scholarly journals Birth Preparedness and Complication Readiness Practice and Associated Factors among Pregnant Women, Northwest Ethiopia

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Yewondwossen Bitew ◽  
Worku Awoke ◽  
Simachew Chekol
Keyword(s):  
Pregnant Women ◽  
Associated Factors ◽  
Group Discussion ◽  
Male Partner ◽  
Northwest Ethiopia ◽  
Postnatal Period ◽  
Birth Preparedness ◽  
Complication Readiness ◽  
Danger Signs ◽  
The Status

Background. Little is known about birth preparedness and complication readiness (BPCR) plan in resource limited settings to decrease maternal mortality. Therefore, this study was done to assess the status of BPCR and associated factors among pregnant women in South Wollo, Northwest Ethiopia, by involving 819 pregnant women from March to April, 2014. Data were collected by using pretested interviewer administered questionnaire and analyzed using a computer program of SPSS version 20.00. Results. Pregnant women who were prepared for at least three elements of BPCR were 24.1%. Pregnant women knowing at least three key danger signs during pregnancy, delivery, and postnatal period were 23.2%, 22.6%, and 9.6%, respectively. Women having secondary education and higher were 6.20 (95% CI = [1.36, 28.120]) times more likely to be prepared than illiterates. Women having a lifetime history of stillbirth [5.80 (1.13, 29.63)], attending ANC for last child pregnancy [5.44 (2.07, 14.27)], participating in community BPCR group discussion [4.36 (1.17, 16.26)], and having their male partner involved in BPCR counseling during ANC follow-up [4.45 (1.95, 10.16)] were more likely to be prepared. Conclusions. BPCR was very low and should be strengthened through health communication by involving partner in BPCR counseling.

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 Birth preparedness and complication readiness practice and associated factors among pregnant women in Northwest Ethiopia: 2018

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0249083
Author(s):  
Tibeb Zena Debelie ◽  
Abdella Amano Abdo ◽  
Kiber Temesgen Anteneh ◽  
Miteku Andualem Limenih ◽  
Mengstu Melkamu Asaye ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Associated Factors ◽  
Northwest Ethiopia ◽  
Living Standard ◽  
Outcome Variable ◽  
Birth Preparedness ◽  
Multivariable Logistic Regression Model ◽  
Cross Sectional ◽  
Complication Readiness ◽  
North Gondar Zone

Background Birth-preparedness and complication readiness is a comprehensive strategy aimed at promoting the timely utilization of skilled maternal and neonatal health care. Pregnancy-related complications both on the mother and the newborn could be largely alleviated if there is a well-consolidated birth preparedness and complication readiness plan developed during pregnancy and implemented at the time of delivery. Objective To determine the prevalence of birth preparedness and complication readiness practice (BPCR) and associated factors among pregnant women in North Gondar Zone, Northwest Ethiopia, 2018. Methods A community based cross-sectional study was conducted among pregnant women in North Gondar Zone from March 2017 to February 2018. A multistage clustered sampling technique was used to enroll a total of 1620 participants. The data were collected by face to face interviews using pretested and semi-structured questionnaires at baseline and following delivery. The data were entered using EPI-data version 3.1 and analyzed using STATA version 14 software. Bivariate and multivariable logistic regression model was fitted to assess factors with BPCR practice. Adjusted odds ratio (AOR) with 95% confidence interval was used to determine the association between covariates and the outcome variable. Results From a total of 1620 pregnant women only 1523 (94.0%) mothers were followed at the end line. The prevalence of BPCR plan during pregnancy was 66.1% [95% CI: 63.8, 68.5] and the practice at the time of delivery was 73.5% [95% CI 71.3, 75.7]. Of the total respondents who mentioned having a BPCR plan, 76.4% practiced at the time of delivery. Frequency of ANC visits [AOR = 1.97; 95% CI: 1.67, 2.32], larger number of family in the household [AOR = 1.14; 95%CI: 1.00, 1.30], highest wealth asset [AOR = 1.87; 95%CI: 1.16, 3.01], Multigravidity [AOR = 0.30; 95% CI: 0.15, 0.62], husband involvement in decision making [AOR = 2.2; 95% CI: 1.25, 3.82], counseled on BPCR [AOR = 2.35; 95% CI: 1.51, 3.68], were found to be significantly associated with BPCR practice. Conclusion BPCR practice at the time of delivery was higher than previous studies conducted in the country. However, BPCR practice was found to be lower than the standard that every woman should practice the plan at the time of delivery. Intersectoral collaborative interventions required to improve the economic status and living standard of families in the community as well as various awareness creation strategies should be implemented to support women to attend ANC follow-up visits.

scholarly journals Utilization of skilled birth attendant at birth and associated factors among women who gave birth in the last 24 months preceding the survey in Gura Dhamole Woreda, Bale zone, southeast Ethiopia

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Gizachew Sime Ayele ◽  
Abulie Takele Melku ◽  
Semere Sileshi Belda
Keyword(s):  
Associated Factors ◽  
Skilled Birth Attendant ◽  
Sub Saharan Africa ◽  
Care Utilization ◽  
Birth Preparedness ◽  
Complication Readiness ◽  
Danger Signs ◽  
Birth Attendance ◽  
Southeast Ethiopia ◽  
Bale Zone

Abstract Background Maternal morbidity and mortality continued to be major issues in many countries. Globally a total of 10.7 million women have died between 1990 and 2015 due to maternal causes where sub-Saharan Africa alone accounts for 66% of maternal death. Since most maternal deaths are avoidable; skilled attendance during pregnancy, childbirth, and the postpartum is among the most critical interventions for improving maternal and neonatal survival. The study aimed to assess the magnitude and associated factors of utilization of skilled birth attendant at birth among women who gave birth in the last 24 months preceding the study in Gura Dhamole Woreda, Bale Zone Southeast Ethiopia, 2017. Methods Community based cross-sectional study was implemented from March 25 to April 24, 2017 in Gura Dhamole Woreda on total of 402 study subjects who were selected by Multi-stage sampling technique. The data were collected using pre-tested structured questionnaire and data was coded, entered, cleaned and analyzed using Statistical Package for Social Service (SPSS) Version 20. Odds ratio with 95% Confidence Interval (CI) was used to assess associations the dependent and independent variables. Logistic regression model was employed to identify independent predictors and variables were declared statistically significant at P value < 0.05. Result In this study only 29.2% of women were assisted by Skilled Birth Attendance (SBA) during their child birth. Place of residence, mother education, travel time, joint decision on the place of delivery, ANC visit frequency, birth preparedness and complication readiness status, knowledge on obstetric danger signs after delivery and knowledge of presence of maternity waiting homes were significantly associated with SBA utilization. Conclusion Skilled birth attendant utilization in the study area was low. Strategies that improve attendance of antenatal care utilization and attention to birth preparedness and complication readiness and counseling on danger signs are recommended.

scholarly journals 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

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.

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 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 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.

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