancy danger signs.

scholarly journals Knowledge and Practice on Birth Preparedness and Complication Readiness among Pregnant Women in Selected Ward of Biratnager Municipality, Nepal

2019 ◽  
Vol 33 (1) ◽  
pp. 53-66
Author(s):  
Sabitra Subedi
Keyword(s):  
Pregnant Women ◽  
Birth Preparedness ◽  
Care Seeking ◽  
Chi Square ◽  
Cross Sectional ◽  
Complication Readiness ◽  
Danger Signs ◽  
Adequate Knowledge ◽  
Knowledge And Practice ◽  
The Government

 Birth preparedness and complication readiness is the process planning for normal birth and anticipating the action needed in case of an emergency. Promoting birth and emergency planning helps to improve preventive behavior, increase awareness of mothers about danger signs and improvement in care seeking behavior in the case of obstetric complication. A cross sectional descriptive quantitative community-based study was conducted to assess knowledge and practice on birth preparedness and complication readiness among 150 pregnant women of 24 weeks gestation and above in selected wards of Biratnagar with non- probability purposive sampling. The findings of the study showed that 22.7% of the respondents had adequate knowledge on the birth preparedness and complication readiness and 19.8% of respondents had adequate practice. However, the only 9.3% of respondents were prepared for birth complications. Analysis using chi square test identified statistically significant association between knowledge and practice. The study found significant association of knowledge with gravida and weeks of gestation. It seemed there is significant association of practice level with occupation and weeks of gestation and weeks of gestation. The study identified inadequate knowledge and practices on birth preparedness and complication readiness. Thus, the government office, policy makers and partner that are working in maternal health should give due emphasis to preparation for birth and its complication and provide information and education to all pregnant women at community level.

scholarly journals Knowledge and practice of birth preparedness and complication readiness among pregnant women in Kano, Nigeria

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Ayyuba Rabiu ◽  
Habiba Isah Ladu
Keyword(s):  
Pregnant Women ◽  
Computer Software ◽  
Educational Status ◽  
Antenatal Clinic ◽  
Birth Preparedness ◽  
Cross Sectional ◽  
Complication Readiness ◽  
Safe Delivery ◽  
Transport Services ◽  
Mode Of Transport

Knowledge of birth preparedness and complication readiness in pregnant women is the process of planning for safe delivery and anticipating the action needed in case complications arise. This study was aimed at determining the knowledge of birth preparedness and complication readiness, among pregnant women attending antenatal clinic in Murtala Muhammad specialist hospital, Kano. A descriptive cross-sectional design was used. Data was collected using interviewer administered structured questionnaire from 394 pregnant women attending ante-natal clinic. The questions elicited pregnant women’s socio-demographic characteristics, knowledge of birth preparedness and complication readiness, and the factors that influence them. Data were analyzed using SPSS version 19 Computer Software. Three hundred and ninetyfour pregnant women were recruited within the period. The mean age ±SD was 26.9±6.21 years. Two hundred and ninety-four pregnant women (75.8%) were aware of the concept of birth preparedness, while 94 (24.2%) were oblivious. A larger proportion of the respondents 237 (60.2%) had the opinion that women can save money to prepare for birth, while 75 (19.0%) believed women should identify mode of transport as part of birth preparedness. Majority of the pregnant women 96 (54%) revealed that their community provides them with transport services as part of assistance during child birth. Educational status is associated with knowledge of birth preparedness (χ2= 4.081, P=0.05). The study revealed that there is fair knowledge of birth preparedness and complication readiness and saving money was the commonest birth preparedness practice known among the respondents.

scholarly journals Are Pregnant Women in Rural Areas Aware of Birth Preparedness? Evidence from a Rural Maternity Hospital in South Karnataka

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Avita Rose Johnson ◽  
Shweta Ajay ◽  
Swathi H. N.
Keyword(s):  
Pregnant Women ◽  
Rural Women ◽  
Rural Areas ◽  
Vaginal Bleeding ◽  
Maternal And Newborn Health ◽  
Birth Preparedness ◽  
Cross Sectional ◽  
Complication Readiness ◽  
Obstetric Danger Signs ◽  
Danger Signs

Background: Birth-preparedness and complication readiness (BPCR) is an evidence based strategy to reduce maternal and perinatal mortality. This study aims to assess awareness of BPCR and its determinants among pregnant women in a rural area of Ramanagara district, Karnataka, South India. Materials and Methods : A cross-sectional hospital-based study among pregnant women availing antenatal care, using the interview schedule from Johns Hopkins Program for International Education in Gynaecology and Obstetrics BPCR Tools and Indicators for Maternal and Newborn Health, with 41 items of BPCR awareness scored one for each correct response. Statistical analysis was performed using independent t-test, One-way ANOVA, Pearson’s correlation, and multi-logistic regression. Results The 331 pregnant women had low mean BPCR awareness score of 9.46 ± 3.61. Commonly mentioned obstetric danger signs were vaginal bleeding, severe weakness, and headache. BPCR awareness was significantly higher among multi-gravidae (P < 0.001), those with previous bad obstetric history (P = 0.002) or complications in the previous pregnancy (P = 0.031), those who registered their pregnancy early (P = 0.018) and those with four or more antenatal check-ups (P = 0.006). Multi-gravid mothers were twice more likely to have higher BPCR awareness than primigravidae. (Odds ratio = 2.41 [1.49–3.34], P < 0.001). Conclusions: Awareness of birth preparedness and obstetric danger signs among women in our study was found to be low. None of the women were aware regarding identifying a blood donor in advance in spite of vaginal bleeding being the most commonly cited danger sign. This study reveals an urgent need to address the lack of awareness of BPCR among rural women during routine antenatal visits or by community-level workers during home visits.

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 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 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

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.

scholarly journals Use of Un-Prescribed Drugs and Traditional Medications among Pregnant Women Attending Primary Health Centres in Kano, Nigeria

2020 ◽  
Vol 6 (2) ◽  
pp. 1-8
Author(s):  
Gambo I M
Keyword(s):  
Pregnant Women ◽  
Community Involvement ◽  
Herbal Medicines ◽  
Educational Status ◽  
Total Sample ◽  
World Health ◽  
Health Concern ◽  
Cross Sectional ◽  
Traditional Medicines ◽  
The Government

The use and misuse of drugs in Sub Saharan region are of public health concern. Exposures to un-prescribed drugs and traditional medications are frequent and create a great danger in pregnant women. The use of herbal medicines has been on the increase in many developing and industrialized countries. The study examined the use of traditional medications and un-prescribed orthodox medicines for gestational mothers. A descriptive cross-sectional design & inferential statistic were employed for the study and a total sample of one hundred and ninety-six was used. A standardized data collection form was employed based on the World Health Organization criteria and the obtained data were analyzed using SPSS Version 22.The result showed that most of the respondents were between the age of 22- 27 years with the mean age of 24 years and majority of the respondents (63.3%) used both un-prescribed drugs and traditional medicines during pregnancy, while 27.0% used only un-prescribed drugs and 9.7% use only traditional medications. More so, the results revealed that pain killers’ drug were the leading cause for misused. Also, the results demonstrated a significant relationship between respondent’s awareness of harm associated with use of un-prescribed medications and educational status, (P < 0.01). The study concluded a wide spread use of un-prescribed drugs and traditional medications among pregnant women and therefore, recommend the need for health education and massive campaign with community involvement against the wrong practices by both the healthcare practioners and the government.

scholarly journals Impact of Educational Status and Parity of Mother-in-Laws on Practies of Birth Preparedness and Complication Readiness in Banke District

2013 ◽  
Vol 1 (1) ◽  
pp. 4
Author(s):  
Sushma Acharya ◽  
Madhusudhan Ghimire ◽  
Maushami Ghimire
Keyword(s):  
Newborn Health ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Structure Interview ◽  
Maternal And Newborn Health ◽  
Birth Preparedness ◽  
Cross Sectional ◽  
Complication Readiness ◽  
Pregnancy And Childbirth ◽  
Semi Structure Interview

  Introduction: Pregnancy and childbirth is considered as a physiological process and it is associated with certain risks to the life of mother and newborn baby. Birth-preparedness and complication readiness is a comprehensive strategy to improve maternal and newborn health. This study was done to observe impact of educational status and Parity of mother-in-laws on awareness and practices regarding birth preparedness and complication readiness.   Methods: The study was conducted in Banke district. The duration of study was from August 2011 to August 2012. Descriptive cross-sectional study was followed. One hundred mothers-in-law were selected through simple random procedure. Semi-structure interview schedule was used to collect information.   Results: The mean age of mothers-in-law was 52.33 (SD=8.96) years. Majority (82.0%) mothers-in-law were illiterate with lack of awareness and practice about birth preparedness and complication readiness.   Conclusion: Inadequate practices on birth preparedness and complication readiness were prevalent in illiterate mothers-in-laws.

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