Factors associated with the knowledge of obstetric danger signs, and perceptions of the need for obstetric care amongst married young women in northern Nigeria

Abstract Background Poor awareness of obstetric danger signs is a major contributing factor to delays in seeking obstetric care and hence to high maternal mortality and morbidity worldwide. We conducted the current study to assess the level of agreement on receipt of counseling on obstetric danger signs between direct observations of antenatal care (ANC) consultation and women’s recall in the exit interview. We also identified factors associated with pregnant women’s awareness of obstetric danger signs during pregnancy in the Democratic Republic of Congo (DRC) Methods We used data from the 2017–2018 DRC Service Provision Assessment survey. Agreement between the observation and woman’s recall was measured using Cohen’s kappa statistic and percent agreement. Multivariable Zero-Inflated Poisson (ZIP) regression was used to identify factors associated with the number of danger signs during pregnancy the woman knew. Results On average, women were aware of 1.5 ± 1.34 danger signs in pregnancy (range: 0 to 8). Agreement between observation and woman’s recall was 70.7%, with a positive agreement of 16.9% at the country level but ranging from 2.1% in Bandundu to 39.7% in Sud Kivu. Using multivariable ZIP analysis, the number of obstetric danger signs the women mentioned was significantly higher in multigravida women (Adj.IRR = 1.38; 95% CI: 1.23–1.55), in women attending a private facility (Adj.IRR = 1.15; 95% CI: 1.01–1.31), in women attending a subsequent ANC visit (Adj.IRR = 1.11; 95% CI: 1.01–1.21), and in women counseled on danger signs during the ANC visit (Adj.IRR = 1.19; 95% CI: 1.05–1.35). There was a regional variation in the awareness of danger signs, with the least mentioned signs in the middle and the most in the eastern provinces. Conclusions Our findings indicated poor agreement between directly observed counseling and women’s reports that counseling on obstetric danger signs occurred during the current ANC visit. We found that province of residence, provision of counseling on obstetric danger signs, facility ownership, gravidity and the number of ANC visits were predictors of the awareness of obstetric danger signs among pregnant women. These factors should be considered when developing strategies aim at improving women’s awareness about obstetric danger signs in the DRC

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KNOWLEDGE AND FACTORS ASSOCIATED WITH OBSTETRIC DANGER SIGNS AMONG PREGNANT WOMEN IN AL-NAWARIAH PRIMARY HEALTH CARE CENTER, MAKKAH AL-MUKARRAMAH, 2016, (A CROSS-SECTIONAL STUDY).

International Journal of Advanced Research ◽

10.21474/ijar01/5072 ◽

2017 ◽

Vol 5 (8) ◽

pp. 381-393

Author(s):

DoaaAdil Kheamy ◽

◽

SalwaMahmoud Bardisi ◽

Keyword(s):

Health Care ◽

Care Center ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Obstetric Danger Signs ◽

Health Care Center ◽

Factors Associated ◽

Danger Signs ◽

Primary Health

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Factors associated with knowledge on obstetric danger signs among women who gave birth within 1 year in Bahir Dar city administration, North West, Ethiopia

BMC Research Notes ◽

10.1186/s13104-019-4212-5 ◽

2019 ◽

Vol 12 (1) ◽

Author(s):

Azezu Asres Nigussie ◽

Amanu Aragaw Emiru ◽

Yeshalem Mulugeta Demilew ◽

Eleni Admassu Mersha

Keyword(s):

Bahir Dar ◽

Obstetric Danger Signs ◽

City Administration ◽

North West ◽

Factors Associated ◽

Danger Signs ◽

North West Ethiopia

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Factors associated with abuse among young women in dating relationships

PsycEXTRA Dataset ◽

10.1037/e633942013-342 ◽

2005 ◽

Author(s):

Kerry Sudom ◽

Alla Skomorovsky ◽

Kim Matheson ◽

Hymie Anisman

Keyword(s):

Young Women ◽

Dating Relationships ◽

Factors Associated

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Knowledge and understanding of obstetric danger signs among pregnant women attending the antenatal clinic at the National Referral Hospital in Thimphu, Bhutan: a cross-sectional study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03580-4 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Saran Tenzin Tamang ◽

Thinley Dorji ◽

Sonam Yoezer ◽

Thinley Phuntsho ◽

Phurb Dorji

Keyword(s):

Pregnant Women ◽

Knowledge Score ◽

Antenatal Clinic ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Obstetric Danger Signs ◽

Danger Signs ◽

Obstetric Emergencies ◽

Level Of Knowledge

Abstract Background The third Sustainable Development Goal for 2030 development agenda aims to reduce maternal and newborn deaths. Pregnant women’s understanding of danger signs is an important factor in seeking timely care during emergencies. We assessed knowledge of obstetric danger signs using both recall and understanding of appropriate action required during obstetric emergencies. Methods This was a cross-sectional study among pregnant women attending antenatal clinic at Bhutan’s largest hospital in Thimphu. Recall was assessed against seven obstetric danger signs outlined in the Mother and Child Health Handbook (7 points). Understanding of danger signs was tested using 13 multiple choice questions (13 points). Knowledge was scored out of 20 points and reported as ‘good’ (≥80%), ‘satisfactory’ (60–79%) and ‘poor’ (< 60%). Correlation between participant characteristics and knowledge score as well as number of danger signs recalled was tested using Pearson’s correlation coefficient. Association between knowledge score and participant characteristics was tested using t-tests (and Kruskal-Wallis test) for numeric variables. Socio-demographic and clinical characteristics associated with the level of knowledge ('good’ versus ‘satisfactory’ and ‘poor’ combined) were assessed with odds ratios using a log-binomial regression model. All results with p < 0.05 were considered significant. Results Four hundred and twenty-two women responded to the survey (response rate = 96.0%). Mean (±SD) knowledge score was 12 (±2.5). Twenty women (4.7%) had ‘good’ knowledge, 245 (58.1%) had ‘satisfactory’ knowledge and 157 (37.2%) had ‘poor’ knowledge. The median number of danger signs recalled was 2 (IQR 1, 3) while 68 women (20.3%) could not recall any danger signs. Most women were knowledgeable about pre-labour rupture of membranes (96.0%) while very few women were knowledgeable about spotting during pregnancy (19.9%). Both knowledge score and number of danger signs recalled had significant correlation with the period of gestation. Women with previous surgery on the reproductive tract had higher odds of having ‘good’ level of knowledge. Conclusions Most pregnant women had ‘satisfactory’ knowledge score with poor explicit recall of danger signs. However, women recognized obstetric emergencies and identified the appropriate action warranted.

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Contextual Factors Associated with Pregnancy Termination among Young Women in Nigeria

Women s Reproductive Health ◽

10.1080/23293691.2021.1901518 ◽

2021 ◽

pp. 1-18

Author(s):

Bola Lukman Solanke

Keyword(s):

Young Women ◽

Pregnancy Termination ◽

Contextual Factors ◽

Factors Associated

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Attitudes, Knowledge and Factors Associated with Human Papillomavirus (HPV) Vaccine Uptake in Adolescent Girls and Young Women in Victoria, Australia

PLoS ONE ◽

10.1371/journal.pone.0161846 ◽

2016 ◽

Vol 11 (8) ◽

pp. e0161846 ◽

Cited By ~ 24

Author(s):

Iris L. Y. Tung ◽

Dorothy A. Machalek ◽

Suzanne M. Garland

Keyword(s):

Human Papillomavirus ◽

Adolescent Girls ◽

Young Women ◽

Hpv Vaccine ◽

Vaccine Uptake ◽

Factors Associated ◽

Hpv Vaccine Uptake

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Prevalence and factors associated with intimate partner violence among the adolescent girls and young women in South Africa: findings the 2017 population based cross-sectional survey

BMC Public Health ◽

10.1186/s12889-021-11183-z ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Jacqueline Mthembu ◽

Musawenkosi Mabaso ◽

Sarah Reis ◽

Khangelani Zuma ◽

Nompumelelo Zungu

Keyword(s):

South African ◽

Adolescent Girls ◽

Young Women ◽

Partner Violence ◽

Urban Areas ◽

Population Based ◽

Intimate Partner ◽

Low Ses ◽

Cross Sectional ◽

Factors Associated

Abstract Background Evidence indicate that intimate partner violence (IPV) is disturbingly high among South African adolescent girls and young women (AGYW). Understanding prevalence and risk factors for IPV among these emerging adults is critical for developing appropriate interventions to prevent adverse health outcomes later in life. This study investigates the prevalence and factors associated with lifetime physical IPV experience among AGYW, aged 15–24 years, using the South African national HIV prevalence, incidence, behaviour and communication survey conducted in 2017. Methods The data used in this secondary analysis was obtained from a cross-sectional, population-based household survey data, conducted using a multi-stage stratified random cluster sampling approach. Multivariate stepwise backward logistic regression modelling was used to determine factors associated with IPV. Results Of 716 AGYW that responded to the two commonly answered questions on IPV, 13.1% (95% CI: 9.6–17.6) indicated that they experienced IPV. The odds of reporting experiences of IPV were significantly lower among AGYW residing in high SES households [AOR = 0.09 (95% CI: 0.02–0.47), p = 0.004] than low SES households, and those residing in rural informal/tribal areas [AOR = 0.01 (95% CI: 0.00–0.22), p = 0.004] than urban areas. AGYW experiencing IPV had higher odds of reporting psychological distress compared to their counterparts [AOR = 4.37 (95% CI, 0.97–19.72), p = 0.054]. Conclusion The findings highlight the need for targeted structural and psychosocial interventions in low SES households and especially in urban areas.

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