scholarly journals Status of birth preparedness and complication readiness among pregnant women in rural areas

Author(s):  
Sunil Pal Singh Chajhlana ◽  
T. V. D. Prathyusha ◽  
Manoj Aravind Bhumi ◽  
Rama Krishna Narashima Mahabhashyam ◽  
Maruti Sarma Mannava Varaprasada

Background: World Health Organization (WHO) estimated that 529,000 women die annually from maternal causes. Ninety-nine percent of these deaths occur in the less developed countries. Every seven minutes - an Indian woman dies from complication related to pregnancy and child birth. For every woman who dies, 30 more women suffer injuries, infection and disability.Birth-Preparedness and Complication-Readiness (BP/CR) is a package to empower women, her family and the community to promote maternal and neonatal survival. It has been recognized as a standard component of the programs designed to make pregnancy safer.Methods: A cross sectional study was conducted among pregnant women who attended antenatal clinics between May 2014-August 2014 at Rural Health Training Centre (RHTC). A total 274 pregnant women who had given consent for the study have been included in the study. Data was collected by interview in local language and a predesigned and pretested questionnaire. Socio-economic status was assessed according to Modified Kuppuswamy’s classification (as per June 2015 CPI index. BP/CR was calculated by a set of seven indicators which has been developed by the John Hopkin Bloomberg School of Public Health.Results: A total of 274 pregnant women have participated in the study. Only half of pregnant women (54.0) were well prepared by fulfilling atleast four indicators of BPCR. Pregnant women in the age group of >30 years, educational status of pregnant women Occupational status of both pregnant women and their husbands and regular antenatal checks ups and their husbands and joint family have significant associations for well birth preparedness and complication readiness (p<0.0005).Conclusions:Pregnant women in the age group of >30 years, educational status of pregnant women and their husbands and joint family have significant associations for well birth preparedness and complication readiness.  

Author(s):  
M. D. Vidhyashree ◽  
Janani S. ◽  
Kavipriya P. ◽  
Lakshmi V. ◽  
Sindhukavi S. ◽  
...  

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.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Teshale Abosie Ananche ◽  
Legesse Tadesse Wodajo

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.


2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Ayyuba Rabiu ◽  
Habiba Isah Ladu

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.


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Avita Rose Johnson ◽  
Shweta Ajay ◽  
Swathi H. N.

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.


Author(s):  
Manoj Aravind Bhumi ◽  
Sunil Pal Singh Chajhlana

Background: One of the major causes for the death of women is due to maternal mortality. Around 529,000 women die annually from maternal causes (World Health Organization (WHO) estimate) Majority of these deaths occur in the less developed countries. An Indian woman dies from complication related to pregnancy and child birth for every 7 minutes. For every woman who dies =30 more women suffer injuries, infection and disability. In Sub-Saharan Africa, where one of every 16 women dies of pregnancy related causes during her lifetime, compared with only 1 in 2,800 women in developed regions. Raising awareness of women about obstetric danger signs would improve early detection of problems and helps in seeking timely obstetric care.Methods: A cross sectional study was conducted among pregnant women who attended antenatal clinics between May 2014–August 2014 at field practice areas of RHTC, KAMSRC. A total 274 pregnant women had given consent and participated in the study. Data was collected by interview in local language and a predesigned and pretested questionnaire was used which include socio demographic profile, parity, ANC visits, gravid, knowledge regarding danger signs during pregnancy, post-partum period. Socio-economic status was assessed according to Modified Kuppuswamy’s classification (as per June 2015 CPI).Results: About 35.7%, pregnant women have good awareness 21.2%, average and 43% have poor knowledge about danger signs of pregnancy. Pregnant women in the age group of >30 years, educational status and occupational status of pregnant women and their husbands and pregnant mothers who had regular antenatal check-ups had significant associations with the awareness of obstetric danger.Conclusions: Our study concludes that there is need of creating awareness and increasing the knowledge of women about obstetric danger signs. 


2011 ◽  
Vol 58 (2) ◽  
pp. 82-89
Author(s):  
Nikola Stojanovic ◽  
Jelena Krunic ◽  
Smiljka Cicmil

Introduction. A significant change in frequency and characteristics of oral diseases in developed countries has been detected recently. The aim of this study was to determine the dental status of teeth in adults in the eastern region of Republika Srpska and to determine possible difference in the prevalence of dental diseases according to the demographic characteristics. Materials and Methods. The study included 182 respondents aged 35-44 years and 185 respondents aged 65-74 years, selected randomly from four municipalities in the eastern region of Republika Srpska. Dental examinations were conducted according to the standards and criteria developed by the World Health Organization. Dental status, determined by DMFT index, was analyzed according to the gender and place of residence (urban/rural). Results. The mean DMFT index was 20.2 in the age group 35-44 years and 28.5 in subjects aged 65-74 years. The dominant component of the index in both studied groups was the number of extracted teeth. For subjects aged 65-74 years from rural areas a significantly higher DMFT index as compared to the residents in urban regions (p<0.05) was reported. Females had fewer caries lesions (p<0.05) and greater number of restored (p<0.01) teeth as compared to male respondents in the age group 35-44 years. On the other hand, in the older population study group, females had lower number of restored teeth (p<0.01), higher number of missing teeth (p<0.01) and higher DMFT index (p<0.2001) as compared to males. Conclusion. The present results indicate that the prevalence of caries in adults in the eastern region of Republika Srpska is very high.


2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Tabeta Seeiso ◽  
Mamutle M. Todd-Maja

Antenatal care (ANC) literacy is particularly important for pregnant women who need to make appropriate decisions for care during their pregnancy and childbirth. The link between inadequate health literacy on the educational components of ANC and maternal mortality in sub-Saharan Africa (SSA) is undisputable. Yet, little is known about the ANC literacy of pregnant women in SSA, with most studies inadequately assessing the four critical components of ANC literacy recommended by the World Health Organization, namely danger signs in pregnancy; true signs of labour; nutrition; and preparedness for childbirth. Lesotho, a country with one of the highest maternal mortality rates in SSA, is also underexplored in this research area. This cross-sectional study explored the levels of ANC literacy and the associated factors in 451 purposively sampled women in two districts in Lesotho using a structured questionnaire, making recourse to statistical principles. Overall, 16.4 per cent of the participants had grossly inadequate ANC literacy, while 79.8 per cent had marginal levels of such knowledge. The geographic location and level of education were the most significant predictors of ANC literacy, with the latter variable further subjected to post hoc margins test with the Bonferroni correction. The participants had the lowest scores on knowledge of danger signs in pregnancy and true signs of labour. Adequate ANC literacy is critical to reducing maternal mortality in Lesotho. Improving access to ANC education, particularly in rural areas, is recommended. This study also provides important recommendations critical to informing the national midwifery curriculum.


2021 ◽  
Vol 6 ◽  
Author(s):  
Alex Bapula Kassim ◽  
Sam Kofi Newton ◽  
William Dormechele ◽  
Beatrice Baah Rahinatu ◽  
Easmon Otupiri

Author(s):  
Santosh D. Patil ◽  
Ravindranath A. Bhovi

Background: Nutritional anaemia is defined as a condition in which the haemoglobin content of the blood is lower than normal as a result of deficiency of one or more essential nutrients. Anaemia is the late manifestation of deficiency of nutrient(s) needed for haemoglobin synthesis. The prevalence of anaemia in developing countries is estimated to be 43% and that of developed countries is 9%. Anaemia is estimated to contribute to more than 115000 maternal deaths and 591000 prenatal deaths globally per year. The objectives of the present study were to determine the prevalence of anaemia among the pregnant women and lactating mothers and to explore the associated factors with anaemia.Methods: A cross sectional study was conducted among pregnant and lactating women in Ukkali a rural field practice area Shri B. M. Patil Medical College, Vijayapur. Criteria for inclusion were pregnant women- current pregnancy of more than 6 months and lactating mother with child aged up to 6 months of age. Estimation of haemoglobin was carried by standard Sahlis pipette method. Anaemia was classified according to WHO grading criteria.Results: The maximum number of pregnant women (85.71%) in the age group of 35-49 years was anaemic followed by those who were in the age group of 20-34 years (61.54%). Prevalence of anaemia was 72 % in women of less than 20 years, whereas it was as high as 80% among lactating women of 35-49 years age group.Conclusions: Anaemia continues to be a problem with the existing health care resources. Socio-economic status, literacy of women and awareness related to health concerns are the major determinants that contribute to the problem of anaemia.


2020 ◽  
Vol 2 (2) ◽  
pp. 127-140
Author(s):  
Reba Sarkar ◽  
Smritikana Mani

Birth preparedness and complication readiness or BP/ CR of pregnant women enable maternal and newborn survival. A quasi-experimental study was conducted to know the effect of awareness programme on knowledge and practice regarding BP/ CR among pregnant women in Panchla Block, Howrah District , West Bengal. Using the Mother and Child tracking system register 72 mothers with gestational age ≥ 36 weeks selected randomly from 12 sub-centers. Intervention was done through individual and group instructions and data were collected before and after intervention. The intervention through awareness programme to the pregnant women significantly raised the awareness level regarding BP/ CR, as the mean score was higher in the intervention group regarding birth preparedness ((17.1 after intervention versus 13.5 before intervention, t value 12.73 with 35 df ,  p<0.05) and complication readiness (13.8 after intervention versus 6.1 before intervention, t value 25.31 with 35 df , p<0.05). However, there is no significant improvement in mean score in the control group regarding birth preparedness. There is also, strong positive association between knowledge and practice (chi-square value 16.99 with 1 df and p<0.01). Keyword: birth preparedness; complication readiness


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