Birth preparedness and complication readiness among pregnant women attending antenatal care at the Faculty of Medicine Vajira Hospital, Thailand

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.

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Birth Preparedness and Complication Readiness Practice and Associated factors among Women Attending Antenatal care Follow up in Yirgalem General Hospital, Sidama Zone, Southern Ethiopia, 2019

10.21203/rs.3.rs-55574/v1 ◽

2020 ◽

Author(s):

Molalegn Mesele Gesese ◽

Walellign Anmut Tirfe

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

General Hospital ◽

Associated Factors ◽

Southern Ethiopia ◽

Birth Preparedness ◽

Complication Readiness ◽

Factors Associated ◽

History Of

Abstract Background: Birth preparedness and complication readiness is an approach that inspires pregnant women, their families and individuals to successfully design strategy for childbirths and deal with emergencies. In developing countries, world health organization estimates that more than 300 million women suffer from short-term and long-term complications related to pregnancy and child birth. In Ethiopia only 32% women have birth preparedness. The aim of this study is to assess practice and Associated factors of birth preparedness and complication readiness among Women Yirgalem General Hospital, Sidama Zone, Southern Ethiopia, 2019Methods: Facility based cross-sectional study was conducted from September 1st to 30th, 2019. A total of 422 pregnant women were randomly selected and interviewed by using pretested structured questionnaire. Data was entered by Epi-data version 3.1 and the analysis was done by SPSS version 21. Bivariate and multivariable logistic regression was performed to identify factors associated with birth preparedness and complication readiness.Result: From 422 study participants, 356(48.6%) (95% CI: 46.9%, 49.8%) have birth preparedness and complication readiness practice. Age of respondent ≥ 37 years (AOR =4.2, 95% C.I =1.23, 14.24) and between 25 to 30 (AOR=2.35, 95% C.I =1.1, 5.1); level of education College and above(AOR=5.59, 95% C.I 2.8, 11.2)and secondary school (AOR=9.5, 95% C.I 3.99-22); previous history of ANC follow up (AOR=4.33, 95% C.I = 2.46, 7.61) and history of birth at health facility (AOR=3.09, 95% C.I= 1.72, 5.56) where factors associated with birth preparedness and complication readiness practice. Conclusion: Relatively higher birth preparedness and complication readiness practice was observed in this study when compared with previous studies. Health extension workers and health care provider should encouraged women to actively utilize the health services and the governments with other stakeholders should works on antenatal care and institutional delivery by focusing on women those has no formal education.

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Effect of Pregnant Mothers’ Forum Participation on Birth Preparedness and Complication Readiness among Pregnant Women in Dale District, Southern Ethiopia: A Comparative Cross-Sectional Study

Journal of Pregnancy ◽

10.1155/2019/1429038 ◽

2019 ◽

Vol 2019 ◽

pp. 1-12

Author(s):

Bizuayehu Bogale ◽

Ayalew Astatkie ◽

Negash Wakgari

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Multiple Logistic Regression Analysis ◽

Intervention Strategy ◽

Cross Sectional Study ◽

Birth Preparedness ◽

Sectional Study ◽

Cross Sectional ◽

Complication Readiness ◽

Pregnant Mothers

Background. Pregnant mothers’ forum is the innovative intervention strategy being implemented in Ethiopia to facilitate birth preparedness and complication readiness practice. However, its effect on birth preparedness and complication readiness has not been investigated. Objective. This study assessed the association of participation in pregnant mothers’ forum with birth preparedness and complication readiness plan among pregnant women in Dale District. Methods. A community-based comparative cross-sectional study was conducted among 604 pregnant women (302 who were forum members [exposed] and 302 who were forum nonmembers [unexposed]). Multistage sampling technique was used to select respondents. Data were collected door to door using a pretested and structured questionnaire through face-to-face interview. Data were entered and analyzed using SPSS version-20. Multiple logistic regression analysis was used to identify the effect of pregnant mothers’ forum membership on birth preparedness and complication readiness adjusting for other variables. Results. About 22.5% of pregnant women were well prepared for birth. A quarter (25.8%) of the women was prepared for the anticipated complications of whom 20.7% were the forum members. Being pregnant mother’s forum member (AOR=2.86, 95% CI=1.50,5.44), having focused counseling (AOR=3.73, 95% CI=1.17,11.83), monthly income (AOR=2.55, 95% CI=1.44,4.51), having antenatal care (AOR=3.73,95% CI=1.05,13.21), and institutional delivery during last birth (AOR=2.41, 95% CI=1.38,4.22) were significantly associated with birth preparedness. Similarly, being forum members (AOR=3.55, 95%CI=2.18, 5.78) and having antenatal care attendance before or at four months of gestational age (AOR=3.16, 95%CI=2.04, 4.91) were found to be predictors of complication readiness. Conclusion. In this study, birth preparedness and complication readiness is found to be low. However, it was significantly higher among forum members compared to forum nonmembers. Hence, efforts should be targeted to strengthen the pregnant mothers’ forum and enroll the pregnant women to antenatal care service at early stage of the pregnancy.

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Antenatal Care Users, Health Care Providers’ Perception and Experience on Antenatal Care Health Education: Qualitative Study at Five Public Health Centers, Addis Ababa, Ethiopia, 2020

10.21203/rs.3.rs-76740/v1 ◽

2020 ◽

Author(s):

Fikirte Woldeselassie Woldeyohannes ◽

LM Modiba

Keyword(s):

Health Care ◽

Health Education ◽

Antenatal Care ◽

Pregnant Women ◽

Health Care Providers ◽

Health Centers ◽

Birth Preparedness ◽

Care Providers ◽

Complication Readiness ◽

Care Health

Abstract Background: Providing antenatal care health education is one of the elements that promote the health of women by preventing pregnancy-related issues and assisting pregnant women to apprehend delivery preparedness and complications readiness plan. However, healthcare providers offer underprovided and too little information to women. Moreover, assessment of health care provider’s health education interventions in antenatal care services has not yet been studied in Ethiopia. The aim of this study was to explore and describe perceptions and experiences of pregnant women and health care providers’ health education during antenatal care.Methods: A Qualitative phenomenological research design was used to explore the awareness and experience of pregnant women and health care providers of antenatal health education at deliberately selected health centers. Focused group discussions and key informant interviews were used to gather data using an interview guide from pregnant women and health care providers working at antenatal care from June 20-30, 2018 respectively.Results: The qualitative findings have shown that the provision of antenatal care health education is insufficient. Especially there is health care provider misunderstand birth preparedness and complication readiness health education. Factors such as time, work overload, and personal perceptions of health care professionals, women's duty at home, and a growing number of clients influence the delivery of antenatal care health education.Conclusions: In general antenatal care, health education provided by health professionals during antenatal care was inadequate and affected by various factors. Therefore, the researcher of this study recommends that policy makers and programmers to develop a strategy to strengthen health education in the antenatal care service that will contribute to health education is critical in the prevention of maternal mortality and morbidity related to pregnancy danger signs awareness problem.

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Birth preparedness, complication readiness and associated factors among pregnant women seeking antenatal care at a Medical Officer of Health (MOH) area in Sri Lanka

Journal of the Postgraduate Institute of Medicine ◽

10.4038/jpgim.8194 ◽

2019 ◽

Vol 6 (1) ◽

pp. 84

Author(s):

Chithramali Hasanthika Rodrigo ◽

Vindya Kumarapeli

Keyword(s):

Sri Lanka ◽

Antenatal Care ◽

Pregnant Women ◽

Associated Factors ◽

Medical Officer ◽

Birth Preparedness ◽

Complication Readiness

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Birth preparedness and complication readiness among pregnant women in resource-limited setting in rural Northern Ghana

PAMJ - One Health ◽

10.11604/pamj-oh.2021.6.9.26900 ◽

2021 ◽

Vol 6 ◽

Author(s):

Alex Bapula Kassim ◽

Sam Kofi Newton ◽

William Dormechele ◽

Beatrice Baah Rahinatu ◽

Easmon Otupiri

Keyword(s):

Pregnant Women ◽

Resource Limited Setting ◽

Northern Ghana ◽

Birth Preparedness ◽

Complication Readiness ◽

Resource Limited ◽

Limited Setting

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Effect of Awareness Programme on Knowledge and Practice Regarding Birth Preparedness and Complication Readiness among Pregnant Women at Panchla Block, Howrah District

Indonesian Journal of Global Health Research ◽

10.37287/ijghr.v2i2.100 ◽

2020 ◽

Vol 2 (2) ◽

pp. 127-140

Author(s):

Reba Sarkar ◽

Smritikana Mani

Keyword(s):

Pregnant Women ◽

Tracking System ◽

Intervention Group ◽

Positive Association ◽

Control Group ◽

Birth Preparedness ◽

Chi Square ◽

Complication Readiness ◽

Knowledge And Practice ◽

Awareness Programme

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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Determinant of Practice of Birth Preparedness and Complication Readiness Plan Among Pregnant Women at Debretabor, North west Ethiopia: A Community Based Cross Sectional Study.

10.21203/rs.3.rs-49455/v1 ◽

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.

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