Birth preparedness and related factors: a cross-sectional study in Tanzania City area

Abstract Background Birth preparedness could be the key factor that influences the choice of birthplace with skilled birth attendants. To reduce the high maternal mortality of Tanzania, a large study was planned to develop a smartphone app to promote birth preparedness in a city area of Tanzania. This study aimed to identify factors that influence birth preparedness in the city area of Tanzania. Methods Pregnant women were asked to complete the Birth Preparedness Questionnaire during antenatal visits using tablets. Multiple linear regression analyses were performed to determine the sociodemographic and obstetric characteristics that influenced the factors. Results A total of 211 participants were included in the analysis. Distance from the nearest health facility negatively influenced the total score of the Birth Preparedness Assessment (β= 0.7, p = 0.02). Education higher than college positively influenced the total score (β = 4.76, p = 0.01). Decision-making of birthplace by other people (not women) negatively influenced Family Support (β=1.18, p = 0.03). Having jobs negatively influenced Preparation of Money and Food (β=-1.02, p < 0.01) and positively influenced the knowledge (β = 0.75, p = 0.03). Being single positively influenced Preparation of Money and Food (β = 0.35, p = 0.19) and Preference of Skilled Birth Attendants (β = 0.42, p = 0.04). Experience of losing a baby negatively influenced the knowledge (β=0.80, p < 0.01) and Preference of Skilled Birth Attendants (β=0.38, p = 0.02). Conclusions The findings showed an updated information on pregnant Tanzanian women living in an urban area where rapid environmental development was observed. Birth preparedness was negatively affected when women reside far from the health facilities, the birthplace decision-making was taken by others beside the women, women have jobs, and when women have experienced the loss of a baby. We hope to use the information from this study as content in our future study, in which we will be applying a smartphone app intervention for healthy pregnancy and birth preparedness. This information will also help in guiding the analysis of this future study. Although generalization of the study needs careful consideration, it is important to reconsider issues surrounding birth preparedness as women’s roles both in the family and society, are more, especially in urban settings.

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Influence of Birth Preparedness, Decision-Making on Location of Birth and Assistance by Skilled Birth Attendants among Women in South-Western Uganda

PLoS ONE ◽

10.1371/journal.pone.0035747 ◽

2012 ◽

Vol 7 (4) ◽

pp. e35747 ◽

Cited By ~ 58

Author(s):

Jerome K. Kabakyenga ◽

Per-Olof Östergren ◽

Eleanor Turyakira ◽

Karen Odberg Pettersson

Keyword(s):

Decision Making ◽

Birth Preparedness ◽

Skilled Birth Attendants ◽

Birth Attendants ◽

Western Uganda

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ASSESSMENT OF SKILLED BIRTH ATTENDANTS REGARDING HELPING BABIES BREATH INTERVENTION TO IMPROVE NEWBORN CARE IN RURAL DISTRICT OF SINDH

Pakistan Journal of Public Health ◽

10.32413/pjph.v7i1.24 ◽

1970 ◽

Vol 7 (1) ◽

pp. 48-53

Author(s):

Sheh Mureed ◽

Muhammad Hassan Gandro ◽

Walid Hassan

Keyword(s):

Newborn Care ◽

Cross Sectional Study ◽

Vital Role ◽

Skilled Birth Attendants ◽

Cross Sectional ◽

Neonatal Deaths ◽

Birth Attendants ◽

Study Results ◽

Knowledge And Practice ◽

Labour Room

Background: Globally, 3.1 million newborn deaths occur every year out of these estimated 400,000 neonatal deaths occur in Pakistan. All neonatal deaths 99% take place in poorest region and countries of the world, usually within hours of birth; mostly the cause of neonatal deaths is hypoxia. To access knowledge and practice of SBAs regarding HBB and to access the availability of equipments required for HBB. Methods: Descriptive Cross-Sectional Study on SBAs as trained in HBB. All 46 SBAs trained on HBB working in Labour room eight rural Health centers, four Taluka, One district Head Quarter Health Facilities and thirteen Mlbcs of the district, were included in the sample for study. All 41 SBAs were trained on HBB participated in the study. Results: Mean age of 30 years. Out of total 41 participants 25 were working in B-EmoNC (61%), 3in C-EmoNC (7.3%) and 13 in mid wife laid birth Centre (MLBC) or birth station (31.7%). About 92.7% of participants said that main purpose of HBB training is to decrease the NMR by improving newborn care. Drying of newborn is 82.7%, hand washing is 95.12% and 85.3% of the study participants said that they gave 30-40 breaths per minutes. Cord clamp and pair of ties was accessible to 85% of participants versus 14.3% who reported it's not accessible. Almost one quarter (34.1%) participants have low knowledge and practice. Knowledge and training had significant effect on the overall practices of the skilled birth attendants for skilled birth deliveries and reduce the neonatal deaths (P <0.001). Conclusion: Tools play a vital role for the implication of the knowledge into practices and tools were available almost to every participant. Although few barriers also identified for the less application of the helping hand babies trainings in the community.

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Involvement of male in birth preparedness in Tulsipur municipality of Dang district, Nepal

Journal of Chitwan Medical College ◽

10.3126/jcmc.v5i4.16550 ◽

2017 ◽

Vol 5 (4) ◽

pp. 33-38 ◽

Cited By ~ 1

Author(s):

C K Bhusal ◽

S Bhattarai

Keyword(s):

Emergency Situation ◽

Cross Sectional Study ◽

Decision Makers ◽

Birth Preparedness ◽

Snowball Sampling ◽

Cross Sectional ◽

Pregnancy And Childbirth ◽

Birth Attendants ◽

Life Threatening ◽

Active Preparation

Male in patriarchal societies of developing countries are identified as decision makers in all aspects of life. Every pregnant woman faces risk of life-threatening obstetric complications. A birth-preparedness package promotes active preparation and assists in decision-making for healthcare seeking in case of such complications. The present study attempted to assess the involvement of male in birth preparedness in Tulsipur Municipality of Dang District. A Descriptive Cross Sectional Study was conducted among 125 male including husbands of pregnant women and fathers of under one children in 2011, to assess the involvement of male in birth preparedness. Purposively record was reviewed from the Rapti Zonal Hospital as well as Municipality office, and respondent were identified using snowball sampling from community. More than half 52.8% of the respondents heard about Birth Preparedness. Nearly half 44.36% of the respondents plan for preparedness of birth, more than half 56.8% had thought to plan if emergency situation or complication arises during pregnancy and childbirth. Most 69.6% of the respondent has planned the place for giving birth to their child. Nearly half 51.8 % of respondent have plan for visiting their wives to Skill Birth Attendants. Only few 12.5% of the husbands had planned for transportation facility and identified Blood Donors if required’. About half 48% of the husbands are accompanying their wife for Antenatal Care. Most 88% of the husbands help their wives in household activities during pregnancy and childbirth. It shows that about half of the male were involved in Birth Preparedness.

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Perspectives of skilled birth attendants and pregnant women regarding episiotomy: a quantitative approach

African Health Sciences ◽

10.4314/ahs.v21i3.47 ◽

2021 ◽

Vol 21 (3) ◽

pp. 1355-1361

Author(s):

Dokuba Tex-Jack ◽

Chinemerem Eleke

Keyword(s):

Pregnant Women ◽

Data Extraction ◽

Sampling Technique ◽

Vaginal Birth ◽

World Health ◽

Skilled Birth Attendants ◽

Cross Sectional ◽

Birth Attendants ◽

First Time Mothers ◽

First Time

Background: The World Health Organization recommended less than 10% episiotomy rate for Skilled Birth Attendants (SBAs) and hospitals in 1996. More than two decades afterwards, some health facilities are still grappling with meeting the set target. Objectives: This study assessed the perspectives of SBAs and pregnant women regarding episiotomy in a Nigerian univer- sity teaching hospital. Methods: A cross-sectional design was employed. Census sampling was used to select 19 SBAS and 973 vaginal birth re- cords from 2019, while consecutive sampling technique was used to enrol 134 consenting pregnant women obtaining ante- natal services in the facility. Data was collected using a three part instrument involving a data extraction sheet, episiotomy practice questionnaire for SBAs, and feelings about episiotomy questionnaire for pregnant women. Assembled data were summarised with descriptive statistics. Results: The episiotomy rate was 345(35.5%). About 266 (77.1%) of first time mothers (primips) and 79(22.9%) of non- first time mothers (multips) received episiotomy. Ten (52.6%) of the SBAs were unsure of any evidence supporting routine episiotomy. All the 19(100%) SBAs reported that there was no existing facility-based policy regarding routine episiotomy. Seventy five (56%) of the pregnant women reported feeling generally bad about episiotomy. One hundred and one (82.3%) of them hinted that they will not feel satisfied if they were given episiotomy with the reason that it ensures quick vaginal birth. Conclusion: The rate of episiotomy was higher than global recommended standards and primips are disproportionately af- fected. If organised by professional societies, more scientific conferences on limiting episiotomy might remedy this situation. Keywords: Episiotomy; birth; pregnant women; vagina; Nigeria.

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Attitudes toward disease and prognosis disclosure and decision making for terminally ill patients in Japan, based on a nationwide random sampling survey of the general population and medical practitioners

Palliative & Supportive Care ◽

10.1017/s1478951506060482 ◽

2006 ◽

Vol 4 (4) ◽

pp. 389-398 ◽

Cited By ~ 10

Author(s):

MITSUNORI MIYASHITA,. ◽

SHUJI HASHIMOTO ◽

MASAKO KAWA ◽

YASUO SHIMA ◽

HIROMI KAWAGOE ◽

...

Keyword(s):

Decision Making ◽

General Population ◽

Response Rate ◽

Cross Sectional Survey ◽

Related Factors ◽

Cross Sectional ◽

Medical Practitioners ◽

Incurable Disease ◽

Anonymous Questionnaire ◽

The Family

Objective: Employing a nationwide cross-sectional survey, we investigated the Japanese general population's attitudes toward disease and prognosis disclosure and related factors. Furthermore, we investigated Japanese medical practitioners' attitudes toward disease and prognosis disclosure for patients and decision making.Methods: A nationwide anonymous questionnaire survey was conducted. A total of 5000 individuals were randomly sampled from the general population and 3104 physicians and 6059 nurses were randomly sampled in Japan.Results: Finally, 2422 people from the general population (response rate, 48%), 1577 physicians (51%), and 3361 nurses (56%) returned questionnaires. Among the general population, 73% of participants answered that they “want to know” about their disease and prognosis when in an incurable disease state. Ninety percent desired direct disclosure and 8% disclosure through their family. However, few medical practitioners answered “patient himself” (physician 3%, nurses 4%) as the person whom they would primarily notify about the disease and prognosis when in charge of a patient with an incurable disease. On the other hand, physicians answered “family” most frequently (59%), whereas nurses most commonly responded, “depends on patient's condition” (63%).Significance of research: Several detailed analyses of factors associated with prognosis disclosure were conducted. Japanese physicians need to carefully communicate with the patients individually about whether direct disclosure or disclosure primarily to the family is preferred.

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Birth preparedness and complication readiness for a safe motherhood among antenatal women attending an urban health centre, Pudupet

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20204728 ◽

2020 ◽

Vol 7 (11) ◽

pp. 4345

Author(s):

M. D. Vidhyashree ◽

Janani S. ◽

Kavipriya P. ◽

Lakshmi V. ◽

Sindhukavi S. ◽

...

Keyword(s):

Pregnant Women ◽

Urban Health ◽

Health Centre ◽

Control Measures ◽

Safe Motherhood ◽

Birth Preparedness ◽

Related Factors ◽

Cross Sectional ◽

Complication Readiness ◽

Training Centre

Background: Maternal and neonatal mortality is a significant medical issue in creating nations. Birth preparedness and complication readiness (BPCR) is a technique to urge pregnant ladies to settle on brief choices to look for care from talented birth orderlies. Most investigations of BPCR have been led in creating nations, BPCR status and related factors in Pudupet are at present obscure. Objectives were to evaluate BPCR for a sheltered parenthood among antenatal (AN) moms going to an urban health center, Pudupet and to recognize the factors affecting BPCR.Methods: The examination was directed among 104 pregnant women in a community based cross sectional study conducted in urban health training centre (UHTC) was conducted among 104 pregnant women as per inclusion criteria by simple random sampling. A predesigned semi structured questionnaire by interview method after taking informed consent was used to calculate socio demographic details and antenatal care. Data were entered and analysed in Epi-info software.Results: Overall BPCR score was 96.15% of women scored 3 and above. But awareness about blood donor (13.5%) was less among antenatal mothers. Money savings either cash or insurance was kept ready by 49 (47.1%). Articles kept ready by 42 (40.4%) AN mothers. Among 104, 71(68.3%) had awareness over birth control measures. Significance seen under statistical analysis among sociodemographic factors like age, education, socioeconomic status, husband’s education and type of family had statistically significant associations with BPCR components.Conclusions: Birth preparedness and difficulty status is fundamental and viable methodology that supports mother, family and network to design a protected conveyance.

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Knowledge, Attitude, and Practice towards Labor Pain Management and Associated Factors among Skilled Birth Attendants Working at Hospitals Found in Central, West, and North Gondar Zones, Northwest Ethiopia, 2019: A Multicenter Cross-Sectional Study

Pain Research and Management ◽

10.1155/2021/8835677 ◽

2021 ◽

Vol 2021 ◽

pp. 1-9

Author(s):

Eyasu Tekile Solomon ◽

Fisseha Yetwale Kassie ◽

Dawit Gebeyehu Mekonnen ◽

Muhabaw Shumye Mihret ◽

Addisu Taye Abate ◽

...

Keyword(s):

Pain Management ◽

Pain Relief ◽

Good Practice ◽

Labor Pain ◽

Good Knowledge ◽

Skilled Birth Attendants ◽

Cross Sectional ◽

Birth Attendants ◽

Attitude And Practice ◽

Knowledge Attitude And Practice

Introduction. Delivery of the infant into the arms of a conscious and pain-free mother is the most exciting and rewarding moment in maternal care services. Physical and mental care of women during delivery requires good knowledge and a positive insight to the needs and rights of the mothers. Little was known regarding skilled birth attendants’ knowledge, attitude, and practice towards labor pain management in the study area. Hence, the current study aimed at assessing knowledge, attitude, and practice, and associated factors towards labor pain management among skilled birth attendants working at hospitals found in central, west, and north Gondar zones, northwest Ethiopia, 2019. Method. A multicenter institution-based cross-sectional study was conducted from June 1 to 30, 2019. A census sampling technique was used to include a total of 336 skill birth attendants. A pretested standardized self-administered questionnaire was used to collect the data. The data were then entered into Epi Info 7.1.2 and exported to SPSS version 25 for analysis. Multivariable logistic regression analyses were undertaken to identify factors associated with outcome variables. The level of significance of the study was declared based on adjusted odds ratio with 95% confidence interval at a p value of ≤0.05. Result. The proportion of skill birth attendants having good knowledge, a favorable attitude, and a good practice on labor pain relief methods was 47%, 41.96%, and 57.14%, respectively. Age of ≤30 years (AOR = 5.43; 95% CI: 1.25, 23.53), educational status of 2nd degree and above (AOR = 3.56; 95% CI: 1.32, 9.60), working at a private primary hospital (AOR: = 6.55; 95% CI: 2.15, 19.93), and working at a referral hospital (AOR = 2.24 : 95% CI: 1.01, 4.93) are factors significantly associated with good knowledge while having good knowledge on labor pain relief methods (AOR = 2.26; 95% CI: 1.42, 3.60) and working at private primary hospitals (AOR = 7.01; 95% CI: 1.92, 25.65) had statistically significant association with favorable attitude and good practice on labor pain relief methods, respectively. Conclusion and Recommendations. Poor knowledge, unfavorable attitude, and poor practice towards labor pain management were found in this study. Strengthening the capacity of public health facilities and providing continuous professional development (CPD) training for the skilled birth attendants would be helpful in improving knowledge, attitude, and practice towards labor pain management.

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Use of an Abbreviated Geriatric Screening Tool in the Assessment of Older Cancer Patients’ Functional Status, Dependency, and Comorbidities: Cross-Sectional Audit and Observations From a Regional Cancer Center in Australia

JMIR Cancer ◽

10.2196/16408 ◽

2020 ◽

Vol 6 (1) ◽

pp. e16408

Author(s):

Mathew George ◽

Alexandra Smith

Keyword(s):

Decision Making ◽

Functional Status ◽

Daily Living ◽

Screening Tool ◽

Clinical Decision Making ◽

Geriatric Oncology ◽

Clinical Decision ◽

Related Factors ◽

Cross Sectional ◽

Older Cancer Patients

Background Malignancies are the leading cause of disease burden in Australia, comprising 19% of total diseases. Approximately 1 in 4 men and 1 in 6 women die from malignancies by 85 years of age, with patients aged 65 years and older contributing to 58% of diagnoses and 76% of cancer mortality. In the context of malignancy-related disease and age-related degeneration, there is a need for comprehensive assessment of older patients to plan for appropriate management and predict prognosis. The utility of available comprehensive geriatric assessment tools has been limited in routine practice because of their time-consuming nature, despite their informing clearer understanding of patients’ functional status, better clinical decision making, prevention of unpredictable admissions and emergency department overload, and support services planning. Though there are several promising tools available, there is a lack of literature on tools that can comprehensively assess functional status in an expedited fashion. Objective This study aimed to document functional status and comorbidities among a geriatric oncology patient cohort attending a regionally located, dedicated cancer care facility, using the completed Adelaide tool assessments. This study documents cohort characteristics, including sociodemographics, malignancy type, and comorbidities. Secondarily, we observed the utility of an abridged functional assessment in the multidisciplinary team (MDT) management of older cancer patients. Methods The study comprised a facility-based cross-sectional audit of results obtained from a screening tool administered to patients aged 65 years and older and attending an outpatient medical oncology clinic for management of cancer from late 2015 to 2017. Data relating to five domains were collected, including instrumental activities of daily living, activities of daily living, performance status, unintended weight loss, and exhaustion. Sociodemographic and disease-related factors were summarized as frequencies with percentages or mean with SD. Distribution of functional status based on sociodemographic characteristics, living status, disease-related factors, and comorbidities was analyzed using a chi-square test. Cumulative dependencies in the five domains were identified, and patients were classified as fit, vulnerable, or frail. Supplementary review of presentation notes for cases discussed at MDT meetings was undertaken to identify discrepancies. Results A majority of the study population showed poor functional status, with 88.7% (243/274) categorized as vulnerable and 8.4% (23/274) as frail. Exhaustion and unintended weight loss were identified as the most common contributors to dependency. Polypharmacy was strongly associated with decreased functional status. Conclusions The outcomes of this study are congruent with the existence of dependency in various domains, and with similar research in geriatric oncology. The Adelaide tool provided a useful basis for MDT discussion and management, where cases were referred to the MDT. We recommend further examination of the tool’s utility and impact in clinical decision making, and the distribution of dependencies in a rural cohort compared with metropolitan patients.

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Use of an Abbreviated Geriatric Screening Tool in the Assessment of Older Cancer Patients’ Functional Status, Dependency, and Comorbidities: Cross-Sectional Audit and Observations From a Regional Cancer Center in Australia (Preprint)

10.2196/preprints.16408 ◽

2019 ◽

Author(s):

Mathew George ◽

Alexandra Smith

Keyword(s):

Decision Making ◽

Functional Status ◽

Daily Living ◽

Screening Tool ◽

Clinical Decision Making ◽

Geriatric Oncology ◽

Clinical Decision ◽

Related Factors ◽

Cross Sectional ◽

Older Cancer Patients

BACKGROUND Malignancies are the leading cause of disease burden in Australia, comprising 19% of total diseases. Approximately 1 in 4 men and 1 in 6 women die from malignancies by 85 years of age, with patients aged 65 years and older contributing to 58% of diagnoses and 76% of cancer mortality. In the context of malignancy-related disease and age-related degeneration, there is a need for comprehensive assessment of older patients to plan for appropriate management and predict prognosis. The utility of available comprehensive geriatric assessment tools has been limited in routine practice because of their time-consuming nature, despite their informing clearer understanding of patients’ functional status, better clinical decision making, prevention of unpredictable admissions and emergency department overload, and support services planning. Though there are several promising tools available, there is a lack of literature on tools that can comprehensively assess functional status in an expedited fashion. OBJECTIVE This study aimed to document functional status and comorbidities among a geriatric oncology patient cohort attending a regionally located, dedicated cancer care facility, using the completed Adelaide tool assessments. This study documents cohort characteristics, including sociodemographics, malignancy type, and comorbidities. Secondarily, we observed the utility of an abridged functional assessment in the multidisciplinary team (MDT) management of older cancer patients. METHODS The study comprised a facility-based cross-sectional audit of results obtained from a screening tool administered to patients aged 65 years and older and attending an outpatient medical oncology clinic for management of cancer from late 2015 to 2017. Data relating to five domains were collected, including instrumental activities of daily living, activities of daily living, performance status, unintended weight loss, and exhaustion. Sociodemographic and disease-related factors were summarized as frequencies with percentages or mean with SD. Distribution of functional status based on sociodemographic characteristics, living status, disease-related factors, and comorbidities was analyzed using a chi-square test. Cumulative dependencies in the five domains were identified, and patients were classified as fit, vulnerable, or frail. Supplementary review of presentation notes for cases discussed at MDT meetings was undertaken to identify discrepancies. RESULTS A majority of the study population showed poor functional status, with 88.7% (243/274) categorized as vulnerable and 8.4% (23/274) as frail. Exhaustion and unintended weight loss were identified as the most common contributors to dependency. Polypharmacy was strongly associated with decreased functional status. CONCLUSIONS The outcomes of this study are congruent with the existence of dependency in various domains, and with similar research in geriatric oncology. The Adelaide tool provided a useful basis for MDT discussion and management, where cases were referred to the MDT. We recommend further examination of the tool’s utility and impact in clinical decision making, and the distribution of dependencies in a rural cohort compared with metropolitan patients.

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Association between Job-Related Factors and Work-Related Anxiety, and Moderating Effect of Decision-Making Authority in Korean Wageworkers: A Cross-Sectional Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18115755 ◽

2021 ◽

Vol 18 (11) ◽

pp. 5755

Author(s):

Sang-Woo Kim ◽

Junghee Ha ◽

June-Hee Lee ◽

Jin-Ha Yoon

Keyword(s):

Decision Making ◽

High Speed ◽

Time Pressure ◽

Cross Sectional Study ◽

Moderating Effect ◽

Related Factors ◽

Cross Sectional ◽

Complex Tasks ◽

Work Related ◽

Using Data

Among the factors causing workers’ anxiety, job-related factors are important since they can be managed. Therefore, this study aimed to analyze the association between work-related anxiety and job-related factors among Korean wageworkers using data from the Fifth Korean Working Conditions Survey. Participants were 13,600 Korean wageworkers aged <65 years. We analyzed the association between job-related factors and work-related anxiety, and the moderating effect of decision-making authority. “Meeting precise quality standards,” “Solving unforeseen problems on your own,” “Complex tasks,” “Learning new things,” “Working at very high speed,” and “Working to tight deadlines” were positively associated with work-related anxiety. “Monotonous tasks” was negatively associated with work-related anxiety. The odds ratio (OR) of “Complex tasks” was higher in the group that had insufficient decision-making authority (OR 3.92, 95% confidential interval (CI) 2.40–6.42) compared to that with sufficient decision-making authority (OR 2.74, 95% CI 1.61–4.67). The risk of work-related anxiety was higher when the workers experienced time pressure, carried out tasks with high mental and physical demands, and dealt with unpredictable situations. This association was more pronounced when decision-making authority was insufficient.

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