Assessment of the birth preparedness and complication readiness among antenatal women at Ahmedabad city, India

Dave, Viral R; Rana, Bhavik M; Khanpara, Hardika J; Sonaliya, Kantibhai N; Tolani, Jayshree

doi:10.4103/atmph.atmph_318_17

Cited by 5 publications

(4 citation statements)

References 1 publication

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“…Women whose duration of pregnancy at booking is below 30 weeks are more likely to have adequate knowledge about complication readiness (OR = 0:71; 95% CI 0.48-1.05) as more information about the concept (BP/CR) is expected to be gotten as pregnancy advances. This is in agreement with the previous studies [34,41,42].…”

Section: Biomed Research Internationalsupporting

confidence: 94%

Birth Preparedness and Complication Readiness among Pregnant Women in a Secondary Health Facility in Abakaliki, Ebonyi State, Nigeria

Okorochukwu

Ikeoha

Asiegbu

et al. 2020

BioMed Research International

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Background. Birth preparedness and complication readiness (BP/CR) concept is based on the premise that preparing for birth and being ready for complications reduce all three phases of delay to a bad obstetric outcome. Objectives. To determine the knowledge of BP/CR with its determinants and BP/CR index among pregnant women in Abakaliki, southeast Nigeria. Methods. A cross-sectional survey was done between 1st March 2019 and 31st July 2019 among 450 randomly selected antenatal attendees at Mile Four Hospital, Abakaliki, Nigeria. The data were obtained using a pretested interviewer-administered structured questionnaire adapted from the maternal and neonatal health program handbook of the Johns Hopkins Program for International Education in Gynaecology and Obstetrics (JHPIEGO). The data obtained were analyzed using percentages, chi-square, and odds ratios. The level of significance is at P value < 0.05. Results. The birth preparedness and complication readiness index was 41.9%. Only 44.9% and 36.9% of the study population had adequate knowledge of birth preparedness (BP) and complication readiness (CR), respectively. Upper social class, lower educational level, urban residence, and less than 30 years of age were associated with increased odds of respondents having adequate knowledge of BP and CR (P>0.05). However, only booking in the 1st or 2nd trimester was a significant determinant of the respondent’s adequate knowledge of BP (AOR=0.63, 95% CI 0.40-0.98) and CR (AOR=0.62, 95% CI 0.39-0.97). Identification of transport and saving of money was the commonest birth plan while the commonest danger sign known to the participants was bleeding. Conclusion. This study revealed that knowledge of BP/CR is suboptimal. The determinant of this knowledge is antenatal booking. It is recommended that women should have adequate antenatal care education to improve their knowledge of BP/CR. This will help to increase the low BP/CR index seen in our study.

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Section: Biomed Research Internationalsupporting

confidence: 94%

Birth Preparedness and Complication Readiness among Pregnant Women in a Secondary Health Facility in Abakaliki, Ebonyi State, Nigeria

Okorochukwu

Ikeoha

Asiegbu

et al. 2020

BioMed Research International

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“…In studies done by Gopalakrishnan and Rama and Acharya et al ., around 46% and 41% of the participants had adequate knowledge regarding the danger signs and complications of pregnancy and in a study done by Dave et al ., it was found to be only 8%. [6712] These variation may have been due to the level of literacy status and health-seeking behaviour of the participants in the respective study areas.…”

Section: Discussionmentioning

confidence: 99%

Health-seeking behaviour among antenatal and postnatal rural women in Kancheepuram District of Tamil Nadu: A cross-sectional Study

Gopalakrishnan

Eashwar

Muthulakshmi

2019

J Family Med Prim Care

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Introduction: Maternal morbidity and mortality is still a major public health challenge. Lack of proper birth plan and delay in identification of pregnancy complications is one of the major causes of maternal morbidities and deaths, especially in the rural areas. Aim: The study was conducted with the aim to evaluate the health-seeking behaviour for obstetric care services among the antenatal and postnatal mothers in a rural area of Tamil Nadu. Materials and Methods: This descriptive cross-sectional study was done among antenatal and postnatal mothers registered in the Rural Health Training Centre, in Sripuram area of Kancheepuram district, Tamil Nadu during 2017. About 150 antenatal and 150 postnatal mothers were selected by simple random sampling method. A pre-tested structured questionnaire was used to collect relevant data which was analysed using the SPSS version 22. Results: Only 21% of the study participants had adequate knowledge regarding the danger signs of pregnancy and the major determinants were maternal literacy and adequate prenatal care. Regarding the health-seeking behaviour, 62.3% of them preferred primary health centres as preferred place of delivery, 87.3% of them had received adequate prenatal care and it was found to have statistically significant association with adequate gestational weight gain, exclusive breastfeeding, proper weaning practices and consumption of iron and folic acid supplements. Conclusion: The study shows the need to provide health education regarding the danger signs of pregnancy and importance of adequate prenatal care to all pregnant women and expectant mothers, to make them aware of when and how to seek medical care, which in turn could reduce the overall maternal morbidity and mortality.

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“…This can be because during previous pregnancies they may have received information about BPCR. Having a history of the previous stillbirth/neonatal death or having an assisted delivery in the last pregnancy also led to better preparedness in both the rural and urban respondents in this study as well as in studies in Ahmedabad city, India [ 39 ] and Northern Ethiopia [ 40 ] and this is due to the fear of the reoccurrence of these issues in affected individuals. Pregnant women in urban areas who knew their EDD were found to be better prepared which was a similar occurrence in India [ 41 ] and maybe because respondents' prior knowledge of their delivery date may have led them to be better prepared in advance to avoid any complications.…”

Section: Discussionmentioning

confidence: 69%

Preparation for birth and complication readiness: rural-urban disparities among pregnant women in communities in Enugu State, Nigeria

Obionu¹,

Ajuba²,

Aguwa³

2022

Pan Afr Med J

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Introduction: birth preparedness and complication readiness (BPCR) is a key component of safe motherhood programs. The study aimed to determine the rural-urban disparities in BPCR and its predictors among pregnant women. Methods: this study was a community-based comparative cross-sectional study carried out among 366 pregnant women living in rural and urban areas in Enugu State, Nigeria. A multistage sampling technique was used to select the participants. Data analysis was carried out using descriptive statistics and inferential statistics at a significant level of p < 0.05. Results: among the respondents, 213 (58.2%) had good knowledge of the components of BPCR. However, a significantly higher proportion of those in urban areas had better knowledge of these components than those in rural areas (p=0.01). Generally, there was a poor practice of BPCR among both groups of respondents. However, between both groups of respondents, good practice of BPCR was statistically significantly higher in respondents from urban areas 69 (37.7%) than those in rural areas 47 (25.7%) (X 2 =6.108, p=0.013). Several factors were found to be associated with good practice of BPCR among the respondents however, the only predictor of good practice of BPCR among the urban respondents was being aware of free maternal and child health services in the State while for the rural respondents, it was having an assisted delivery in the last stages of pregnancy. Conclusion: there are rural-urban disparities in BPCR. Most pregnant women are knowledgeable about its components but the majority do not practice it appropriately.

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Assessment of the birth preparedness and complication readiness among antenatal women at Ahmedabad city, India

Cited by 5 publications

References 1 publication

Birth Preparedness and Complication Readiness among Pregnant Women in a Secondary Health Facility in Abakaliki, Ebonyi State, Nigeria

Birth Preparedness and Complication Readiness among Pregnant Women in a Secondary Health Facility in Abakaliki, Ebonyi State, Nigeria

Health-seeking behaviour among antenatal and postnatal rural women in Kancheepuram District of Tamil Nadu: A cross-sectional Study

Preparation for birth and complication readiness: rural-urban disparities among pregnant women in communities in Enugu State, Nigeria

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